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童年创伤与脑源性神经营养因子Val66Met相互作用影响精神分裂症症状。

Childhood trauma interacted with BDNF Val66Met influence schizophrenic symptoms.

作者信息

Bi Xiao-Jiao, Lv Xiao-Min, Ai Xian-Ying, Sun Meng-Meng, Cui Kai-Yan, Yang Li-Min, Wang Li-Na, Yin Ai-Hua, Liu Lan-Fen

机构信息

Department of Psychiatry, Shandong Mental Health Center, Jinan, Shandong Province, P.R. China.

出版信息

Medicine (Baltimore). 2018 Mar;97(13):e0160. doi: 10.1097/MD.0000000000010160.

Abstract

The gene - environment (G × E) interaction effect is involved in severe mental disorders. However, whether the brain-derived neurotrophic factor (BDNF) Val66Met polymorphism participates in the childhood-abuse influenced schizophrenic symptoms remains unclear. We examined the interaction between BDNF Val66Met, and childhood trauma (ChT) on psychotic symptoms in a Chinese Han population.To estimate the G × E interaction, psychiatric interviews, self-report questionnaires for ChT, and genotyping for BDNF Val66Met were carried out on 201 schizophrenic patients. G × E interactions were analyzed by generalized multifactor dimensionality reduction (GMDR).Among all patients, 11.9%, 19.4%, 23.4%, 26.4%, and 73.6% reported emotional abuses, physical abuses (PA), sexual abuses (SA), emotional neglects (EN), and physical neglects (PN), respectively. Significant negative correlations were observed between anxiety/depression factors, and ChT total scores. Patients with 3 different BDNF genotypes showed significant differences in anxiety/depression scores. Significant 2-way interactions were found for Val66Met × PN, 3-way interactions were found for Val66Met × PN × PA, and four-way interactions were found for Val66Met × PN × PA × EN with regard to the excitement scores.Our findings suggested an involvement of BDNF Val66Met polymorphism after ChT in terms of risk for schizophrenia symptoms.

摘要

基因-环境(G×E)相互作用效应与严重精神障碍有关。然而,脑源性神经营养因子(BDNF)Val66Met多态性是否参与童年期虐待影响的精神分裂症症状仍不清楚。我们在中国汉族人群中研究了BDNF Val66Met与童年创伤(ChT)对精神病症状的相互作用。为了评估G×E相互作用,我们对201例精神分裂症患者进行了精神科访谈、ChT自我报告问卷以及BDNF Val66Met基因分型。通过广义多因素降维法(GMDR)分析G×E相互作用。在所有患者中,分别有11.9%、19.4%、23.4%、26.4%和73.6%的患者报告有情感虐待、身体虐待(PA)、性虐待(SA)、情感忽视(EN)和身体忽视(PN)。焦虑/抑郁因子与ChT总分之间存在显著负相关。具有3种不同BDNF基因型的患者在焦虑/抑郁评分上存在显著差异。在兴奋评分方面,发现Val66Met×PN存在显著的双向相互作用,Val66Met×PN×PA存在三向相互作用,Val66Met×PN×PA×EN存在四向相互作用。我们的研究结果表明,ChT后BDNF Val66Met多态性与精神分裂症症状风险有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e91/5895403/7fc1cc4342e6/medi-97-e0160-g002.jpg

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