Plasma homovanillic acid in schizophrenics: supportive evidence for the two-subtype hypothesis.

T Y Chen, C F Lee, F W Lung, T C Lee, W L Lin, W H Hu, E K Yeh, W H Chang
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Abstract

Plasma levels of homovanillic acid (pHVA), a major metabolite of dopamine (DA), were measured in a group of 51 schizophrenic inpatients before and during 6 weeks of neuroleptic treatment. Steady-state plasma drug concentrations were monitored in parallel with pHVA. Good responders (n = 22) had higher pretreatment pHVA levels as compared to poor responders (n = 22). Differential pHVA changes during neuroleptic treatment were also found between each group. The two groups did not differ significantly in terms of age, duration of illness, severity of presenting symptoms, neuroleptic, dose, or plasma drug concentration. Two hypothetical subtypes in the group of schizophrenics were proposed.

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精神分裂症患者血浆高香草酸:两亚型假说的支持证据。
在51例精神分裂症住院患者接受抗精神病药物治疗前和治疗期间,测定了多巴胺(DA)的主要代谢物-同型香草酸(pHVA)的血浆水平。与pHVA同时监测稳态血浆药物浓度。良好应答者(n = 22)的预处理pHVA水平高于不良应答者(n = 22)。在抗精神病药物治疗期间,各组之间的pHVA变化也存在差异。两组在年龄、病程、症状严重程度、抗精神病药、剂量或血浆药物浓度方面无显著差异。在精神分裂症组中提出了两种假设的亚型。
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