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中国甲基苯丙胺所致精神病患者血清细胞因子水平与精神病程度及认知障碍的关系

The Relationship Between Serum Cytokine Levels and the Degree of Psychosis and Cognitive Impairment in Patients With Methamphetamine-Associated Psychosis in Chinese Patients.

作者信息

Yang Xue, Zhao Hui, Liu Xuebing, Xie Qin, Zhou Xiaoliang, Deng Qijian, Wang Gang

机构信息

Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong, University of Science and Technology, Wuhan, China.

First Affiliated Hospital of Xinjiang Medical University, Urumqi, China.

出版信息

Front Psychiatry. 2020 Dec 11;11:594766. doi: 10.3389/fpsyt.2020.594766. eCollection 2020.

Abstract

Cytokine levels can be changed in methamphetamine (METH) use disorders (MUDs) and primary psychosis. The present study assessed serum levels of some kinds of interleukins (ILs) in METH-associated psychosis (MAP) and their relationships with psychotic symptoms and cognitive dysfunction. Serum IL-2R, IL-6, IL-8, and IL-10 levels were examined by chemiluminescence assays in MAP patients ( = 119) and healthy controls ( = 108). The Positive and Negative Syndrome Scale (PANSS) and Montreal Cognitive Assessment (MOCA) were administered. Serum levels of IL-6 and IL-8 were significantly increased in MAP patients (all < 0.05). There was a negative relationship between IL-2R levels and PANSS positive (P) subscale scores ( = -0.193, = 0.035). IL-6, IL-8 and IL-10 levels were all negatively correlated with the naming, delayed recall and orientation subscores on the MOCA ( = -0.209, = 0.022; = -0.245, = 0.007; = -0.505, < 0.001, respectively). Our results indicate that immune disturbances are related to MAP and that IL-2R, IL-6, IL-8, and IL-10 are associated with the severity of psychotic symptoms and cognitive function impairment.

摘要

细胞因子水平在甲基苯丙胺(METH)使用障碍(MUDs)和原发性精神病中会发生变化。本研究评估了甲基苯丙胺相关精神病(MAP)患者血清中某些白细胞介素(ILs)的水平及其与精神病症状和认知功能障碍的关系。通过化学发光分析法检测了119例MAP患者和108例健康对照者血清中IL-2R、IL-6、IL-8和IL-10的水平。采用阳性和阴性症状量表(PANSS)和蒙特利尔认知评估量表(MOCA)进行评估。MAP患者血清IL-6和IL-8水平显著升高(均P<0.05)。IL-2R水平与PANSS阳性(P)分量表得分呈负相关(r=-0.193,P=0.035)。IL-6、IL-8和IL-10水平均与MOCA的命名、延迟回忆和定向子得分呈负相关(分别为r=-0.209,P=0.022;r=-0.245,P=0.007;r=-0.505,P<0.001)。我们的结果表明,免疫紊乱与MAP有关,并且IL-2R、IL-6、IL-8和IL-10与精神病症状的严重程度和认知功能损害有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3126/7759545/e070cbf0f6ea/fpsyt-11-594766-g0001.jpg

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