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酒精依赖患者戒断期间血清 BDNF 和 GDNF 水平。

BDNF and GDNF serum levels in alcohol-dependent patients during withdrawal.

机构信息

Department of Psychiatry, Hannover Medical School, Center for Addiction Research, Germany.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 2010 Aug 16;34(6):1060-4. doi: 10.1016/j.pnpbp.2010.05.025. Epub 2010 May 27.

Abstract

Preclinical study results suggest that brain-derived neurotrophic factor (BDNF) and glial cell line-derived neurotrophic factor (GDNF) modulate addictive behaviour. Therefore we investigated alterations in BDNF (81 male patients) and GDNF serum levels (52 male patients) in alcohol-dependent patients during alcohol withdrawal (day 1, 7 and 14) in comparison to healthy controls (41 male controls). BDNF serum levels were not significantly altered in alcohol-dependent patients compared to healthy controls (p=0.685). GDNF serum levels were significantly reduced in the alcohol-dependent patients (p<0.001). BDNF (p=0.265) and GDNF (p=0.255) serum levels did not change significantly during alcohol withdrawal. BDNF serum levels were significantly negatively associated with alcohol withdrawal severity on day 1 (CIWA-Ar score, p=0.004). GDNF serum levels were significantly negatively associated with individual estimation of alcohol tolerance (SESA-XT score, p=0.028). There was no further association with psychometric dimensions of alcohol withdrawal. In conclusion we found that GDNF serum levels are significantly reduced in alcohol-dependent patients. GDNF serum levels were negatively associated with alcohol tolerance. Moreover BDNF serum levels were found to be associated with withdrawal severity.

摘要

临床前研究结果表明,脑源性神经营养因子(BDNF)和胶质细胞源性神经营养因子(GDNF)可调节成瘾行为。因此,我们研究了酒精依赖患者在戒断期间(第 1 天、第 7 天和第 14 天)BDNF(81 名男性患者)和 GDNF 血清水平(52 名男性患者)的变化,并与健康对照组(41 名男性对照组)进行了比较。与健康对照组相比,酒精依赖患者的 BDNF 血清水平没有明显改变(p=0.685)。GDNF 血清水平在酒精依赖患者中明显降低(p<0.001)。BDNF(p=0.265)和 GDNF(p=0.255)血清水平在戒断期间没有明显变化。BDNF 血清水平与第 1 天酒精戒断严重程度呈显著负相关(CIWA-Ar 评分,p=0.004)。GDNF 血清水平与个体对酒精耐受性的估计呈显著负相关(SESA-XT 评分,p=0.028)。与酒精戒断的心理计量维度没有进一步关联。总之,我们发现酒精依赖患者的 GDNF 血清水平明显降低。GDNF 血清水平与酒精耐受性呈负相关。此外,BDNF 血清水平与戒断严重程度有关。

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