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神经调节蛋白-1与P300波形——一项使用精神病内表型的初步关联研究。

Neuregulin-1 and the P300 waveform--a preliminary association study using a psychosis endophenotype.

作者信息

Bramon Elvira, Dempster Emma, Frangou Sophia, Shaikh Madiha, Walshe Muriel, Filbey Francesca M, McDonald Colm, Sham Pak, Collier David A, Murray Robin

机构信息

Institute of Psychiatry-King's College London, Division of Psychological Medicine and Psychiatry (box 63), De Crespigny Park, London SE5 8AF, United Kingdom.

出版信息

Schizophr Res. 2008 Aug;103(1-3):178-85. doi: 10.1016/j.schres.2008.03.025. Epub 2008 Jun 20.

Abstract

OBJECTIVE

Neuregulin-1 (NRG1) has been put forward as a susceptibility gene for schizophrenia. We investigated the association between Neuregulin-1 and the P300 wave, a schizophrenia endophenotype.

METHODS

Participants were 64 patients with DSM-IV schizophrenia or schizoaffective disorder, 97 of their non psychotic relatives and 35 unrelated controls. The P300 wave was extracted from the electroencephalogram whilst the subjects conducted a two-tone discrimination task. The effect of three markers from the core NRG-1 at-risk haplotype including single nucleotide polymorphism SNP8NRG221533 and two microsatellites (478B14-848 and 420M9-1395) on P300 amplitude and latency was examined using multilevel modelling.

RESULTS

Neuregulin-1 SNP8NRG221533 had a significant influence on P300 latency and the higher the number of C alleles carried, the greater the latency delay [Coef.=32.4 ms; 95%CI: 13.2 to 51.6 ms; p=0.001]. There was no association between latency and NRG1 microsatellites or between amplitude and any of the three markers examined.

CONCLUSIONS

The P300 latency reflects the speed of neural transmission. We hypothesise that variation in NRG1 may convey risk for schizophrenia by disrupting neural connectivity, possibly white matter integrity, and leading to a slower speed of cognitive processing. This is a preliminary finding in a small sample and requires replication.

摘要

目的

神经调节蛋白-1(NRG1)已被提出作为精神分裂症的一个易感基因。我们研究了神经调节蛋白-1与P300波(一种精神分裂症内表型)之间的关联。

方法

参与者包括64例符合《精神疾病诊断与统计手册》第四版(DSM-IV)标准的精神分裂症或分裂情感性障碍患者、97名他们的非精神病性亲属以及35名无关对照者。在受试者进行双音辨别任务时,从脑电图中提取P300波。使用多水平模型研究了核心NRG-1风险单倍型的三个标记,包括单核苷酸多态性SNP8NRG221533和两个微卫星(478B14-848和420M9-1395)对P300波幅和潜伏期的影响。

结果

神经调节蛋白-1的SNP8NRG221533对P300潜伏期有显著影响,携带的C等位基因数量越多,潜伏期延迟越大[系数=32.4毫秒;95%置信区间:13.2至51.6毫秒;p=0.001]。潜伏期与NRG1微卫星之间以及波幅与所检测的三个标记中的任何一个之间均无关联。

结论

P300潜伏期反映神经传导速度。我们假设NRG1的变异可能通过破坏神经连接(可能是白质完整性)并导致认知处理速度减慢来传递精神分裂症的风险。这是在小样本中的初步发现,需要重复验证。

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