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从炎症角度看注意力缺陷多动障碍的病因病机新观点

A Different View on the Etiopathogenesis of Attention-deficit Hyperactivity Disorder from an Inflammation Perspective.

作者信息

Dursun Semiha, Demirci Esra, Kilic Eser, Ozmen Sevgi

机构信息

Departments of Child and Adolescent Psychiatry, Kayseri, Turkey.

Departments of Biochemistry, Erciyes University, Kayseri, Turkey.

出版信息

Clin Psychopharmacol Neurosci. 2021 Feb 28;19(1):145-154. doi: 10.9758/cpn.2021.19.1.145.

DOI:10.9758/cpn.2021.19.1.145
PMID:33508798
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7851467/
Abstract

OBJECTIVE

Attention-deficit hyperactivity disorder (ADHD) has a complex etiology and genetic, environmental and biological factors are considered to play a role in the etiology of ADHD by mutually interacting. Recent studies have emphasized that inflammation may be present in the etiology of ADHD. This study aims to investigate the possible role of visfatin, IL-6, IL-1b and TNF-α molecules in the etiology of ADHD.

METHODS

The study included 60 patients and 20 healthy controls between the ages of 6-18. Serum visfatin, IL-6, IL-1b and TNF-α levels were evaluated with enzyme-linked immunosorbent assay (ELISA) kits at a biochemistry laboratory.

RESULTS

The study showed no statistically significant difference between children with ADHD and healthy controls in terms of visfatin, IL-6, IL-1b and TNF-α levels. When ADHD subgroups (combined and predominantly inattentive types) and the control group were compared in terms of visfatin, IL-6, IL-1b and TNF-α levels, no statistically significant difference was recorded.

CONCLUSION

Data on the relationship between ADHD and IL-6, IL-1b and TNF-α in this study are in compliance with the literature. However, no study was found on visfatin in ADHD. This study is the first one evaluating the ADHD-Visfatin relationship.

摘要

目的

注意力缺陷多动障碍(ADHD)病因复杂,遗传、环境和生物因素被认为通过相互作用在ADHD病因中发挥作用。最近的研究强调炎症可能存在于ADHD的病因中。本研究旨在探讨内脂素、白细胞介素-6(IL-6)、白细胞介素-1β(IL-1β)和肿瘤坏死因子-α(TNF-α)分子在ADHD病因中的可能作用。

方法

该研究纳入了60例6至18岁的患者和20名健康对照者。在生物化学实验室使用酶联免疫吸附测定(ELISA)试剂盒评估血清内脂素、IL-6、IL-1β和TNF-α水平。

结果

研究表明,ADHD患儿与健康对照者在内脂素、IL-6、IL-1β和TNF-α水平方面无统计学显著差异。当比较ADHD亚组(混合型和主要为注意力不集中型)与对照组在内脂素、IL-6、IL-1β和TNF-α水平时,未记录到统计学显著差异。

结论

本研究中关于ADHD与IL-6、IL-1β和TNF-α之间关系的数据与文献一致。然而,尚未发现有关ADHD与内脂素关系的研究。本研究是第一项评估ADHD与内脂素关系的研究。

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本文引用的文献

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Brain Behav Immun. 2020 Aug;88:105-113. doi: 10.1016/j.bbi.2020.05.017. Epub 2020 May 8.
2
Serum Interleukin-6 Level in Children With Attention-Deficit Hyperactivity Disorder (ADHD).注意缺陷多动障碍(ADHD)患儿的血清白细胞介素-6水平
J Child Neurol. 2019 Feb;34(2):61-67. doi: 10.1177/0883073818809831. Epub 2018 Nov 15.
3
Oxidative stress and immune aberrancies in attention-deficit/hyperactivity disorder (ADHD): a case-control comparison.氧化应激与注意缺陷多动障碍(ADHD)中的免疫异常:病例对照比较。
Eur Child Adolesc Psychiatry. 2019 May;28(5):719-729. doi: 10.1007/s00787-018-1239-4. Epub 2018 Oct 22.
4
A Review on the Role of Inflammation in Attention-Deficit/Hyperactivity Disorder.炎症在注意缺陷多动障碍中的作用研究综述
Neuroimmunomodulation. 2018;25(5-6):328-333. doi: 10.1159/000489635. Epub 2018 Jun 6.
5
Attention-Deficit/Hyperactivity Disorder And Inflammation: What Does Current Knowledge Tell Us? A Systematic Review.注意力缺陷多动障碍与炎症:现有知识告诉了我们什么?一项系统综述。
Front Psychiatry. 2017 Nov 9;8:228. doi: 10.3389/fpsyt.2017.00228. eCollection 2017.
6
Increased Oxidative Parameters and Decreased Cytokine Levels in an Animal Model of Attention-Deficit/Hyperactivity Disorder.注意缺陷多动障碍动物模型中氧化参数的增加和细胞因子水平的降低。
Neurochem Res. 2017 Nov;42(11):3084-3092. doi: 10.1007/s11064-017-2341-6. Epub 2017 Jun 29.
7
Adipokine profile in patients with anorexia nervosa.神经性厌食症患者的脂肪因子谱
Endokrynol Pol. 2017;68(4):422-429. doi: 10.5603/EP.a2017.0035. Epub 2017 Jun 12.
8
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Psychoneuroendocrinology. 2017 May;79:67-73. doi: 10.1016/j.psyneuen.2017.02.017. Epub 2017 Feb 20.
9
Increased Serum Levels of Tumor Necrosis Factor-Alpha, Resistin, and Visfatin in the Children with Autism Spectrum Disorders: A Case-Control Study.自闭症谱系障碍患儿血清肿瘤坏死因子-α、抵抗素和内脂素水平升高:一项病例对照研究。
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