Childhood maltreatment on psychiatric symptoms and drug efficacy in patients with schizophrenia / 西安交通大学学报(医学版)

【Objective】 To explore the effect of childhood maltreatment on clinical symptoms and early efficacy of antipsychotics in patients with schizophrenia. 【Methods】 Totally 73 schizophrenic patients were divided into mild maltreatment group(n=42) and severe maltreatment group(n=31) according to the Child Trauma Questionnaire(CTQ). The Positive and Negative Symptom Scale(PANSS) and Clinical Global Impression(CGI) were measured and compared between the two groups at baseline and 3 weeks after antipsychotic treatment to analyze the correlation between child maltreatment experience and mental symptoms and the response to early treatment of antipsychotics. 【Results】 PANSS positive factor score(P=0.026) and cognitive deficit factor score (P=0.042) were significantly higher in severe abuse group than in mild abuse group. The positive factor was significantly positively correlated with emotional abuse factor in CTQ score(r=0.257, P=0.028), and the cognitive deficit factor was significantly positively correlated with emotional neglect factor(r=0.283, P=0.015). After antipsychotic treatment, the reduction rate of PANSS negative factor in severe abuse group was significantly lower than that in mild abuse group(P=0.035), and had the highest correlation with CTQ physical abuse factor(r=-0.302, P=0.011). 【Conclusion】 The severity of childhood maltreatment experienced by schizophrenic patients is more related to positive symptoms and cognitive deficits, and more childhood maltreatment experience will affect the improvement of negative symptoms by antipsychotics, suggesting a poor prognosis.

Correlation of serum inflammatory factors with clinical symptoms and cognitive functions in schizophrenia / 西安交通大学学报(医学版)

【Objective】 To study the correlation of clinical symptoms and cognitive functions with serum inflammatory factors in schizophrenia. 【Methods】 A total of 42 SCz patients (case group) and 47 healthy controls (control group) were enrolled in this study. We used enzyme-linked immunosorbent assay (ELSA) to determine six inflammatory factors in serum. PANSS was used to assess clinical symptoms and MCCB was used to assess the patients’ cognitive functions. 【Results】 ① Inflammatory factors: The serum levels of IL-1β, IL-4, IL-6 and IL-8 were significantly higher in case group than in control group (P<0.01). ② Cognitive functions: The scores of Trail Making Test, Hopkins Verbal Learning Test, Symbol Coding, Spatial Span, Brief Visuospatial Memory Test, Assessment Battery-Mazes, Category Fluency and Test-Managing Emotions of case group were significantly lower than those of control group (P<0.05). ③ Correlation between serum inflammatory factors and clinical symptoms: There was no correlation between serum inflammatory factors and psychiatric symptoms in schizophrenia. ④ Correlation between serum inflammatory factors and cognitive functions: The levels of IL-6 (rs=-0.33, P<0.05) and IL-8 (rs=-0.50, P<0.01) in case group were significantly negatively correlated with the scores of Space Scan test. 【Conclusion】 Patients with schizophrenia are presented with immune dysfunction, and the latter is correlated with cognitive impairments.

Correlation between sleep duration and ischemic stroke: A large community study / 西安交通大学学报(医学版)

Objective To investigate the relationship between sleep duration (SD) collected by polysomnography and ischemic stroke in community populations. Methods We recruited 2062 participants, including 724 males and 1338 females. The mean age of the all participants was 61.44 years. In this study, the subjects were divided into three groups according to SD: short SD (8 h), and normal SD (6-8 h). Logistic regression was used to analyze the independent association between the three different sleep durations and the occurrence of ischemic stroke. Results ① The three groups differed significantly in gender, age, BMI, prevalence of diabetes and serum triglyceride levels (P<0.05). ② The incidence of ischemic stroke was significantly higher in short SD group than in long SD group and normal SD group (the incidence rates were 5.9%, 2.7% and 1.6%, respectively; P=0.044, P<0.001). ③ Univariate logistic regression analysis suggested that short SD was associated with the occurrence of ischemic stroke (OR=3.845, 95% CI: 1.789-8.266, P=0.001). After adjusting potential factors such as gender, age, marital status, alcohol consumption, hypertension, diabetes and triglycerides, multivariate logistic regression analysis showed that short SD was still an independent risk factor for ischemic stroke (OR=2.629, 95% CI: 1.033-6.693, P=0.043). Conclusion The incidence of ischemic stroke differs in people with different SD. Among them, the incidence of ischemic stroke is higher in people with short SD.

Echocardiographic diagnosis of bicuspid aortic valve combined with infective endocarditis / 中国医学影像技术

Objective: To explore the value of transthoracic echocardiography (TTE) and three-dimensional transesophageal echocardiography (3D-TEE) in diagnosis of bicuspid aortic valve (BAV) combined with infective endocarditis (IE). Methods: Ultrasonic data of 53 BAV combined with IE patients were retrospective reviewed. The ultrasonic findings of BAV combined with IE included vegetation, leaflet perforation, abscess and fistula. The ultrasonic features and diagnostic value of TTE and 3D-TEE were evaluated taken surgical findings as the gold standards. Results: The sensitivity and positive predictive value of 3D-TEE were both higher than those of TTE in detecting vegetation, leaflet perforation, abscess and fistula (100% vs.90.20%, 96.87% vs.90.62%, 92.86% vs.67.86%, 94.12% vs.70.59% and 100% vs.95.83%, 100% vs.93.55%, 96.30% vs.86.36%, 100% vs.85.71%, all P<0.05). Conclusion: The echocardiographic detection rate of BAV combined with IE is very high. 3D-TEE has better visibility and higher spatial resolution than TTE, therefore having higher sensitivity and positive predictive value in diagnosis of BAV combined with IE.

Protein tyrosine phosphatase non-receptor type 12 negatively regulates cardiac HERG channel currents / 南方医科大学学报

<p><b>OBJECTIVE</b>To study the effect of protein tyrosine phosphatase non-receptor type 12 (PTPN12) in regulating cardiac HERG channel currents.</p><p><b>METHODS</b>The plasmids pcDNA3.1-PTPN12-RFP and herg mutant constructed by PCR technique were transfected into HEK293 cells via Lipofectamine 2000, and the cells stably expressing PTPN12 selected with G418 were identified by Western blotting with anti-PTPN12 antibody. HERG channel current in cells expressing HERG alone (HEK293/HERG cells), cells overexpressing PTPN12 (HEK293/HERG cells transfected with pCDNA3.1-PTPN12-RFP), PAO-treated cells (PTPN12/HERG cells treated with PAO), and herg mutant cells (HEK293/HERGY327A-Y700A-Y845A cells transfected with pcDNA3.1-PTPN12-RFP) were recorded by patch-clamp technique.</p><p><b>RESULTS</b>The plasmids pcDNA3.1-PTPN12-RFP and herg mutant were successfully constructed, and the stable expressing cell lines were established. Red fluorescence was obversed in HEK293/HERG cells transfected with pcDNA3.1-PTPN12-RFP, and the protein expression of PTPN12 was detected. Overexpression of PTPN12 significantly decreased HERG current density in HEK293/HERG cells, and this change was significantly weakened in the inhibitor group and herg mutant group.</p><p><b>CONCLUSION</b>PTPN12 negatively regulates cardiac HERG channel cerrent possibly by decreasing the phosphorylation level of HERG tyrosine residues. This finding provides further insight into the regulatory mechanism of HERG channel and the pathogenesis of long QT syndrome.</p>