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贝叶斯判别在血清蛋白因子水平及精神分裂症认知功能障碍预测中的作用

Predictive effect of Bayes discrimination in the level of serum protein factors and cognitive dysfunction in schizophrenia.

机构信息

Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, #295 Xichang, Road, Kunming, Yunnan, 650032, China.

Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, #295 Xichang, Road, Kunming, Yunnan, 650032, China; Department of Psychiatry, The Affiliated Hospital of Hubei Minzu University, #39 Xueyuan Road, Enshi, Hubei,445000, China.

出版信息

J Psychiatr Res. 2022 Jul;151:539-545. doi: 10.1016/j.jpsychires.2022.05.004. Epub 2022 May 18.

Abstract

Finding molecular biomarkers that can be related to the degree of cognitive dysfunction in schizophrenia remains a challenge. The levels of 6 Serum Protein Factors (NGF, BDNF, IL-6, TNF-α, S100β, GFAP) in peripheral blood of patients with schizophrenia were measured. The cognitive function of patients with schizophrenia was assessed by MATRICS Consensus Cognitive Battery (MCCB), a systematic assessment tool of international gold standard for cognitive function assessment of schizophrenia. To explore the correlation between these 6 biomarkers and the degree of cognitive dysfunction in schizophrenia,78 schizophrenic patients and 71 healthy controls were included in the study. The serum concentrations of BDNF and GFAP were lower in the patient group, but the concentrations of IL-6, TNF-α and S100β were higher. The speed of information processing, word learning, reasoning and problem solving, visual learning T-score of the patient group were lower than the control group. Bayes discriminant function model has a high correct discriminant rate for the severity of cognitive dysfunction in schizophrenia. The level of serum protein factor and clinical symptom score of schizophrenia may forecast the degree of cognitive dysfunction, which is expected to be a potential biomarker to identify the degree of cognitive dysfunction of schizophrenia, and provide objective basis for the clinical diagnosis and treatment of patients with schizophrenia.

摘要

寻找与精神分裂症认知功能障碍程度相关的分子生物标志物仍然是一个挑战。测量了精神分裂症患者外周血中的 6 种血清蛋白因子(NGF、BDNF、IL-6、TNF-α、S100β、GFAP)水平。采用 MATRICS 共识认知电池(MCCB)评估精神分裂症患者的认知功能,这是一种国际公认的精神分裂症认知功能评估的系统评估工具。为了探讨这 6 种生物标志物与精神分裂症认知功能障碍程度之间的相关性,研究纳入了 78 名精神分裂症患者和 71 名健康对照者。与健康对照组相比,患者组的 BDNF 和 GFAP 血清浓度较低,但 IL-6、TNF-α 和 S100β 的浓度较高。患者组的信息处理速度、词语学习、推理和解决问题、视觉学习 T 评分均低于对照组。贝叶斯判别函数模型对精神分裂症认知功能障碍严重程度具有较高的正确判别率。精神分裂症患者血清蛋白因子水平和临床症状评分可能预测认知功能障碍程度,有望成为识别精神分裂症认知功能障碍程度的潜在生物标志物,为精神分裂症患者的临床诊断和治疗提供客观依据。

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