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Abstract
The expression of a 70-kD serum fragment of the neural cell adhesion molecule (N-CAM)
in schizophrenia is described. Schizophrenic patients (n = 40) were found to have
statistically significant increases (p < 0.0001) in serum N-CAM levels when compared to normal individuals (n = 26), and this could
not be associated with age or sex. This difference was more marked (p < 0.0001) between type II schizophrenics (n = 13) and normal individuals (n = 26) than when
patients in the overlap group between type I and type II schizophrenia (n = 18) were
compared to normal individuals (p < 0.001). This difference remained significant (p < 0.01) when overlap patients were compared to those of type II schizophrenia. Furthermore,
schizophrenic patients with lower serum N-CAM proved to be better responders to neuraleptic
therapy. We suggest that these elevated serum N-CAM levels reflect an increased synaptic
turnover rate in this psychotic state.
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Article info
Publication history
Received in revised form:
July 27,
1987
Received:
June 3,
1987
Footnotes
☆Supported in part by the Health Research Board and the Schizophrenic Association of Ireland (Cluain Mhuire Branch).
Identification
Copyright
© 1988 Published by Elsevier Inc.