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遗传性精神分裂症高负荷个体胼胝体的白质完整性增加。

Increased white matter integrity in the corpus callosum in subjects with high genetic loading for schizophrenia.

机构信息

Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 2012 Apr 27;37(1):50-5. doi: 10.1016/j.pnpbp.2011.11.015. Epub 2011 Dec 4.

Abstract

OBJECTIVE

White matter abnormalities in the corpus callosum (CC) of schizophrenia have been reported to predate the illness onset. This study aimed to investigate the effect of genetic predisposition on the white matter integrity of the CC, in subjects at genetically high risk for schizophrenia (GHR) and schizophrenia patients.

METHOD

Fractional anisotropy (FA) of the mid-sagittal CC in 22 young GHR, 15 schizophrenia, and 26 control subjects were examined. GHR subjects were defined as non-prodromal individuals who had more than two relatives with schizophrenia within third-degree relatives, one of whom must be a first-degree relative.

RESULTS

ANCOVA with age and gender as covariates revealed overall difference of FA in the genu and splenium among the three groups. Post-hoc analysis found significantly increased FA in the genu of GHR subjects compared to controls (corrected p<0.01), whereas schizophrenia patients showed significantly decreased FA in the splenium.

CONCLUSION

The white matter change of the CC in young GHR subjects was the opposite of that in schizophrenia. To consider previous reports on FA decrease in the CC in schizophrenia and the impaired frontal functioning in GHR group, the increased FA may be an indicator of compensatory alteration in white matter integrity in young GHR people.

摘要

目的

研究表明,精神分裂症患者胼胝体(CC)的白质异常发生在疾病发作之前。本研究旨在探讨遗传易感性对 CC 白质完整性的影响,研究对象为遗传易患精神分裂症(GHR)的个体和精神分裂症患者。

方法

对 22 名年轻的 GHR、15 名精神分裂症患者和 26 名对照组受试者的 CC 中矢状位中部的各向异性分数(FA)进行了检测。GHR 定义为有两个以上三级亲属患有精神分裂症,其中一个必须是一级亲属的非前驱个体。

结果

协方差分析(年龄和性别为协变量)显示,三组间 CC 的 genu 和 splenium 的 FA 存在总体差异。事后分析发现,GHR 组的 genu 的 FA 明显高于对照组(校正后 p<0.01),而精神分裂症患者的 splenium 的 FA 明显降低。

结论

年轻的 GHR 受试者的 CC 白质变化与精神分裂症相反。考虑到先前关于精神分裂症患者 CC 中 FA 降低的报道以及 GHR 组中额叶功能受损的情况,FA 的增加可能是年轻 GHR 人群中 CC 白质完整性代偿改变的一个指标。

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