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迟发性运动障碍精神分裂症患者血清白细胞介素-2、白细胞介素-6和白细胞介素-8水平的改变

Altered IL-2, IL-6 and IL-8 serum levels in schizophrenia patients with tardive dyskinesia.

作者信息

An Hui-Mei, Tan Yun-Long, Shi Jing, Wang Zhi-Ren, Soars Jair C, Wu Jing Qin, Yang Fu-De, Huang Xu-Feng, Zhang Xiang Yang

机构信息

Beijing HuiLongGuan Hospital, Peking University, Beijing, China.

Department of Psychiatry and Behavioral Sciences, Harris County Psychiatric Center, The University of Texas Health Science Center at Houston, Houston, TX, USA.

出版信息

Schizophr Res. 2015 Mar;162(1-3):261-8. doi: 10.1016/j.schres.2014.12.037. Epub 2015 Jan 15.

Abstract

Immune deregulation has been postulated to be one of the mechanisms underlying the pathogenesis of tardive dyskinesia (TD). We hypothesized that interleukins would have a link with TD in schizophrenia patients. In this study, the serum IL-2, IL-6 and IL-8 levels were examined by enzyme-linked immunosorbent assay (ELISA) in schizophrenia patients with TD (n=48) and without TD (n=45), and healthy controls (n=44). The psychopathological symptoms of schizophrenia were assessed by the Positive and Negative Syndrome Scale (PANSS). The severity of TD was evaluated using Abnormal Involuntary Movement Scale (AIMS). The results showed that serum IL-2, IL-6 and IL-8 levels were significantly different among schizophrenia patients with TD and without TD and normal controls. Moreover, IL-2 level was significantly correlated with PANSS positive subscale and general subscale in patients with TD and without TD. In addition, IL-2 level was positively correlated with AIMS score in TD patients. The results supported that immune disturbance is related to the schizophrenia patients, especially to the patients with TD and ILs might play an important role in the pathophysiology of schizophrenia patients with TD.

摘要

免疫失调被认为是迟发性运动障碍(TD)发病机制的潜在机制之一。我们假设白细胞介素与精神分裂症患者的TD有关。在本研究中,通过酶联免疫吸附测定(ELISA)检测了患有TD的精神分裂症患者(n = 48)、未患TD的精神分裂症患者(n = 45)以及健康对照者(n = 44)的血清白细胞介素-2(IL-2)、白细胞介素-6(IL-6)和白细胞介素-8(IL-8)水平。采用阳性和阴性症状量表(PANSS)评估精神分裂症的精神病理症状。使用异常不自主运动量表(AIMS)评估TD的严重程度。结果显示,患有TD的精神分裂症患者、未患TD的精神分裂症患者和正常对照者之间的血清IL-2、IL-6和IL-8水平存在显著差异。此外,在患有TD和未患TD的患者中,IL-2水平与PANSS阳性子量表和综合子量表显著相关。另外,TD患者的IL-2水平与AIMS评分呈正相关。这些结果支持免疫紊乱与精神分裂症患者有关,尤其是与患有TD的患者有关,并且白细胞介素可能在患有TD的精神分裂症患者的病理生理学中起重要作用。

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