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Copyright ©The Author(s) 2025.
World J Psychiatry. Sep 19, 2025; 15(9): 107498
Published online Sep 19, 2025. doi: 10.5498/wjp.v15.i9.107498
Table 1 Mechanisms of RNA binding protein-regulated mRNA stability and translation and exercise regulation in schizophrenia
Aspects
Key RBPs
Description
Functions and effects
Ref.
Abnormal mRNA stabilityTDP-43, FUSResearch centers on the pathological changes in RBPs related to mRNA degradation and stability, such as TDP-43 and FUS, in neurons and glial cells of schizophrenia patients, possibly accelerating specific mRNA degradationImpaired mRNA stability alters critical gene expression, exacerbating schizophrenia pathogenesis[71]
Abnormal translation regulationFMRP, CPEBAbnormal mRNA translation in schizophrenia is often linked to RBP dysfunction, particularly the roles of FMRP and CPEB in synaptic translation regulationAlters synaptic structure and function, regulating neural plasticity; abnormalities may contribute to synaptic network disruption[72]
Effects on neurodevelopment and neurodegenerationTDP-43, FMRP, CPEBAbnormal mRNA stability and translation may disrupt neurodevelopmental processes, shaping neuronal connectivity and information processing, thus aggravating schizophrenia symptomsImpacts synapse formation and pruning in the cortex and hippocampus, damaging neural networks[77]
RBPs and synaptic functionFMRP, CPEBDecreased FMRP expression in the brains of schizophrenia patients may contribute to synaptic dysfunction, impacting learning and memory. CPEB plays a crucial role in post-synaptic translation regulationAbnormal expression linked to impaired post-synaptic translation regulation, shaping learning and memory capacity[37]
RBPs and neural network remodelingRBFOX1RBFOX1 plays a key role in synapse formation and neural connectivity regulation; its dysfunction may contribute to abnormal network connections, causing cognitive impairmentDysfunction leads to abnormal neural network connections, shaping cognitive function[76]
RBPs and inflammatory responseHuRHuR regulates the intensity and duration of immune responses by stabilizing and controlling mRNA expression of inflammation-related genes; abnormalities may contribute to excessive immune activation, worsening neuroinflammationPlays a role in regulating inflammation gene expression; abnormalities may worsen neuroinflammation[77]
Exercise impact on mRNA translation and stabilityHuR, FMRPExercise substantially increases the expression of RBPs such as HuR and FMRP, helping regulate mRNA translation in synaptic plasticity and neurodevelopmentImproves synaptic function impaired by abnormal mRNA translation and stability[81]
Exercise regulation of neurodevelopment and immune genesBDNF, IL-6Exercise regulates gene expression related to neurodevelopment and immune response, impacting mRNA stability and translation efficiency, which may help alleviate schizophrenia symptomsImproves neurodevelopment and immune response, likely alleviating schizophrenia symptoms[83]
Exercise’s role in synaptic plasticity and neural network restorationFMRP, TDP-43Exercise enhances synaptic plasticity, axonal transport, and neural network remodeling through RBPs like FMRP and TDP-43, restoring normal neural network functionEnhances functional recovery of neural networks, enhancing connectivity and plasticity[53]
Table 2 RNA binding protein as biomarkers and therapeutic targets in schizophrenia
Biomarker
Mechanism of action
Therapeutic target
Ref.
FMRPDownregulation of FMRP is associated with synaptic dysfunction, likely impacting cognitive deficitsImprove cognitive ability by restoring normal FMRP function to treat cognitive impairments[37]
TDP-43Excessive aggregation of TDP-43 is linked to neurodegeneration and impaired synaptic remodelingTarget TDP-43 aggregation to slow neurodegenerative changes[82]
RBFOX1Downregulation of RBFOX1 is associated with abnormalities in neurodevelopment and synaptic functionUse gene therapy to reinstate RBFOX1 function and improve cognitive deficits[83]
CPEBCPEB performs a key role in synaptic plasticity and neurodevelopmentRegulate CPEB expression through RNA interference to improve synaptic function and neuroplasticity[84]