RESUMEN
Objective:To assess the relationship between cognitive function, a proposed schizophrenia endophenotype, and two genetic polymorphisms related to dopamine function, catechol-O-methyl transferase (COMT) Val158Met and dopamine receptor 3 (DRD3) Ser9Gly.Methods:Fifty-eight outpatients with schizophrenia/schizoaffective disorder and 88 healthy controls underwent neurocognitive testing and genotyping. Analyses of covariance (ANCOVAs) using age, sex, and years of education as covariates compared cognitive performance for the proposed genotypes in patients and controls. ANCOVAs also tested for the epistatic effect of COMT and DRD3 genotype combinations on cognitive performance.Results:For executive functioning, COMT Val/Val patients performed in a similar range as controls (30.70-33.26 vs. 35.53-35.67), but as COMT Met allele frequency increased, executive functioning worsened. COMT Met/Met patients carrying the DRD3 Ser/Ser genotype performed poorest (16.184 vs. 27.388-31.824). Scores of carriers of this COMT/DRD3 combination significantly differed from all DRD3 Gly/Gly combinations (p < 0.05), from COMT Val/Met DRD3 Ser/Gly (p = 0.02), and from COMT Val/Val DRD3 Ser/Ser (p = 0.01) in patients. It also differed significantly from all control scores (p < 0.001).Conclusion:Combined genetic polymorphisms related to dopamine neurotransmission might influence executive function in schizophrenia. Looking at the effects of multiple genes on a single disease trait (epistasis) provides a comprehensive and more reliable way to determine genetic effects on endophenotypes.
Asunto(s)
Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven , Catecol O-Metiltransferasa/genética , Cognición/fisiología , Epistasis Genética , Polimorfismo de Nucleótido Simple , /genética , Esquizofrenia/genética , Análisis de Varianza , Estudios de Casos y Controles , Escolaridad , Función Ejecutiva/fisiología , Frecuencia de los Genes , Estudios de Asociación Genética , Pruebas Neuropsicológicas , Reacción en Cadena en Tiempo Real de la Polimerasa , Esquizofrenia/fisiopatologíaRESUMEN
Baseados neste e demais estudos da literatura evidencia-se que a ressecção cirúrgica de áreas epileptogênicas localizadas ocupa um lugar importante no tratamento das eplepsias. Para tanto, a localização dos focos deve ser precisa, devendo situar-se em área cerebral cirurgicamente acessível, por ser possível sua excisão sem consequências...