Vieira R M, da Silva I J, Azevedo M, Manso C F
Clínica Psiquiátrica Universitária, Faculdade de Medicina de Lisboa, Hospial de Santa Maria.
Acta Med Port. 1995 May;8(5):289-97.
Previous studies have investigated putative alterations in histamine and histamine receptors in schizophrenia, and evidence in favour of the role of this amine as a neurotransmitter or as a neuromodulator was found. In the present study the activity of plasmatic histaminase was analysed, with histamine and with cadaverine as substrates, in a group of 23 schizophrenic patients and compared with that of healthy controls (n = 32). Plasma histaminase activity was determined using Gordon and Peters spectrophotometric method, and the results were expressed in mumoles of H2O2 transformed/hour/litre of plasma at 25 degrees C. Plasmatic histaminase, using histamine as substrate, was significantly increased in schizophrenic patients as a whole compared with the healthy controls. On the other hand, when cadaverine was used as substrate plasma histaminase was significantly reduced in female schizophrenics but not in males. When patients were divided according to 17 clinical characteristics it was found that the following subgroups were significantly associated to high levels of plasma histaminase (using histamine as substrate): the non mentally deteriorated schizophrenic patients compared with mentally deteriorated schizophrenic patients and those with thymic symptoms as opposed to those without thymic symptoms. An extension of this series and a prospective analysis are required to further define the clinical and biological significance of the alteration of this biochemical parameter in schizophrenia, and particularly in relation with a subgroup of schizophrenia with a more favourable course.
以往的研究调查了精神分裂症患者体内组胺及组胺受体的假定改变,发现有证据支持这种胺作为神经递质或神经调质的作用。在本研究中,分析了23例精神分裂症患者以组胺和尸胺为底物时血浆组胺酶的活性,并与32名健康对照者进行了比较。采用戈登和彼得斯分光光度法测定血浆组胺酶活性,结果以25℃时每升血浆每小时转化的H2O2微摩尔数表示。与健康对照者相比,总体上精神分裂症患者以组胺为底物时的血浆组胺酶显著升高。另一方面,以尸胺为底物时,女性精神分裂症患者的血浆组胺酶显著降低,而男性则无此现象。根据17项临床特征对患者进行分组时发现,以下亚组与血浆组胺酶高水平(以组胺为底物)显著相关:未出现精神衰退的精神分裂症患者与出现精神衰退的精神分裂症患者相比,有胸腺症状的患者与无胸腺症状的患者相比。需要扩大该系列研究并进行前瞻性分析,以进一步明确这一生化参数改变在精神分裂症中的临床和生物学意义,特别是与病程较为良好的精神分裂症亚组的关系。