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[Psychiatry]
Mariya Baturina; Oleg Boev; Vladimir Yarovitsky; Eduard Beyer;
The 69 patients with paranoid schizophrenia were examined. Two groups of patients were identified: the first – with a paroxysmal-progredient type of course without a pronounced emotional-volitional defect; the second – with a continuouslyprogredient type of course and a pronounced emotional-volitional defect. Serum levels of autoantibodies (IgG) to S100B protein and dopamine were determined, as well as the content of autoantibodies to neuroreceptors: NMDA receptors (NR1 and NR2A subunits), dopamine receptors of the first and second types (DR1 and DR2). The levels of specific antibodies (IgG) to neuroleptics, that was taken from patients during the examination, were also evaluated. To clarify the dependence of serum concentrations of autoantibodies on the S100B protein (dependent variable), which is considered as a marker of brain dysfunction in diseases of the central nervous system, multiple regression analysis was performed on other indicators recorded in patients. Examination of patients of the first and second groups revealed no differences either in serum levels of autoantibodies to S100B protein, or in levels of autoantibodies to neuroreceptors, dopamine, and neuroleptics. Multiple linear regression analysis confirmed the dependence of the level of autoantibodies to S100B protein on the concentration of autoantibodies to NR2A in patients with schizophrenia without pronounced emotional-volitional disorders. In patients with schizophrenia with severe emotional and volitional disorders, the dependence of the autoantibodies to the S100B protein level on the concentration of autoantibodies to NR2A, as well as on the content of autoantibodies to dopamine and the level of antibodies to neuroleptics was determined.
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Keywords: schizophrenia, autoantibodies, S100B protein, NMDA receptors, dopamine receptors