國家衛生研究院 NHRI:Item 3990099045/10698
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    題名: More inflammation but less brain-derived neurotrophic factor in antisocial personality disorder
    作者: Wang, TY;Lee, SY;Hu, MC;Chen, SL;Chang, YH;Chu, CH;Lin, SH;Li, CL;Wang, LJ;Chen, PS;Chen, SH;Huang, SY;Tzeng, NS;Lee, IH;Chen, KC;Yang, YK;Hong, JS;Lu, RB
    貢獻者: Center for Neuropsychiatric Research
    摘要: Antisocial personality disorder (ASPD) is highly comorbid with substance use disorders (SUDs). We hypothesize that chronic neuroinflammation and the loss of neurotrophic factors prompts the pathogenesis of both disorders. We used ELISA to measure plasma levels of proinflammatory (tumor necrosis factor-alpha [TNF-alpha], C-reactive protein [CRP]) and anti-inflammatory factors (transforming growth factor-beta1 [TGF-beta1] and interleukin-10 [IL-10]), and brain-derived neurotrophic factor (BDNF) in male patients with ASPD (n=74), SUDs (n=168), ASPD comorbid with SUDs (ASPD+SUDs) (n=438), and Healthy Controls (HCs) (n=81). A multivariate analysis of covariance (MANCOVA) controlled for possible confounders was used to compare cytokines and BDNF levels between groups. The results of MANCOVA adjusted for age showed a significant (p<0.001) main effect of diagnosis on inflammatory factors and BDNF expression in these groups. ASPD, SUDs, and ASPD+SUDs patients had significantly (p<0.001) higher TNF-alpha levels but lower TGF-beta1 and BDNF levels. SUDs and ASPD+SUDs patients had higher IL-10 levels than did ASPD patients and HCs. There was no difference in IL-10 levels between HCs and ASPD. Moreover, subgrouping SUDs and ASPD+/-SUDs into opioid use disorder (OUD) and other SUDs groups showed that the IL-10 levels were specifically higher in OUD and ASPD+/-OUD groups than other SUDs (P</=0.001). We conclude that uncontrolled inflammation and losing neurotrophic factors, with or without comorbid SUDs, underlies ASPD. IL-10 expression might be more specifically associated with OUD.
    日期: 2017-08-05
    關聯: Psychoneuroendocrinology. 2017 Aug 05;85:42-48.
    Link to: http://dx.doi.org/10.1016/j.psyneuen.2017.08.006
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0306-4530&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000413384900007
    Cited Times(Scopus): https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85029815769
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