抗精神病药对精神分裂症患者血清BDNF水平的长期影响
F L Mikulic1, M Sagud2, M Nikolac Perkovic3
1University Hospital Centre Zagreb, Department of Emergency Medicine, Croatia.
Progress in neuro-psychopharmacology & biological psychiatry
|January 1, 2025
概括
对精神分裂症的长期抗精神病治疗可能会使脑衍生神经营养因子 (BDNF) 水平正常化. 三年后,缓解后的患者显示血清BDNF显著高于对照组,表明潜在的神经保护作用.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 生物化学 生物化学
背景情况:
- 大脑衍生神经营养因子 (BDNF) 与精神分裂症有关.
- 短期抗精神病治疗对外围BDNF产生影响,但长期影响尚不清楚.
- 在持续缓解期间BDNF的变化是未知的.
研究的目的:
- 为了将长期缓解的精神分裂症患者的血清BDNF水平与健康对照进行比较.
- 在持续的抗精神病维持治疗期间调查BDNF的长期变化.
主要方法:
- 使用ELISA测量血清BDNF水平.
- 评估了至少3年稳定抗精神病疗法缓解期的患者.
- 比较了BDNF水平在基线,6周和3年的治疗,以及与健康对照.
主要成果:
- 患者在基线和6周的BDNF水平低于对照组.
- 经过3年的连续抗精神病治疗,缓解患者的血清BDNF水平显著增加.
- 长期治疗导致BDNF水平高于基线和健康对照.
结论:
- 抗精神病药物对血清BDNF表现出明显的短期和长期影响.
- 持续的抗精神病维持治疗可能会使缓解后精神分裂症患者的BDNF水平正常化或升高.
- 需要进一步的研究来探索通过BDNF调节的长期抗精神病治疗的潜在神经保护作用.
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