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基因对精神分裂症症状严重程度的影响。

Influence of gene on symptom severity of schizophrenia.

作者信息

Zhang Chen, Lv Qinyu, Fan Weixing, Tang Wei, Yi Zhenghui

机构信息

Schizophrenia Program, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai.

Department of Psychiatry, Jinhua Second Hospital, Jinhua.

出版信息

Neuropsychiatr Dis Treat. 2017 Mar 2;13:697-706. doi: 10.2147/NDT.S132108. eCollection 2017.

Abstract

OBJECTIVE

Recent advances have provided compelling evidence for the role of excessive complement activity in the pathophysiology of schizophrenia. In this study, we aimed to detect the association of the gene encoding complement factor H (), a regulator in complement activation, with schizophrenia.

MATERIALS AND METHODS

A sample of 1783 individuals with or without schizophrenia was recruited for genetic analysis. Genomic DNA samples were extracted from peripheral blood cells using multiplex polymerase chain reaction and the SNaPshot assay. A Database for Schizophrenia Genetic Research (SZDB) was used to detect the association of brain expression with schizophrenia. Next, we performed a genotype-phenotype analysis to identify the relationship between Y402H polymorphism and clinical features of schizophrenia.

RESULTS

There was a significant association of hippocampal expression with schizophrenia (=0.017), whereas this significance did not survive after adjusting for false discovery rate (=0.105). Comparing the genotype and allele frequencies of the genotyped single-nucleotide polymorphisms between case and control groups showed no significant difference. There were significant differences in the scores of negative symptoms and delayed memory between the patients with C allele and those without C allele (<0.01 and =0.04 after Bonferroni correction, respectively). Furthermore, we observed a marginally significant association between the Y402H polymorphism and expression in the hippocampus (=0.051); however, this significance was lost after multiple testing correction (=0.51, after Bonferroni correction).

CONCLUSION

Our findings provide suggestive evidence for the role of in the development of negative symptoms and cognitive dysfunction in schizophrenia.

摘要

目的

近期的研究进展为补体活性过度在精神分裂症病理生理学中的作用提供了有力证据。在本研究中,我们旨在检测补体激活调节因子补体因子H(CFH)编码基因与精神分裂症之间的关联。

材料与方法

招募了1783名有或无精神分裂症的个体作为样本进行基因分析。使用多重聚合酶链反应和SNaPshot分析法从外周血细胞中提取基因组DNA样本。利用精神分裂症遗传研究数据库(SZDB)检测大脑CFH表达与精神分裂症之间的关联。接下来,我们进行了基因型-表型分析,以确定CFH Y402H多态性与精神分裂症临床特征之间的关系。

结果

海马体CFH表达与精神分裂症存在显著关联(P = 0.017),然而在调整错误发现率后这种显著性消失了(P = 0.105)。比较病例组和对照组之间基因分型的单核苷酸多态性的基因型和等位基因频率,未发现显著差异。携带C等位基因的患者与未携带C等位基因的患者在阴性症状评分和延迟记忆方面存在显著差异(分别经Bonferroni校正后P < 0.01和P = 0.04)。此外,我们观察到CFH Y402H多态性与海马体CFH表达之间存在边缘显著关联(P = 0.051);然而,在多次检验校正后这种显著性消失了(经Bonferroni校正后P = 0.51)。

结论

我们的研究结果为CFH在精神分裂症阴性症状和认知功能障碍发展中的作用提供了提示性证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fccb/5342610/efc3183f23e6/ndt-13-697Fig1.jpg

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