Vasileva

Page 1

-

14.03.03. 14.01.06.

2011


2

« »

.

: , ,

: ,

,

:

"

-

"

672000, .

,

.

«_18_» _ _ 2012 208.118.01 » , 39 .

.

9:00 « ,

«

» .

«___» ____________ 2011 .

, . . .,

. .


3

. (Inta D., Meyer-Lindenberg A., Gass P., 2010). ,

. , , (

),

( (S-100, -1, .) (Dhar-Mascareno M., Cacramo J.M., 2005; , S-100 ( . . .,

, . ., 2009).

.

) -2

2001).

, ,

(

. ., ,

-2,

. , 2006).

, (Muresanu D., 2008, Philipp B. et al., 2011). , (NGF), (BDNF), -3 (NT-3) , (Shoval G.A., 2005; Jean Y.Y., Lercher L.D., Dreyfus C.F., 2008; Jeanneteau F. et al., 2010; Wu S.Y. et al., 2011). ,

: ,

(

. ., 2005).

,

,

, . ., 2003,

(

. .

., 2009,

. ., 2010).

, (

,

,

,

,


4

), Hanson D.R., Gottesman I.I., 2005; . .,

(Lahti A.C. at al., 2001; . . ., 2006), ( . ., . . ., 2009).

. ., 2000; , ,

( ., 2009).

,

. .

-

(

. ., 2006).

, -

, ,

. , (Klein B. et al., 2011).

, «

»,

«

»

.

. . : 1.

, .

2. -

,

-

.

3.

, .

4. . . ,


5

, . , NR2 ,

NMDA

( -D-

N-

),

,

,

.

, : ,

.

,

, . -

, .

.

, .

.

, -

. . , « ». , , . «

2». . XV 2010

.); I» (

( , 27-29

« 2011 .);

, 9-12


6

« 2011 .); 1029 2

» (

,11-15 (

2011 .); 3( , 24-25

»(

,

, , 29

1

2011 .);

« 2011 ).

. 11

:

5

, ; 6 , . ,

:

1.

NR2NMDA-

, . :

-1

. 2. :

,

. 3. ,

, -

, .

. , , 16 ,

, , 3 81

140 ,

, .

.

206 .

125

, 2009 . 2 .

, .

2010 . 1


7

18 35 »(

21,5±5,2

)

« -10 F 20.09). 18 . 34 ( 20

, 56 23,3±5,9

34 ( : 22

),

( 23,1±4,6

). , .

: PANNS

80

4

CGI; ,

, ,

,

, ,

;

.

: 1. 15

20

(

15,3 ± 0,2

) 35

;

2. 8-12

(

7,8 ± 0,1

) 21

. (

(

),

)

. (

2001) (

-

,

4

8

)

(PANSS) (Kay S.R. et al., 1987, . ., 2001). (CGI,

. .,

«

»). -

(

. ., ,

(SAS).

. ., 2008). , (

,

),

.

1,0 ,

1,0 , 1.

. 2

: <1,0 (39

)


8

2.

(

)

1,0 (17

) 8

23

: GFAP (Demeditec, ) NSE (Fuji Rebio Diagnostic, Inc., ) NR2

NMDA

-NR2 (Biotech, Inc., ) BDNF (R&D Systems,

) -1 ET-1 (Biomedica-Gruppe, NO (R&D Systems, vWF (Technozym,

) ) ). -

: 1. 12

;

2.

11 . , 2 :

1. 2.

<1,0 (16 ( 1,0 (7

);

) ).

«Biostat»

Microsoft Excel 2003. , . -

,

. . p 0,05. ( e) ).

(25-

; 75-


9

, . , . GFAP ( . 1).

26 GFAP ,

(Montgomery B.L., 1994). GFAP

8

, 19

(

. 1).

,

, . NR2

NMDA.

2,5

.

,

1,5

(

.

1). . NMDA-

,

,

-

(Abdolmaleky

H.M.,

2006,

. .,

2009). NR2

NMDA,

,

NMDA

. BDNF,

60

,

.


1 [Me (25- ; 75- )] 8( . BDNF ( /

) )

GFAP ( /

)

NSE (

vWF ( / End ( NO total (

:

0,025 (0,022; 0,040)

/ )

-NR2 ( /

3,22 (3,00; 5,25) )

) /

(n=20) 395 (321; 946)

0,57 (0,53; 0,93) 1,29 (0,83; 1.90)

) / )

0,56 (0,48; 0,80) 31,54 (27,21; 43,47)

NO2 (

/ )

12,82 (10,96; 18,48)

NO3 (

/ )

18.91 (16,15; 24,99)

(n=23) 24230 (20570; 7110) < 0,001 0,65 (0,54; 0,83) < 0,001 3,37 (2,56; 4,23) > 0,005 1,92 (1,41; 2,19) < 0,001 1,2 (0,77; 1,52) > 0,005 1,46 (1,03; 2,02) < 0,001 86,66 (76,68; 101,02) < 0,001 23,04 (19,22; 25,32) = 0,001 64,94 (57,46; 75,7) < 0,001

(n=23) 30960 (25640; 38320) < 0,001, < 0,002 0.45 (0,32; 0,63) < 0,001, < 0,002 3,33 (2,21; 4,76) > 0,005, > 0,005 1,263 (0,938; 1,407) < 0,005, < 0,001 1,2 (0,92; 1,42) > 0,005, > 0,005 1,30 (1,11; 1,41) < 0,001, > 0,005 109,64 (94,72; 138,52) < 0,001, < 0.01 28,18 (23,92; 35,8) < 0.001, < 0,002 84,24 (70.98; 107,03) < 0.001, < 0.02

-

( (

-

); ).

1

-


BDNF 78

, (

. 1).

, , ,

. (NSE) (

. 1).

BDNF GFAP p < 0,05 r = 0,549, p < 0,05

, : NSE (r = 0,520, NSE NMDA

,

). NR2 (r = 0,765, p < 0,005). , NR2 NMDA , GFAP (r = 0,415, p < 0,05 r = 0,462, p < 0,05 , ,

BDNF ) ( . 1).

: , , ,

.

(

, (

). 2,5

NO ).

NO

3,5 (

. 1). -1,

NO, 1,5

.

8

, -1

(

.

1).

,

, , . , NO.

,

NO

(r = 0,966; p < 0,005

r = 0,567; p < 0,005 , .

). ,


12

,

NMDA NO (Javitt D.C., 2007).

,

, , . -

(

)

. : , . . . 8 ,

.

, , PANSS

,

CGI , . , . , (

. .,

4

8

. ., 2008). : 30%

1,0, ;

70% 1,0,

. -

, 23

, ,

. , -

, .

GFAP


13

,

, 1,5

0,05). 0,71) /

,

< 1,0 0,84 (0,72; 0,90) /

1,0

( < 0,60 (0,52;

.

. ,

GFAP ,

(r=0,437, p=0,038) ( BDNF

. 1).

, ,

(r=0,437, p=0,038) (

. 1).

, , .

, . r = 0,437

r = 0,424

GFAP

-NR2 p = 0,038

p = 0,05

r = 0,437 p = 0,038

r = 0,53 p = 0.01 r = 0,957

BDNF

NO p = 0.001

1. GFAP,

-NR2, BDNF, NO (r

;

: -

)

NR2

NMDA:

, (r=0,424, =0,05) (

, : , .

.

, ,

. 1).


14

(r=0,53, p=0,01) ( NO . .,

. .,

. 1).

, ( . ., 2011), NMDA

. ,

, NO-

(Javitt D.C., 2007).

,

, NO

BDNF (r=0,957, p=0,001), BDNF ( . 1) (Janovic et al., 2004). , :

, . , .

-

.

, . , ; ,

, .

, ,

. : ,

.

, ,

8

. , .

, ,

,

, 8 GFAP

: NR2-

NMDA-


15

,

BDNF. GFAP, BDNF

, NMDA (

NO NR2

. 2). , :

BDNF

PANSS, ,

,

.

,

, (

. 2). 2

, BDNF

GFAP

-NR2

NO

GFAP

r = 0,755

-NR2

r = 0,782

r = 0,991

NO

r =0,911

r = 0,709

PANSS

r = 0,682

r = 0,400

r = 0,445

r = -0,009

r = 0,607

r = 0,584

r = 0,529

r = -0,254

r = 0,486

r = 0,477

r = 0,545

r = 0,098

r = 0,605

r = 0,214

r = 0,259

r = -0,150

r

r = 0,745

, p < 0,05 , ,

, , .

, , ,

.

,


16

. , ,

,

.

1.

NR2

NMDA .

, . 2. , -1

. .

3. (GFAP NR2

NMDA

), . NR2

NMDA

,

NO.

4. : , . 5. , ,

, .

. .

1. .


17

2. .

,

, :

1.

. .

[

] / . . . 2011. www.medacadem.chita.ru/zmv 2. . . / . . . .C. . .

3.

.

, . . .1.

, . . 2011.

// : http: //

// . 3.

. 111,

. 54-57 /

, . . 2 (65).

2011.

// . 82-85 . .

4.

/

. . . 2011. 5.

. . .

,

. . 1. . 29-33

.21,

//

/

. . .

, 6.

, . . 2010. 2. :

[ . 71-74

.] //

. . / . .

-

//

«

2011.

.

».

. 23-25

7. /

. .

: 8.

.

, . . // 2010. . 375-376

,

. .

. . /

. .

2011. 9.

//

« . .10-11 . .

».

/ XVIII ». 11 15

. .

,

. .

// «

2011 .

.

. 375-376

27 29


18

10. Vasilyeva A. Comparative assessment of haloperidol and risperidone effect on neuromarkers and endothelium dysfunction indices in patients with the first psychotic episode / A. Vasilyeva, N. Govorin // 3 rd European conference on schizophrenia research Facts and Visions. 29 September 1 October 2011. Berlin, Germany P. 16 11. Vasilyeva A. Neuromarkers and endothelial dysfunction indices in serum of patients with the first psychotic episode / A. Vasilyeva, N. Govorin // 10th World Congress of Biological Psychiatry. 29 May 2 June 2011. Prague, Czech Republic. . 108 : -

-NR2 NR2 BDNF ET-1 -1 GFAP NGF NMDA N-DNO NSE NT-3 -3 PANSS (positive and negative syndrome scale) CGI impression scale) SAS (simpson-angus scale) vWF

NMDA

(clinical global -


This document was created with Win2PDF available at http://www.win2pdf.com. The unregistered version of Win2PDF is for evaluation or non-commercial use only. This page will not be added after purchasing Win2PDF.


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.