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精神病家族史的精神分裂症患者中,[具体因素]与童年创伤之间相互作用对临床特征影响的证据。 (注:原文中“and Childhood Trauma”前缺少具体内容,这里用“[具体因素]”表示)

Evidence for an Interaction Between and Childhood Trauma on Clinical Characters of Schizophrenia With Family History of Psychosis.

作者信息

Bi Xiao-Jiao, Hu Lei, Qiao Dong-Dong, Han Chao, Sun Meng-Meng, Cui Kai-Yan, Wang Li-Na, Yang Li-Min, Liu Lan-Fen, Chen Zhe-Yu

机构信息

Department of Psychiatry, Shandong Mental Health Center, Cheeloo College of Medicine, Shandong University, Jinan, China.

Shandong Key Laboratory of Mental Disorders, Department of Anatomy and Neurobiology, School of Basic Medical Sciences, Shandong University, Jinan, China.

出版信息

Front Psychiatry. 2021 Apr 8;12:608231. doi: 10.3389/fpsyt.2021.608231. eCollection 2021.

Abstract

Neural precursor cell-expressed developmentally downregulated 4 () polymorphisms and childhood trauma (CT) are associated with schizophrenia. However, whether interacts with CT on symptoms of schizophrenia remains unknown. This study aimed to investigate the gene-environment interaction effect. We recruited 289 schizophrenia patients and 487 controls and genotyped rs2303579, rs3088077, rs7162435, rs11550869, and rs62043855 in their gene. We found significant differences in the rs2303579 and rs3088077 between the two groups. Patients with the rs2303579 CC genotype had higher scores compared with other genotype ( = 0.026) in the test of positive schizophrenia syndrome scores, whereas patients with the rs3088077 TT ( = 0.037) and rs7162435 CC genotypes ( = 0.009) had higher scores compared with the other genotypes in the test of excitement factor. Patients with a family history of psychosis (FH+) reported higher negative scores ( = 0.012) than those without. Patients exposed to physical abuse (PA) reported a lower language learning and memory score ( = 0.017) and working memory score ( = 0.047) than those not. Patients exposed to sexual abuse (SA) reported a lower reasoning and problem-solving skills score ( = 0.025); those exposed to emotional neglect (EN) reported a lower social cognition score ( = 0.044); and those exposed to physical neglect reported a lower social cognition score ( = 0.036) but higher visual learning and memory score ( = 0.032). Rs3088077 could interact with EN to increase risk for schizophrenia. Optimal model rs62043855 × EA, rs3088077 × rs7162435 × rs11550869 × SA × EN and rs2303579 × rs7162435 × rs11550869 × rs62043855 × EA × PA could explain positive symptom, excitement symptom and working memory, respectively, in FH+ group. The study highlighted that the combined interaction of and CT may be associated with symptoms of schizophrenia especially for those with FH+.

摘要

神经前体细胞表达的发育下调基因4()多态性与童年创伤(CT)与精神分裂症有关。然而,是否与CT在精神分裂症症状上存在相互作用仍不清楚。本研究旨在探讨基因-环境相互作用效应。我们招募了289例精神分裂症患者和487名对照,并对他们基因中的rs2303579、rs3088077、rs7162435、rs11550869和rs62043855进行基因分型。我们发现两组之间rs2303579和rs3088077存在显著差异。rs2303579 CC基因型患者在精神分裂症阳性综合征评分测试中的得分高于其他基因型(=0.026),而rs3088077 TT基因型(=0.037)和rs7162435 CC基因型(=0.009)患者在兴奋因子测试中的得分高于其他基因型。有精神病家族史(FH+)的患者报告的阴性得分(=0.012)高于无家族史者。遭受身体虐待(PA)的患者报告的语言学习和记忆得分(=0.017)和工作记忆得分(=0.047)低于未受虐待者。遭受性虐待(SA)的患者报告的推理和解决问题能力得分较低(=0.025);遭受情感忽视(EN)的患者报告的社会认知得分较低(=0.044);遭受身体忽视的患者报告的社会认知得分较低(=0.036)但视觉学习和记忆得分较高(=0.032)。Rs3088077可能与EN相互作用以增加精神分裂症风险。最佳模型rs62043855×EA、rs3088077×rs7162435×rs11550869×SA×EN和rs2303579×rs7162435×rs11550869×rs62043855×EA×PA可分别解释FH+组中的阳性症状、兴奋症状和工作记忆。该研究强调,与CT的联合相互作用可能与精神分裂症症状有关,尤其是对于有FH+的患者。

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Child Adolesc Psychiatr Clin N Am. 2020 Jan;29(1):115-129. doi: 10.1016/j.chc.2019.08.004. Epub 2019 Sep 23.
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Non-Genetic Factors in Schizophrenia.精神分裂症的非遗传因素。
Curr Psychiatry Rep. 2019 Sep 14;21(10):100. doi: 10.1007/s11920-019-1091-3.

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