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血小板单胺氧化酶活性与精神分裂症——一个不愿消逝的神话?

Platelet monoamine oxidase activity and schizophrenia--a myth that refuses to die?

作者信息

Fleissner A, Seifert R, Schneider K, Eckert W, Fuisting B

机构信息

Department of Neurochemistry, Psychiatric University Clinic, Hamburg, Federal Republic of Germany.

出版信息

Eur Arch Psychiatry Neurol Sci. 1987;237(1):8-15. doi: 10.1007/BF00385661.

Abstract

Platelet monoamine oxidase (MAO) activity was determined using kynuramine as a substrate in a group of schizophrenic patients (n = 107), a group of healthy individuals (n = 100), and a group of psychiatric patients who were neither schizophrenics nor alcoholics (n = 110). No significant difference emerged between the schizophrenics and the other two groups, while a significant reduction in platelet MAO activity in a group of alcoholics (n = 60) was confirmed. Breaking down the schizophrenic group according to course of illness, phenomenology (paranoid-hallucinatory or not) and drug use did not lead to a significant deviation in platelet MAO activity in any of these subgroups. It can also be demonstrated from the literature that the results reached by most research teams question the usefulness of platelet MAO activity as a genetic marker for psychiatric illness.

摘要

在一组精神分裂症患者(n = 107)、一组健康个体(n = 100)和一组既非精神分裂症患者也非酗酒者的精神科患者(n = 110)中,以犬尿胺为底物测定血小板单胺氧化酶(MAO)活性。精神分裂症患者与其他两组之间未出现显著差异,而一组酗酒者(n = 60)的血小板MAO活性确有显著降低。根据病程、现象学(是否为偏执 - 幻觉型)和药物使用情况对精神分裂症患者组进行分类,这些亚组中血小板MAO活性均未出现显著偏差。从文献中也可以证明,大多数研究团队得出的结果对血小板MAO活性作为精神疾病遗传标志物的实用性提出了质疑。

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