Sahpolat Musa, Ari Mustafa, Kokacya Mehmet Hanifi
Department of Psychiatry, Kilis State Hospital, Kilis, Turkey.
eparment of Psychiatry, Faculty of Medicine, Mustafa Kemal University, Hatay, Turkey.
Clin Psychopharmacol Neurosci. 2020 Feb 29;18(1):109-115. doi: 10.9758/cpn.2020.18.1.109.
This study aims to investigate the possible relationship between plasma concentrations of apelin, visfatin and resistin levels of first episode psychosis patients and chronic schizophrenia patients.
A total number of 29 untreated patients with first episode psychosis, 30 chronic schizophrenia and 29 randomly selected weight- and body mass index-matched healthy volunteers were included. The Diagnostic and Statistical Manual of Mental Disorders 4th edition, Positive and Negative Syndrome Scale (PANSS) and Clinical Global Impression Scale were applied to the patient groups. The enzyme-linked immunosorbent assay method was used to measure plasma apelin, visfatin and resistin levels.
There was no difference in age, marital status, occupation, and BMI between the groups. Plasma apelin levels were significantly higher in first episode psychosis group than chronic schizophrenia and control group. There was no statistically significant difference in plasma visfatin levels between the groups: first episode psychosis group, chronic schizophrenia and control group. Plasma resistin levels were higher in both first episode psychosis group and chronic schizophrenia group than the control group. There was no statistically significant correlation between plasma apelin and resistin levels and total PANSS scores in the group of patients.
To our knowledge, this study is the first which investigates the plasma apelin, visfatin and resistin levels in patients with first episode psychosis and chronic schizophrenia. Based on the results of this study, apelin and resistin may be related with some central nervous system pathologies, including the severity of a psychiatric disorder.
本研究旨在探讨首发精神病患者和慢性精神分裂症患者血浆中apelin、内脂素和抵抗素水平之间的可能关系。
纳入29例未经治疗的首发精神病患者、30例慢性精神分裂症患者以及29名随机选取的体重和体重指数匹配的健康志愿者。对患者组应用《精神障碍诊断与统计手册》第4版、阳性与阴性症状量表(PANSS)和临床总体印象量表。采用酶联免疫吸附测定法测量血浆apelin、内脂素和抵抗素水平。
各组之间在年龄、婚姻状况、职业和体重指数方面无差异。首发精神病组的血浆apelin水平显著高于慢性精神分裂症组和对照组。首发精神病组、慢性精神分裂症组和对照组之间的血浆内脂素水平无统计学显著差异。首发精神病组和慢性精神分裂症组的血浆抵抗素水平均高于对照组。患者组中血浆apelin和抵抗素水平与PANSS总分之间无统计学显著相关性。
据我们所知,本研究是首次调查首发精神病患者和慢性精神分裂症患者血浆中apelin、内脂素和抵抗素水平。基于本研究结果,apelin和抵抗素可能与包括精神疾病严重程度在内的一些中枢神经系统病变有关。