Higher Cerebrospinal Fluid Angiotensin-Converting Enzyme Levels in Neuroleptic-Treated Than in Drug-Free Patients With Schizophrenia

The aim of this study was to replicate our earlier finding of elevated angiotensin-converting enzyme (ACE) in cerebrospinal fluid (CSF) in schizophrenia and to elucidate the role of neuroleptic treatment in this phenomenon. Drug-free and medicated patients with acute schizophrenic psychoses, as well...

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Veröffentlicht in:Schizophrenia bulletin 1998-01, Vol.24 (3), p.391-397
Hauptverfasser: Wahlbeck, Kristian, Ahokas, Antti, Miettinen, Kati, Nikkilä, Heikki, Rimón, Ranan
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container_issue 3
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container_title Schizophrenia bulletin
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creator Wahlbeck, Kristian
Ahokas, Antti
Miettinen, Kati
Nikkilä, Heikki
Rimón, Ranan
description The aim of this study was to replicate our earlier finding of elevated angiotensin-converting enzyme (ACE) in cerebrospinal fluid (CSF) in schizophrenia and to elucidate the role of neuroleptic treatment in this phenomenon. Drug-free and medicated patients with acute schizophrenic psychoses, as well as healthy controls were recruited. Levels of ACE were measured in CSF and serum from 7 drug-free patients, 36 neuroleptic-treated patients, and 19 healthy control subjects. Although ACE levels in CSF did not differ between patients and controls, the drug-free patients showed significantly lower levels than the neuroleptic-treated patients. Serum ACE did not differ between groups. The elevation of CSF ACE may be more prominent in patients with deficit symptoms than in those with mainly psychotic symptoms. The possible enhancement of CSF ACE production or solubility by neuroleptic treatment is discussed. Elevated ACE levels in CSF may, together with other possible factors, cause polydipsia, stimulate secretion of arginine vasopressin, and even affect neuron growth and differentiation in schizophrenic psychoses.
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Drug-free and medicated patients with acute schizophrenic psychoses, as well as healthy controls were recruited. Levels of ACE were measured in CSF and serum from 7 drug-free patients, 36 neuroleptic-treated patients, and 19 healthy control subjects. Although ACE levels in CSF did not differ between patients and controls, the drug-free patients showed significantly lower levels than the neuroleptic-treated patients. Serum ACE did not differ between groups. The elevation of CSF ACE may be more prominent in patients with deficit symptoms than in those with mainly psychotic symptoms. The possible enhancement of CSF ACE production or solubility by neuroleptic treatment is discussed. 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Psychiatry</subject><subject>Psychopharmacology</subject><subject>Schizoaffective Disorder</subject><subject>Schizophrenia</subject><subject>Schizophrenia - cerebrospinal fluid</subject><subject>Schizophrenia - drug therapy</subject><subject>Schizophrenia - enzymology</subject><subject>Schizophreniform Disorder</subject><issn>0586-7614</issn><issn>1745-1701</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc2O0zAUhS0EGsrAIyBZCFYoxX_58YLFqExnkCpAooil5Tg3jUepE2xnRLvmwXHVzEhs8MaL-91j-XwIvaNkSYnkH4bf7eCbu2HyTvdhGUxXT_1SE56OeIIWtBR5RktCn6IFyasiKwsqnqMXIdwRQoUs2AW6kCWtCk4X6M-t3XXg8Qo81H4Io02peN1PtsFXbmeHCC5Yl60Gdw8-WrfD1-542APewD30AVuHv8Dkhx7GaE229aAjNHjbaXeaffLTLlt7APxNRwsuBvzTxg5_N509DmPnwVn9Ej1r01_g1Xxfoh_r6-3qNtt8vfm8utpkWkgRM9kyIU1DaNFAyeuKiVKCKEnTFFwa1oo657yoWskF0VAXUmsmeUtapmlek4Zfojfn3NEPvyYIUT3UqFJHvJSiyv8HMcbzvCgJS9DHM2RSZ8FDq0Zv99ofFCXqpEn9q0mdNalZU9p_PT8y1XtoHrdnL2n-dp7rYHTfeu2MDY8YE0yQ_BTz_ozpUasxHIxOikwPwUw-NRtVONYJVlxxSflfGxO0AQ</recordid><startdate>19980101</startdate><enddate>19980101</enddate><creator>Wahlbeck, Kristian</creator><creator>Ahokas, Antti</creator><creator>Miettinen, Kati</creator><creator>Nikkilä, Heikki</creator><creator>Rimón, Ranan</creator><general>National Institute of Mental Health</general><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7RZ</scope><scope>PSYQQ</scope></search><sort><creationdate>19980101</creationdate><title>Higher Cerebrospinal Fluid Angiotensin-Converting Enzyme Levels in Neuroleptic-Treated Than in Drug-Free Patients With Schizophrenia</title><author>Wahlbeck, Kristian ; Ahokas, Antti ; Miettinen, Kati ; Nikkilä, Heikki ; Rimón, Ranan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a494t-9f249cd016de73b82479e470dd639c2f4b53368f9340aeb69aa293f0f2a15b0d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Analysis of Variance</topic><topic>Angiotensin</topic><topic>Antipsychotic Agents - adverse effects</topic><topic>Antipsychotic Agents - pharmacology</topic><topic>Biological and medical sciences</topic><topic>Blood-Brain Barrier - drug effects</topic><topic>Case-Control Studies</topic><topic>Cerebrospinal Fluid</topic><topic>Drug Therapy</topic><topic>Enzymes</topic><topic>Female</topic><topic>Human</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neuroleptic Drugs</topic><topic>Neuropharmacology</topic><topic>Peptidyl-Dipeptidase A - cerebrospinal fluid</topic><topic>Peptidyl-Dipeptidase A - drug effects</topic><topic>Pharmacology. Drug treatments</topic><topic>Psycholeptics: tranquillizer, neuroleptic</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopharmacology</topic><topic>Schizoaffective Disorder</topic><topic>Schizophrenia</topic><topic>Schizophrenia - cerebrospinal fluid</topic><topic>Schizophrenia - drug therapy</topic><topic>Schizophrenia - enzymology</topic><topic>Schizophreniform Disorder</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wahlbeck, Kristian</creatorcontrib><creatorcontrib>Ahokas, Antti</creatorcontrib><creatorcontrib>Miettinen, Kati</creatorcontrib><creatorcontrib>Nikkilä, Heikki</creatorcontrib><creatorcontrib>Rimón, Ranan</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>PsycARTICLES (ProQuest)</collection><collection>ProQuest One Psychology</collection><jtitle>Schizophrenia bulletin</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wahlbeck, Kristian</au><au>Ahokas, Antti</au><au>Miettinen, Kati</au><au>Nikkilä, Heikki</au><au>Rimón, Ranan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Higher Cerebrospinal Fluid Angiotensin-Converting Enzyme Levels in Neuroleptic-Treated Than in Drug-Free Patients With Schizophrenia</atitle><jtitle>Schizophrenia bulletin</jtitle><addtitle>Schizophr Bull</addtitle><date>1998-01-01</date><risdate>1998</risdate><volume>24</volume><issue>3</issue><spage>391</spage><epage>397</epage><pages>391-397</pages><issn>0586-7614</issn><eissn>1745-1701</eissn><coden>SCZBB3</coden><abstract>The aim of this study was to replicate our earlier finding of elevated angiotensin-converting enzyme (ACE) in cerebrospinal fluid (CSF) in schizophrenia and to elucidate the role of neuroleptic treatment in this phenomenon. Drug-free and medicated patients with acute schizophrenic psychoses, as well as healthy controls were recruited. Levels of ACE were measured in CSF and serum from 7 drug-free patients, 36 neuroleptic-treated patients, and 19 healthy control subjects. Although ACE levels in CSF did not differ between patients and controls, the drug-free patients showed significantly lower levels than the neuroleptic-treated patients. Serum ACE did not differ between groups. The elevation of CSF ACE may be more prominent in patients with deficit symptoms than in those with mainly psychotic symptoms. The possible enhancement of CSF ACE production or solubility by neuroleptic treatment is discussed. 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source MEDLINE; PsycARTICLES; AUTh Library subscriptions: Oxford University Press; Alma/SFX Local Collection; EZB Electronic Journals Library
subjects Adult
Analysis of Variance
Angiotensin
Antipsychotic Agents - adverse effects
Antipsychotic Agents - pharmacology
Biological and medical sciences
Blood-Brain Barrier - drug effects
Case-Control Studies
Cerebrospinal Fluid
Drug Therapy
Enzymes
Female
Human
Humans
Male
Medical sciences
Middle Aged
Neuroleptic Drugs
Neuropharmacology
Peptidyl-Dipeptidase A - cerebrospinal fluid
Peptidyl-Dipeptidase A - drug effects
Pharmacology. Drug treatments
Psycholeptics: tranquillizer, neuroleptic
Psychology. Psychoanalysis. Psychiatry
Psychopharmacology
Schizoaffective Disorder
Schizophrenia
Schizophrenia - cerebrospinal fluid
Schizophrenia - drug therapy
Schizophrenia - enzymology
Schizophreniform Disorder
title Higher Cerebrospinal Fluid Angiotensin-Converting Enzyme Levels in Neuroleptic-Treated Than in Drug-Free Patients With Schizophrenia
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