在普拉德-威利综合征中心脏活动,行为和内源性催产素和血管压素之间的关系:一项探索性研究
Lauren J Rice1, Josephine Agu2, C Sue Carter3
1Faculty of Medicine and Health, Brain and Mind Centre, The University of Sydney, New South Wales, Australia; Faculty of Medicine and Health, Specialty of Child and Adolescent Health, The University of Sydney Children's Hospital Westmead Clinical School, Westmead, New South Wales, Australia.
概括
患有普拉德-威利综合征 (PWS) 的个人表现出心脏自主功能减弱,特别是呼吸道鼻失常 (RSA). 较低的RSA与PWS中的行为问题和精神病有关,这表明自主功能障碍.
科学领域:
- 神经科学是一个神经科学.
- 心脏病学 心脏病学
- 遗传学 遗传学 是一个
背景情况:
- 普拉德-威利综合征 (PWS) 是一种复杂的遗传疾病.
- 心脏活动异常及其与PWS行为之间的联系尚未完全理解.
- 自主神经系统功能,特别是心脏虚静脉,可能会受到影响.
研究的目的:
- 为了调查PWS心脏活动异常.
- 探索心脏活动,PWS行为和荷尔蒙水平 (催产素,血管压素) 之间的关系.
- 为了比较PWS亚型 (mUPD与删除) 和对照组之间的心脏功能.
主要方法:
- 在30名PWS患者和30名对照人群中比较心脏活动指标 (RSA,LF-HRV,心脏周期).
- 分析了基于性别,遗传亚型 (mUPD,删除) 和精神病存在的差异.
- 与行为数据和激素水平相关的心脏活动.
主要成果:
- 与对照人群相比,患有PWS的个人表现出较低的RSA,LF-HRV和心脏周期.
- 较高的RSA与气暴发和皮肤皮的几率降低有关.
- 在患有精神病的PWS个体中观察到较低的RSA.
- 孕产妇UPD (mUPD) 亚型比删除亚型显示RSA和LF-HRV的显著减少.
- 在mUPD组中,RSA与血管压素相关,但不在删除组中.
结论:
- PWS与心脏自主功能障碍有关,在mUPD亚型中更为明显.
- 降低的副交感活动可能是mUPD中观察到的心脏异常的基础.
- 心脏自主功能与PWS的行为调节和精神病风险有关.
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