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初步证据表明,在健康对照者和精神分裂症患者中,阴性症状严重程度与多巴胺信号传导能力和D2受体结合的多位点基因谱相关。

Preliminary evidence that negative symptom severity relates to multilocus genetic profile for dopamine signaling capacity and D2 receptor binding in healthy controls and in schizophrenia.

作者信息

Eisenstein Sarah A, Bogdan Ryan, Chen Ling, Moerlein Stephen M, Black Kevin J, Perlmutter Joel S, Hershey Tamara, Barch Deanna M

机构信息

Psychiatry Department, Washington University School of Medicine, St. Louis, MO, USA; Radiology Department, Washington University School of Medicine, St. Louis, MO, USA.

Psychological & Brain Sciences Department, Washington University in St. Louis, St. Louis, MO, USA.

出版信息

J Psychiatr Res. 2017 Mar;86:9-17. doi: 10.1016/j.jpsychires.2016.11.007. Epub 2016 Nov 17.

Abstract

Deficits in central, subcortical dopamine (DA) signaling may underlie negative symptom severity, particularly anhedonia, in healthy individuals and in schizophrenia. To investigate these relationships, we assessed negative symptoms with the Schedule for the Assessment of Negative Symptoms and the Brief Negative Symptom Scale (BNSS) and self-reported anhedonia with the Scales for Physical and Social Anhedonia (SPSA), Temporal Experience of Pleasure Scale, and Snaith-Hamilton Pleasure Scale in 36 healthy controls (HC), 27 siblings (SIB) of individuals with schizophrenia, and 66 individuals with schizophrenia or schizoaffective disorder (SCZ). A subset of participants (N = 124) were genotyped for DA-related polymorphisms in genes for DRD4, DRD2/ANKK1, DAT1, and COMT, which were used to construct biologically-informed multi-locus genetic profile (MGP) scores reflective of subcortical dopaminergic signaling. DA receptor type 2 (D2R) binding was assessed among a second subset of participants (N = 23) using PET scans with the D2R-selective, non-displaceable radioligand (N-[C]methyl)benperidol. Higher MGP scores, reflecting elevated subcortical dopaminergic signaling capacity, were associated with less negative symptom severity, as measured by the BNSS, across all participants. In addition, higher striatal D2R binding was associated with less physical and social anhedonia, as measured by the SPSA, across HC, SIB, and SCZ. The current preliminary findings support the hypothesis that subcortical DA function may contribute to negative symptom severity and self-reported anhedonia, independent of diagnostic status.

摘要

中枢和皮层下多巴胺(DA)信号传导缺陷可能是健康个体和精神分裂症患者阴性症状严重程度的基础,尤其是快感缺乏。为了研究这些关系,我们使用阴性症状评估量表和简明阴性症状量表(BNSS)评估阴性症状,并使用身体和社交快感缺乏量表(SPSA)、愉悦感时间体验量表和斯奈斯 - 汉密尔顿愉悦感量表评估36名健康对照者(HC)、27名精神分裂症患者的同胞(SIB)以及66名精神分裂症或分裂情感性障碍患者(SCZ)的自我报告的快感缺乏。对一部分参与者(N = 124)进行了DRD4、DRD2/ANKK1、DAT1和COMT基因中与DA相关的多态性基因分型,这些基因用于构建反映皮层下多巴胺能信号传导的生物学信息多基因座遗传图谱(MGP)分数。在另一部分参与者(N = 23)中,使用D2R选择性、不可置换的放射性配体(N - [C]甲基)苄哌利多进行PET扫描,评估多巴胺2型受体(D2R)结合情况。在所有参与者中,较高的MGP分数反映皮层下多巴胺能信号传导能力增强,与较低的阴性症状严重程度相关,阴性症状严重程度通过BNSS测量。此外,在HC、SIB和SCZ中,较高的纹状体D2R结合与较低的身体和社交快感缺乏相关,身体和社交快感缺乏通过SPSA测量。目前的初步研究结果支持以下假设:皮层下DA功能可能导致阴性症状严重程度和自我报告的快感缺乏,与诊断状态无关。

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