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精神分裂症患者的麸质敏感性及其与精神症状的关系。

Gluten sensitivity and relationship to psychiatric symptoms in people with schizophrenia.

作者信息

Jackson Jessica, Eaton William, Cascella Nicola, Fasano Alessio, Santora Debby, Sullivan Kelli, Feldman Stephanie, Raley Heather, McMahon Robert P, Carpenter William T, Demyanovich Haley, Kelly Deanna L

机构信息

Temple University School of Medicine, 3500 North Broad Street, Philadelphia, PA 19140, USA.

Johns Hopkins Bloomberg School of Public Health, 624 North Broadway, Baltimore, MD 21205, USA.

出版信息

Schizophr Res. 2014 Nov;159(2-3):539-42. doi: 10.1016/j.schres.2014.09.023. Epub 2014 Oct 11.

Abstract

The relationship between gluten sensitivity and schizophrenia has been of increasing interest and novel mechanisms explaining this relationship continue to be described. Our study in 100 people with schizophrenia compared to 100 matched controls replicates a higher prevalence of gluten sensitivity and higher mean antigliadin IgG antibody levels schizophrenia (2.9 ± 7.7 vs. 1.3 ± 1.3, p = 0.046, controlled for age). Additionally, we examined symptoms within the schizophrenia group and found that while positive symptoms are significantly lower in people who have elevated antigliadin antibodies (AGA; 4.11 ± 1.36 vs. 6.39 ± 2.99, p = 0.020), no robust clinical profile differentiates between positive and negative antibody groups. Thus, identifying people in schizophrenia who may benefit from a gluten-free diet remains possible by blood test only.

摘要

麸质敏感性与精神分裂症之间的关系一直备受关注,且不断有新的机制来解释这种关系。我们对100名精神分裂症患者和100名匹配的对照组进行的研究发现,麸质敏感性的患病率更高,精神分裂症患者的抗麦醇溶蛋白IgG抗体平均水平也更高(2.9±7.7对1.3±1.3,p = 0.046,校正年龄)。此外,我们在精神分裂症组中检查了症状,发现抗麦醇溶蛋白抗体(AGA)升高的患者的阳性症状明显更低(4.11±1.36对6.39±2.99,p = 0.020),但阳性和阴性抗体组之间没有明显的临床特征差异。因此,仅通过血液检测就有可能识别出精神分裂症患者中可能从无麸质饮食中受益的人群。

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