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精神分裂症中肺炎衣原体、1型单纯疱疹病毒、人类疱疹病毒6型和弓形虫的不同存在情况:荟萃分析与分析性研究

Different presence of Chlamydia pneumoniae, herpes simplex virus type 1, human herpes virus 6, and Toxoplasma gondii in schizophrenia: meta-analysis and analytical study.

作者信息

Gutiérrez-Fernández José, Luna Del Castillo Juan de Dios, Mañanes-González Sara, Carrillo-Ávila José Antonio, Gutiérrez Blanca, Cervilla Jorge A, Sorlózano-Puerto Antonio

机构信息

Department of Microbiology, University of Granada, Granada, Spain.

Department of Statistics and Operation Research, University of Granada, Granada, Spain.

出版信息

Neuropsychiatr Dis Treat. 2015 Mar 27;11:843-52. doi: 10.2147/NDT.S79285. eCollection 2015.

Abstract

In the present study we have performed both a meta-analysis and an analytical study exploring the presence of Chlamydia pneumoniae, herpes simplex virus type 1, human herpes virus 6, and Toxoplasma gondii antibodies in a sample of 143 schizophrenic patients and 143 control subjects. The meta-analysis was performed on papers published up to April 2014. The presence of serum immunoglobulin G and immunoglobulin A was performed by enzyme-linked immunosorbent assay test. The detection of microbial DNA in total peripheral blood was performed by nested polymerase chain reaction. The meta-analysis showed that: 1) C. pneumoniae DNA in blood and brain are more common in schizophrenic patients; 2) there is association with parasitism by T. gondii, despite the existence of publication bias; and 3) herpes viruses were not more common in schizophrenic patients. In our sample only anti-Toxoplasma immunoglobulin G was more prevalent and may be a risk factor related to schizophrenia, with potential value for prevention.

摘要

在本研究中,我们进行了一项荟萃分析和一项分析性研究,以探究143例精神分裂症患者和143例对照受试者样本中肺炎衣原体、1型单纯疱疹病毒、人类疱疹病毒6型和弓形虫抗体的存在情况。荟萃分析针对截至2014年4月发表的论文进行。血清免疫球蛋白G和免疫球蛋白A的检测通过酶联免疫吸附试验进行。外周血中微生物DNA的检测通过巢式聚合酶链反应进行。荟萃分析表明:1)精神分裂症患者血液和大脑中的肺炎衣原体DNA更为常见;2)尽管存在发表偏倚,但弓形虫寄生与之有关联;3)疱疹病毒在精神分裂症患者中并不更常见。在我们的样本中,仅抗弓形虫免疫球蛋白G更为普遍,可能是与精神分裂症相关 的一个危险因素,具有潜在的预防价值。

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