Brain metabolism was investigated in 38 patients with schizophrenia (SZ), 38 healthy control (HC) subjects, and 11 first degree relatives of SZ patients using 7T MRS in 5 brain regions. Multiple metabolic abnormalities were found in SZ patients, including increases in the ratio of glutamine to glutamate, increased levels of brain lactate, and decreased levels of γ-aminobuytric acid (GABA) and N-acetylaspartate-glutamate (NAAG). Many of these changes also correlated with measures of cognitive performance and negative symptom severity. 7T MRS is an excellent tool for the non-invasive investigation of brain pathophysiology in SZ.
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