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精神分裂症患者的血清生长因子

Serum Growth Factors in Schizophrenia Patients.

作者信息

Boiko Anastasiia S, Mednova Irina A, Kornetova Elena G, Bokhan Nikolay A, Ivanova Svetlana A

机构信息

Mental Health Research Institute, Tomsk National Research Medical Center of the Russian Academy of Sciences, 634014 Tomsk, Russia.

University Hospital, Siberian State Medical University, 634050 Tomsk, Russia.

出版信息

Curr Issues Mol Biol. 2023 Apr 7;45(4):3291-3301. doi: 10.3390/cimb45040215.

Abstract

Some hypotheses include schizophrenia as a neurodevelopmental disorder, which indicates a special role in growth factors and neuroglia in the development of schizophrenia symptoms. Growth factors are cytokine molecules that play an important role in the regulation of tissue nucleation, cell development, survival, and migration of all tissues in organisms, including the brain and nervous system. The aim of the study was to determine the serum concentration of six growth factors (EGF, VEGF, FGF-2, TGF-α, PDGF-AA, PDGF-AB/BB) in schizophrenia patients and to identify the correlations with clinical characteristics. After signing an informed consent form, 236 schizophrenia patients (F20 according to the ICD-10) and 102 healthy people were recruited in the study. In patients with schizophrenia, we observed a significant elevation in the TGF-α and PDGF-AA serum levels. The duration of schizophrenia was significantly positively correlated with the FGF-2 level. The PANSS total score had a positive correlation with the FGF-2 level and a negative correlation with the TGF-α level. Our results and literature indicate the involvement of growth factors in the mechanisms of development of schizophrenia. Combined biomarker screening seems to be necessary to improve diagnosis and clinical follow-up of patients with severe mental illnesses.

摘要

一些假说将精神分裂症视为一种神经发育障碍,这表明生长因子和神经胶质细胞在精神分裂症症状发展中具有特殊作用。生长因子是细胞因子分子,在包括大脑和神经系统在内的生物体所有组织的组织成核、细胞发育、存活及迁移的调节中发挥重要作用。本研究的目的是测定精神分裂症患者血清中六种生长因子(表皮生长因子、血管内皮生长因子、碱性成纤维细胞生长因子 -2、转化生长因子 -α、血小板衍生生长因子 -AA、血小板衍生生长因子 -AB/BB)的浓度,并确定其与临床特征的相关性。在签署知情同意书后,本研究招募了236名精神分裂症患者(根据国际疾病分类第十版为F20)和102名健康人。在精神分裂症患者中,我们观察到转化生长因子 -α和血小板衍生生长因子 -AA血清水平显著升高。精神分裂症的病程与碱性成纤维细胞生长因子 -2水平显著正相关。阳性和阴性症状量表总分与碱性成纤维细胞生长因子 -2水平呈正相关,与转化生长因子 -α水平呈负相关。我们的研究结果及文献表明生长因子参与了精神分裂症的发病机制。联合生物标志物筛查似乎对于改善严重精神疾病患者的诊断和临床随访是必要的。

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