Krause Daniela Lydia, Weidinger Elif, Matz Judith, Wildenauer Agnes, Wagner Jenny Katharina, Obermeier Michael, Riedel Michael, Möller Hans-Jürgen, Müller Norbert
Department of Psychiatry, Ludwig-Maximilians University Munich.
Vinzenz von Paul Hospital, Psychiatry , Rottweil, Germany.
Ment Illn. 2012 Jul 11;4(1):e10. doi: 10.4081/mi.2012.e10. eCollection 2012 Jul 26.
There are several infectious agents in the environment that can cause persistent infections in the host. They usually cause their symptoms shortly after first infection and later persist as silent viruses and bacteria within the body. However, these chronic infections may play an important role in the pathogenesis of schizophrenia and Tourette's syndrome (TS). We investigated the distribution of different neurotrophic infectious agents in TS, schizophrenia and controls. A total of 93 individuals were included (schizophrenic patients, Tourette patients and controls). We evaluated antibodies against cytomegalovirus (CMV), herpes-simplex virus (HSV), Epstein-Barr virus, Toxoplasma, Mycoplasma and Chlamydia trachomatis/pneumoniae. By comparing schizophrenia and TS, we found a higher prevalence of HSV (P=0.017) and CMV (P=0.017) antibodies in schizophrenic patients. Considering the relationship between schizophrenia, TS and healthy controls, we showed that there are associations for Chlamydia trachomatis (P=0.007), HSV (P=0.027) and CMV (P=0.029). When all measured viruses, bacteria and protozoa were combined, schizophrenic patients had a higher rate of antibodies to infectious agents than TS patients (P=0.049). Tourette and schizophrenic patients show a different vulnerability to infectious agents. Schizophrenic patients were found to have a higher susceptibility to viral infections than individuals with TS. This finding might point to a modification in special immune parameters in these diseases.
环境中有几种感染因子可在宿主体内引起持续性感染。它们通常在初次感染后不久就引发症状,随后以潜伏病毒和细菌的形式在体内持续存在。然而,这些慢性感染可能在精神分裂症和妥瑞氏综合征(TS)的发病机制中起重要作用。我们调查了不同神经营养性感染因子在TS、精神分裂症患者及对照人群中的分布情况。共纳入93名个体(精神分裂症患者、妥瑞氏症患者及对照人群)。我们评估了针对巨细胞病毒(CMV)、单纯疱疹病毒(HSV)、爱泼斯坦-巴尔病毒、弓形虫、支原体及沙眼衣原体/肺炎衣原体的抗体。通过比较精神分裂症和TS,我们发现精神分裂症患者中HSV(P=0.017)和CMV(P=0.017)抗体的患病率更高。考虑到精神分裂症、TS与健康对照之间的关系,我们发现沙眼衣原体(P=0.007)、HSV(P=0.027)和CMV(P=0.029)存在相关性。当将所有检测的病毒、细菌和原生动物合并计算时,精神分裂症患者针对感染因子的抗体率高于TS患者(P=0.049)。妥瑞氏症患者和精神分裂症患者对感染因子的易感性不同。研究发现,精神分裂症患者比TS患者对病毒感染更易感。这一发现可能表明这些疾病的特殊免疫参数发生了改变。