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精神分裂症和双相情感障碍中的少突胶质细胞功能障碍。

Oligodendrocyte dysfunction in schizophrenia and bipolar disorder.

作者信息

Tkachev Dmitri, Mimmack Michael L, Ryan Margaret M, Wayland Matt, Freeman Tom, Jones Peter B, Starkey Michael, Webster Maree J, Yolken Robert H, Bahn Sabine

机构信息

Department of Neurobiology, Babraham Institute, Cambridge, UK.

出版信息

Lancet. 2003 Sep 6;362(9386):798-805. doi: 10.1016/S0140-6736(03)14289-4.

Abstract

BACKGROUND

Results of array studies have suggested abnormalities in expression of lipid and myelin-related genes in schizophrenia. Here, we investigated oligodendrocyte-specific and myelination-associated gene expression in schizophrenia and bipolar affective disorder.

METHODS

We used samples from the Stanley brain collection, consisting of 15 schizophrenia, 15 bipolar affective disorder, and 15 control brains. Indexing-based differential display PCR was done to screen for differences in gene expression in schizophrenia patients versus controls. Results were cross-validated with quantitative PCR, which was also used to investigate expression profiles of 16 other oligodendrocyte and myelin genes in schizophrenia and bipolar disorder. These genes were further investigated with an ongoing microarray analysis.

FINDINGS

Results of differential display and quantitative PCR analysis showed a reduction of key oligodendrocyte-related and myelin-related genes in schizophrenia and bipolar patients; expression changes for both disorders showed a high degree of overlap. Microarray results of the same genes investigated by quantitative PCR correlated well overall.

INTERPRETATION

Schizophrenia and bipolar brains showed downregulation of key oligodendrocyte and myelination genes, including transcription factors that regulate these genes, compared with control brains. These results lend support to and extend observations from other microarray investigations. Our study also showed similar expression changes to the schizophrenia group in bipolar brains, which thus lends support to the notion that the disorders share common causative and pathophysiological pathways.

摘要

背景

基因芯片研究结果提示,精神分裂症患者存在脂质及髓鞘相关基因表达异常。在此,我们对精神分裂症和双相情感障碍患者少突胶质细胞特异性及髓鞘形成相关基因的表达情况进行了研究。

方法

我们使用了来自斯坦利脑库的样本,包括15例精神分裂症患者、15例双相情感障碍患者及15例对照者的脑样本。采用基于索引的差异显示PCR技术筛查精神分裂症患者与对照者基因表达的差异。结果通过定量PCR进行交叉验证,定量PCR还用于研究另外16个少突胶质细胞和髓鞘相关基因在精神分裂症和双相情感障碍中的表达谱。这些基因通过正在进行的基因芯片分析作进一步研究。

结果

差异显示和定量PCR分析结果显示,精神分裂症和双相情感障碍患者关键少突胶质细胞相关及髓鞘相关基因表达降低;两种疾病的表达变化高度重叠。定量PCR所研究的相同基因的基因芯片结果总体相关性良好。

解读

与对照者脑样本相比,精神分裂症和双相情感障碍患者脑样本中关键少突胶质细胞和髓鞘形成基因下调,包括调控这些基因的转录因子。这些结果支持并扩展了其他基因芯片研究的观察结果。我们的研究还显示双相情感障碍患者脑样本与精神分裂症组有相似的表达变化,从而支持了这两种疾病具有共同病因及病理生理途径的观点。

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