Garcia-de la Cruz Dulce Dajheanne, Juarez-Rojop Isela Esther, Tovilla-Zarate Carlos Alfonso, Nicolini Humberto, Genis-Mendoza Alma Delia
Unidad de Enseñanza e Investigación, Hospital Regional de Alta Especialidad de Salud Mental Villahermosa, Tabasco, México.
Laboratorio de Metabolismo de Lípidos, Universidad Juárez Autónoma de Tabasco, División Académica de Ciencias de la Salud, Villahermosa, Tabasco, México.
Neuropsychiatr Dis Treat. 2024 Sep 21;20:1757-1765. doi: 10.2147/NDT.S460554. eCollection 2024.
Cognitive domains are affected in patients with schizophrenia. Mitochondrial dysfunction has been proposed as a possible origin of these symptoms. Cell-free mitochondrial DNA (cf-mtDNA) is an indicator of cellular stress, and it can be identified in individuals with age-associated disorders, this study aimed to explore the presence of cf-mtDNA in plasma of schizophrenia patients and its association with cognitive deficit.
Ninety-nine subjects were clinically evaluated; the case group included 60 patients diagnosed with schizophrenia and 39 randomly-individuals without psychiatric disorders were included in the comparison group. Cognitive status (MoCA scale) and cell-free mtDNA in blood plasma were assessed and quantified in both groups.
From the original sample, cf-mtDNA was identified in 43 subjects, 40 patients with schizophrenia and 3 controls (Χ = 31.10, p-value < 0.0001). Thirty-nine out of forty patients with schizophrenia had a cognitive deficit.
According to our findings, cognitive impairment and presence of cf-mtDNA were related in subjects with schizophrenia. Thus, while the cognitive deficit might reflect an accelerated aging process, the cf-mtDNA plays a role as a potential biomarker in this mechanism.
精神分裂症患者的认知领域会受到影响。线粒体功能障碍被认为是这些症状的一个可能根源。游离线粒体DNA(cf-mtDNA)是细胞应激的一个指标,在患有与年龄相关疾病的个体中可以检测到,本研究旨在探索精神分裂症患者血浆中cf-mtDNA的存在情况及其与认知缺陷的关联。
对99名受试者进行了临床评估;病例组包括60名被诊断为精神分裂症的患者,对照组包括39名随机选取的无精神疾病的个体。对两组受试者的认知状态(蒙特利尔认知评估量表)和血浆中的游离mtDNA进行了评估和定量分析。
在最初的样本中,43名受试者检测到cf-mtDNA,其中40名精神分裂症症患者和3名对照者(Χ = 31.10,p值<0.0001)。40名精神分裂症患者中有39名存在认知缺陷。
根据我们的研究结果,精神分裂症患者的认知障碍与cf-mtDNA的存在有关。因此,虽然认知缺陷可能反映了加速衰老过程,但cf-mtDNA在这一机制中作为一种潜在生物标志物发挥作用。