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血清脑源性神经营养因子(BDNF)水平与注意缺陷多动障碍(ADHD)。

Serum brain-derived neurotrophic factor (BDNF) levels in attention deficit-hyperactivity disorder (ADHD).

机构信息

IRCCS "Centro S. Giovanni di Dio" Fatebenefratelli, Via Pilastroni 4, 25123, Brescia, Italy,

出版信息

Eur Child Adolesc Psychiatry. 2014 Mar;23(3):173-7. doi: 10.1007/s00787-013-0447-1. Epub 2013 Jun 28.

Abstract

It has been proposed that the neurotrophin brain-derived neurotrophic factor (BDNF) may be involved in attention deficit-hyperactivity disorder (ADHD) etiopathogenesis. Alterations in BDNF serum levels have been observed in childhood/adulthood neurodevelopmental pathologies, but no evidence is available for BDNF serum concentrations in ADHD. The study includes 45 drug-naïve ADHD children and 45 age-sex matched healthy subjects. Concentration of serum BDNF was determined by the ELISA method. BDNF serum levels in patients with ADHD were not different from those of controls (mean ± SD; ADHD: 39.33 ± 10.41 ng/ml; controls: 38.82 ± 8.29 ng/ml, t = -0.26, p = 0.80). Our findings indicate no alteration of serum BDNF levels in untreated patients with ADHD. A further stratification for cognitive, neuropsychological and psychopathological assessment in a larger sample could be useful to clarify the role of BDNF in the endophenotype characterization of ADHD.

摘要

有人提出,神经营养因子脑源性神经营养因子(BDNF)可能与注意缺陷多动障碍(ADHD)的发病机制有关。在儿童/成年神经发育病理学中观察到 BDNF 血清水平的改变,但 ADHD 患者的 BDNF 血清浓度尚无证据。该研究纳入了 45 名未经药物治疗的 ADHD 儿童和 45 名年龄性别匹配的健康对照者。采用 ELISA 法测定血清 BDNF 浓度。ADHD 患者的 BDNF 血清水平与对照组无差异(均值 ± 标准差;ADHD:39.33 ± 10.41ng/ml;对照组:38.82 ± 8.29ng/ml,t = -0.26,p = 0.80)。我们的研究结果表明,未经治疗的 ADHD 患者的血清 BDNF 水平没有改变。在更大的样本中进一步进行认知、神经心理学和精神病理学评估的分层可能有助于阐明 BDNF 在 ADHD 内表型特征中的作用。

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