d'Amato T, Karoumi B, Rosenfeld F, Saoud M, Brunon A M, Dalery J
Université Lyon, Bron.
Encephale. 1999 Jul-Aug;25(4):288-95.
The existence of a genetic background is well admitted in schizophrenia, but some individuals at genetic risk for that disease could never manifest it at a clinical level. However, several vulnerability models could help us to identify such individuals. According to them, when similar perturbations at a given task are observed both in clinically stable patients with schizophrenia and their nonschizophrenic first degree relatives, this task could be qualify as an indicator of the vulnerability to schizophrenia. In literature, that seems the case for auditory ERP late components in oddball paradigms. Our study was undertaken to replicate literature data. For that purpose, amplitude and latencies of auditory N100, P200, N200 and P300 wave-forms were assessed among 21 clinically, stable schizophrenics, 21 of their biological full siblings and 21 unrelated control subjects matched with the two others groups for several socio-demographic factors. Comparison were performed by non parametric analyses (Kruskal-Wallis one way ANOVA, and post-hoc Mann-Whitney). Compared to controls, delayed latencies and/or reduced amplitudes were observed for several ERP components--mainly with P300--in the sibling group. ERP values from this group did not statistically differ from those of the group with schizophrenia. In conclusion, results from the sibling group suggest that ERP impairments in auditory oddball paradigms may actually represent indicators of the genetic vulnerability to schizophrenia.
精神分裂症存在遗传背景已得到广泛认可,但一些有该疾病遗传风险的个体在临床上可能从未表现出该病症状。然而,几种易感性模型可以帮助我们识别这些个体。根据这些模型,当在临床症状稳定的精神分裂症患者及其非精神分裂症的一级亲属身上观察到在给定任务中出现类似的干扰时,这项任务就可以被视为精神分裂症易感性的一个指标。在文献中,在oddball范式中听觉ERP晚期成分似乎就是这种情况。我们的研究旨在重复文献中的数据。为此,我们评估了21名临床症状稳定的精神分裂症患者、21名他们的亲生同胞兄弟姐妹以及21名在几个社会人口统计学因素上与其他两组匹配的无关对照受试者的听觉N100、P200、N200和P300波形的振幅和潜伏期。通过非参数分析(Kruskal-Wallis单向方差分析和事后Mann-Whitney检验)进行比较。与对照组相比,在同胞组中观察到几个ERP成分(主要是P300)的潜伏期延迟和/或振幅降低。该组的ERP值与精神分裂症组的ERP值在统计学上没有差异。总之,同胞组的结果表明,听觉oddball范式中的ERP损伤实际上可能代表了精神分裂症遗传易感性的指标。