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精神分裂症和抑郁症患者前额叶皮质中钙依赖性组成型一氧化氮合酶(cNOS)活性降低。

Decreased calcium-dependent constitutive nitric oxide synthase (cNOS) activity in prefrontal cortex in schizophrenia and depression.

作者信息

Xing Guoqiang, Chavko Mikulas, Zhang Li-Xin, Yang Shutong, Post Robert M

机构信息

Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD 20814-4799, USA.

出版信息

Schizophr Res. 2002 Nov 1;58(1):21-30. doi: 10.1016/s0920-9964(01)00388-7.

DOI:10.1016/s0920-9964(01)00388-7
PMID:12363386
Abstract

To further understand the potential role of nitric oxide synthase (NOS) in schizophrenia and affective disorders, we determined the calcium-dependent constitutive NOS (cNOS) enzymatic activity and protein levels in the prefrontal cortex of postmortem brains of patients with unipolar, bipolar, and schizophrenic disorders and non-psychiatric controls (n = 15 for each group). Protein levels of two NOS isoforms, nNOS and eNOS, were not significantly different from the non-psychiatric controls in any of the patient groups. However, cNOS activity was significantly lower in schizophrenic patients (mean +/- S.E. = 19.1 +/- 3.2 cpm/microg/45 min) than in the control group (28.5 +/- 3.4, P < 0.05). Trends of lower cNOS activity were found in unipolar (20.3 +/- 2.6, P = 0.062) and bipolar patients (20.8 +/- 3.0, P = 0.079). Males had significantly higher NOS activity (25.4 +/- 2, n = 36, P = 0.01) than females (17.3 +/- 1.9, n = 24), but no significant diagnosis and gender interactions were found. To minimize potential effects of extended postmortem interval (PMI) on NOS activity and proteins, the PMI was limited to 30 h and the data (n = 38) were re-analyzed. cNOS activity was significantly (P < 0.05) lower in patients with schizophrenia (15.8 +/- 5.6, P = 0.026) and unipolar depression (18.8 +/- 3.2, P = 0.042) but not in patients with bipolar illness (22.9 +/- 3.4, P = 0.21) than in the control group (29.5 +/- 3.7). cNOS activity was significantly correlated with brain pH in the total sample (r = 0.28, P < 0.05, n = 60) and in the PMI controlled subgroup (r = 0.43, P < 0.01, n = 38). Our data provide evidence of reduced cNOS activity in the postmortem brains of patients with schizophrenia and depression.

摘要

为了进一步了解一氧化氮合酶(NOS)在精神分裂症和情感障碍中的潜在作用,我们测定了单相、双相和精神分裂症患者以及非精神疾病对照者(每组n = 15)死后大脑前额叶皮质中钙依赖性组成型NOS(cNOS)的酶活性和蛋白质水平。在任何患者组中,两种NOS亚型nNOS和eNOS的蛋白质水平与非精神疾病对照者相比均无显著差异。然而,精神分裂症患者的cNOS活性(平均值±标准误= 19.1±3.2 cpm/μg/45分钟)显著低于对照组(28.5±3.4,P < 0.05)。在单相(20.3±2.6,P = 0.062)和双相患者(20.8±3.0,P = 0.079)中发现了cNOS活性降低的趋势。男性的NOS活性(25.4±2,n = 36,P = 0.01)显著高于女性(17.3±1.9,n = 24),但未发现显著的诊断与性别交互作用。为了尽量减少死后间隔时间(PMI)对NOS活性和蛋白质的潜在影响,将PMI限制在30小时,并对数据(n = 38)进行了重新分析。精神分裂症患者(15.8±5.6,P = 0.026)和单相抑郁症患者(18.8±3.2,P = 0.042)的cNOS活性显著低于对照组(29.5±3.7),但双相情感障碍患者(22.9±3.4,P = 0.21)并非如此。在总样本(r = 0.28,P < 0.05,n = 60)和PMI控制的亚组(r = 0.43,P < 0.01,n = 38)中,cNOS活性与脑pH值显著相关。我们的数据提供了精神分裂症和抑郁症患者死后大脑中cNOS活性降低的证据。

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