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血清半乳糖凝集素-3(galectin-3)水平升高,但半乳糖凝集素-1(galectin-1)水平正常:提示炎症在精神分裂症中的作用。

Serum galectin-3, but not galectin-1, levels are elevated in schizophrenia: implications for the role of inflammation.

机构信息

Counseling and Health Center, Faculty of Arts and Science, Kyushu University, 6-1 Kasuga-koen, Kasuga, Fukuoka, 816-8580, Japan.

Department of Psychiatry, Hakomatsu Hospital, 1-3-9 Higashi-ku, Hakomatsu, Fukuoka, 812-0061, Japan.

出版信息

Psychopharmacology (Berl). 2017 Oct;234(19):2919-2927. doi: 10.1007/s00213-017-4683-9. Epub 2017 Jul 11.

Abstract

BACKGROUND

Previous studies have reported that galectin-3 is involved in inflammatory processes in the central nervous system and that neuroinflammation may play a role in the pathogenesis of schizophrenia. However, the link between schizophrenia and various galectins is unclear.

OBJECTIVE

The objective of the present study is to determine whether galectin, a well-known lectin protein that binds to μ-galactoside, is associated with chronic schizophrenia.

METHODS

Thirty-six patients with schizophrenia and 36 healthy controls participated in this study. Schizophrenia symptoms were assessed using the Brief Psychiatry Rating Scale (BPRS). Serum galectin-1 and galectin-3 levels were evaluated using ELISA and compared between the participant groups. Correlation analyses were also performed to examine the relationship between BPRS scores and each galectin level.

RESULTS

Serum galectin-3 levels were significantly higher in patients with schizophrenia than they were in controls (p = 0.009, d = 0.640); however, serum galectin-1 levels were not significantly different between the groups (p = 0.513). No significant correlation was identified between serum galectin-3 level and the total BPRS score; however, a significant positive correlation was found between the serum galectin-3 level and the positive symptom score of the BPRS (ρ = 0.355; p = 0.033). Additionally, a significant negative correlation was identified between serum galectin-3 levels and the negative symptom score of the BPRS (ρ = -0.387; p = 0.020).

CONCLUSIONS

Given the high serum levels of galectin-3 found in patients with schizophrenia compared with that in controls, these findings may support the inflammation hypothesis of schizophrenia.

摘要

背景

先前的研究报告称,半乳糖凝集素-3 参与了中枢神经系统的炎症过程,而神经炎症可能在精神分裂症的发病机制中起作用。然而,精神分裂症与各种半乳糖凝集素之间的联系尚不清楚。

目的

本研究旨在确定半乳糖凝集素,一种已知与 μ-半乳糖结合的凝集素蛋白,是否与慢性精神分裂症有关。

方法

本研究纳入了 36 名精神分裂症患者和 36 名健康对照者。使用简明精神病评定量表(BPRS)评估精神分裂症症状。采用 ELISA 法检测血清半乳糖凝集素-1 和半乳糖凝集素-3 水平,并比较两组参与者的水平。还进行了相关性分析,以检查 BPRS 评分与每种半乳糖水平之间的关系。

结果

精神分裂症患者的血清半乳糖凝集素-3 水平明显高于对照组(p=0.009,d=0.640);然而,两组间血清半乳糖凝集素-1 水平无显著差异(p=0.513)。血清半乳糖凝集素-3 水平与 BPRS 总分之间未发现显著相关性;然而,血清半乳糖凝集素-3 水平与 BPRS 的阳性症状评分呈显著正相关(ρ=0.355;p=0.033)。此外,血清半乳糖凝集素-3 水平与 BPRS 的阴性症状评分呈显著负相关(ρ=-0.387;p=0.020)。

结论

与对照组相比,精神分裂症患者的血清半乳糖凝集素-3 水平较高,这些发现可能支持精神分裂症的炎症假说。

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