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[精神分裂症中一元胺前体氨基酸的红细胞膜转运]

[Erythrocyte membrane transports of monoamine precursor amino acids in schizophrenia].

作者信息

Azorin J M, Samuelian-Massat C, Jeanningros R, Widmer J, Tissot R

机构信息

Clinique de Psychiatrie et de Psychologie Médicale, C.H.U. Timone, Marseille.

出版信息

Encephale. 1991 Mar-Apr;17(2):83-6.

PMID:2049999
Abstract

We have determined the erythrocyte membrane uptake of the monoamine precursors L-tyrosine (L-TYR) and L-tryptophane (L-TRYP) in 72 patients with schizophrenia: 21 without neuroleptic treatment and not depressed, 15 with neuroleptic treatment and depressed, 33 without neuroleptic treatment, 27 depressed, compared to: 59 control subjects, and 54 depressed patients. We found that the ratio of L-TYR facilitated membrane diffusion to that of L-TRYP is: decreased when the patients are depressed, increased when they are untreated. When untreated patients receive neuroleptics and are depressed, the ratio tends to equal that of depressed patients'. The meaning of these anomalies is analysed, using our up-to-date knowledge of the erythrocytes's role in uptaking and dispatching the human body amino-acids, and of the role of these uptakes in regulating the functional monoamine balance. We postulate that in depressions, Parkinson's disease and schizophrenia, a change of membrane fluidity occurs, being decreased in depressions and Parkinsons's disease, and increased in schizophrenia.

摘要

我们测定了72例精神分裂症患者红细胞膜对单胺前体L-酪氨酸(L-TYR)和L-色氨酸(L-TRYP)的摄取情况:21例未接受抗精神病药物治疗且无抑郁症状,15例接受抗精神病药物治疗且有抑郁症状,33例未接受抗精神病药物治疗,27例有抑郁症状,与之对比的是59名对照受试者和54名抑郁患者。我们发现,L-TYR促进膜扩散与L-TRYP促进膜扩散的比率:在患者抑郁时降低,在未治疗时升高。当未治疗的患者接受抗精神病药物治疗且有抑郁症状时,该比率趋于等同于抑郁患者的比率。利用我们对红细胞在人体氨基酸摄取和分配中的作用以及这些摄取在调节功能性单胺平衡中的作用的最新认识,分析了这些异常情况的意义。我们推测,在抑郁症、帕金森病和精神分裂症中,会发生膜流动性的变化,在抑郁症和帕金森病中降低,在精神分裂症中升高。

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