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使用简单无创方法测量的皮肤晚期糖基化终产物水平作为神经精神疾病诊断的生物标志物。

Use of skin advanced glycation end product levels measured using a simple noninvasive method as a biological marker for the diagnosis of neuropsychiatric diseases.

机构信息

Juntendo University Schizophrenia Projects (JUSP), Department of Psychiatry, Juntendo University, Faculty of Medicine, Tokyo, Japan.

出版信息

Int J Methods Psychiatr Res. 2020 Jun;29(2):e1824. doi: 10.1002/mpr.1824. Epub 2020 Apr 23.

Abstract

OBJECTIVES

The accumulation of advanced glycation end products (AGEs) may be involved in the pathophysiology of several neuropsychiatric diseases. In this study, the skin AGEs level of several neuropsychiatric diseases was assessed with a simple noninvasive method. Moreover, whether skin AGE level can be used as a biomarker for the diagnosis of these diseases was evaluated.

METHODS

A total of 27 patients with schizophrenia, 26 with major depressive disorder, and 10 with major neurocognitive disorders (MNDs), such as Alzheimer's disease or dementia with Lewy body, as well as 26 healthy controls were enrolled in this study. The skin AGE levels of the patients were assessed with an AGE scanner, a fluorometric method used to assay skin AGE levels.

RESULTS

One-way analysis of covariance was performed after adjusting for significant covariates, including age. Although the group with MNDs had higher skin AGE levels than the other groups, the main effect of diagnosis did not significantly affect the skin AGE levels of the groups.

CONCLUSIONS

Skin AGE levels in neuropsychiatric diseases with mild symptoms did not significantly differ. Further large-scale studies using a simple noninvasive method for the early detection and treatment of MNDs must be conducted.

摘要

目的

晚期糖基化终产物(AGEs)的积累可能与几种神经精神疾病的病理生理学有关。在这项研究中,采用一种简单的非侵入性方法评估了几种神经精神疾病的皮肤 AGE 水平。此外,还评估了皮肤 AGE 水平是否可作为这些疾病诊断的生物标志物。

方法

本研究共纳入 27 例精神分裂症患者、26 例重性抑郁症患者和 10 例大神经认知障碍(MND)患者,如阿尔茨海默病或路易体痴呆,以及 26 名健康对照者。采用AGE 扫描仪评估患者的皮肤 AGE 水平,这是一种用于检测皮肤 AGE 水平的荧光法。

结果

在调整了包括年龄在内的显著协变量后,进行了单因素协方差分析。尽管 MND 组的皮肤 AGE 水平高于其他组,但诊断的主要效应并未显著影响组间的皮肤 AGE 水平。

结论

轻度症状的神经精神疾病患者的皮肤 AGE 水平没有显著差异。必须进行进一步的大规模研究,使用简单的非侵入性方法来早期检测和治疗 MND。

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