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rs1344706 或 rs1006737 多态性对重症精神障碍患者认知功能的影响:系统评价和荟萃分析。

Impact of rs1344706 or rs1006737 polymorphisms on cognition in patients with severe mental disorders: A systematic review and meta-analysis.

机构信息

Health Sciences Center, State University of Londrina, Londrina, Brazil.

Parana School of Medicine, Catholic Pontifice University, Londrina, Brazil.

出版信息

World J Biol Psychiatry. 2023 Mar;24(3):195-208. doi: 10.1080/15622975.2022.2097308. Epub 2022 Jul 18.

Abstract

OBJECTIVES

This systematic review and meta-analysis focussed on insights into the relationship between -rs1006737 and -rs1344706 polymorphisms and cognitive performance in schizophrenia (SCZ) spectrum and bipolar disorder (BD) and provide some contributions for clinical practice.

METHODS

We searched the websites databases (PubMED, PsycINFO, Web of Science, EMBASE and Cochrane Library) using eligibility and exclusion criteria to capture all potential studies, based on PICO model and according to the PRISMA.

RESULTS

Eight articles were included in this systematic review (five referring to -rs1006737 and three related to -rs1344706 polymorphisms), with a total of 5759 participants (1751 SCZ patients, 348 BD patients, 3626 controls and 34 first-degree relatives). The results demonstrated that the pooled effect of -rs1006737 (risk difference RD = 0.08; 95% CI 0.02-0.15) was associated with altered cognitive function in patients with severe mental disorders, but not Z-rs1344706 polymorphism (RD = 0.19; 95% CI 0.09-0.48.

CONCLUSION

The present meta-analysis provides evidence regarding slight association between -rs1006737 polymorphisms and cognitive performance in severe mental disorders, indicating that cognitive impairment in severe mental disorders associated with the rs1006737 risk variants could only be expressed when interacting with environmental exposures. This study is registered with PROSPERO, number CRD42021246726.

摘要

目的

本系统评价和荟萃分析重点探讨了 -rs1006737 和 -rs1344706 多态性与精神分裂症(SCZ)谱系和双相障碍(BD)认知表现之间关系的见解,并为临床实践提供了一些贡献。

方法

我们根据 PICO 模型并按照 PRISMA 标准,使用纳入和排除标准在网站数据库(PubMED、PsycINFO、Web of Science、EMBASE 和 Cochrane Library)上搜索所有潜在的研究。

结果

本系统评价纳入了 8 篇文章(5 篇涉及 -rs1006737,3 篇涉及 -rs1344706 多态性),共有 5759 名参与者(1751 名 SCZ 患者、348 名 BD 患者、3626 名对照和 34 名一级亲属)。结果表明,-rs1006737 (风险差异 RD = 0.08;95%CI 0.02-0.15)的合并效应与严重精神障碍患者认知功能改变相关,但与 Z-rs1344706 多态性无关(RD = 0.19;95%CI 0.09-0.48)。

结论

本荟萃分析提供了证据表明,-rs1006737 多态性与严重精神障碍患者认知表现之间存在轻微关联,表明严重精神障碍患者的认知障碍与 rs1006737 风险变异相关,只有在与环境暴露相互作用时才能表现出来。本研究在 PROSPERO 注册,编号 CRD42021246726。

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