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白细胞介素-1 受体拮抗剂的血浆水平与精神分裂症有关。

Plasma levels of IL-1Ra are associated with schizophrenia.

机构信息

Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, China.

出版信息

Psychiatry Clin Neurosci. 2019 Mar;73(3):109-115. doi: 10.1111/pcn.12794. Epub 2018 Dec 7.

DOI:10.1111/pcn.12794
PMID:30375100
Abstract

AIM

Although peripheral low-grade inflammation and brain-derived neurotrophic factor (BDNF) levels have been implicated in schizophrenia (SCZ), the interactions between them remain to be fully revealed. We aimed to compare BDNF and cytokines in patients with SCZ and healthy controls (HC). Additionally, we aimed to investigate the association between peripheral levels of cytokines and BDNF in patients with SCZ.

METHODS

Plasma levels of BDNF, interferon gamma, interleukin (IL)-10, IL-12, IL-1, IL-6, IL-8, tumor necrosis factor alpha, macrophage migration inhibitory factor, IL-1 receptor antagonist (IL-1Ra), and CD40 Ligand were compared in 45 SCZ patients and 38 HC using Luminex technology.

RESULTS

Compared to HC, patients had significantly higher IL-1Ra levels (P = 0.031). We found a strong positive association between BDNF and CD40 Ligand in the patient group (rho = 0.858, P < 0.001) as well as in the HC group (rho = 0.822, P < 0.001), respectively. Furthermore, there was a negative association between BDNF and tumor necrosis factor alpha in patients (rho = -0.429, P = 0.030) as well as in HC (rho = -0.649, P < 0.001).

CONCLUSION

These results suggest that the cytokine IL-1Ra may play a role in SCZ pathophysiology. Additionally, the interaction between cytokines and BDNF levels further indicated the diverse actions of these cytokines.

摘要

目的

尽管外周低度炎症和脑源性神经营养因子(BDNF)水平与精神分裂症(SCZ)有关,但它们之间的相互作用仍有待充分揭示。我们旨在比较 SCZ 患者和健康对照(HC)之间的 BDNF 和细胞因子。此外,我们还旨在研究 SCZ 患者外周细胞因子和 BDNF 水平之间的相关性。

方法

使用 Luminex 技术比较 45 例 SCZ 患者和 38 例 HC 患者的 BDNF、干扰素γ、白细胞介素(IL)-10、IL-12、IL-1、IL-6、IL-8、肿瘤坏死因子α、巨噬细胞迁移抑制因子、IL-1 受体拮抗剂(IL-1Ra)和 CD40 配体的血浆水平。

结果

与 HC 相比,患者的 IL-1Ra 水平明显更高(P=0.031)。我们发现患者组和 HC 组中 BDNF 与 CD40 配体之间存在强烈的正相关(rho=0.858,P<0.001;rho=0.822,P<0.001)。此外,患者(rho=-0.429,P=0.030)和 HC 组(rho=-0.649,P<0.001)中 BDNF 与肿瘤坏死因子α之间存在负相关。

结论

这些结果表明细胞因子 IL-1Ra 可能在 SCZ 发病机制中发挥作用。此外,细胞因子和 BDNF 水平之间的相互作用进一步表明这些细胞因子具有不同的作用。

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