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脑源性神经营养因子Val66Met多态性:与精神分裂症的精神病理症状有关联吗?

Brain-derived neurotrophic factor Val66Met polymorphism: association with psychopathological symptoms of schizophrenia?

作者信息

Chang Hsin-An, Lu Ru-Band, Shy Mee-Jen, Chang Chuan-Chia, Lee Meei-Shyuan, Huang San-Yuan

机构信息

Department of Psychiatry, Tri-Service General Hospital, Taipei, Taiwan, ROC.

出版信息

J Neuropsychiatry Clin Neurosci. 2009 Winter;21(1):30-7. doi: 10.1176/jnp.2009.21.1.30.

Abstract

Brain-derived neurotrophic factor (BDNF) has been proposed as a risk factor for schizophrenia, but no consistent association between BDNF Val66Met polymorphism and schizophrenia has been established. Therefore, analyses with larger sample sizes and better methodology are needed. To examine whether BDNF Val66Met polymorphism is associated with schizophrenia, schizophrenia patients (n=251) and healthy volunteers (n=284) were recruited for a case-control analysis. Pretreatment psychopathology was assessed using the Positive and Negative Syndrome Scale (PANSS) in a subset of 125 hospitalized schizophrenia patients who were drug-free or drug-naive. Genotyping was performed using polymerase chain reaction, restriction fragment length polymorphism (RFLP), and direct screening techniques. With the exception of nominally significant associations between BDNF Val66Met variation and PANSS total, negative, or general scores, no association between the BDNF Val66Met polymorphism and schizophrenia was found. However, this polymorphism may reduce psychopathology, in particular negative symptoms, in schizophrenia.

摘要

脑源性神经营养因子(BDNF)已被提出作为精神分裂症的一个风险因素,但BDNF Val66Met多态性与精神分裂症之间尚未建立一致的关联。因此,需要采用更大样本量和更好方法进行分析。为了检验BDNF Val66Met多态性是否与精神分裂症相关,招募了精神分裂症患者(n = 251)和健康志愿者(n = 284)进行病例对照分析。在125例未用药或初治的住院精神分裂症患者亚组中,使用阳性和阴性症状量表(PANSS)评估治疗前的精神病理学。采用聚合酶链反应、限制性片段长度多态性(RFLP)和直接筛选技术进行基因分型。除了BDNF Val66Met变异与PANSS总分、阴性分或一般分数之间存在名义上的显著关联外,未发现BDNF Val66Met多态性与精神分裂症之间存在关联。然而,这种多态性可能会减轻精神分裂症的精神病理学症状,尤其是阴性症状。

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