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精神分裂症中的脑脊液肌醇与高剂量肌醇治疗精神分裂症

CSF inositol in schizophrenia and high-dose inositol treatment of schizophrenia.

作者信息

Levine J, Goldberger I, Rapaport A, Schwartz M, Schield C, Elizur A, Belmaker R H, Shapiro J, Agam G

机构信息

Abarbanel Mental Health Center, Bat Yam, Israel.

出版信息

Eur Neuropsychopharmacol. 1994 Dec;4(4):487-90. doi: 10.1016/0924-977x(94)90297-6.

DOI:10.1016/0924-977x(94)90297-6
PMID:7894259
Abstract

Inositol is a key metabolite in the phosphatidylinositol cycle, which is a second messenger system for serotonin-2 receptors that have been implicated in the pathophysiology of schizophrenia. Cerebrospinal fluid inositol levels were measured in 20 schizophrenic patients and 19 age- and sex-matched controls and no difference was found. However, the patients were all neuroleptic-treated. A controlled double-blind crossover trial of 12 g daily of inositol for a month in 12 anergic schizophrenic patients, twice the dose given before in schizophrenia, did not show any beneficial effects. However, the number of patients studied was small and the length of time of inositol administration may not have been sufficient.

摘要

肌醇是磷脂酰肌醇循环中的关键代谢物,该循环是血清素-2受体的第二信使系统,而血清素-2受体与精神分裂症的病理生理学有关。对20名精神分裂症患者和19名年龄及性别匹配的对照者的脑脊液肌醇水平进行了测量,未发现差异。然而,这些患者均接受了抗精神病药物治疗。一项针对12名无活力型精神分裂症患者进行的对照双盲交叉试验,给予每日12克肌醇,为期一个月,该剂量是之前在精神分裂症研究中所用剂量的两倍,结果未显示出任何有益效果。然而,所研究的患者数量较少,且肌醇给药的时间长度可能并不足够。

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引用本文的文献

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Neurobiology and Applications of Inositol in Psychiatry: A Narrative Review.肌醇在精神病学中的神经生物学及应用:一篇叙述性综述
Curr Issues Mol Biol. 2023 Feb 20;45(2):1762-1778. doi: 10.3390/cimb45020113.
2
Natural Medicines for Psychotic Disorders: A Systematic Review.用于治疗精神障碍的天然药物:一项系统评价。
J Nerv Ment Dis. 2018 Feb;206(2):81-101. doi: 10.1097/NMD.0000000000000782.
3
Evaluation of Myo-Inositol as a Potential Biomarker for Depression in Schizophrenia.评估肌醇作为精神分裂症抑郁潜在生物标志物的作用。
Neuropsychopharmacology. 2015 Aug;40(9):2157-64. doi: 10.1038/npp.2015.57. Epub 2015 Feb 27.
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Single photon emission computed tomography (SPECT) in obsessive-compulsive disorder before and after treatment with inositol.强迫症患者在接受肌醇治疗前后的单光子发射计算机断层扫描(SPECT)
Metab Brain Dis. 2004 Jun;19(1-2):125-34. doi: 10.1023/b:mebr.0000027423.34733.12.
5
Inositol has behavioral effects with adaptation after chronic administration.
J Neural Transm (Vienna). 1997;104(2-3):299-305. doi: 10.1007/BF01273190.
6
CSF inositol does not predict antidepressant response to inositol. Short communication.脑脊液中的肌醇不能预测对肌醇的抗抑郁反应。简短通讯。
J Neural Transm (Vienna). 1996;103(12):1457-62. doi: 10.1007/BF01271260.