■精神分裂症患者常有人格障碍;患有人格障碍的精神分裂症患者更难以治疗,预后更差。早期识别本组患者并早期干预可取得较好的预后。因此,探索有效的生物标志物和早期诊断对精神分裂症的预后非常重要。本文的主要目的是探讨血浆miRNA表达水平与精神分裂症人格障碍的关系。
■使用miRNA文件中的基因微阵列,对82例精神分裂症患者和43例健康对照者进行了外周血血浆检测。进行实时逆转录聚合酶链反应检测以探索结果。采用Spearman相关分析分析miRNAs表达水平与人格诊断问卷-4评分的相关性。
■结果显示miR-1273d,miR-1303,miR-3064-5p,miR-3131,miR-3687,miR-4428,miR-4725-3p,和miR-5096在精神分裂症患者中上调。与健康对照组相比,差异有统计学意义(P<0.05)。精神分裂症患者有分裂样,偏执狂,分裂型,强迫性状与miR-1303、miR-3131、miR-4428、miR-5096表达水平呈负相关(r=-0.40~-0.62,P<0.05);其余miRNA表达水平无显著差异。与其他人格特质的相关性不显著(P>.05)。逐步回归分析显示miR-5096、miR-3131和miR-1273d对分裂样性状具有显著的预测作用(P<0.01)。MiR-4428和miR-1303对分裂型性状具有显著的预测作用(P<0.01)。MiR-5096、miR-4428和miR-4725-3P对偏执性状具有显著的预测作用(P<0.05)。MiR-4428、miR-1303和miR-5096对强迫症有显著的预测作用(P<0.05)。
■miR-1273d的表达水平,miR-1303,miR-3064-5p,miR-3131,miR-3687,miR-4428,miR-4725-3p,miR-5096在精神分裂症患者外周血中表达上调,这些miRNA有望成为精神分裂症准确诊断的诊断生物标志物。miR-1303、miR-3131、miR-1273d的表达水平,miR-4428,miR-4725-3p,miR-5096对精神分裂症患者的人格障碍有显著的预测作用。
UNASSIGNED: Schizophrenia patients often have personality disorders; schizophrenia patients with personality disorders are more difficult to treat and have a worse prognosis. Early identification of this group of patients and early intervention can achieve better prognosis. Therefore, it is very important to explore effective biomarkers and early diagnosis for the prognosis of schizophrenia. The primary purpose of this paper is to explore the relationship between plasma miRNA expression level and personality disorder with schizophrenia.
UNASSIGNED: Gene microarrays in miRNA files were employed, and the plasma of peripheral blood of 82 schizophrenic patients and 43 healthy control subjects were examined. Real-time reverse transcription polymerase chain reaction detection were performed to explore the results. Spearman correlation analysis was used to analyze the correlation between expression level of miRNAs and Personality Diagnosis Questionnaire-4 score.
UNASSIGNED: The results showed that miR-1273d, miR-1303, miR-3064-5p, miR-3131, miR-3687, miR-4428, miR-4725-3p, and miR-5096 were up-regulated in schizophrenic patients. Compared to healthy control subjects, the difference was statistically significant (P < .05). Schizophrenic patients with schizoid, paranoid, schizotypal, and obsessive compulsive traits had negative correlation with miR-1303, miR-3131, miR-4428, and miR-5096 expression level (r = -0.40 to -0.62, P < .05); there were no significant differences in the other miRNAs. Correlation with other personality traits was not significant (P > .05). The stepwise regression analysis indicated that miR-5096, miR-3131, and miR-1273d have a significant predictive effect on the schizoid trait (P < .01). MiR-4428 and miR-1303 had a significant predictive effect on the schizotypal trait (P < .01). MiR-5096, miR-4428, and miR-4725-3P had a significant predictive effect on the paranoid trait (P < .05). MiR-4428, miR-1303, and miR-5096 had a significant predictive effect on the obsessive compulsive trait (P < .05).
UNASSIGNED: The expression levels of miR-1273d, miR-1303, miR-3064-5p, miR-3131, miR-3687, miR-4428, miR-4725-3p, and miR-5096 were up-regulated in the peripheral blood of patients with schizophrenia, and these miRNAs are expected to be diagnostic biomarkers for accurate diagnosis of schizophrenia. The expression levels of miR-1303, miR-3131, miR-1273d, miR-4428, miR-4725-3p, and miR-5096 have significant predictive effects on personality disorder in schizophrenia.