外周脂质特征,代谢功能障碍和精神分裂症谱系障碍中的病理生理学
Sally Wu1,2, Kristoffer J Panganiban1,2, Jiwon Lee1,2
1Schizophrenia Division, Centre for Addiction and Mental Health, Toronto, ON M6J 1H3, Canada.
Metabolites
|September 27, 2024
概括
精神分裂症谱系障碍 (SSD) 中的代谢功能障碍涉及改变的脂质代谢. 这次审查发现,在接触抗精神病药物 (AP) 最少的患者和接受AP治疗的患者中,特定的脂质变化,表明脂质.
科学领域:
- 神经科学是一个神经科学.
- 代谢障碍 代谢障碍 代谢障碍
- 药理学 药理学是指药理学的学科.
背景情况:
- 代谢功能障碍是精神分裂症谱系障碍 (SSD) 中常见的并发症.
- 原因是多因素的,包括与疾病相关的内在因素和抗精神病药物 (AP) 副作用.
- 不调节的脂质代谢是SSD病理生理学和AP诱导的代谢问题的潜在潜在机制.
研究的目的:
- 系统地审查 SSD 个体中调节失调的外周脂质特征.
- 分析SSD患者的脂质变化,与接受AP治疗的患者相比,SSD患者的AP暴露最小.
- 在SSD中识别特定的脂质代谢物及其失调模式.
主要方法:
- 在SSD患者中使用脂管药物的研究的系统审查.
- 在2024年2月搜索了MEDLINE,Embase和PsychINFO数据库.
- 与对照组或治疗阶段相比,提取了明显不同的脂质特征及其调节失调的方向.
主要成果:
- 46项研究符合纳入标准.
- 在极少暴露于AP的SSD患者中,糖脂主要是下调调节的.
- 在接受AP治疗的SSD患者中,脂肪乙基体表现出相互矛盾的失调;糖脂和脂肪乙基体在治疗前后发生变化.
结论:
- 周围脂质失调在SSD中显而易见,无论是用AP治疗还是没有AP治疗.
- 特定的脂类,如甘氨酸脂和脂肪酸,可能在SSD病理生理学中起作用.
- 这些改变的脂质可能会影响炎症,细胞透性和代谢信号,导致代谢功能障碍.
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