PMID- 29376988 OWN - NLM STAT- MEDLINE DCOM- 20190129 LR - 20190129 IS - 1997-7298 (Print) IS - 1997-7298 (Linking) VI - 117 IP - 12 DP - 2017 TI - [Pathogenesis of cognitive disorders in patients with Duchenne muscular dystrophy]. PG - 78-84 LID - 10.17116/jnevro201711712178-84 [doi] AB - AIM: Clarification of the pathogenesis of cognitive disorders in patients with Duchenne muscular dystrophy in the clinical laboratory and molecular genetic study. MATERIAL AND METHODS: Thirty-six male patients with Duchenne muscular dystrophy (DMD), aged from 5 to 22 years (mean age 13.7 years), were examined. The control group consisted of 30 healthy people (7-22 years old, mean age 13.8). The clinical, molecular-genetic and laboratory study was conducted. The search for mutations in the dystrophin gene was carried out using multiplex PCR and multiplex ligation-dependent probe amplification. The laboratory study included determination of neurotrophins: brain-derived neurotrophic factor (BDNF), nerve growth factor (NGF) and ciliary neurotrophic factor (CNTF) using immunoenzyme method in serum. RESULTS AND CONCLUSION: Severe cognitive impairment was found in 33% of patients with DMD. The distribution of mutations in the DMD gene was not uniform, most often the mutations were found in the region from exon 43 to exon 50. Serum concentration of NGF in patients with DMD was higher than in the control group (2391 pg/ml [1587; 4136] and 553 pg / ml [314; 864], respectively (p<0.001)). In the group of patients with cognitive disorders, there was a decreased concentration of BGF (23 670 [21 700; 30 720] pg/ml (p<0.001)). In patients with BGF concentration less than 31 000 pg/ml, the chances of cognitive disorders were more than 10 times higher (p<0.001, odds ratio OR=12.0, 95% CI [1.9-76.4]). Thus, biochemical mechanisms, such as NGF overexpression and BGF deficiency, are involved in the development of cognitive disorders in patients with DMD. FAU - Sokolova, M G AU - Sokolova MG AD - Mechnikov North-West State Medical University, St. Petersburg, Russia. FAU - Lobzin, S V AU - Lobzin SV AD - Mechnikov North-West State Medical University, St. Petersburg, Russia. FAU - Nikishina, O A AU - Nikishina OA AD - Mechnikov North-West State Medical University, St. Petersburg, Russia. FAU - Kiselev, A V AU - Kiselev AV AD - Ott Research Institute of Obstetrics, Gynecology and Reproductology, St. Petersburg, Russia. FAU - Rezvantsev, M V AU - Rezvantsev MV AD - Kirov Military Medical Academy, St. Petersburg, Russia. FAU - Litvinenko, I V AU - Litvinenko IV AD - Kirov Military Medical Academy, St. Petersburg, Russia. FAU - Gavrichenko, A V AU - Gavrichenko AV AD - Mechnikov North-West State Medical University, St. Petersburg, Russia. LA - rus PT - Journal Article TT - Patogenez kognitivnykh rasstroistv pri myshechnoi distrofii Diushenna. PL - Russia (Federation) TA - Zh Nevrol Psikhiatr Im S S Korsakova JT - Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova JID - 9712194 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Dystrophin) RN - 0 (NGF protein, human) RN - 7171WSG8A2 (BDNF protein, human) RN - 9061-61-4 (Nerve Growth Factor) SB - IM MH - Adolescent MH - Brain-Derived Neurotrophic Factor/blood/*metabolism MH - Child MH - Child, Preschool MH - Cognition Disorders/blood/*etiology/*metabolism MH - Dystrophin/genetics MH - Exons MH - Humans MH - Male MH - Muscular Dystrophy, Duchenne/blood/*complications/genetics/*psychology MH - Mutation MH - Nerve Growth Factor/blood/*metabolism MH - Young Adult OTO - NOTNLM OT - Duchenne muscular dystrophy OT - blood serum OT - brain derived neurotrophic factor (BDNF) OT - ciliary neurotrophic factor (CNTF) OT - cognitive disorders OT - immunoenzyme method OT - mutations in dystrophin gene OT - nerve growth factor (NGF) OT - pathogenesis EDAT- 2018/01/30 06:00 MHDA- 2019/01/30 06:00 CRDT- 2018/01/30 06:00 PHST- 2018/01/30 06:00 [entrez] PHST- 2018/01/30 06:00 [pubmed] PHST- 2019/01/30 06:00 [medline] AID - 10.17116/jnevro201711712178-84 [doi] PST - ppublish SO - Zh Nevrol Psikhiatr Im S S Korsakova. 2017;117(12):78-84. doi: 10.17116/jnevro201711712178-84.