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精神分裂症、迟发性运动障碍与脑内γ-氨基丁酸

Schizophrenia, tardive dyskinesia, and brain GABA.

作者信息

Perry T L, Hansen S, Jones K

机构信息

Department of Pharmacology & Therapeutics, University of British Columbia, Vancouver, Canada.

出版信息

Biol Psychiatry. 1989 Jan 15;25(2):200-6. doi: 10.1016/0006-3223(89)90164-9.

Abstract

We measured the contents of gamma-aminobutyric acid (GABA) and of other amino compounds in five regions of autopsied brain from 18 patients with schizophrenia and from a large group of adult control subjects dying without any neurological or psychiatric disorder. In addition, concentrations of GABA were measured in the cerebrospinal fluid (CSF) of living schizophrenic patients and control subjects. No deficiency of GABA was found in the frontal cortex, caudate nucleus, putamen, nucleus accumbens, or medial dorsal thalamus of patients dying with schizophrenia, nor were GABA concentrations low in the CSF of living schizophrenic patients. These results do not confirm our earlier report of low levels of GABA in the nucleus accumbens and thalamus of some schizophrenic patients. We do not find neurochemical evidence favoring an involvement of GABAergic neuronal hypofunction in the etiology either of schizophrenia or of neuroleptic-induced tardive dyskinesia.

摘要

我们测定了18例精神分裂症患者尸检大脑五个区域以及一大组无任何神经或精神疾病死亡的成年对照受试者大脑中γ-氨基丁酸(GABA)和其他氨基化合物的含量。此外,还测定了活着的精神分裂症患者和对照受试者脑脊液(CSF)中GABA的浓度。死于精神分裂症的患者额叶皮质、尾状核、壳核、伏隔核或背内侧丘脑未发现GABA缺乏,活着的精神分裂症患者脑脊液中GABA浓度也不低。这些结果并未证实我们早期关于一些精神分裂症患者伏隔核和丘脑GABA水平低的报道。我们没有发现神经化学证据支持GABA能神经元功能减退参与精神分裂症或抗精神病药物所致迟发性运动障碍的病因。

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