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精神分裂症的阴性症状:与临床及遗传因素的相关性

Negative symptoms in schizophrenia: correlation with clinical and genetic factors.

作者信息

Hajj Aline, Hallit Souheil, Chamoun Karam, Sacre Hala, Obeid Sahar, Haddad Chadia, Dollfus Sonia, Khabbaz Lydia Rabbaa

机构信息

Faculty of Pharmacy, Saint-Joseph University, Beirut, Lebanon.

Laboratoire de Pharmacologie, Pharmacie Clinique et Contrôle de Qualité des Médicaments, Saint-Joseph University, Beirut, Lebanon.

出版信息

Pharmacogenomics. 2021 May;22(7):389-399. doi: 10.2217/pgs-2020-0171. Epub 2021 Apr 16.

Abstract

Explore the possible association between clinical factors and genetic variants of the dopamine pathways and negative symptoms. Negative symptoms were assessed in 206 patients with schizophrenia using the Arabic version of the self-evaluation of negative symptoms scale and the Positive and Negative Syndrome Scale. Genotyping for , , and genes was performed. Multivariable analysis showed that higher self-evaluation of negative symptoms scale scores were significantly associated with higher age, higher chlorpromazine-equivalent daily dose for typical antipsychotics and in married patients. Higher negative Positive and Negative Syndrome Scale scores were significantly associated with women and having the CT genotype for c.677C>T (β = 4.25; p = 0.008) compared with CC patients. Understanding both clinical/genetic factors could help improve the treatment of patients.

摘要

探索临床因素与多巴胺通路基因变异及阴性症状之间的可能关联。使用阴性症状自评量表阿拉伯语版和阳性与阴性症状量表对206例精神分裂症患者的阴性症状进行评估。对 、 、 和 基因进行基因分型。多变量分析显示,阴性症状自评量表得分较高与年龄较大、典型抗精神病药物氯丙嗪等效日剂量较高以及已婚患者显著相关。与CC型患者相比,阳性与阴性症状量表得分较高与女性以及 基因c.677C>T位点具有CT基因型显著相关(β = 4.25;p = 0.008)。了解临床/遗传因素两者有助于改善患者的治疗。

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