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代谢型谷氨酸受体7和8(mGlur7和mGlur8)基因多态性与酒精依赖个体的戒断性癫痫发作及震颤谵妄之间无关联。

No association between metabotropic glutamate receptors 7 and 8 (mGlur7 and mGlur8) gene polymorphisms and withdrawal seizures and delirium tremens in alcohol-dependent individuals.

作者信息

Preuss U W, Koller G, Bahlmann M, Zill P, Soyka M, Bondy B

机构信息

Department of Psychiatry, Ludwig-Maximilians Universität München, Nussbaumstr. 7, 80336 München, Germany.

出版信息

Alcohol Alcohol. 2002 Mar-Apr;37(2):174-8. doi: 10.1093/alcalc/37.2.174.

Abstract
  • Up-regulation of the glutamatergic neurotransmission from chronic ethanol intoxication may cause a hyperexcitable state during alcohol withdrawal that may lead to seizures and delirium tremens. The aim of our study was to evaluate the association between a history of alcohol withdrawal-induced seizures and delirium tremens and a mGlurR7 (Tyr433Phe); and a mGlurR8 (C2756T) metabotropic glutamate receptor polymorphism in alcoholics compared to controls. A total of 182 patients meeting DSM-IV alcohol dependence criteria and 117 controls, both groups being of German descent, were investigated. mGluR7 and mGluR8 polymorphisms were determined using polymerase chain reaction of lymphocyte DNA. History of alcohol withdrawal-induced delirium tremens and seizures were obtained using the Semi-Structured Assessment of Genetics in Alcoholism (SSAGA). Data were cross-checked with inpatients' clinical files. No significant associations were obtained between both receptor polymorphisms and alcohol withdrawal-induced seizures and delirium tremens. The negative results in this study question the role of these polymorphisms in the pathogenesis of alcohol withdrawal-induced seizures and delirium tremens.
摘要

慢性乙醇中毒导致的谷氨酸能神经传递上调可能会在酒精戒断期间引起过度兴奋状态,进而可能导致癫痫发作和震颤谵妄。我们研究的目的是评估酒精戒断所致癫痫发作和震颤谵妄病史与代谢型谷氨酸受体mGlurR7(Tyr433Phe)及mGlurR8(C2756T)多态性之间的关联,并与对照组的酗酒者进行比较。共对182名符合《精神疾病诊断与统计手册》第四版酒精依赖标准的患者及117名对照组进行了调查,两组均为德国裔。利用淋巴细胞DNA聚合酶链反应测定mGluR7和mGluR8多态性。采用酒精中毒遗传学半结构化评估(SSAGA)获取酒精戒断所致震颤谵妄和癫痫发作的病史。数据与住院患者临床档案进行交叉核对。两种受体多态性与酒精戒断所致癫痫发作和震颤谵妄之间均未发现显著关联。本研究的阴性结果对这些多态性在酒精戒断所致癫痫发作和震颤谵妄发病机制中的作用提出了质疑。

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