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Lithium response in bipolar disorders and core clock genes expression 锂在双相情感障碍中的反应和核心时钟基因的表达
Pub Date : 2018-11-17 DOI: 10.1080/15622975.2017.1282174
P. Geoffroy, E. Curis, C. Courtin, J. Moreira, Thomas Morvillers, B. Étain, J. Laplanche, F. Bellivier, C. Marie-Claire
Abstract Objectives: We examine whether the lithium response is associated with changes in the expression of core clock genes. Methods: The effect of a therapeutic concentration of lithium (1 mM) on the expression levels of 17 circadian genes was examined in lymphoblastoid cell lines (LCLs) derived from two well-characterized groups of bipolar disorder patients, defined as lithium non-responders (NR, n = 20) or excellent responders (ER, n = 16). Quantitative real-time PCR (qRT-PCR) was conducted at 2, 4 and 8 days (d2, d4 and d8) with and without lithium exposure. Results: At d2, in ER only, BHLHE41, RORA, PER1, ARNTL, CRY2, BHLHE40 and CSNK1D were upregulated, whereas NR1D1 was downregulated. At d4, in ER only, CRY1 was downregulated. At d8, in NR only, GSK3β was upregulated and DBP, TIMELESS and CRY1 were downregulated. Significant Group × Lithium interactions existed for NR1D1 at d2 (P = 0.02), and CRY1 at d4 (P = 0.02). Longitudinal analyses showed differential temporal evolutions between NR and ER (significant Time × Group interaction) for PER3, NR1D1, DBP, RORA, CSNK1D and TIMELESS; and a significant Time × Lithium interaction for NR1D1. Coexpression data analyses suggested distinct groups of circadian genes concurrently modulated by lithium. Conclusions: In LCLs, lithium influences expression of circadian genes with differences in amplitude and kinetics according to the patient’s lithium response status.
目的:我们研究锂反应是否与核心时钟基因的表达变化有关。方法:研究了锂治疗浓度(1mm)对来自两组特征明确的双相情感障碍患者的淋巴母细胞样细胞系(LCLs)中17个昼夜节律基因表达水平的影响,这两组患者被定义为锂无反应(NR, n = 20)或良好反应(ER, n = 16)。在有和没有锂暴露的情况下,分别在第2、4和8天(d2、d4和d8)进行实时荧光定量PCR (qRT-PCR)检测。结果:d2时,仅ER组BHLHE41、RORA、PER1、ARNTL、CRY2、BHLHE40和CSNK1D上调,NR1D1下调。在第4天,仅在ER中,CRY1下调。d8时,仅在NR中,GSK3β上调,DBP、TIMELESS和CRY1下调。NR1D1在d2时(P = 0.02), CRY1在d4时(P = 0.02)存在显著的组与锂相互作用。纵向分析显示,PER3、NR1D1、DBP、RORA、CSNK1D和TIMELESS在时间上与ER存在差异(显著的时间×组交互作用);NR1D1具有显著的时间与锂相互作用。共表达数据分析表明,锂同时调节了不同的昼夜节律基因群。结论:在LCLs中,锂会影响昼夜节律基因的表达,并根据患者的锂反应状态在幅度和动力学上存在差异。
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引用次数: 51
Insulin-like growth factor binding protein 2 in bipolar disorder: An expression study in peripheral tissues 胰岛素样生长因子结合蛋白2在双相情感障碍中的外周组织表达研究
Pub Date : 2018-11-17 DOI: 10.1080/15622975.2017.1282172
E. Milanesi, R. Zanardini, G. Rosso, G. Maina, A. Barbon, C. Mora, A. Minelli, M. Gennarelli, L. Bocchio-Chiavetto
Abstract Objectives: Insulin-like growth factor binding protein 2 (IGFBP2) is a member of the family of high-affinity binding proteins (IGFBP1–6) and appears to play a governing role in insulin-like growth factor (IGF) regulation in the central nervous system. This study aimed to investigate the putative involvement of IGFBP2 in mood disorder pathogenesis by measuring its expression levels in patient peripheral tissues. Methods: IGFBP2 protein and mRNA levels were measured in the serum of 93 controls, 41 bipolar disorder (BD) and 43 major depressive disorder (MDD) patients and in the skin fibroblasts from 15 controls, 12 BD and 23 MDD patients. Results: The results indicated reduced expression of IGFBP2 in both tissues of BD patients, whereas no difference was found in MDD patients compared with controls. Conclusions: Our findings in peripheral tissues are consistent with previous results in the brain and support a downregulation of IGFBP2 expression that is specific for BD, suggesting a role for this protein in the alterations in neurodevelopment and neuroprotection observed in the disorder. Further studies in independent and larger cohorts are warranted to confirm the involvement of IGFBP2 in BD.
目的:胰岛素样生长因子结合蛋白2 (IGFBP2)是高亲和结合蛋白家族(IGFBP1-6)中的一员,在中枢神经系统的胰岛素样生长因子(IGF)调节中发挥调控作用。本研究旨在通过测量IGFBP2在患者外周组织中的表达水平,探讨IGFBP2在情绪障碍发病机制中的可能参与。方法:测定93例对照组、41例双相情感障碍(BD)和43例重度抑郁症(MDD)患者血清中IGFBP2蛋白和mRNA水平,以及15例对照组、12例双相情感障碍(BD)和23例重度抑郁症患者皮肤成纤维细胞中IGFBP2蛋白和mRNA水平。结果:结果显示IGFBP2在BD患者的两个组织中表达降低,而MDD患者与对照组相比无差异。结论:我们在外周组织中的发现与之前在大脑中的结果一致,并支持IGFBP2表达下调,这是BD特异性的,表明该蛋白在该疾病中观察到的神经发育和神经保护的改变中起作用。需要在独立和更大的队列中进行进一步的研究来证实IGFBP2在BD中的作用。
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引用次数: 16
Two patterns of anterior insular cortex functional connectivity in bipolar disorder and schizophrenia 双相情感障碍和精神分裂症患者前岛叶皮质功能连接的两种模式
Pub Date : 2018-11-15 DOI: 10.1080/15622975.2016.1274051
Jian Li, Yanqing Tang, F. Womer, G. Fan, Qian Zhou, Wenge Sun, Ke Xu, Fei Wang
Abstract Objectives: Bipolar disorder (BD) and schizophrenia (SZ) share structural abnormalities in the anterior insula cortex (AIC). The AIC appears to have a crucial role in emotional processing and regulation and cognitive control in BD and SZ. Methods: Forty-six participants with BD, 68 with SZ and 66 healthy controls (HC) underwent functional magnetic resonance imaging scanning. Resting-state functional connectivity (rsFC) from AIC subregions (ventral and dorsal) was compared among the three groups. Results: Compared to HC group, both BD and SZ groups exhibited increased rsFC from the ventral AIC (vAIC) and dorsal AIC (dAIC) to bilateral frontal pole and thalamus, the left middle frontal gyrus and the hippocampus. Meanwhile, the BD group demonstrated increased rsFC from the vAIC to the perigenual anterior cingulate cortex, the SZ group presented increased rsFC from the vAIC and dAIC to the right caudate. Compared with the BD group, the SZ group showed significantly increased rsFC from the vAIC and dAIC to the left middle frontal gyrus. Conclusions: The shared AIC rsFC abnormalities in both BD and SZ support the importance of the AIC in the common pathophysiology of BD and SZ. There were also disorder-specific features of AIC rsFC, which might implicate potential avenues for differentiating during the early stages.
目的:双相情感障碍(BD)和精神分裂症(SZ)在前岛皮质(AIC)中具有相同的结构异常。AIC在BD和SZ的情绪加工、调节和认知控制中起着至关重要的作用。方法:对46例BD患者、68例SZ患者和66例健康对照(HC)进行功能磁共振成像扫描。比较三组间AIC亚区(腹侧和背侧)静息状态功能连通性(rsFC)。结果:与HC组相比,BD组和SZ组均表现出从腹侧AIC (vAIC)和背侧AIC (dAIC)到双侧额极和丘脑、左额中回和海马的rsFC增加。同时,BD组从vAIC到前扣带皮层的rsFC增加,SZ组从vAIC和daaic到右侧尾状核的rsFC增加。与BD组比较,SZ组左额中回vAIC和dAIC的rsFC明显增加。结论:BD和SZ中AIC rsFC的共同异常支持AIC在BD和SZ共同病理生理中的重要性。AIC rsFC也有疾病特异性特征,这可能暗示了早期分化的潜在途径。
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引用次数: 27
Impact of histamine receptors H1 and H3 polymorphisms on antipsychotic-induced weight gain 组胺受体H1和H3多态性对抗精神病药诱导的体重增加的影响
Pub Date : 2018-11-15 DOI: 10.1080/15622975.2016.1262061
A. Tiwari, Danning Zhang, Jennie G Pouget, C. Zai, N. Chowdhury, E. Brandl, L. Qin, Natalie Freeman, J. Lieberman, H. Meltzer, J. Kennedy, D. Müller
Abstract Objectives: A positive correlation between antipsychotic-induced weight gain (AIWG) and the antagonist effect of antipsychotic drugs at the histamine H1 receptor (HRH1) as well as the agonist effect at the histamine H3 receptor (HRH3) in the brain has been consistently demonstrated. We investigated the potential impact of single-nucleotide polymorphisms (SNPs) in HRH1 and HRH3 genes on AIWG. Methods: We analysed 40 tagSNPs in HRH1 (n = 34) and HRH3 (n = 6) in schizophrenia/schizoaffective disorder patients (n = 193) primarily treated with clozapine or olanzapine for up to 14 weeks. Linear regression was used to evaluate the association between SNPs and AIWG, with baseline weight and treatment duration as covariates. Results: In HRH1, a nominal association of rs7639145 with AIWG was observed in patients of European ancestry treated with either clozapine or olanzapine (P = 0.043; β = 1.658; n = 77). We observed nominal association for two HRH1 SNPs rs346074 (P = 0.002; β = –5.024) and rs13064530 (P = 0.004; β = –5.158) in patients of African ancestry treated with either clozapine or olanzapine (n = 37). However, the above associations are not significant after correcting for multiple testing. In HRH3, we did not observe association in either ancestry. Conclusions: The current study suggests that SNPs in HRH1 and HRH3 may not have a major role in AIWG.
【摘要】目的:抗精神病药诱导的体重增加(AIWG)与抗精神病药对脑组胺H1受体(HRH1)的拮抗作用和对脑组胺H3受体(HRH3)的激动作用呈正相关。我们研究了HRH1和HRH3基因的单核苷酸多态性(snp)对AIWG的潜在影响。方法:我们分析了主要接受氯氮平或奥氮平治疗长达14周的精神分裂症/分裂情感性障碍患者(n = 193) HRH1 (n = 34)和HRH3 (n = 6)的40个标签snp。以基线体重和治疗时间为协变量,采用线性回归评估snp与AIWG之间的关系。结果:在HRH1中,在接受氯氮平或奥氮平治疗的欧洲血统患者中观察到rs7639145与AIWG的名义关联(P = 0.043;β = 1.658;n = 77)。我们观察到两个HRH1 snp rs346074的名义关联(P = 0.002;β = -5.024)和rs13064530 (P = 0.004;β = -5.158),接受氯氮平或奥氮平治疗的非洲血统患者(n = 37)。然而,在修正多重检验后,上述关联并不显著。在HRH3中,我们在两个祖先中都没有观察到关联。结论:目前的研究表明,HRH1和HRH3的snp可能在AIWG中没有主要作用。
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引用次数: 15
Allelic variation in dopamine D2 receptor gene is associated with attentional impulsiveness on the Barratt Impulsiveness Scale (BIS-11) Barratt冲动量表(BIS-11)中多巴胺D2受体基因等位基因变异与注意冲动的关系
Pub Date : 2018-10-31 DOI: 10.1080/15622975.2016.1273549
Jasmine B. Taylor, Tarrant D. R. Cummins, A. Fox, B. Johnson, J. Tong, T. Visser, Z. Hawi, M. Bellgrove
Abstract Objectives: Previous studies have postulated that noradrenergic and/or dopaminergic gene variations are likely to underlie individual differences in impulsiveness, however, few have shown this. The current study examined the relationship between catecholamine gene variants and self-reported impulsivity, as measured by the Barratt Impulsiveness Scale (Version 11; BIS-11) Methods: Six hundred and seventy-seven non-clinical adults completed the Barratt Impulsiveness Scale (BIS-11). DNA was analysed for a set of 142 single-nucleotide polymorphisms (SNPs) across 20 autosomal catecholamine genes. Association was tested using an additive regression model with permutation testing used to control for the influence of multiple comparison. Results: Analysis revealed an influence of rs4245146 of the dopamine D2 receptor (DRD2) gene on the BIS-11 attention first-order factor, such that self-reported attentional impulsiveness increased in an additive fashion with each copy of the T allele. Conclusions: These findings provide preliminary evidence that allelic variation in DRD2 may influence impulsiveness by increasing the propensity for attentional lapses.
目的:先前的研究假设去甲肾上腺素能和/或多巴胺能基因的变异可能是冲动的个体差异的基础,然而,很少有研究表明这一点。目前的研究检验了儿茶酚胺基因变异和自我报告的冲动性之间的关系,通过Barratt冲动性量表(版本11;方法:677名非临床成人完成Barratt冲动量表(BIS-11)。分析了20个常染色体儿茶酚胺基因的142个单核苷酸多态性(snp)。关联检验采用加性回归模型,置换检验用于控制多重比较的影响。结果:分析显示多巴胺D2受体(DRD2)基因rs4245146对BIS-11注意一阶因子的影响,使得自我报告的注意冲动随着T等位基因的每一个拷贝而增加。结论:这些发现提供了初步证据,表明DRD2的等位基因变异可能通过增加注意力缺失的倾向来影响冲动。
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引用次数: 6
Structural brain changes in first episode mania with and without psychosis: Data from the Systematic Treatment Optimization Program for Early Mania (STOP-EM) 伴有和不伴有精神病的首发躁狂的大脑结构改变:来自早期躁狂系统治疗优化方案(STOP-EM)的数据
Pub Date : 2018-10-31 DOI: 10.1080/15622975.2016.1249950
Kamyar Keramatian, T. Dhanoa, A. McGirr, D. Lang, W. Honer, R. Lam, L. Yatham
Abstract Objectives: The neurobiological underpinnings of bipolar I disorder are not yet understood. Previous structural neuroimaging studies of bipolar disorder have produced rather conflicting results. We hypothesise that clinical sub-phenotypes of bipolar I disorder defined by their psychotic symptoms, especially those with mood-incongruent psychotic features, may have more extensive structural brain abnormalities. Methods: We investigated structural brain alterations in patients with first-episode mania (n = 55) with mood-congruent (n = 16) and mood-incongruent (n = 32) psychotic features, as well as those without psychotic symptoms (n = 7), relative to healthy subjects (n = 56). Results: Total intracranial volume was significantly reduced in patients with mood-incongruent psychosis compared to healthy subjects while cerebrospinal fluid (CSF) volume was significantly increased. Patients with mood-congruent psychosis showed significant reduction in total white matter volume and significant CSF volume increase. Patients with psychosis had significant volume reduction in anterior cingulate and medial prefrontal cortices. Relative to mood-congruent psychotic features, mood-incongruent psychotic features were associated with volume reduction in the left middle temporal gyrus, right inferior parietal gyrus, right fusiform gyrus, left middle orbitofrontal gyrus and cerebellum. Conclusions: While preliminary, our findings suggest that the presence and type of psychosis in first-episode mania may be phenotypic markers of underlying biological variants of bipolar disorder.
目的:双相I型障碍的神经生物学基础尚不清楚。先前对双相情感障碍的结构神经影像学研究产生了相当矛盾的结果。我们假设双相I型障碍的临床亚表型由他们的精神病症状定义,特别是那些情绪不一致的精神病特征,可能有更广泛的结构性脑异常。方法:我们研究了与健康受试者(n = 56)相比,具有情绪一致(n = 16)和情绪不一致(n = 32)精神病特征的首发躁狂患者(n = 55)以及无精神病症状的患者(n = 7)的脑结构改变。结果:与正常人相比,情绪不一致型精神病患者的颅内总容积显著减少,脑脊液(CSF)容积显著增加。情绪一致性精神病患者脑白质总体积明显减少,脑脊液体积明显增加。精神病患者的前扣带皮层和内侧前额皮质体积明显减少。相对于情绪一致的精神病性特征,情绪不一致的精神病性特征与左侧颞中回、右侧顶叶下回、右侧梭状回、左侧眶额中回和小脑的体积减少有关。结论:虽然是初步的,但我们的研究结果表明,首发躁狂中精神病的存在和类型可能是双相情感障碍潜在生物学变异的表型标记。
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引用次数: 13
Attentional capture by physically salient stimuli in the gamma frequency is associated with schizophrenia symptoms 伽玛频率的生理显著刺激引起的注意力捕获与精神分裂症症状有关
Pub Date : 2018-10-31 DOI: 10.1080/15622975.2016.1258491
L. Kornmayer, G. Leicht, C. Mulert
Abstract Objectives: Aberrant salience mainly is attributed to excessive dopaminergic processing in the ventral striatum. Increased gamma power during sensory processing of physical salience has been shown to be associated with positive trait schizotypy. In the present study, this is assessed in patients with schizophrenia. Methods: The early evoked visual gamma-band response (GBR) at 40 Hz was assessed for a schizophrenia patient group (N = 22) and a matched healthy control group (N = 22) applying EEG time-frequency analysis. The GBR was assessed for two conditions within a visual detection paradigm: a target with or without a physically salient distracter and evaluated in relation to the PANSS. Results: A 2 × 2 ANOVA revealed a significant main effect of condition and a trend interaction of group and condition for the GBR, with highest power for schizophrenia patients in the physically salient distracter condition. Moreover, evoked GBR power in this condition was correlated with positive (r = 0.664; P = 0.001**) and disorganised (r = 0.618; P = 0.002**) schizophrenia symptoms. Conclusions: Evoked GBR power during processing of physical salience in schizophrenia was associated with positive symptoms. We suggest that abnormal processing of physically salient stimuli might be involved in the pathophysiological genesis of positive symptoms.
【摘要】目的:异常显著性主要是由于腹侧纹状体多巴胺能加工过度引起的。在生理显著性的感觉加工过程中增加的伽马能量已被证明与积极的特质分裂型有关。在目前的研究中,对精神分裂症患者进行了评估。方法:应用脑电图时频分析方法对精神分裂症患者组(22例)和健康对照组(22例)在40 Hz时的早期诱发视觉γ波段反应(GBR)进行评估。在视觉检测范式中,GBR在两种情况下进行评估:目标有或没有物理上显著的干扰物,并与PANSS相关进行评估。结果:2 × 2方差分析显示,状态对GBR有显著的主效应,组与状态有趋势交互作用,精神分裂症患者在身体显著分心物状态下的作用最强。此外,在这种情况下,诱发GBR功率与正相关(r = 0.664;P = 0.001**)和无组织(r = 0.618;P = 0.002**)精神分裂症症状。结论:精神分裂症患者生理显著性加工过程中诱发的GBR功率与阳性症状相关。我们认为生理显著性刺激的异常处理可能参与了阳性症状的病理生理发生。
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引用次数: 6
Evaluation of molecular brain changes associated with environmental stress in rodent models compared to human major depressive disorder: A proteomic systems approach 与人类重度抑郁症相比,啮齿动物模型中与环境应激相关的脑分子变化的评估:蛋白质组学系统方法
Pub Date : 2018-10-31 DOI: 10.1080/15622975.2016.1252465
D. Cox, M. Gottschalk, V. Stelzhammer, Hendrik Wesseling, J. Cooper, S. Bahn
Abstract Objectives: Rodent models of major depressive disorder (MDD) are indispensable when screening for novel treatments, but assessing their translational relevance with human brain pathology has proved difficult. Methods: Using a novel systems approach, proteomics data obtained from post-mortem MDD anterior prefrontal cortex tissue (n = 12) and matched controls (n = 23) were compared with equivalent data from three commonly used preclinical models exposed to environmental stressors (chronic mild stress, prenatal stress and social defeat). Functional pathophysiological features associated with depression-like behaviour were identified in these models through enrichment of protein–protein interaction networks. A cross-species comparison evaluated which model(s) represent human MDD pathology most closely. Results: Seven functional domains associated with MDD and represented across at least two models such as “carbohydrate metabolism and cellular respiration” were identified. Through statistical evaluation using kernel-based machine learning techniques, the social defeat model was found to represent MDD brain changes most closely for four of the seven domains. Conclusions: This is the first study to apply a method for directly evaluating the relevance of the molecular pathology of multiple animal models to human MDD on the functional level. The methodology and findings outlined here could help to overcome translational obstacles of preclinical psychiatric research.
目的:在筛选新的治疗方法时,重性抑郁症(MDD)的啮齿动物模型是必不可少的,但评估其与人脑病理学的转化相关性被证明是困难的。方法:采用一种新颖的系统方法,将从死后MDD前前额叶皮层组织(n = 12)和匹配对照(n = 23)中获得的蛋白质组学数据与暴露于环境应激源(慢性轻度应激、产前应激和社会失败)的三种常用临床前模型的等效数据进行比较。通过蛋白质-蛋白质相互作用网络的富集,在这些模型中确定了与抑郁样行为相关的功能病理生理特征。跨物种比较评估了哪种模型最接近地代表人类重度抑郁症病理。结果:确定了与MDD相关的七个功能域,并在至少两个模型(如“碳水化合物代谢和细胞呼吸”)中表示。通过使用基于核的机器学习技术进行统计评估,发现社会失败模型最能代表七个领域中的四个领域的MDD大脑变化。结论:本研究首次应用一种方法在功能水平上直接评价多种动物模型的分子病理学与人类重度抑郁症的相关性。这里概述的方法和发现可以帮助克服临床前精神病学研究的转化障碍。
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引用次数: 8
Telomere length in psychiatric disorders: Is it more than an ageing marker? 精神疾病的端粒长度:它不仅仅是一个衰老标志吗?
Pub Date : 2018-10-31 DOI: 10.1080/15622975.2016.1273550
N. Monroy-Jaramillo, Elena Dyukova, C. Walss-Bass
Abstract Objectives: Psychiatric and substance-use disorders have been associated with premature biological ageing. Telomere length (TL), considered an ageing marker, has been analysed in psychiatric disorders, and to a lesser extent in substance-use disorders, with recent findings suggesting TL may be related to disease pathology. Methods: We conducted a critical and non-systematic literature search of TL studies published up to June 2016 in psychiatric and substance-use disorders, focussing on studies describing mechanisms, including studies linking telomere biology with genetic factors, stress and mitochondrial alterations (104 studies selected). Results: Patients with major depressive disorder and anxiety appear to have shorter leukocyte telomeres compared to controls. Inconclusive results are found for other psychiatric disorders and for substance-use disorders. This may be due in part to differences in medication treatment and response, as studies suggest that some psychotropic medications may modulate TL. Importantly, some studies establish a relationship between telomere machinery, stress and mitochondria function in psychiatric and substance-use disorders. Conclusions: While further longitudinal studies considering telomere genetics are needed to clarify the cause–effect link between telomeres and mitochondria function in psychiatric and substance-use disorders, the recent findings linking these biological processes suggest that telomeres may be more than ageing markers.
目的:精神疾病和药物使用障碍与过早的生物衰老有关。端粒长度(TL)被认为是衰老的标志,已经在精神疾病中进行了分析,并且在较小程度上在物质使用障碍中进行了分析,最近的研究结果表明,端粒长度可能与疾病病理有关。方法:我们对截至2016年6月发表在精神病学和药物使用障碍领域的TL研究进行了批判性和非系统的文献检索,重点关注描述机制的研究,包括将端粒生物学与遗传因素、压力和线粒体改变联系起来的研究(选择了104项研究)。结果:与对照组相比,重度抑郁症和焦虑症患者的白细胞端粒较短。其他精神疾病和药物使用障碍的结果尚无定论。这可能部分是由于药物治疗和反应的差异,因为研究表明一些精神药物可能调节TL。重要的是,一些研究在精神和物质使用障碍中建立了端粒机制、压力和线粒体功能之间的关系。结论:虽然需要进一步的纵向研究考虑端粒遗传学来澄清端粒和线粒体功能在精神疾病和物质使用障碍中的因果关系,但最近的研究结果表明,端粒可能不仅仅是衰老的标志。
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引用次数: 25
sVCAM-1, sICAM-1, TNF-α and IL-6 levels in bipolar disorder type I: Acute, longitudinal and therapeutic implications sVCAM-1、sICAM-1、TNF-α和IL-6在I型双相情感障碍中的水平:急性、纵向和治疗意义
Pub Date : 2018-10-31 DOI: 10.1080/15622975.2016.1259498
M. Pantović-Stefanović, N. Petronijević, B. Dunjić-Kostić, M. Velimirović, T. Nikolić, V. Jurišić, M. Lačković, A. Damjanović, S. Totić-Poznanović, A. Jovanović, M. Ivković
Abstract Objectives: To explore the serum levels of soluble vascular cell adhesion molecule-1 (sVCAM-1), soluble intercellular cell adhesion molecule-1 (sICAM-1), tumour necrosis factor-α (TNF-α) and interleukin-6 (IL-6) in patients with bipolar disorder (BD), with regard to acute episode characteristics, course of the disorder and treatment. Methods: The study group consisted of 83 patients diagnosed with BD type I. The control group consisted of 73 healthy individuals, matched with the study group according to age, gender and body mass index. The serum levels of sVCAM-1, sICAM-1, TNF-α and IL-6 were measured by ELISA. Results: Compared with healthy controls, significantly elevated levels of IL-6 and sICAM-1 and significantly lower levels of TNF-α and sVCAM-1 were identified in acute and remission phases of BD. The acute serum levels of sVCAM-1 were associated with the type and severity of acute mood symptoms as well as with course of illness characteristics. TNF-α was associated with duration of untreated disorder and type of treatment. Conclusions: BD is related to both acute and long-term alterations of immune mediators, including adhesion molecules. The potential immunomodulatory role of pharmacotherapeutic treatment is also to be considered in BD.
摘要目的:探讨双相情感障碍(BD)患者血清可溶性血管细胞黏附分子-1 (sVCAM-1)、可溶性细胞间细胞黏附分子-1 (sICAM-1)、肿瘤坏死因子-α (TNF-α)和白细胞介素-6 (IL-6)水平与急性发作特征、病程及治疗的关系。方法:研究组为83例诊断为BD i型的患者,对照组为73例健康个体,根据年龄、性别、体重指数与研究组相匹配。ELISA法检测血清sVCAM-1、sICAM-1、TNF-α、IL-6水平。结果:与健康对照组相比,急性期和缓解期患者血清IL-6和sICAM-1水平显著升高,TNF-α和sVCAM-1水平显著降低,急性期血清sVCAM-1水平与急性心境症状的类型、严重程度以及病程特征相关。TNF-α与未治疗疾病的持续时间和治疗类型相关。结论:BD与包括粘附分子在内的免疫介质的急性和长期改变有关。在双相障碍中,药物治疗的潜在免疫调节作用也需要考虑。
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引用次数: 25
期刊
The World Journal of Biological Psychiatry
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