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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title></journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2014.2644</article-id>
<article-id pub-id-type="publisher-id">mmr-10-06-2924</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Voluntary wheel running ameliorates symptoms of MK-801-induced schizophrenia in mice</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>KIM</surname><given-names>TAE-WOON</given-names></name><xref rid="af1-mmr-10-06-2924" ref-type="aff">1</xref><xref rid="af2-mmr-10-06-2924" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>KANG</surname><given-names>HYUN-SIK</given-names></name><xref rid="af2-mmr-10-06-2924" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>PARK</surname><given-names>JOON-KI</given-names></name><xref rid="af3-mmr-10-06-2924" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>LEE</surname><given-names>SAM-JUN</given-names></name><xref rid="af4-mmr-10-06-2924" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author">
<name><surname>BAEK</surname><given-names>SANG-BIN</given-names></name><xref rid="af5-mmr-10-06-2924" ref-type="aff">5</xref></contrib>
<contrib contrib-type="author">
<name><surname>KIM</surname><given-names>CHANG-JU</given-names></name><xref rid="af1-mmr-10-06-2924" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-mmr-10-06-2924"/></contrib></contrib-group>
<aff id="af1-mmr-10-06-2924">
<label>1</label>Department of Physiology, College of Medicine, Kyung Hee University, Seoul 130-701, Republic of Korea</aff>
<aff id="af2-mmr-10-06-2924">
<label>2</label>Department of Exercise Physiology, School of Sport Science, Sungkyunkwan University, Suwon, Gyeonggi-do 440-746, Republic of Korea</aff>
<aff id="af3-mmr-10-06-2924">
<label>3</label>Department of Exercise Physiology, Division of Exercise and Health Science, College of Arts and Physical Education, Incheon National University, Incheon 407-772, Republic of Korea</aff>
<aff id="af4-mmr-10-06-2924">
<label>4</label>Department of Physical Education, College of Health, Social Welfare and Education, Tong Myong University, Busan 608-711, Republic of Korea</aff>
<aff id="af5-mmr-10-06-2924">
<label>5</label>Department of Psychiatry, Gangneung Asan Hospital, Ulsan University, Gangneung, Gangwon 210-711, Republic of Korea</aff>
<author-notes>
<corresp id="c1-mmr-10-06-2924">Correspondence to: Professor Chang-Ju Kim, Department of Physiology, College of Medicine, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 130-701, Republic of Korea, E-mail: <email>changju@khu.ac.kr</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>12</month>
<year>2014</year></pub-date>
<pub-date pub-type="epub">
<day>15</day>
<month>10</month>
<year>2014</year></pub-date>
<volume>10</volume>
<issue>6</issue>
<fpage>2924</fpage>
<lpage>2930</lpage>
<history>
<date date-type="received">
<day>10</day>
<month>08</month>
<year>2013</year></date>
<date date-type="accepted">
<day>31</day>
<month>03</month>
<year>2014</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2014, Spandidos Publications</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>Schizophrenia is a chronic and severe mental disorder characterized by the disintegration of cognitive thought processes and emotional responses. Despite the precise cause of schizophrenia remains unclear, it is hypothesized that a dysregulation of the <italic>N</italic>-methyl-D-aspartate (NMDA) receptor in the brain is a major contributing factor to its development. Brain-derived neurotrophic factor (BDNF) is a member of the neurotrophin family and is implicated in learning and memory processes. In the present study, we investigated <italic>in vivo</italic> the effects of voluntary wheel running on behavioral symptoms associated with NMDA receptor expression, using MK-801-induced schizophrenic mice. Abilify (aripiprazole), a drug used to treat human schizophrenia patients, was used as the positive control. For the assessment of behavioral symptoms affecting locomotion, social interaction and spatial working memory, the open-field, social interaction and Morris water maze tests were conducted. For investigating the biochemical parameters, NMDA receptor expression in the hippocampal CA2-3 regions and prefrontal cortex was detected by NMDA immunofluorescence and BDNF expression in the hippocampus was measured using western blot analysis. MK-801 injection for 14 days induced schizophrenia-like behavioral abnormalities with decreased expression of the NMDA receptor and BDNF in the brains of mice. The results indicated that free access to voluntary wheel running for 2 weeks alleviated schizophrenia-like behavioral abnormalities and increased the expression of NMDA receptor and BDNF, comparable to the effects of aripiprazole treatment. In the present study, the results suggest that NMDA receptor hypofunctioning induced schizophrenia-like behaviors, and that voluntary wheel running was effective in reducing these symptoms by increasing NMDA receptor and BDNF expression, resulting in an improvement of disease related behavioral deficits.</p></abstract>
<kwd-group>
<kwd>schizophrenia</kwd>
<kwd>N-methyl-D-aspartate receptor</kwd>
<kwd>brain-derived neurotrophic factor</kwd>
<kwd>voluntary wheel running</kwd>
<kwd>schizophrenia-like behaviors</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Schizophrenia is a serious psychiatric disorder that occurs in ~0.5&#x02013;1.0&#x00025; of the worldwide population (<xref rid="b1-mmr-10-06-2924" ref-type="bibr">1</xref>). The positive symptoms of schizophrenia include hallucinations, delusions, cognitive deficits and movement disorders, which are coupled with negative symptoms, such as the disruption of normal emotions and behaviors (<xref rid="b2-mmr-10-06-2924" ref-type="bibr">2</xref>). Patients with schizophrenia suffer from severe deficits in mental processing and cognition, which are associated with dysfunctions in several key neural networks in the brain, including the frontal and temporal cortex, hippocampus and subcortical regions (<xref rid="b3-mmr-10-06-2924" ref-type="bibr">3</xref>). In particular, abnormalities of the prefrontal cortex are implicated in working memory deficits (<xref rid="b4-mmr-10-06-2924" ref-type="bibr">4</xref>,<xref rid="b5-mmr-10-06-2924" ref-type="bibr">5</xref>).</p>
<p>Dysregulation in physiological neurochemistry, including dopamine dysfunction, dopamine-glutamate imbalance and hypofunction of glutamate receptors, is considered as important in the pathogenesis of schizophrenia (<xref rid="b6-mmr-10-06-2924" ref-type="bibr">6</xref>). The <italic>N</italic>-methyl-D-aspartate (NMDA) receptor is a glutamate receptor that is associated with a number of diverse functional properties within the sensory and motor systems (<xref rid="b7-mmr-10-06-2924" ref-type="bibr">7</xref>), due to its role in regulating neuronal communication and synaptic functioning throughout the central nervous system (<xref rid="b8-mmr-10-06-2924" ref-type="bibr">8</xref>). Alterations in NMDA receptor function are implicated in the pathophysiology of numerous psychiatric diseases, including schizophrenia, major depression, posttraumatic stress disorder and alcoholism (<xref rid="b9-mmr-10-06-2924" ref-type="bibr">9</xref>,<xref rid="b10-mmr-10-06-2924" ref-type="bibr">10</xref>).</p>
<p>The NMDA receptor antagonists, ketamine and dizocilpine maleate (MK-801), dose-dependently impair spatial-delayed alternation performance. Furthermore, NMDA receptor antagonists and dopaminergic agonists have been used to induce schizophrenia in animal models (<xref rid="b11-mmr-10-06-2924" ref-type="bibr">11</xref>). MK-801 is an NMDA receptor antagonist that has been used for inducing schizophrenia-like symptoms and behaviors in rodents (<xref rid="b12-mmr-10-06-2924" ref-type="bibr">12</xref>). While dopaminergic agonists mimic only the positive symptoms of schizophrenia, MK-801-induced schizophrenic animals exhibit the positive and negative symptoms (<xref rid="b11-mmr-10-06-2924" ref-type="bibr">11</xref>).</p>
<p>Numerous different neuroleptic drugs have been developed and proven to be partially effective in alleviating the behavioral symptoms of schizophrenia. Abilify (aripiprazole) is used to treat certain mental and mood disorders, including bipolar disorder and schizophrenia (<xref rid="b13-mmr-10-06-2924" ref-type="bibr">13</xref>). This antipsychotic medication acts to improve mood swings, promote self-assurance, reduce anxiety and encourage participation in activities of everyday life (<xref rid="b14-mmr-10-06-2924" ref-type="bibr">14</xref>).</p>
<p>Brain-derived neurotrophic factor (BDNF) is a member of the neurotrophin family that modulates the proliferation, differentiation and growth of hippocampal progenitor cells during the development of the vertebrate nervous system (<xref rid="b15-mmr-10-06-2924" ref-type="bibr">15</xref>,<xref rid="b16-mmr-10-06-2924" ref-type="bibr">16</xref>). BDNF is implicated in learning and memory processes, as suppressing its expression leads to cognitive abnormalities and subsequent deficits (<xref rid="b17-mmr-10-06-2924" ref-type="bibr">17</xref>). Furthermore, BDNF expression is selectively increased following activity-dependent learning and memory tasks (<xref rid="b18-mmr-10-06-2924" ref-type="bibr">18</xref>).</p>
<p>Exercise has been recommended as a non-pharmacological strategy for treating those with neuropsychiatric diseases (<xref rid="b19-mmr-10-06-2924" ref-type="bibr">19</xref>&#x02013;<xref rid="b22-mmr-10-06-2924" ref-type="bibr">22</xref>), however, little information is available regarding the effects of exercise on schizophrenia-related behavioral abnormalities. In the present study, we investigated the effects of voluntary wheel running on the behavioral symptoms associated with NMDA receptor expression in MK-801-induced schizophrenic mice.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Animals and experimental design</title>
<p>Male C57BL/6 mice (6 weeks old, weighing 25&#x000B1;2 g) were used in this study. The mice were individually housed in plastic cages at a controlled temperature (23&#x000B1;2&#x000B0;C) and maintained under light-dark cycles consisting of 12 h of light (08:00 h to 20:00 h) and 12 h of dark and were provided with food and water <italic>ad libitum</italic>. Experimental procedures were performed in accordance with the animal care guidelines of the National Institutes of Health (NIH) and the Korean Academy of Medical Sciences (Seoul, Korea). This study was approved by the Institutional Animal Care and Use Committee of Kyung Hee University (Seoul, Korea). The mice were divided into four groups (n=10 in each group): the control group, the MK-801 injection group, the MK-801 injection and wheel running group and the MK-801 injection and aripiprazole-treated group. Aripiprazole was purchased from the Korea Otsuka Pharmaceutical Co., Ltd. (Seoul, Korea).</p>
<p>The mice in the MK-801 injection and voluntary wheel running group were housed individually with free access to an appropriately sized running wheel for 2 weeks. A digital counter was used to measure the total number of revolutions of the running wheel. Data were downloaded every morning and the mean daily running distance was 6,490&#x000B1;1,690 m/mouse.</p></sec>
<sec>
<title>Preparation of MK-801-induced schizophrenia model in mice</title>
<p>MK-801 is a non-competitive NMDA receptor antagonist and was purchased from the Sigma Chemical Co. (St. Louis, MO, USA). MK-801 was prepared as a stock solution (1 mg/ml, dissolved in saline) and 0.6 mg/kg of it was intraperitoneally (i.p.) injected once a day for 2 weeks as previously described (<xref rid="b12-mmr-10-06-2924" ref-type="bibr">12</xref>).</p></sec>
<sec>
<title>Open field test</title>
<p>To determine locomotion activity, an open field test was conducted two weeks following the start of the study, as previously described (<xref rid="b23-mmr-10-06-2924" ref-type="bibr">23</xref>). An open field test was performed in an open arena (length 85 cm &#x000D7; width 75 cm &#x000D7; height 30 cm). After allowing an initial 1 min for adaptation to the cubic area, the total distance traveled during an additional 5 min was recorded as the locomotion activity, using an automatic video tracking system (Smart version 2.5; Panlab, S.L.U., Barcelona, Spain).</p></sec>
<sec>
<title>Social interaction test</title>
<p>The social interaction test was performed two weeks after the study began, as previously described (<xref rid="b24-mmr-10-06-2924" ref-type="bibr">24</xref>). Two weight-matched mice, drawn from different cages, were used for this test. The normal mouse was used as the dummy partner and the index mouse was marked with an oil pen. The mice were then placed in the center of an open arena (length 85 cm &#x000D7; width 75 cm &#x000D7; height 30 cm). The animals were closely observed and the interactions exhibited by the index mouse were recorded over a period of 7 min. The social behaviors (genital investigation, sniffing, following, grooming) demonstrated by the index mouse were visually assessed throughout the duration of the test period.</p></sec>
<sec>
<title>Morris water maze test</title>
<p>Spatial working memory was evaluated using the Morris water maze task, as previously described (<xref rid="b25-mmr-10-06-2924" ref-type="bibr">25</xref>). This task requires mice to learn the spatial location of a hidden platform in a white circular pool (140 cm in diameter and 45 cm in height) filled with water (25&#x000B1;1&#x000B0;C). The hidden platform (15 cm in diameter and 35 cm in height) was placed 2 cm below the surface of water in the middle of the north quadrant and was camouflaged by virtue of being transparent against a white background. Distal visual cues were placed on the walls surrounding the pool. The position of the cues remained unchanged throughout the task. One day prior to the start of training, the mice were habituated to swimming for 60 sec in the pool without a platform. The test consisted of three acquisition phases and two probe trials. In the acquisition phase, all mice were trained twice a day for three consecutive days. When finding the platform, the mice were allowed to remain for 30 sec. If mice did not find the platform within 60 sec, they were guided by hand to the platform. Mice were given 60 sec of the probe test and then the platform was removed from the pool. Total occupancy time in the quadrant that had the platform was recorded automatically by a video tracking system (Panlab, S.L.U.).</p></sec>
<sec>
<title>Tissue preparation</title>
<p>The mice were sacrificed 15 days following the start of the study. At the beginning of the sacrificial procedure, the animals were weighed and overdosed with Zoletil 50<sup>&#x000AE;</sup> (10 mg/kg, i.p.; Vibac Laboratories, Carros, France). After a complete lack of response was observed, the mice were transcardially perfused with 50 mM of phosphate-buffered saline (PBS) and then with 4&#x00025; of paraformaldehyde in a 100 mM phosphate buffer (PB) at pH 7.4. The brains were dissected, postfixed in the same fixative overnight and transferred into a 30&#x00025; sucrose solution for cryoprotection. Brains were rapidly frozen in a deep freezer at &#x02212;80&#x000B0;C and serial coronal sections of 40 mm thickness were conducted using a freezing microtome (Leica, Nussloch, Germany).</p></sec>
<sec>
<title>Immunofluorescence for NMDA receptor assays</title>
<p>To visualize NMDA receptor expression, immunofluorescence for NMDA receptor was performed, as previously described (<xref rid="b25-mmr-10-06-2924" ref-type="bibr">25</xref>). Brain sections were selected and incubated overnight with goat anti-NMDA receptor antibody. After washing, the sections were incubated for 2 h with fluorescent isothiocyanate (FITC)-conjugated goat anti-rabbit secondary antibody (Jackson ImmunoResearch Laboratories, West Grove, PA, USA). The sections were then mounted on gelatin-coated glass slides and the coverslips were mounted using a fluorescent mounting medium (DakoCytomation, Carpinteria, CA, USA). The slides of the fluorescent images were captured using confocal laser-scanning microscopy with LSM 510 META (Carl Zeiss, Oberkochen, Germany). Negative controls were performed by omitting the primary antibody and therefore did not exhibit any signals.</p></sec>
<sec>
<title>Western blotting for BDNF expression</title>
<p>BDNF expression was determined using western blot analysis, as previously described (<xref rid="b26-mmr-10-06-2924" ref-type="bibr">26</xref>). Collected hippocampal tissues were immediately frozen at &#x02212;70&#x000B0;C. The hippocampal tissues were homogenized on ice and lysed in a lysis buffer containing 50 mM Tris-HCl (pH 7.5), 150 mM NaCl, 0.5&#x00025; deoxycholic acid, 1&#x00025; Nonidet P-40, 0.1&#x00025; SDS, 1 mM PMSF and 100 mg/ml leupeptin. Protein content was measured using a Bio-Rad colorimetric protein assay kit (Bio-Rad, Hercules, CA, USA), then 30 &#x003BC;g of protein was separated on SDS-polyacrylamide gels and transferred onto a nitrocellulose membrane, which was incubated with mouse &#x003B2;-actin antibody (1:3,000; Santa Cruz Biotechnology, Inc., Santa Cruz, CA, USA) and rabbit BDNF antibody (1:1,000; Santa Cruz Biotechnology, Inc.). Horseradish peroxidase-conjugated anti-rabbit antibody for BDNF was used as the secondary antibody. The experiment was performed under normal lab conditions and at room temperature except for the transferred membrane, which was performed at 4&#x000B0;C with a cold pack and prechilled buffer. Band detection was performed using an enhanced chemiluminescence (ECL) detection kit (Santa Cruz Biotechnology, Inc.).</p></sec>
<sec>
<title>Data analysis</title>
<p>The number of NMDA receptor-positive cells in the hippocampal CA2-3 regions and prefrontal cortex were counted hemilaterally under a light microscope (Olympus, Tokyo, Japan) and they were expressed as the number of cells/mm<sup>2</sup> in the selected areas. To confirm the expression of BDNF, detected bands were calculated densitometrically using Molecular Analyst&#x02122;, version 1.4.1 (Bio-Rad). Statistical analysis was performed using a one-way analysis of variance (ANOVA) followed by Duncan&#x02019;s post-hoc test. Results are expressed as the mean &#x000B1; standard error of the mean (SEM). P&lt;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Effect of wheel running on the locomotion distance</title>
<p>The locomotion distance in the open field test was 1057.58&#x000B1;106.97 cm in the control group, 1677.63&#x000B1;116.29 cm in the MK-801 injection group, 1125.80&#x000B1;83.63 cm in the MK-801 injection and wheel running group and 1065.78&#x000B1;150.01 cm in the MK-801 injection and aripiprazole-treated group (<xref rid="f1-mmr-10-06-2924" ref-type="fig">Fig. 1</xref>, upper left). Locomotion distance in MK-801-injected mice was significantly higher compared with that in normal mice (P&lt;0.05), however, wheel running and aripiprazole treatment decreased locomotion distance in the MK-801-injected mice (P&lt;0.05).</p></sec>
<sec>
<title>Effect of wheel running on social interaction time</title>
<p>Time spent socially interacting was 206.60&#x000B1;10.99 sec in the control group, 78.60&#x000B1;4.01 sec in the MK-801 injection group, 170.20&#x000B1;13.13 sec in the MK-801 injection and wheel running group and 162.25&#x000B1;12.99 sec in the MK-801 injection and aripiprazole-treated group (<xref rid="f1-mmr-10-06-2924" ref-type="fig">Fig. 1</xref>, lower left). The time that MK-801-injected mice spent socially interacting was lower compared with that spent by normal mice (P&lt;0.05), but the wheel running and aripiprazole treatment increased the time that MK-801-injected mice spent socially interacting (P&lt;0.05).</p></sec>
<sec>
<title>Effect of wheel running on spatial working memory</title>
<p>The percentage of time spent in the probe quadrant of the Morris water maze test was 32.96&#x000B1;3.00&#x00025; in the control group, 19.12&#x000B1;3.41&#x00025; in the MK-801 injection group, 28.94&#x000B1;1.66&#x00025; in the MK-801 injection and wheel running group and 30.03&#x000B1;4.11&#x00025; in the MK-801 injection and aripiprazole-treated group (<xref rid="f1-mmr-10-06-2924" ref-type="fig">Fig. 1</xref>, right). The percentage of time that the MK-801-injected mice spent in the probe quadrant was lower than that in normal mice (P&lt;0.05). Wheel running and aripiprazole treatment increased the percentage of time MK-801-injected mice spent in the probe quadrant (P&lt;0.05).</p></sec>
<sec>
<title>Effects of wheel running on NMDA receptor expression in hippocampal CA2-3 regions and the prefrontal cortex</title>
<p>The number of NMDA receptor-positive cells in hippocampal CA2-3 regions was 1154.06&#x000B1;73.09/mm<sup>2</sup> in the control group, 739.03&#x000B1;34.51/mm<sup>2</sup> in the MK-801 injection group, 1007.89&#x000B1;35.20/mm<sup>2</sup> in the MK-801 injection and wheel running group and 1012.28&#x000B1;59.32/mm<sup>2</sup> in the MK-801 injection and aripiprazole-treated group (<xref rid="f2-mmr-10-06-2924" ref-type="fig">Fig. 2</xref>, left). The number of NMDA receptor-positive cells in the prefrontal cortex was 1724.10&#x000B1;47.50/mm<sup>2</sup> in the control group, 1022.50&#x000B1;28.03/mm<sup>2</sup> in the MK-801 injection group, 1517.81&#x000B1;53.54/mm<sup>2</sup> in the MK-801 injection and wheel running group and 1498.21&#x000B1;53.54/mm<sup>2</sup> in the MK-801 injection and aripiprazole-treated group (<xref rid="f2-mmr-10-06-2924" ref-type="fig">Fig. 2</xref>, right). The number of NMDA receptor-positive cells in hippocampal CA2-3 regions and the prefrontal cortex of the MK-801-njected mice was lower than that in normal mice (P&lt;0.05). Wheel running and aripiprazole treatment increased this number in MK-801-injected mice (P&lt;0.05).</p></sec>
<sec>
<title>Effect of wheel running on BDNF expression in the hippocampus</title>
<p>The level of BDNF expression in the hippocampus of the control group was set as 1.00. The level of BDNF expression was 0.77&#x000B1;0.03 in the MK-801 injection group, 1.34&#x000B1;0.03 in the MK-801 injection and wheel running group and 0.85&#x000B1;0.02 in the MK-801 injection and aripiprazole-treated group (<xref rid="f3-mmr-10-06-2924" ref-type="fig">Fig. 3</xref>). The expression of BDNF in the MK-801-injected mice was lower than that in normal mice (P&lt;0.05). Wheel running and aripiprazole treatment increased the expression of BDNF in the MK-801-injected mice (P&lt;0.05).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>The importance of NMDA receptors in the pathogenesis of schizophrenia is well documented. A postmortem study by Harrison <italic>et al</italic> (<xref rid="b27-mmr-10-06-2924" ref-type="bibr">27</xref>) demonstrated that NMDA receptor subunit expression was reduced in various brain regions of schizophrenic patients, particularly in the hippocampus. NMDA receptor hypomorphic mice exhibit alterations in sensorimotor gating and typical conspecific interactions, reminiscent of behavioral disturbances associated with schizophrenia (<xref rid="b28-mmr-10-06-2924" ref-type="bibr">28</xref>). NMDA receptor antagonists cause locomotor hyperactivity similar to that observed in schizophrenia (<xref rid="b29-mmr-10-06-2924" ref-type="bibr">29</xref>). Impaired working memory in schizophrenia is associated with a decline in dorsolateral prefrontal cortex activity (<xref rid="b30-mmr-10-06-2924" ref-type="bibr">30</xref>). Furthermore, reduced NMDA receptor functioning has been correlated with an increase in locomotor activity, and non-dopaminergic blocking agents, such as olanzapine, reduce hyperactivity in NMDA receptor-deficient mice (<xref rid="b31-mmr-10-06-2924" ref-type="bibr">31</xref>). NMDA receptor obligatory subunit 1 deletion knockout mice are impaired in prepotent inhibition of the auditory startle reflex, as well as in object-based short-term memory (<xref rid="b32-mmr-10-06-2924" ref-type="bibr">32</xref>). In the present study, repeated injections of the NMDA receptor antagonist MK-801 reduced the expression of NMDA receptors in hippocampal CA2-3 regions and the prefrontal cortex, indicating the presence of schizophrenia-like biochemical alterations in the brain. In the open field test, mice in the MK-801 injection group demonstrated a greater increase in locomotion distance compared with mice in the control group. Decreased social interaction time was also observed in the MK-801-injected mice. These results suggest that reducing NMDA receptor produces schizophrenia-like behavioral abnormalities in mice.</p>
<p>A reduction in short-term and spatial working memory is a characteristic feature of the normal aging process, and is accompanied with suppression of BDNF expression in the hippocampus (<xref rid="b33-mmr-10-06-2924" ref-type="bibr">33</xref>). The results of this study are consistent with those of previous studies, which demonstrated that enhanced BDNF expression in the hippocampus improves short-term and long-term memories (<xref rid="b34-mmr-10-06-2924" ref-type="bibr">34</xref>,<xref rid="b35-mmr-10-06-2924" ref-type="bibr">35</xref>). Of note, BDNF expression in the hippocampus is suppressed by traumatic brain injury, suggesting that BDNF exerts a neuroprotective effect (<xref rid="b36-mmr-10-06-2924" ref-type="bibr">36</xref>). The NMDA receptor antagonist MK-801 also suppresses hippocampal expression of BDNF (<xref rid="b37-mmr-10-06-2924" ref-type="bibr">37</xref>). Decreased BDNF expression has been identified in several mental disorders, including schizophrenia and depression (<xref rid="b26-mmr-10-06-2924" ref-type="bibr">26</xref>,<xref rid="b38-mmr-10-06-2924" ref-type="bibr">38</xref>). Furthermore, induction of intracerebral hemorrhage has been demonstrated to suppress BDNF expression in the hippocampus, with the impairment in spatial learning memory occurring as a result (<xref rid="b39-mmr-10-06-2924" ref-type="bibr">39</xref>). In the present study, repeated injections of the NMDA receptor antagonist MK-801 suppressed BDNF expression in the hippocampus. Impairment in spatial working memory was also observed in the MK-801-injected mice. These results suggest that MK-801 injections deteriorated spatial working memory by depressing BDNF expression in the hippocampus.</p>
<p>The benefits of exercise on brain functioning are well documented (<xref rid="b20-mmr-10-06-2924" ref-type="bibr">20</xref>,<xref rid="b22-mmr-10-06-2924" ref-type="bibr">22</xref>,<xref rid="b25-mmr-10-06-2924" ref-type="bibr">25</xref>,<xref rid="b40-mmr-10-06-2924" ref-type="bibr">40</xref>). Beebe <italic>et al</italic> (<xref rid="b19-mmr-10-06-2924" ref-type="bibr">19</xref>) reported that experimental participants in a 16-week walking program for outpatients diagnosed with schizophrenia had greater aerobic fitness, lower body mass indexes and fewer psychiatric symptoms, than the controls at the conclusion of the program. In the present study, mice with free access to wheel running demonstrated decreased locomotor activity, enhanced social interaction time and improved spatial working memory, which was comparable to the effects of aripiprazole treatment.</p>
<p>The glutamate receptor, NMDA, is involved in activity-dependent synaptic plasticity, including long-term potentiation (<xref rid="b41-mmr-10-06-2924" ref-type="bibr">41</xref>). It was identified that exercise is a necessary step for initiating activity of the NMDA receptor in the hippocampus (<xref rid="b42-mmr-10-06-2924" ref-type="bibr">42</xref>) and that exercise-enhanced NMDA receptor expression promotes postnatal motor-unit maturation in a spinal muscular atrophy mouse model (<xref rid="b43-mmr-10-06-2924" ref-type="bibr">43</xref>). Treadmill exercise increases NMDA receptor immunoreactivity and protein level in the hippocampus (<xref rid="b44-mmr-10-06-2924" ref-type="bibr">44</xref>). Nishijima <italic>et al</italic> (<xref rid="b45-mmr-10-06-2924" ref-type="bibr">45</xref>) suggested that exercise-induced increase in hippocampal cerebral blood flow is regulated by hippocampal neuronal activity, mediated mainly through the NMDA receptor. In the present study, mice that participated in voluntary wheel running demonstrated enhanced NMDA receptor expression in the hippocampus, comparable to the effects of aripiprazole treatment. These results suggest that exercise alleviates the symptoms of schizophrenia by enhancing NMDA receptor expression in the hippocampus.</p>
<p>The enhancement effect of physical exercise on hippocampal BDNF expression has been consistently reported in previous studies (<xref rid="b36-mmr-10-06-2924" ref-type="bibr">36</xref>,<xref rid="b46-mmr-10-06-2924" ref-type="bibr">46</xref>,<xref rid="b47-mmr-10-06-2924" ref-type="bibr">47</xref>). Enhanced BDNF expression in the hippocampus via exercise inhibits age-induced deterioration of short-term and spatial working memories (<xref rid="b33-mmr-10-06-2924" ref-type="bibr">33</xref>). Exercise-induced BDNF expression also alleviates spatial working memory impairment in attention deficit/hyperactivity disorder (ADHD) rats (<xref rid="b21-mmr-10-06-2924" ref-type="bibr">21</xref>). Voluntary wheel running is more effective in the upregulation of hippocampal BDNF levels in rats with brain ischemia, as compared with forced treadmill running (<xref rid="b48-mmr-10-06-2924" ref-type="bibr">48</xref>). In the present study, voluntary wheel running enhanced BDNF expression in the hippocampus, comparable to the effects of aripiprazole treatment. These results suggest that exercise alleviates spatial working memory impairment by enhancing BDNF expression in schizophrenic mice.</p>
<p>Based on the present findings, it was concluded that NMDA receptor hypofunctioning induces schizophrenia-like behaviors in mice. Physical exercise increases NMDA receptor expression by enhancing BDNF expression, resulting in improvement of schizophrenia-like behaviors. The present study suggests that voluntary regular exercise may facilitate in alleviating the symptoms of schizophrenia in human patients.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by the Research Fund from Kyung Hee University at the year of 2010 (KHU 20100848).</p></ack>
<ref-list>
<title>References</title>
<ref id="b1-mmr-10-06-2924"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Freedman</surname><given-names>R</given-names></name></person-group><article-title>Schizophrenia</article-title><source>N Engl J Med</source><volume>349</volume><fpage>1738</fpage><lpage>1749</lpage><year>2003</year></element-citation></ref>
<ref id="b2-mmr-10-06-2924"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ross</surname><given-names>CA</given-names></name><name><surname>Margolis</surname><given-names>RL</given-names></name><name><surname>Reading</surname><given-names>SA</given-names></name><name><surname>Pletnikov</surname><given-names>M</given-names></name><name><surname>Coyle</surname><given-names>JT</given-names></name></person-group><article-title>Neurobiology of schizophrenia</article-title><source>Neuron</source><volume>52</volume><fpage>139</fpage><lpage>153</lpage><year>2006</year></element-citation></ref>
<ref id="b3-mmr-10-06-2924"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kuperberg</surname><given-names>G</given-names></name><name><surname>Heckers</surname><given-names>S</given-names></name></person-group><article-title>Schizophrenia and cognitive function</article-title><source>Curr Opin Neurobiol</source><volume>10</volume><fpage>205</fpage><lpage>210</lpage><year>2000</year></element-citation></ref>
<ref id="b4-mmr-10-06-2924"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Manoach</surname><given-names>DS</given-names></name></person-group><article-title>Prefrontal cortex dysfunction during working memory performance in schizophrenia: reconciling discrepant findings</article-title><source>Schizophr Res</source><volume>60</volume><fpage>285</fpage><lpage>298</lpage><year>2003</year></element-citation></ref>
<ref id="b5-mmr-10-06-2924"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Meyer-Lindenberg</surname><given-names>A</given-names></name><name><surname>Miletich</surname><given-names>RS</given-names></name><name><surname>Kohn</surname><given-names>PD</given-names></name><name><surname>Esposito</surname><given-names>G</given-names></name><name><surname>Carson</surname><given-names>RE</given-names></name><name><surname>Quarantelli</surname><given-names>M</given-names></name><name><surname>Weinberger</surname><given-names>DR</given-names></name><name><surname>Berman</surname><given-names>KF</given-names></name></person-group><article-title>Reduced prefrontal activity predicts exaggerated striatal dopaminergic function in schizophrenia</article-title><source>Nat Neurosci</source><volume>5</volume><fpage>267</fpage><lpage>271</lpage><year>2002</year></element-citation></ref>
<ref id="b6-mmr-10-06-2924"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Carlsson</surname><given-names>A</given-names></name><name><surname>Waters</surname><given-names>N</given-names></name><name><surname>Carlsson</surname><given-names>ML</given-names></name></person-group><article-title>Neurotransmitter interactions in schizophrenia - therapeutic implications</article-title><source>Biol Psychiatry</source><volume>46</volume><fpage>1388</fpage><lpage>1395</lpage><year>1999</year></element-citation></ref>
<ref id="b7-mmr-10-06-2924"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Daw</surname><given-names>NW</given-names></name><name><surname>Stein</surname><given-names>PS</given-names></name><name><surname>Fox</surname><given-names>K</given-names></name></person-group><article-title>The role of NMDA receptors in information processing</article-title><source>Annu Rev Neurosci</source><volume>16</volume><fpage>207</fpage><lpage>222</lpage><year>1993</year></element-citation></ref>
<ref id="b8-mmr-10-06-2924"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>K&#x000F6;hr</surname><given-names>G</given-names></name></person-group><article-title>NMDA receptor function: subunit composition versus spatial distribution</article-title><source>Cell Tissue Res</source><volume>326</volume><fpage>439</fpage><lpage>446</lpage><year>2006</year></element-citation></ref>
<ref id="b9-mmr-10-06-2924"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Coyle</surname><given-names>JT</given-names></name></person-group><article-title>Glutamate and schizophrenia: beyond the dopamine hypothesis</article-title><source>Cell Mol Neurobiol</source><volume>26</volume><fpage>365</fpage><lpage>384</lpage><year>2006</year></element-citation></ref>
<ref id="b10-mmr-10-06-2924"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Heresco-Levy</surname><given-names>U</given-names></name><name><surname>Javitt</surname><given-names>DC</given-names></name></person-group><article-title>The role of N-methyl-D-aspartate (NMDA) receptor-mediated neurotransmission in the pathophysiology and therapeutics of psychiatric syndromes</article-title><source>Eur Neuropsychopharmacol</source><volume>8</volume><fpage>141</fpage><lpage>152</lpage><year>1998</year></element-citation></ref>
<ref id="b11-mmr-10-06-2924"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rung</surname><given-names>JP</given-names></name><name><surname>Carlsson</surname><given-names>A</given-names></name><name><surname>Ryd&#x000E9;n Markinhuhta</surname><given-names>K</given-names></name><name><surname>Carlsson</surname><given-names>ML</given-names></name></person-group><article-title>(+)-MK-801 induced social withdrawal in rats; a model for negative symptoms of schizophrenia</article-title><source>Prog Neuropsychopharmacol Biol Psychiatry</source><volume>29</volume><fpage>827</fpage><lpage>832</lpage><year>2005</year></element-citation></ref>
<ref id="b12-mmr-10-06-2924"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yu</surname><given-names>J</given-names></name><name><surname>Qi</surname><given-names>D</given-names></name><name><surname>Xing</surname><given-names>M</given-names></name><name><surname>Li</surname><given-names>R</given-names></name><name><surname>Jiang</surname><given-names>K</given-names></name><name><surname>Peng</surname><given-names>Y</given-names></name><name><surname>Cui</surname><given-names>D</given-names></name></person-group><article-title>MK-801 induces schizophrenic behaviors through downregulating Wnt signaling pathways in male mice</article-title><source>Brain Res</source><volume>1385</volume><fpage>281</fpage><lpage>292</lpage><year>2011</year></element-citation></ref>
<ref id="b13-mmr-10-06-2924"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Youngstrom</surname><given-names>E</given-names></name><name><surname>Zhao</surname><given-names>J</given-names></name><name><surname>Mankoski</surname><given-names>R</given-names></name><name><surname>Forbes</surname><given-names>RA</given-names></name><name><surname>Marcus</surname><given-names>RM</given-names></name><name><surname>Carson</surname><given-names>W</given-names></name><name><surname>McQuade</surname><given-names>R</given-names></name><name><surname>Findling</surname><given-names>RL</given-names></name></person-group><article-title>Clinical significance of treatment effects with aripiprazole versus placebo in a study of manic or mixed episodes associated with pediatric bipolar I disorder</article-title><source>J Child Adolesc Psychopharmacol</source><volume>23</volume><fpage>72</fpage><lpage>79</lpage><year>2013</year></element-citation></ref>
<ref id="b14-mmr-10-06-2924"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lerond</surname><given-names>J</given-names></name><name><surname>Lothe</surname><given-names>A</given-names></name><name><surname>Ryvlin</surname><given-names>P</given-names></name><name><surname>Bouvard</surname><given-names>S</given-names></name><name><surname>d&#x02019;Amato</surname><given-names>T</given-names></name><name><surname>Ciumas</surname><given-names>C</given-names></name><name><surname>Dal&#x000E9;ry</surname><given-names>J</given-names></name><name><surname>Poulet</surname><given-names>E</given-names></name><name><surname>Saoud</surname><given-names>M</given-names></name></person-group><article-title>Effects of aripiprazole, risperidone, and olanzapine on 5-HT1A receptors in patients with schizophrenia</article-title><source>J Clin Psychopharmacol</source><volume>33</volume><fpage>84</fpage><lpage>89</lpage><year>2013</year></element-citation></ref>
<ref id="b15-mmr-10-06-2924"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname><given-names>EJ</given-names></name><name><surname>Reichardt</surname><given-names>LF</given-names></name></person-group><article-title>Neurotrophins: roles in neuronal development and function</article-title><source>Annu Rev Neurosci</source><volume>24</volume><fpage>677</fpage><lpage>736</lpage><year>2001</year></element-citation></ref>
<ref id="b16-mmr-10-06-2924"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname><given-names>E</given-names></name><name><surname>Son</surname><given-names>H</given-names></name></person-group><article-title>Adult hippocampal neurogenesis and related neurotrophic factors</article-title><source>BMB Rep</source><volume>42</volume><fpage>239</fpage><lpage>244</lpage><year>2009</year></element-citation></ref>
<ref id="b17-mmr-10-06-2924"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gomez-Pinilla</surname><given-names>F</given-names></name><name><surname>Vaynman</surname><given-names>S</given-names></name></person-group><article-title>A &#x0201C;deficient environment&#x0201D; in prenatal life may compromise systems important for cognitive function by affecting BDNF in the hippocampus</article-title><source>Exp Neurol</source><volume>192</volume><fpage>235</fpage><lpage>243</lpage><year>2005</year></element-citation></ref>
<ref id="b18-mmr-10-06-2924"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zimmerberg</surname><given-names>B</given-names></name><name><surname>Foote</surname><given-names>HE</given-names></name><name><surname>Van Kempen</surname><given-names>TA</given-names></name></person-group><article-title>Olfactory association learning and brain-derived neurotrophic factor in an animal model of early deprivation</article-title><source>Dev Psychobiol</source><volume>51</volume><fpage>333</fpage><lpage>344</lpage><year>2009</year></element-citation></ref>
<ref id="b19-mmr-10-06-2924"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Beebe</surname><given-names>LH</given-names></name><name><surname>Tian</surname><given-names>L</given-names></name><name><surname>Morris</surname><given-names>N</given-names></name><name><surname>Goodwin</surname><given-names>A</given-names></name><name><surname>Allen</surname><given-names>SS</given-names></name><name><surname>Kuldau</surname><given-names>J</given-names></name></person-group><article-title>Effects of exercise on mental and physical health parameters of persons with schizophrenia</article-title><source>Issues Ment Health Nurs</source><volume>26</volume><fpage>661</fpage><lpage>676</lpage><year>2005</year></element-citation></ref>
<ref id="b20-mmr-10-06-2924"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cho</surname><given-names>HS</given-names></name><name><surname>Shin</surname><given-names>MS</given-names></name><name><surname>Song</surname><given-names>W</given-names></name><name><surname>Jun</surname><given-names>TW</given-names></name><name><surname>Lim</surname><given-names>BV</given-names></name><name><surname>Kim</surname><given-names>YP</given-names></name><name><surname>Kim</surname><given-names>CJ</given-names></name></person-group><article-title>Treadmill exercise alleviates short-term memory impairment in 6-hydroxydopamine-induced Parkinson&#x02019;s rats</article-title><source>J Exerc Rehabil</source><volume>9</volume><fpage>354</fpage><lpage>361</lpage><year>2013</year></element-citation></ref>
<ref id="b21-mmr-10-06-2924"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>H</given-names></name><name><surname>Heo</surname><given-names>HI</given-names></name><name><surname>Kim</surname><given-names>DH</given-names></name><name><surname>Ko</surname><given-names>IG</given-names></name><name><surname>Lee</surname><given-names>SS</given-names></name><name><surname>Kim</surname><given-names>SE</given-names></name><name><surname>Kim</surname><given-names>BK</given-names></name><name><surname>Kim</surname><given-names>TW</given-names></name><name><surname>Ji</surname><given-names>ES</given-names></name><name><surname>Kim</surname><given-names>JD</given-names></name><etal/></person-group><article-title>Treadmill exercise and methylphenidate ameliorate symptoms of attention deficit/hyperactivity disorder through enhancing dopamine synthesis and brain-derived neurotrophic factor expression in spontaneous hypertensive rats</article-title><source>Neurosci Lett</source><volume>504</volume><fpage>35</fpage><lpage>39</lpage><year>2011</year></element-citation></ref>
<ref id="b22-mmr-10-06-2924"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lang</surname><given-names>R</given-names></name><name><surname>Koegel</surname><given-names>LK</given-names></name><name><surname>Ashbaugh</surname><given-names>K</given-names></name><name><surname>Regester</surname><given-names>A</given-names></name><name><surname>Ence</surname><given-names>W</given-names></name><name><surname>Smith</surname><given-names>W</given-names></name></person-group><article-title>Physical exercise and individuals with autism spectrum disorders: A systematic review</article-title><source>Res Autism Spectr Disord</source><volume>4</volume><fpage>565</fpage><lpage>576</lpage><year>2010</year></element-citation></ref>
<ref id="b23-mmr-10-06-2924"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Durand</surname><given-names>M</given-names></name><name><surname>Berton</surname><given-names>O</given-names></name><name><surname>Aguerre</surname><given-names>S</given-names></name><name><surname>Edno</surname><given-names>L</given-names></name><name><surname>Combourieu</surname><given-names>I</given-names></name><name><surname>Morm&#x000E8;de</surname><given-names>P</given-names></name><name><surname>Chaouloff</surname><given-names>F</given-names></name></person-group><article-title>Effects of repeated fluoxetine on anxiety-related behaviours, central serotonergic systems, and the corticotropic axis in SHR and WKY rats</article-title><source>Neuropharmacology</source><volume>38</volume><fpage>893</fpage><lpage>907</lpage><year>1999</year></element-citation></ref>
<ref id="b24-mmr-10-06-2924"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dandekar</surname><given-names>MP</given-names></name><name><surname>Singru</surname><given-names>PS</given-names></name><name><surname>Kokare</surname><given-names>DM</given-names></name><name><surname>Lechan</surname><given-names>RM</given-names></name><name><surname>Thim</surname><given-names>L</given-names></name><name><surname>Clausen</surname><given-names>JT</given-names></name><name><surname>Subhedar</surname><given-names>NK</given-names></name></person-group><article-title>Importance of cocaine- and amphetamine-regulated transcript peptide in the central nucleus of amygdala in anxiogenic responses induced by ethanol withdrawal</article-title><source>Neuropsychopharmacology</source><volume>33</volume><fpage>1127</fpage><lpage>1136</lpage><year>2008</year></element-citation></ref>
<ref id="b25-mmr-10-06-2924"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shin</surname><given-names>MS</given-names></name><name><surname>Ko</surname><given-names>IG</given-names></name><name><surname>Kim</surname><given-names>SE</given-names></name><name><surname>Kim</surname><given-names>BK</given-names></name><name><surname>Kim</surname><given-names>TS</given-names></name><name><surname>Lee</surname><given-names>SH</given-names></name><name><surname>Hwang</surname><given-names>DS</given-names></name><name><surname>Kim</surname><given-names>CJ</given-names></name><name><surname>Park</surname><given-names>JK</given-names></name><name><surname>Lim</surname><given-names>BV</given-names></name></person-group><article-title>Treadmill exercise ameliorates symptoms of methimazole-induced hypothyroidism through enhancing neurogenesis and suppressing apoptosis in the hippocampus of rat pups</article-title><source>Int J Dev Neurosci</source><volume>31</volume><fpage>214</fpage><lpage>223</lpage><year>2013</year></element-citation></ref>
<ref id="b26-mmr-10-06-2924"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>JE</given-names></name><name><surname>Ji</surname><given-names>ES</given-names></name><name><surname>Seo</surname><given-names>JH</given-names></name><name><surname>Lee</surname><given-names>MH</given-names></name><name><surname>Cho</surname><given-names>S</given-names></name><name><surname>Park</surname><given-names>YK</given-names></name><name><surname>Seo</surname><given-names>TB</given-names></name><name><surname>Kim</surname><given-names>CJ</given-names></name></person-group><article-title>Alcohol exposure induces depression-like behavior by decreasing hippocampal neuronal proliferation through inhibition of the BDNF-ERK pathway in gerbils</article-title><source>Anim Cells Syst</source><volume>16</volume><fpage>190</fpage><lpage>197</lpage><year>2012</year></element-citation></ref>
<ref id="b27-mmr-10-06-2924"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Harrison</surname><given-names>PJ</given-names></name><name><surname>Law</surname><given-names>AJ</given-names></name><name><surname>Eastwood</surname><given-names>SL</given-names></name></person-group><article-title>Glutamate receptors and transporters in the hippocampus in schizophrenia</article-title><source>Ann NY Acad Sci</source><volume>1003</volume><fpage>94</fpage><lpage>101</lpage><year>2003</year></element-citation></ref>
<ref id="b28-mmr-10-06-2924"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Duncan</surname><given-names>GE</given-names></name><name><surname>Moy</surname><given-names>SS</given-names></name><name><surname>Perez</surname><given-names>A</given-names></name><name><surname>Eddy</surname><given-names>DM</given-names></name><name><surname>Zinzow</surname><given-names>WM</given-names></name><name><surname>Lieberman</surname><given-names>JA</given-names></name><name><surname>Snouwaert</surname><given-names>JN</given-names></name><name><surname>Koller</surname><given-names>BH</given-names></name></person-group><article-title>Deficits in sensorimotor gating and tests of social behavior in a genetic model of reduced NMDA receptor function</article-title><source>Behav Brain Res</source><volume>153</volume><fpage>507</fpage><lpage>519</lpage><year>2004</year></element-citation></ref>
<ref id="b29-mmr-10-06-2924"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Leriche</surname><given-names>L</given-names></name><name><surname>Schwartz</surname><given-names>JC</given-names></name><name><surname>Sokoloff</surname><given-names>P</given-names></name></person-group><article-title>The dopamine D3 receptor mediates locomotor hyperactivity induced by NMDA receptor blockade</article-title><source>Neuropharmacology</source><volume>45</volume><fpage>174</fpage><lpage>181</lpage><year>2003</year></element-citation></ref>
<ref id="b30-mmr-10-06-2924"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jansma</surname><given-names>JM</given-names></name><name><surname>Ramsey</surname><given-names>NF</given-names></name><name><surname>van der Wee</surname><given-names>NJ</given-names></name><name><surname>Kahn</surname><given-names>RS</given-names></name></person-group><article-title>Working memory capacity in schizophrenia: a parametric fMRI study</article-title><source>Schizophr Res</source><volume>68</volume><fpage>159</fpage><lpage>171</lpage><year>2004</year></element-citation></ref>
<ref id="b31-mmr-10-06-2924"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Duncan</surname><given-names>GE</given-names></name><name><surname>Moy</surname><given-names>SS</given-names></name><name><surname>Lieberman</surname><given-names>JA</given-names></name><name><surname>Koller</surname><given-names>BH</given-names></name></person-group><article-title>Typical and atypical antipsychotic drug effects on locomotor hyperactivity and deficits in sensorimotor gating in a genetic model of NMDA receptor hypofunction</article-title><source>Pharmacol Biochem Behav</source><volume>85</volume><fpage>481</fpage><lpage>491</lpage><year>2006</year></element-citation></ref>
<ref id="b32-mmr-10-06-2924"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rompala</surname><given-names>GR</given-names></name><name><surname>Zsiros</surname><given-names>V</given-names></name><name><surname>Zhang</surname><given-names>S</given-names></name><name><surname>Kolata</surname><given-names>SM</given-names></name><name><surname>Nakazawa</surname><given-names>K</given-names></name></person-group><article-title>Contribution of NMDA receptor hypofunction in prefrontal and cortical excitatory neurons to schizophrenia-like phenotypes</article-title><source>PLoS One</source><volume>8</volume><fpage>e61278</fpage><year>2013</year></element-citation></ref>
<ref id="b33-mmr-10-06-2924"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>SE</given-names></name><name><surname>Ko</surname><given-names>IG</given-names></name><name><surname>Kim</surname><given-names>BK</given-names></name><name><surname>Shin</surname><given-names>MS</given-names></name><name><surname>Cho</surname><given-names>S</given-names></name><name><surname>Kim</surname><given-names>CJ</given-names></name><name><surname>Kim</surname><given-names>SH</given-names></name><name><surname>Baek</surname><given-names>SS</given-names></name><name><surname>Lee</surname><given-names>EK</given-names></name><name><surname>Jee</surname><given-names>YS</given-names></name></person-group><article-title>Treadmill exercise prevents aging-induced failure of memory through an increase in neurogenesis and suppression of apoptosis in rat hippocampus</article-title><source>Exp Gerontol</source><volume>45</volume><fpage>357</fpage><lpage>365</lpage><year>2010</year></element-citation></ref>
<ref id="b34-mmr-10-06-2924"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sairanen</surname><given-names>M</given-names></name><name><surname>Lucas</surname><given-names>G</given-names></name><name><surname>Ernfors</surname><given-names>P</given-names></name><name><surname>Castr&#x000E9;n</surname><given-names>M</given-names></name><name><surname>Castr&#x000E9;n</surname><given-names>E</given-names></name></person-group><article-title>Brain-derived neurotrophic factor and antidepressant drugs have different but coordinated effects on neuronal turnover, proliferation, and survival in the adult dentate gyrus</article-title><source>J Neurosci</source><volume>25</volume><fpage>1089</fpage><lpage>1094</lpage><year>2005</year></element-citation></ref>
<ref id="b35-mmr-10-06-2924"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Suzuki</surname><given-names>A</given-names></name><name><surname>Fukushima</surname><given-names>H</given-names></name><name><surname>Mukawa</surname><given-names>T</given-names></name><name><surname>Toyoda</surname><given-names>H</given-names></name><name><surname>Wu</surname><given-names>LJ</given-names></name><name><surname>Zhao</surname><given-names>MG</given-names></name><name><surname>Xu</surname><given-names>H</given-names></name><name><surname>Shang</surname><given-names>Y</given-names></name><name><surname>Endoh</surname><given-names>K</given-names></name><name><surname>Iwamoto</surname><given-names>T</given-names></name><etal/></person-group><article-title>Upregulation of CREBmediated transcription enhances both short- and long-term memory</article-title><source>J Neurosci</source><volume>31</volume><fpage>8786</fpage><lpage>8802</lpage><year>2011</year></element-citation></ref>
<ref id="b36-mmr-10-06-2924"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Baek</surname><given-names>SS</given-names></name><name><surname>Jun</surname><given-names>TW</given-names></name><name><surname>Kim</surname><given-names>KJ</given-names></name><name><surname>Shin</surname><given-names>MS</given-names></name><name><surname>Kang</surname><given-names>SY</given-names></name><name><surname>Kim</surname><given-names>CJ</given-names></name></person-group><article-title>Effects of postnatal treadmill exercise on apoptotic neuronal cell death and cell proliferation of maternal-separated rat pups</article-title><source>Brain Dev</source><volume>34</volume><fpage>45</fpage><lpage>56</lpage><year>2012</year></element-citation></ref>
<ref id="b37-mmr-10-06-2924"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fumagalli</surname><given-names>F</given-names></name><name><surname>Molteni</surname><given-names>R</given-names></name><name><surname>Roceri</surname><given-names>M</given-names></name><name><surname>Bedogni</surname><given-names>F</given-names></name><name><surname>Santero</surname><given-names>R</given-names></name><name><surname>Fossati</surname><given-names>C</given-names></name><name><surname>Gennarelli</surname><given-names>M</given-names></name><name><surname>Racagni</surname><given-names>G</given-names></name><name><surname>Riva</surname><given-names>MA</given-names></name></person-group><article-title>Effect of antipsychotic drugs on brain-derived neurotrophic factor expression under reduced N-methyl-D-aspartate receptor activity</article-title><source>J Neurosci Res</source><volume>72</volume><fpage>622</fpage><lpage>628</lpage><year>2003</year></element-citation></ref>
<ref id="b38-mmr-10-06-2924"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Knable</surname><given-names>MB</given-names></name><name><surname>Barci</surname><given-names>BM</given-names></name><name><surname>Webster</surname><given-names>MJ</given-names></name><name><surname>Meador-Woodruff</surname><given-names>J</given-names></name><name><surname>Torrey</surname><given-names>EF</given-names></name></person-group><article-title>Molecular abnormalities of the hippocampus in severe psychiatric illness: postmortem findings from the Stanley Neuropathology Consortium</article-title><source>Mol Psychiatry</source><volume>9</volume><fpage>609</fpage><lpage>620</lpage><year>2004</year></element-citation></ref>
<ref id="b39-mmr-10-06-2924"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hwang</surname><given-names>L</given-names></name><name><surname>Choi</surname><given-names>IY</given-names></name><name><surname>Kim</surname><given-names>SE</given-names></name><name><surname>Ko</surname><given-names>IG</given-names></name><name><surname>Shin</surname><given-names>MS</given-names></name><name><surname>Kim</surname><given-names>CJ</given-names></name><name><surname>Kim</surname><given-names>SH</given-names></name><name><surname>Jin</surname><given-names>JJ</given-names></name><name><surname>Chung</surname><given-names>JY</given-names></name><name><surname>Yi</surname><given-names>JW</given-names></name></person-group><article-title>Dexmedetomidine ameliorates intracerebral hemorrhage-induced memory impairment by inhibiting apoptosis and enhancing brain-derived neurotrophic factor expression in the rat hippocampus</article-title><source>Int J Mol Med</source><volume>31</volume><fpage>1047</fpage><lpage>56</lpage><year>2013</year></element-citation></ref>
<ref id="b40-mmr-10-06-2924"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>SE</given-names></name><name><surname>Ko</surname><given-names>IG</given-names></name><name><surname>Park</surname><given-names>CY</given-names></name><name><surname>Shin</surname><given-names>MS</given-names></name><name><surname>Kim</surname><given-names>CJ</given-names></name><name><surname>Jee</surname><given-names>YS</given-names></name></person-group><article-title>Treadmill and wheel exercise alleviate lipopolysaccharide-induced short-term memory impairment by enhancing neuronal maturation in rats</article-title><source>Mol Med Rep</source><volume>7</volume><fpage>31</fpage><lpage>36</lpage><year>2013</year></element-citation></ref>
<ref id="b41-mmr-10-06-2924"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vasuta</surname><given-names>C</given-names></name><name><surname>Caunt</surname><given-names>C</given-names></name><name><surname>James</surname><given-names>R</given-names></name><name><surname>Samadi</surname><given-names>S</given-names></name><name><surname>Schibuk</surname><given-names>E</given-names></name><name><surname>Kannangara</surname><given-names>T</given-names></name><name><surname>Titterness</surname><given-names>AK</given-names></name><name><surname>Christie</surname><given-names>BR</given-names></name></person-group><article-title>Effects of exercise on NMDA receptor subunit contributions to bidirectional synaptic plasticity in the mouse dentate gyrus</article-title><source>Hippocampus</source><volume>17</volume><fpage>1201</fpage><lpage>1208</lpage><year>2007</year></element-citation></ref>
<ref id="b42-mmr-10-06-2924"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dietrich</surname><given-names>MO</given-names></name><name><surname>Mantese</surname><given-names>CE</given-names></name><name><surname>Porciuncula</surname><given-names>LO</given-names></name><name><surname>Ghisleni</surname><given-names>G</given-names></name><name><surname>Vinade</surname><given-names>L</given-names></name><name><surname>Souza</surname><given-names>DO</given-names></name><name><surname>Portela</surname><given-names>LV</given-names></name></person-group><article-title>Exercise affects glutamate receptors in postsynaptic densities from cortical mice brain</article-title><source>Brain Res</source><volume>1065</volume><fpage>20</fpage><lpage>25</lpage><year>2005</year></element-citation></ref>
<ref id="b43-mmr-10-06-2924"><label>43</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Biondi</surname><given-names>O</given-names></name><name><surname>Grondard</surname><given-names>C</given-names></name><name><surname>L&#x000E9;colle</surname><given-names>S</given-names></name><name><surname>Deforges</surname><given-names>S</given-names></name><name><surname>Pariset</surname><given-names>C</given-names></name><name><surname>Lopes</surname><given-names>P</given-names></name><name><surname>Cifuentes-Diaz</surname><given-names>C</given-names></name><name><surname>Li</surname><given-names>H</given-names></name><name><surname>della Gaspera</surname><given-names>B</given-names></name><name><surname>Chanoine</surname><given-names>C</given-names></name><name><surname>Charbonnier</surname><given-names>F</given-names></name></person-group><article-title>Exercise-induced activation of NMDA receptor promotes motor unit development and survival in a type 2 spinal muscular atrophy model mouse</article-title><source>J Neurosci</source><volume>28</volume><fpage>953</fpage><lpage>962</lpage><year>2008</year></element-citation></ref>
<ref id="b44-mmr-10-06-2924"><label>44</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Choi</surname><given-names>JH</given-names></name><name><surname>Yoo</surname><given-names>KY</given-names></name><name><surname>Lee</surname><given-names>CH</given-names></name><name><surname>Yi</surname><given-names>SS</given-names></name><name><surname>Yoo</surname><given-names>DY</given-names></name><name><surname>Seong</surname><given-names>JK</given-names></name><name><surname>Yoon</surname><given-names>YS</given-names></name><name><surname>Hwang</surname><given-names>IK</given-names></name><name><surname>Won</surname><given-names>MH</given-names></name></person-group><article-title>Effects of treadmill exercise combined with MK 801 treatment on neuroblast differentiation in the dentate gyrus in rats</article-title><source>Cell Mol Neurobiol</source><volume>31</volume><fpage>285</fpage><lpage>292</lpage><year>2011</year></element-citation></ref>
<ref id="b45-mmr-10-06-2924"><label>45</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nishijima</surname><given-names>T</given-names></name><name><surname>Okamoto</surname><given-names>M</given-names></name><name><surname>Matsui</surname><given-names>T</given-names></name><name><surname>Kita</surname><given-names>I</given-names></name><name><surname>Soya</surname><given-names>H</given-names></name></person-group><article-title>Hippocampal functional hyperemia mediated by NMDA receptor/NO signaling in rats during mild exercise</article-title><source>J Appl Physiol (1985)</source><volume>112</volume><fpage>197</fpage><lpage>203</lpage><year>2012</year></element-citation></ref>
<ref id="b46-mmr-10-06-2924"><label>46</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Duman</surname><given-names>CH</given-names></name><name><surname>Schlesinger</surname><given-names>L</given-names></name><name><surname>Russell</surname><given-names>DS</given-names></name><name><surname>Duman</surname><given-names>RS</given-names></name></person-group><article-title>Voluntary exercise produces antidepressant and anxiolytic behavioral effects in mice</article-title><source>Brain Res</source><volume>1199</volume><fpage>148</fpage><lpage>158</lpage><year>2008</year></element-citation></ref>
<ref id="b47-mmr-10-06-2924"><label>47</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname><given-names>AM</given-names></name><name><surname>Jen</surname><given-names>CJ</given-names></name><name><surname>Chen</surname><given-names>HF</given-names></name><name><surname>Yu</surname><given-names>L</given-names></name><name><surname>Kuo</surname><given-names>YM</given-names></name><name><surname>Chen</surname><given-names>HI</given-names></name></person-group><article-title>Compulsive exercise acutely upregulates rat hippocampal brain-derived neurotrophic factor</article-title><source>J Neural Transm</source><volume>113</volume><fpage>803</fpage><lpage>811</lpage><year>2006</year></element-citation></ref>
<ref id="b48-mmr-10-06-2924"><label>48</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ke</surname><given-names>Z</given-names></name><name><surname>Yip</surname><given-names>SP</given-names></name><name><surname>Li</surname><given-names>L</given-names></name><name><surname>Zheng</surname><given-names>XX</given-names></name><name><surname>Tong</surname><given-names>KY</given-names></name></person-group><article-title>The effects of voluntary, involuntary, and forced exercises on brain-derived neurotrophic factor and motor function recovery: a rat brain ischemia model</article-title><source>PLoS One</source><volume>6</volume><fpage>e16643</fpage><year>2011</year></element-citation></ref></ref-list></back>
<floats-group>
<fig id="f1-mmr-10-06-2924" position="float">
<label>Figure 1</label>
<caption>
<p>Effects of wheel running on locomotion distance, social interaction time and spatial working memory. Left upper: Locomotion distance in the open field test. Left lower: Time of social interaction in the social interaction test. Right: Morris water maze test. (A) Control group; (B) MK-801 injection group; (C) MK-801 injection and wheel running group and (D) MK-801 injection and aripiprazole-treated group. Data are expressed as the mean &#x000B1; SEM. <sup>*</sup>P&lt;0.05 compared with the control group; <sup>#</sup>P&lt;0.05 compared with the MK-801 injection group. MK-801, dizocilpine maleate; SEM, standard error of the mean.</p></caption>
<graphic xlink:href="mmr-10-06-2924-g00.gif"/></fig>
<fig id="f2-mmr-10-06-2924" position="float">
<label>Figure 2</label>
<caption>
<p>Effects of wheel running on the number of NMDA-receptor-positive cells in hippocampal CA2-3 regions and the prefrontal cortex. Upper: Number of NMDA receptor-positive cells in hippocampal CA2-3 regions. Lower: Number of NMDA receptor-positive cells in the prefrontal cortex. Scale bars represent 200 &#x003BC;m. (A) Control group; (B) MK-801 injection group; (C) MK-801 injection and wheel running group and (D) MK-801 injection and aripiprazole-treated group. Data are expressed as the mean &#x000B1; SEM. <sup>*</sup>P&lt;0.05 compared with the control group; <sup>#</sup>P&lt;0.05 compared with the MK-801 injection group. NMDA, N-methyl-D-aspartate; MK-801, dizocilpine maleate; SEM, standard error of the mean.</p></caption>
<graphic xlink:href="mmr-10-06-2924-g01.gif"/></fig>
<fig id="f3-mmr-10-06-2924" position="float">
<label>Figure 3</label>
<caption>
<p>Effect of wheel running on BDNF expression in the hippocampus. (A) Control group; (B) MK-801 injection group; (C) MK-801 injection and wheel running group and (D) MK-801 injection and aripiprazole-treated group. Data are expressed as the mean &#x000B1; SEM. <sup>*</sup>P&lt;0.05 compared with the control group; <sup>#</sup>P&lt;0.05 compared with the MK-801 injection group. BDNF, brain-derived neurotrophic factor; MK-801, dizocilpine maleate; SEM, standard error of the mean.</p></caption>
<graphic xlink:href="mmr-10-06-2924-g02.gif"/></fig></floats-group></article>
