Rapaport M H, Lohr J B
Department of Psychiatry, University of California, San Diego.
Acta Psychiatr Scand. 1994 Nov;90(5):311-5. doi: 10.1111/j.1600-0447.1994.tb01599.x.
There is a growing body of literature suggesting that some schizophrenic subjects have evidence of immune activation. One marker that has been consistently elevated in studies is the serum-soluble interleukin-2 receptor (SIL-2R). This article reports the results of 2 experiments: the first compares concentrations of serum SIL-2R in neuroleptic-naive schizophrenic patients and matched controls, and the second study contrasts serum SIL-2R concentrations in medicated schizophrenic subjects with and without tardive dyskinesia. Serum SIL-2R concentrations were elevated in neuroleptic-naive schizophrenic subjects as compared with controls (1705.7 (SD 1124.2) U/ml vs 739.8 (SD 325.5) U/ml). Medicated subjects with tardive dyskinesia had increased serum SIL-2R levels (2385.5 (SD 1822.0) U/ml) compared with medicated subjects without tardive dyskinesia (1259.6 (SD 1365.3) U/ml). Thus, elevations in serum SIL-2R levels are present prior to neuroleptic treatment, and there may be an association between serum SIL-2Rs and tardive dyskinesia.
越来越多的文献表明,一些精神分裂症患者有免疫激活的证据。在研究中一直升高的一个标志物是血清可溶性白细胞介素-2受体(SIL-2R)。本文报告了两项实验的结果:第一项实验比较了未使用抗精神病药物的精神分裂症患者和匹配对照组的血清SIL-2R浓度,第二项研究对比了有和没有迟发性运动障碍的接受药物治疗的精神分裂症患者的血清SIL-2R浓度。与对照组相比,未使用抗精神病药物的精神分裂症患者血清SIL-2R浓度升高(分别为1705.7(标准差1124.2)U/ml和739.8(标准差325.5)U/ml)。有迟发性运动障碍的接受药物治疗的患者血清SIL-2R水平(2385.5(标准差1822.0)U/ml)高于没有迟发性运动障碍的接受药物治疗的患者(1259.6(标准差1365.3)U/ml)。因此,血清SIL-2R水平在抗精神病药物治疗之前就已升高,并且血清SIL-2R与迟发性运动障碍之间可能存在关联。