Akanji A O, Ohaeri J U, Al-Shammri S A, Fatania H R
Clinical Chemistry Unit, Department of Pathology, Faculty of Medicine, Kuwait University, P O Box 24923 Safat, 13110 Kuwait.
Clin Biochem. 2007 Sep;40(13-14):1026-31. doi: 10.1016/j.clinbiochem.2007.06.001. Epub 2007 Jun 8.
This study aimed to evaluate the blood homocysteine concentration in Arab patients with schizophrenia and assess its associations with clinical phenotypes of the disease.
Two age-matched groups of subjects were studied: (1) Healthy Controls, HC, n=165; (2) patients with schizophrenia, SZ: n=207. Each subject was evaluated with a standard questionnaire for age at disease onset, family history, disease severity and outcome. Plasma homocysteine levels (Hcys) were measured by immunoassay and serum levels of other biochemical parameters were measured by routine Autoanalyzer techniques.
Group HC was heavier (body mass index, BMI) while SZ had greater waist-hip ratio (WHR) and plasma Hcys levels. In SZ, there were significant correlations between Hcys and BMI, triglycerides and HDL. Hcys levels in SZ were highest in the younger male patients.
Schizophrenic patients have increased blood Hcys levels which correlate with components of the metabolic syndrome. Hcys levels were highest in the younger male patients and were not influenced by prognostic features of the disease.
本研究旨在评估阿拉伯精神分裂症患者的血液同型半胱氨酸浓度,并评估其与该疾病临床表型的关联。
研究了两组年龄匹配的对象:(1)健康对照组,HC,n = 165;(2)精神分裂症患者,SZ:n = 207。使用标准问卷对每位对象进行疾病发病年龄、家族史、疾病严重程度和预后评估。通过免疫测定法测量血浆同型半胱氨酸水平(Hcys),并通过常规自动分析仪技术测量其他生化参数的血清水平。
HC组体重更重(体重指数,BMI),而SZ组有更高的腰臀比(WHR)和血浆Hcys水平。在SZ组中,Hcys与BMI、甘油三酯和高密度脂蛋白之间存在显著相关性。SZ组中年轻男性患者的Hcys水平最高。
精神分裂症患者的血液Hcys水平升高,这与代谢综合征的组成部分相关。年轻男性患者的Hcys水平最高,且不受该疾病预后特征的影响。