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失调结合蛋白基因变异性与首发非情感性精神病的认知异常有关。

Dysbindin gene variability is associated with cognitive abnormalities in first-episode non-affective psychosis.

作者信息

Varela-Gomez Noemí, Mata Ignacio, Perez-Iglesias Rocio, Rodriguez-Sanchez Jose Manuel, Ayesa Rosa, Fatjo-Vilas Mar, Crespo-Facorro Benedicto

机构信息

a Department of Psychiatry, School of Medicine, University Hospital Marques de Valdecilla, IFIMAV , University of Cantabria , Santander , Spain.

出版信息

Cogn Neuropsychiatry. 2015;20(2):144-56. doi: 10.1080/13546805.2014.991780. Epub 2014 Dec 20.

Abstract

INTRODUCTION

Dystrobrevin-binding protein 1 gene (dysbindin or DTNBP1) has been associated with schizophrenia and cognitive performance. Its expression in areas implicated in cognition such as the dorsolateral prefrontal cortex, as well as its role in dopaminergic and glutamatergic system, has been replicated by several studies. The main aim of this study was to examine the association between DTNBP1 variability and cognitive performance in a sample of 238 patients with a first episode of a non-affective psychosis.

METHODS

Patients, and a comparison sample of 47 healthy subjects, completed an extensive neuropsychological battery. Five single nucleotide polymorphisms (SNPs) within DTNBP1 (rs2619528, rs2619538, rs3213207, rs2619539 and rs760761) and three haplotypes (GACAC, GAGAC and GTGAC) were analysed.

RESULTS

In the group of patients, we found a significant association between two of the DTNBP1 SNPs and one of the haplotypes (rs2619539, rs3213207 and GACAC) and a measure of premorbid IQ [Wechsler Adult Intelligence Scale-3rd Edition (WAIS-III) Vocabulary subtest]. Moreover, one of these SNPs, rs2619539, was also associated with our measure of working memory (WAIS-III Backward digits subtest) and two haplotypes, GAGAC and GTGAC, with our measure of verbal memory (Rey Auditory Verbal Learning Test), of visual memory (Rey Complex Figure Test) in the case of GAGAC, and of speed of processing (WAIS-III Digit Symbol-coding) in the case of GTGAC.

CONCLUSIONS

Our findings add further evidence suggesting an association between dysbindin gene variability and cognitive abnormalities in schizophrenia, providing preliminary evidence of this association since the time of illness onset among minimally medicated patients.

摘要

引言

肌萎缩蛋白结合蛋白1基因(dysbindin或DTNBP1)与精神分裂症及认知表现相关。多项研究已证实其在与认知相关区域(如背外侧前额叶皮质)的表达,以及在多巴胺能和谷氨酸能系统中的作用。本研究的主要目的是在238例首发非情感性精神病患者样本中,检验DTNBP1基因变异与认知表现之间的关联。

方法

患者及47名健康对照完成了一套全面的神经心理学测试。分析了DTNBP1基因内的5个单核苷酸多态性(SNP,即rs2619528、rs2619538、rs3213207、rs2619539和rs760761)以及3种单倍型(GACAC、GAGAC和GTGAC)。

结果

在患者组中,我们发现DTNBP1基因的两个SNP及一种单倍型(rs2619539、rs3213207和GACAC)与病前智商指标[韦氏成人智力量表第三版(WAIS-III)词汇分测验]之间存在显著关联。此外,其中一个SNP,即rs2619539,还与我们的工作记忆指标(WAIS-III倒背数字分测验)相关,两种单倍型,即GAGAC和GTGAC,分别与言语记忆指标(雷伊听觉词语学习测验)、视觉记忆指标(GAGAC情况下的雷伊复杂图形测验)以及加工速度指标(GTGAC情况下的WAIS-III数字符号编码测验)相关。

结论

我们的研究结果进一步证明了肌萎缩蛋白基因变异与精神分裂症认知异常之间的关联,为未用药患者发病初期这种关联提供了初步证据。

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