Eur Arch Psychiatry Clin Neurosci:精神分裂症患者血管内皮生物标志物水平异常。

2017-09-27 fengxiangxin MedSci原创

精神分裂症与慢性轻度炎症有关,而这种炎症又与血管疾病和心血管疾病的发病率增加相关。众所周知,血管内皮生长因子(VEGF)、细胞间粘附分子-1(ICAM-1)和血管细胞黏附分子-1(VCAM-1)与衰老和神经退行性疾病相关,但他们在精神分裂症中发挥何种作用尚不确定。

精神分裂症与慢性轻度炎症有关,这种炎症与血管疾病和心血管疾病的发病率增加相关。众所周知,血管内皮生长因子(VEGF)、细胞间粘附分子-1(ICAM-1)和血管细胞黏附分子-1(VCAM-1)与衰老和神经退行性疾病相关,但他们在精神分裂症中发挥何种作用尚不确定。

本研究共纳入了99例门诊精神分裂症患者和99例健康对照者(HCs),并采用了横断面、病例对照设计进行了分析。收集了相应的社会统计学和临床数据。分析了血浆VEGF、ICAM-1和VCAM-1水平。通过Logistic回顾计算的“血管内皮细胞指数(VEI)”建立能够最大限度测量组间差异的综合方法。一般线性模型是为了检验人口统计学、生理和生活方式因素可能发挥的作用。

ICAM-1和VCAM-1水平的线性组合最好的突出了组间差异:与正常人相比,精神分裂症患者的综合VEI明显增高。在调整了BMI和吸烟之后,这种差异持续存在,并且年龄和性别与VEI均没有显著相关性。VEI较高的精神分裂症患者有较早的发病年龄、较高的收缩压和舒张压、较低的高密度胆固醇、较高的胰岛素抵抗、较低水平的心理幸福感和更高的Framingham冠心病风险评分。

精神分裂症的特征是血管内皮生物标记物水平升高,特别是炎症反应和血管风险交叉处的细胞粘附分子。减少血管风险的干预可能有助于减少精神分裂症患者的血管内皮异常,降低心血管发病率和死亡率。

原始出处:

Nguyen TT, Dev SI, Chen G,et al.Abnormal levels of vascular endothelial biomarkers in schizophrenia.Eur Arch Psychiatry Clin Neurosci. 2017 Sep 23. doi: 10.1007/s00406-017-0842-6.

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    2017-09-29 lsndxfj
  5. 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  6. 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  7. 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  8. 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    2017-09-28 sunfeifeiyang

    得了精分身体哪都不好了

    0

  9. 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    2017-09-27 惠映实验室

    学习了.谢谢.

    0

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