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接受奥氮平治疗的西班牙裔精神分裂症患者的白细胞端粒长度

Leukocyte telomere length in Hispanic schizophrenia patients under treatment with olanzapine.

作者信息

Monroy-Jaramillo Nancy, Rodríguez-Agudelo Yaneth, Aviña-Cervantes Luis Carlos, Roberts David L, Velligan Dawn I, Walss-Bass Consuelo

机构信息

Translational Psychiatry Program, Department of Psychiatry and Behavioral Sciences, McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA; Department of Genetics, National Institute of Neurology and Neurosurgery, Manuel Velasco Suárez. Insurgentes Sur 3877 Col. La Fama, Tlalpan, C. P. 14269 Mexico city, Mexico.

Department of Neuropsychology, National Institute of Neurology and Neurosurgery, Manuel Velasco Suárez. Insurgentes Sur 3877 Col. La Fama, Tlalpan, C. P. 14269 Mexico city, Mexico.

出版信息

J Psychiatr Res. 2017 Jul;90:26-30. doi: 10.1016/j.jpsychires.2017.02.007. Epub 2017 Feb 10.

Abstract

Different lines of evidence indicate that patients with schizophrenia (SZ) exhibit accelerated aging. Leukocyte telomere length (TL), an aging marker, is associated with age-related and chronic pathologies, including schizophrenia. We analyzed leukocyte TL in 170 SZ patients of Hispanic ancestry grouped based on antipsychotic treatment, compared to 126 matched controls. The group under treatment with atypical antipsychotics was further subdivided according to the risk of medication to cause metabolic syndrome (MetS). Our results show significant erosion in the TL of SZ patients under treatment with the atypical antipsychotics clozapine and olanzapine, which cause high-risk for MetS, compared to healthy controls and patients under treatment with medium and low-risk antipsychotics. However, when the analysis was done separately for clozapine and olanzapine, a significant difference remained only for olanzapine. These findings suggest that atypical antipsychotics that cause high-risk for MetS, particularly olanzapine, may modulate leukocyte TL in SZ patients. Future research is required to elucidate if in fact atypical antipsychotics are involved in TL maintenance in SZ subjects and the mechanism by which this occurs.

摘要

不同的证据表明,精神分裂症(SZ)患者存在加速衰老的现象。白细胞端粒长度(TL)作为一种衰老标志物,与包括精神分裂症在内的与年龄相关的慢性疾病有关。我们分析了170名西班牙裔血统的SZ患者的白细胞TL,这些患者根据抗精神病药物治疗情况分组,并与126名匹配的对照组进行比较。接受非典型抗精神病药物治疗的组根据药物导致代谢综合征(MetS)的风险进一步细分。我们的结果显示,与健康对照组以及接受中低风险抗精神病药物治疗的患者相比,接受导致MetS高风险的非典型抗精神病药物氯氮平和奥氮平治疗的SZ患者的TL显著缩短。然而,当分别对氯氮平和奥氮平进行分析时,仅奥氮平存在显著差异。这些发现表明,导致MetS高风险的非典型抗精神病药物,尤其是奥氮平,可能会调节SZ患者的白细胞TL。未来需要开展研究以阐明非典型抗精神病药物是否实际上参与了SZ患者的TL维持以及发生这种情况的机制。

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