IL-1ra and olanzapine induced adverse metabolic reaction
A technology for olanzapine and abnormal metabolism, which is applied in the field of pharmacology and molecular detection, and can solve the problems of unclear internal mechanism of pathophysiological process of metabolic side effects, drug mixing, etc.
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Embodiment 1
[0185] General information and clinical characteristics of the patient group and healthy controls
[0186] In this study, there was no significant difference in age and gender between patients with schizophrenia and healthy controls. See Table 2 for detailed demographic data and clinical characteristics. During the 8-week antipsychotic treatment, the antipsychotic drugs used in the follow-up period of 23 schizophrenic patients were all olanzapine (23 cases). All patients received olanzapine monotherapy, only 2 patients took zopiclone, 1 patient took clonazepam, and 1 patient took lorazepam. The total score of PANSS in patients with schizophrenia before treatment was 75.64±18.32, and the total score of PANSS decreased to 44.77±11.98 after treatment (p=0.000). The reduction rate of PANSS was defined as (total baseline score before treatment-total score after treatment) / (total baseline score-30)×100%. Taking the PANSS score reduction rate ≥ 25% as the standard of effective trea...
Embodiment 2
[0193] Comparison of Cytokine Levels in Healthy Controls and Patients with Schizophrenia Before Treatment
[0194] Pre-treatment cytokine levels were compared between healthy controls and schizophrenia patients using the methods described in General Methods.
[0195] The result is as figure 2 and shown in Table 3.
[0196] Table 3. Comparison of factor levels in patients with schizophrenia at baseline and in healthy controls
[0197]
[0198] Variables are represented by median (minimum-maximum)
[0199] a Two independent samples T-test
[0200] b Rank sum test for two independent samples
[0201] *(p<0.05)
[0202] figure 2 Combined with the data in Table 3, the levels of IL-1ra (P=0.0001), MCP-1 (P=0.003), and VEGF (P=0.014) were significantly increased in patients with schizophrenia compared with the normal control group before treatment. There was no significant difference in the levels of other cytokines between the SZ group and the HC group.
Embodiment 3
[0204] Comparison of metabolic indexes and cytokine levels in patients with schizophrenia before and after olanzapine treatment
[0205] Using the methods described in General Methods, the levels of metabolic indicators and cytokines were compared before and after olanzapine treatment in patients with schizophrenia.
[0206] The results are shown in Table 4 and Table 5.
[0207] Table 4. Changes of metabolic indicators in patients with schizophrenia before and after olanzapine treatment
[0208]
[0209]
[0210] aRepeated measures analysis of variance
[0211] b Friedman rank sum test
[0212] *(p<0.05)
[0213] Table 5. Comparison of cytokine levels in patients with schizophrenia before and after treatment
[0214]
[0215] aRepeated measures analysis of variance
[0216] b Friedman test
[0217] *(p<0.05)
[0218] Combination of Table 4 and Table 5 image 3 , Figure 4 The data showed that after 8 weeks of olanzapine treatment in patients with schizophreni...
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