Golimbet Vera, Lezheiko Tatyana, Mikhailova Vera, Korovaitseva Galina, Kolesina Nadezhda, Plakunova Victoria, Kostyuk Georgy
Laboratory of Clinical Genetics, Mental Health Research Center, Moscow, Russia.
Moscow Healthcare Department, Clinical Research Center, Mental-Health Clinic No. 1 Named After N.A. Alexeev, Moscow, Russia.
Indian J Psychiatry. 2022 Sep-Oct;64(5):484-488. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_212_22. Epub 2022 Oct 12.
Schizophrenia is a severe mental illness manifested by various symptoms. Negative symptoms (NS) are associated with disability and poor function of patients. The study of NS neurobiology is complicated by their heterogeneity. Factor analysis revealed two distinct NS subdomains with different pathophysiological mechanisms: volitional pathology, including avolition and apathy (AA), and diminished expression (DE). Inflammation is one mechanism that may underlie NS, including their heterogeneity.
To search for the association between genes for interleukins (, , and ) and NS subdomains.
The study included 275 patients with schizophrenia. NS factors were calculated based on the Positive and Negative Syndromes Scale.
There was a significant main effect of IL-10 polymorphisms on the AA, but not the DE subdomain. Mean score on the AA subdomain was higher in the compared to the genotype. Differences between genotypes were dose dependent. The lowest score was observed for the genotype. The association between the polymorphism and AA scores was close to the level of significance. Patients with the genotype had higher score compared to the AA genotype.
The results provide further neurobiological evidence for the validity of the NS factor categorization. An imbalance between pro-inflammatory and anti-inflammatory cytokines because of genetic variations is associated with the AA NS subdomain that is supposed to be a more severe aspect of psychopathology compared to the DE.
精神分裂症是一种表现为多种症状的严重精神疾病。阴性症状与患者的残疾和功能不良相关。阴性症状神经生物学的研究因其异质性而变得复杂。因子分析揭示了两个具有不同病理生理机制的不同阴性症状亚领域:意志病理学,包括意志缺乏和情感淡漠(AA),以及表达减少(DE)。炎症是可能构成阴性症状基础的一种机制,包括其异质性。
寻找白细胞介素(IL-10、IL-12和IL-17)基因与阴性症状亚领域之间的关联。
该研究纳入了275例精神分裂症患者。基于阳性和阴性症状量表计算阴性症状因子。
IL-10基因多态性对AA亚领域有显著的主效应,但对DE亚领域没有。与CC基因型相比,AA基因型在AA亚领域的平均得分更高。CC基因型之间的差异呈剂量依赖性。CC基因型的得分最低。IL-12基因多态性与AA得分之间的关联接近显著水平。与AA基因型相比,CC基因型患者的得分更高。
这些结果为阴性症状因子分类的有效性提供了进一步的神经生物学证据。由于基因变异导致的促炎和抗炎细胞因子之间的失衡与AA阴性症状亚领域相关,与DE相比,AA被认为是精神病理学中更严重的一个方面。