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精神分裂症静息状态和感觉门控中共享的低频振荡节律异常。

A shared low-frequency oscillatory rhythm abnormality in resting and sensory gating in schizophrenia.

机构信息

Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD 21247, USA.

出版信息

Clin Neurophysiol. 2012 Feb;123(2):285-92. doi: 10.1016/j.clinph.2011.07.025. Epub 2011 Sep 8.

Abstract

OBJECTIVES

We hypothesized that an oscillatory abnormality that is consistently observed across various testing paradigms may index an elementary neuronal abnormality marking schizophrenia risk.

METHODS

Compared neural oscillations in resting EEG and sensory gating conditions in schizophrenia patients (n=128), their first-degree relatives (n=80), and controls (n=110) and calculated phenotypic and/or genetic correlation of the abnormal measure across these conditions.

RESULTS

Using a uniform, single trial analytical approach, we identified two prominent oscillatory characteristics in schizophrenia: (1) augmented neural oscillatory power was pervasive in medicated schizophrenia patients in most frequencies, most prominent in the theta-alpha range (4-11 Hz) across the two paradigms (all p<0.007); and (2) their first-degree relatives shared significantly augmented oscillatory energy in theta-alpha frequency in resting (p=0.002) and insufficient suppression of theta-alpha in sensory gating (p=0.01) compared with normal controls. Heritability estimates for theta-alpha related measures for resting and gating conditions ranged from 0.44 to 0.49 (p<0.03). The theta-alpha measures were correlated genetically with each other (RhoG=0.82±0.43; p<0.05).

CONCLUSIONS

Augmented theta-alpha rhythm may be an elementary neurophysiological problem associated with genetic liability of schizophrenia.

SIGNIFICANCE

This finding helps to refine key electrophysiologic biomarkers for genetic and clinical studies of schizophrenia.

摘要

目的

我们假设,在各种测试范式中始终观察到的振荡异常可能标记出精神分裂症风险的基本神经元异常。

方法

比较精神分裂症患者(n=128)、其一级亲属(n=80)和对照组(n=110)在静息 EEG 和感觉门控条件下的神经振荡,并计算该异常测量在这些条件下的表型和/或遗传相关性。

结果

使用统一的单试分析方法,我们在精神分裂症中确定了两个突出的振荡特征:(1)在两种范式中,大多数频率(最明显的是在 4-11 Hz 的 theta-alpha 范围内),大多数接受药物治疗的精神分裂症患者中普遍存在增强的神经振荡功率(所有 p<0.007);(2)与正常对照组相比,他们的一级亲属在静息(p=0.002)和感觉门控中theta-alpha 抑制不足(p=0.01)时,theta-alpha 频率的振荡能量显著增加。静息和门控条件下与 theta-alpha 相关的测量值的遗传力估计值范围为 0.44 至 0.49(p<0.03)。theta-alpha 测量值在遗传上彼此相关(RhoG=0.82±0.43;p<0.05)。

结论

增强的 theta-alpha 节律可能是与精神分裂症遗传易感性相关的基本神经生理问题。

意义

这一发现有助于为精神分裂症的遗传和临床研究细化关键的电生理生物标志物。

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