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71.
72.
Quantitative real-time polymerase chain reaction (qPCR) has become a widely used tool in the search for disease genes. When examining gene expression with qPCR in psychiatric diseases, endogenous reference gene(s) must be used for normalization. Traditionally, genes such as beta-actin (ActB), Gapd, and 18s rRNA, assumed to be stably expressed, have been used for normalization. However, it has become clear that expression of these genes is influenced by different experimental paradigms. Since stable gene expression of houskeeping genes (HKGs), therefore, cannot be expected, alternative strategies are warranted. With the overall aim to inspect the gene expression of three target genes, NMDAR1, SORT, and CREB, in rat hippocampus, we tested a panel of eight HKGs, 18s rRNA, ActB, CycA, Gapd, Hmbs, Hprt1, Rpl13A, and Ywhaz in order to select the most stably expressed gene, using the NormFinder and geNorm software applets. Additionally, we have applied four different normalization approaches for normalization of the three target genes. We found using the NormFinder software that Ywhaz is the most stably expressed gene among the eight tested HKGs. However, the results of the analysis of the target genes are highly dependent on the choice of normalization approach. Moreover, the number of HKGs, used for selection of the most stable HKG, also influences on the result of the gene expression analysis of target genes. These results underline the importance of choosing a proper normalization strategy when analyzing gene expression with qPCR. The strategy should be unbiased and carried out in every specific experimental setting.  相似文献   
73.
BACKGROUND: Tuberculosis is a common complication and leading cause of death in HIV infection. Antiretroviral therapy (ART) lowers the risk of tuberculosis, but may not be sufficient to control HIV-related tuberculosis. Isoniazid preventive therapy (IPT) reduces tuberculosis incidence significantly, but is not widely used. METHODS: We analysed tuberculosis incidence in 11 026 HIV-infected patients receiving medical care at 29 public clinics in Rio de Janeiro, Brazil, between 1 September 2003 and 1 September 2005. Data were collected through a retrospective medical record review. We determined rates of tuberculosis in patients who received neither ART nor IPT, only ART, only IPT, or both ART and IPT. RESULTS: The overall tuberculosis incidence was 2.28 cases/100 person-years (PY) [95% confidence interval (CI) 2.06-2.52]. Among patients who received neither ART nor IPT, incidence was 4.01/100 PY. Patients who received ART had an incidence of 1.90/100 PY (95% CI 1.66-2.17) and those treated with IPT had a rate of 1.27/100 PY (95% CI 0.41-2.95). The incidence among patients who received ART and IPT was 0.80/100 PY (95% CI 0.38-1.47). Multivariate Cox proportional hazards modeling revealed a 76% reduction in tuberculosis risk among patients receiving both ART and IPT (adjusted relative hazard 0.24; P < 0.001) after adjusting for age, previous tuberculosis diagnosis, and CD4 cell counts at baseline. CONCLUSION: The use of both IPT and ART in HIV-infected patients is associated with significantly reduced tuberculosis incidence. In conjunction with expanded access to ART, the wider use of IPT in patients with HIV will improve tuberculosis control in high burden areas.  相似文献   
74.
75.
Klebsiella pneumoniae M1803, isolated from a paediatric patient with chronic urinary infection, presented nine antimicrobial resistance mechanisms harboured on two conjugative megaplasmids, in addition to the chromosomally mediated SHV-1 beta-lactamase. These nine antimicrobial resistance mechanisms comprised two extended-spectrum beta-lactamases (ESBLs) (PER-2 and CTX-M-2), TEM-1-like, OXA-9-like, AAC(3)-IIa, AAC(6')-Ib, ANT(3")-Ia and resistance determinants to tetracycline and chloramphenicol. During fluoroquinolone treatment, a variant derived from M1803 (named M1826) was selected, with an overall increase of MICs, in particular of cefoxitin and carbapenems. No enzymic activity against these latter drugs was found. Mutations in the region analogous to the quinolone resistance-determining region were not found. Strain M1826 was deficient in OmpK35/36 expression, which produced the decrease in the susceptibility to cefoxitin, carbapenems and fluoroquinolones. The blaCTX-M-2 gene was located in an unusual class 1 integron, which includes Orf513, as occurred in the recently described In35. In addition, Tn3 and Tn1331 were detected in both K. pneumoniae isolates. This is the first report of in vivo selection of an OmpK35/36 deficiency in a K. pneumoniae strain that produced a novel combination of two ESBLs (CTX-M-2 and PER-2) during fluoroquinolone treatment in a paediatric patient with chronic urinary infection.  相似文献   
76.
Several studies have been done regarding the genetic susceptibility to autoimmune thyroid disease, particularly those related to the role of Major Histocompatibility Complex (MHC) genes in the etiology of the disease. In the present study, we report class I and class II MHC haplotypes in nine individuals affected by Hashimoto thyroiditis and Graves' disease who belong to two distinct Mexican families. In one of the families, Hashimoto thyroiditis was associated with the Human Leukocyte Antigen (HLA) HLA-DR3 allele whereas in the other family the disease was associated with homozygosity for the HLA-DR4 (DRB1*0407), HLA-DQ3 (DQB1*0302) haplotype. On the other hand, Graves' disease was found to be associated in one of the families with HLA-DR2 (DRB1*1501) and in the other with homozygosity for the HLA-DR7 (DRB*0701) and HLA-DQ2 (DQB1*0201) haplotype. These results confirm that in Mexicans as in other ethnic groups, genes located within the MHC region are related to the genetic susceptibility to develop autoimmune thyroid disease.  相似文献   
77.
A variety of 2-alkynyl(benzo)imidazoles have been synthesized by dehydrogenative alkynylation of (benzo)imidazoles with terminal alkyne in NMP under air in the presence of Ag2CO3 as the oxidant and Pd(OAc)2 as the catalyst precursor. The data obtained in this study support a reaction mechanism involving a non-concerted metalation deprotonation (n-CMD) pathway.

The regioselective synthesis of 2-alkynyl(benz)imidazoles was successfully achieved by Pd(ii)/Ag(i)-mediated dehydrogenative alkynylation of the corresponding (benz)imidazoles with terminal alkynes in an open vessel.

The development of synthetic protocols that enable the direct and selective functionalization of Csp2–H bonds are of primary importance in the decoration of the imidazole scaffold.1–10 The presence of two nitrogen atoms in the pentatomic structure of this important azole in fact introduces a differentiation in the chemical behaviour of the three C–H bonds, allowing their selective involvement in carbon–carbon bond-forming reactions as long as appropriate experimental conditions are identified.During our studies dedicated to the synthesis and investigation of azole-based fluorophores featuring a π-conjugated backbone end-capped with electron-donating (EDG) and electron-acceptor (EWG) groups (the so-called “push–pull” systems),11–15 taking into account the structural characteristics and synthetic versatility of a triple carbon–carbon bond16–23 that make it an excellent π-spacer, we recently decided to evaluate the possibility of obtaining alkynyl-substituted imidazoles by transition metal-catalyzed Csp2–Csp bond-forming reactions. Among the synthetic procedures that allow the selective alkynylation of imidazoles and other five-membered heteroarenes,5,24 there is no doubt that the possibility of forming the new σ carbon–carbon bond through the double activation of two distinct carbon–hydrogen bonds through a cross-dehydrogenative alkynylation (CDA) represents the best synthetic approach in terms of atom economy and functional group tolerance (eqn (1), Scheme 1).25–34 In fact, when compared with the transition metal-catalyzed direct Csp2–H alkynylation protocols involving 1-haloalkynes (the so-called “inverse Sonogashira coupling”) (eqn (2), Scheme 1),35–45 hypervalent iodine reagents (eqn (3), Scheme 1),46–48 or α,β-ynoic acids (decarboxylative direct arylation) (eqn (4), Scheme 1),26,49,50 the CDA methodology makes it possible to use terminal alkynes without the need for preliminary activation.5,24Open in a separate windowScheme 1Synthetic protocols for the transition metal-catalyzed Csp2–H alkynylation of heteroarenes.Despite several papers having been dedicated to the dehydrogenative alkynylation of pyrroles,27 indoles,27,31 oxazoles,27,30,32–34 benzoxazoles,26,29,30,32,34 thiazoles,27,30 benzothiazoles,26,29,31,32,34 pyrazoles,25,27 1,3,4-oxadiazoles,33 imidazopyridines,27,34 and N-substituted sydnones,28 to the best of our knowledge a study specifically devoted to the dehydrogenative alkynylation of imidazoles has never been reported. However, careful reading the literature where alkynylation reactions involving azoles other than imidazole were described, it emerged that two papers reported the C-2 alkynylation of N-benzylimidazole and N-benzylbenzimidazole with phenylacetylene. In a study mainly devoted to the dehydrogenative alkynylation of imidazo[1,5-a]pyridine, Shihabara, Dohke and Murai employed the commercially unavailable Pd(ii) complex bi(4-nitropyridinyl)Pd(OAc)2, Ag2CO3 as the oxidant and AcOH as additive, in a 95 : 5 mixture of DMF and DMSO for 2 h at 120 °C under argon.34 Due to the propensity of alkynes to give Glaser-type homocoupling side-products in the presence of silver(i) salts,51 phenylacetylene was slowly added over 90 min to the reaction mixture. In 2015, Likhar, Kantam and co-workers used a synthetic Pd(ii) carbene complex. In this case Ag2O was used as the oxidant, Cs2CO3 base, performing the coupling in DMF at 85 °C under air.26Encouraged by these results but with the intention of developing a simplified procedure that would allow the use of a commercial Pd(ii) pre-catalyst in the absence of any palladium ligands, we decided to review the conditions of reaction and, in this work, we are pleased to summarize the results obtained in the synthesis of 2-alkynylimidazole derivatives by dehydrogenative alkynylation with terminal alkynes (Scheme 2). In particular, a careful screening allowed us to show how the reactivity of Csp2–H bond of imidazole derivatives and other azoles can be enhanced simply by performing the alkynylation using NMP as the reaction solvent, under air in non-anhydrous conditions, and without the need for palladium ligands.Open in a separate windowScheme 2Pd/Ag-Promoted dehydrogenative alkynylation of imidazole derivatives.We decided to start our synthetic investigations by trying a cross-dehydrogenative coupling between N-methylbenzimidazole (1) and phenylacetylene (2a), chosen as typical coupling partners, under conditions very similar to those proposed by Murai and co-workers for the regioselective C-3 dehydrogenative alkynylation of 1-alkynyl-3-arylimidazo[1,5-a]-pyridines.34Hence, to a mixture of 1.0 mmol 1, 5 mol% Pd(OAc)2, 1.5 equiv. Ag2CO3, and 1.0 equiv. AcOH in a 95 : 5 (v/v) mixture of DMF and DMSO under argon 3.0 equiv. of 2a were added dropwise over 90 min. However, after 2 h at 120 °C a 56% GLC conversion of 1 was recorded, and the required 2-phenylethynyl-N-methylbenzimidazole (3a) was obtained in only 34% GLC yield (entry 1,
EntryPd cat. (mol%)Ag(i) salt (equiv.)RCOOHSolventTemp./react. timeb (°C/h)1 GLC conversionc (%)3a GLC yieldd (%)3a:4 AP%
1ePd(OAc)2 (5)Ag2CO3 (1.5)AcOHDMF/DMSO (95 : 5)120/2563457 : 43
2Pd(OAc)2 (5)Ag2CO3 (1.5)AcOHDMF/DMSO (95 : 5)100/5.5676632 : 68
3Pd(OAc)2 (5)Ag2CO3 (2.0)AcOHDMF/DMSO (95 : 5)100/2737034 : 66
4Pd(OAc)2 (5)AcOHDMF/DMSO (95 : 5)100/3.5NR
5Pd2(dba)3 (2.5)Ag2CO3 (2.0)AcOHDMF/DMSO (95 : 5)100/3.5736930 : 70
6Pd(acac)2 (5)Ag2CO3 (2.0)AcOHDMF/DMSO (95 : 5)100/3.5676327 : 73
7PdCl2 (5)Ag2CO3 (2.0)AcOHDMF/DMSO (95 : 5)100/3.5726835 : 65
8Pd(OAc)2 (5)Ag2CO3 (2.0)DMF/DMSO (95 : 5)100/3.5532372 : 28
9Pd(OAc)2 (5)Ag2CO3 (2.0)AcOH100/3.500 : 100
10Pd(OAc)2 (2.5)Ag2CO3 (2.0)AcOHDMF/DMSO (95 : 5)100/3.5766930 : 70
11Pd(OAc)2 (2.5)AgOAc (2.0)AcOHDMF/DMSO (95 : 5)100/3.5554825 : 75
12Pd(OAc)2 (2.5)Ag2O (2.0)AcOHDMF/DMSO (95 : 5)100/3.5666228 : 72
13Pd(OAc)2 (2.5)Ag2CO3 (2.0)EtCOOHDMF/DMSO (95 : 5)100/3.5807135 : 65
14Pd(OAc)2 (2.5)Ag2CO3 (2.0)PivOHDMF/DMSO (95 : 5)100/3.5454522 : 78
15Pd(OAc)2 (2.5)Ag2CO3 (2.0)AcOHDMF/DMSO (95 : 5)80/3.5434017 : 83
16Pd(OAc)2 (2.5)Ag2CO3 (2.0)AcOHDMF100/3.5757034 : 66
17Pd(OAc)2 (2.5)Ag2CO3 (2.0)AcOHDMA100/3.58175(68)33 : 67
18 Pd(OAc) 2 (2.5) Ag 2 CO 3 (2.0) AcOH NMP 100/3.5 85 81(69) 36 : 64
19fPd(OAc)2 (2.5)Ag2CO3 (2.0)AcOHNMP100/3.58266(51)40 : 60
20gPd(OAc)2 (2.5)Ag2CO3 (2.0)AcOHNMP100/3.5838036 : 64
Open in a separate windowaReaction conditions: 2a (3.0 mmol) in the selected solvent (2.0 mL) was added dropwise over 45 min to a mixture of 1 (1.0 mmol), Pd cat., Ag(i) salt, RCOOH (1.0 mmol) in the selected solvent (2.0 mL) under air, unless otherwise reported.bAfter the reported reaction time the GLC conversion of 2a was quantitative.cGLC conversion of 1vs. biphenyl.dGLC yield vs. biphenyl. In parentheses isolated yield.eThis reaction was carried out under an argon atmosphere.fThis reaction was carried out on a 10 mmol scale.gThis reaction was carried out in the presence of TEMPO (1.0 equiv.) as radical scavenger.Taking note of this unexpected negative result, we decided to re-examine the reaction conditions, starting from the consideration that even if Ag2CO3 can theoretically serve as the oxidant, run the reaction in air (open flask) may be critical.28 Gratifyingly, when the coupling was performed under air there was a marked increase in GLC yield, which went from 34% to 66% (entry 2, i) salts different from Ag2CO3 gave slightly worse results (entries 11 and 12, 31 the use of the right buffer system may be crucial for the deprotonation of the terminal alkyne, and also for the reoxidation of Pd(0) to Pd(ii).With our delight the chemical yield went up to 69% when the DMF/DMSO mixture was replaced by NMP (entry 18, 34 it should be highlighted that the slow addition of phenylacetylene never avoided in our hands the formation of Glaser side-product 4.Finally, when the reaction was performed in the presence of 1.0 equiv. of TEMPO (2,2,6,6-tetramethylpiperidin-1-yl)oxyl as radical scavenger, it still proceeded smoothly to afford 2-alkynylazole 3a in 80% GLC yield (entry 20, Scheme 3).Open in a separate windowScheme 3Ligandless Pd/Ag-promoted dehydrogenative alkynylation of 1-methylimidazole 5 or 1-methylbenzimidazole 1 with terminal alkynes 2a–h.Noteworthy, the reaction outcome was not influenced by the electronic nature of the aromatic moiety on the terminal alkyne. More importantly, several functional groups on the phenyl ring resulted well tolerated, including formyl and hydroxy groups that are potentially sensitive to the oxidative conditions required by dehydrogenative couplings.While good results were obtained when arylacetylenes were used as coupling partners, worse results were observed when TIPS-acetylene 2i or 1-octyne (2j) were reacted with 5. In fact, the expected 2-alkynyl substituted imidazoles 6i and 6j were isolated in 30% and 11% yields, respectively (Scheme 4).25,31 The low reactivity of these two terminal alkynes in respect to their aryl analogues could be attributed, as already noted,31 to the decreased electrophilic nature of the corresponding alkynyl-palladium(ii) intermediates being generated during the reaction. As a further proof of their lower reactivity, the slow addition of 2i and 2j was found to be unnecessary.Open in a separate windowScheme 4Ligandless Pd/Ag-promoted dehydrogenative alkynylation of 1-methylimidazole 5 with terminal alkynes 2i and 2j.Gratifyingly, the optimized Pd(OAc)2/Ag2CO3-promoted coupling conditions proved to be useful also for the C-2 dehydrogenative alkynylation of 4,5-diphenyl-1-methylimidazole 7. In fact, this disubstituted azole gave the expected C-2 alkynylation product 8 in 70% isolated yield when reacted with phenylacetylene (2a) (Scheme 5).Open in a separate windowScheme 5Ligandless Pd/Ag-promoted dehydrogenative alkynylation of 4,5-disubstituted 1-methylimidazole 7 or 9 with terminal alkynes 2a or 2d.One of the main advantages of dehydrogenative cross-coupling reactions is the tolerance, among others, of carbon–halogen bonds that, hence, are available for subsequent transformations. We were please to confirm this tolerance; in fact, 4,5-dibromo-1-methyl-1H-imidazole 9 was efficiently reacted with alkynes 2a and 2d, giving rise to the required 2-alkynyl-4,5-dibromoimidazoles 10a,b in 68 and 75% isolated yields, respectively (Scheme 5). Notably, no conventional Sonogashira-type coupling side-products were observed.Similar satisfactory yields were obtained when 1-benzyl- and 1-phenyl-1H-imidazoles 11 and 12 when reacted with 2a. The corresponding 2-phenylethynylimidazoles 13 and 14 were recovered in 68% and 52% isolated yields, respectively (Scheme 6). In contrast, the C-2 alkynylation of thiazole (15) and oxazole (16) with 2a gave the required products 17 and 18 in somewhat lower yields (48 and 42%, respectively). It is noteworthy, however, that the observed reactivity of 1-substituted imidazole 6, 11 and 12, i.e. 1-methyl > 1-benzyl > 1-phenyl, and that found for the three 1,3-azoles 6, 13 and 14, i.e. 1-methylimidazole > thiazole > oxazole, parallels that reported in the literature for classical SEAr.52,53 As regards the regioselectivity, when the reaction involved 1-substituted imidazoles 5, 11, and 12, thiazole 15 and oxazole 16 a clean C-2 alkynylation was observed, while the corresponding C-5 or even the less probable C-4 alkynyl-substituted regioisomers were never detected in the crude reaction mixtures.54 However, it is worth mentioning that when the alkynylation was tempted on 1,2-dimethyl-1H-imidazole 19, the C-5 alkynylated product 20 was obtained in 42% isolated yield (eqn (1)).1Open in a separate windowScheme 6Ligandless Pd/Ag-promoted dehydrogenative alkynylation of 1-substituted imidazoles 5, 11, 12, thiazole (15), and oxazole (16) with phenylacetylene (2a).Based on earlier reports and our observations, a possible reaction mechanism for this Pd/Ag-promoted dehydrogenative alkynylation of imidazoles is summarized in Fig. 1, using 1-methylimidazole 5 as an example. Initial transmetallation involving a Pd(ii) complex and a (presumed) silver(i) acetylide generates the alkynyl Pd(ii) species A, which then affords the imidazole–Pd–alkyne complex E through a sequence of base-assisted carbanion generation from an azole–Pd complex (B → C), followed by a C-palladation step via carbene D. This particular C–H palladation mechanism, known as non-concerted metalation-deprotonation (n-CMD) pathway, was initially proposed by Hoarau and co-workers to justify the observed C-2 regioselectivity in the copper-free Pd-catalyzed direct arylation of oxa(thia)zoles-4-carboxylate with aryl bromides.55–57Open in a separate windowFig. 1Proposed n-CMD mechanistic pathway for the Pd(OAc)2/Ag2CO3-promoted dehydrogenative alkynylation of 1-methylimidazole 5.Although the comparison of the reactivity of 1-methylimidazole 5 with both the other two 1-substituted imidazoles 11 and 12, and with thiazole (15) and oxazole (16) suggested a SEAr mechanism (hence via a classic Wheland intermediate),58–60 it should be noted that the most reactive position should have been C-5, and not the position C-2 that instead has the most acidic C–H bond. Similarly, a pure concerted metalation–deprotonation (CMD) pathway can reasonably be excluded considering that DFT calculations have shown that in the case of 1,3-azoles position C-5 is, again, the most reactive.61 The n-CMD mechanism hypothesizes that the deprotonation occurs through the formation of an azole–Pd(ii) complex and, therefore, justifies the observed reactivity by the most acidic C–H bond, i.e. the one in position 2 on the azole nucleus. On the other hand, one key step of this mechanism is the formation of N3–Pd complex C, which is the more effective the more the terminal alkyne is electron-poor (hence having the Csp–H bond more acid). That the steps of the mechanism from A to E are certainly critical for the success of the reaction is also proved by the beneficial effect resulting from the slow addition of the terminal alkyne 2 to the reaction mixture. Finally, reductive elimination involving complex E gave the coupling product 6, and reoxidation of Pd(0) to Pd(ii) by Ag(i) or air closed the catalytic cycle.  相似文献   
78.
A Long-Term Energy-Rich Diet Increases Prefrontal BDNF in Sprague-Dawley Rats     
Alessandro Virtuoso  Pernille Tveden-Nyborg  Anne Marie Voigt Schou-Pedersen  Jens Lykkesfeldt  Heidi Kaastrup Müller  Betina Elfving  Dorte Bratbo Srensen 《Nutrients》2022,14(1)
Findings of the effect of high-fat feeding including “Cafeteria Diets” (CAF) on brain-derived neurotrophic factor (BDNF) in the hippocampus (HIP) and prefrontal cortex (PFC) in rodents are conflicting. CAF is a non-standardized, highly palatable energy-rich diet composed by everyday food items for human consumption and is known to induce metabolic syndrome and obesity in rats. However, the highly palatable nature of CAF may counteract a negative effect of chronic stress on anticipatory behavior and synaptic plasticity in the hippocampus, hence represent a confounding factor (e.g., when evaluating functional effects on the brain). This study investigated the effects of a chronic, restricted access to CAF on BDNF, monoamine neurotransmitters, and redox imbalance in HIP and PFC in male rats. Our results show that CAF induced BDNF and its receptor TrkB in PFC compared to the controls (p < 0.0005). No differences in monoamine neurotransmitters were detected in either PFC or HIP. CAF increased dehydroascorbic acid and decreased malondialdehyde in PFC (p < 0.05), suggesting an early redox imbalance insufficient to induce lipid peroxidation. This study supports that a chronic CAF on a restricted schedule increases BDNF levels in the PFC of rats, highlighting that this may be a suboptimal feeding regime when investigating the effects of diet-induced obesity in the brain and emphasizing this as a point of attention when comparing the findings.  相似文献   
79.
Human mAChR antibodies from Sjögren syndrome sera increase cerebral nitric oxide synthase activity and nitric oxide synthase mRNA level     
Reina S  Sterin-Borda L  Orman B  Borda E 《Clinical immunology (Orlando, Fla.)》2004,113(2):193-202
We demonstrated the presence of circulating antibodies from Sjögren syndrome (SS) patients enable to interact with rat cerebral frontal cortex by activating muscarinic acetylcholine receptors (mAChRs). IgG from SS and IgG from normal subjects were studied by flow cytometry, enzyme immunoassay (ELISA), and radioligand binding assays. By flow cytometric and ELISA procedures, it was shown that IgG from SS patients reacted to cerebral frontal cortex cell surface. SS IgG was able to interact with mAChR by inhibiting 3H-QNB binding to its specific receptor. Besides, SS IgG displayed an agonistic-like activity associated to specific M1 and M3 mAChR activation, increasing nitric oxide synthase (NOS) isoform activities. Neuronal (n) and endothelial (e) NOS-mRNA gene expression of rat frontal cortex is induced by SS IgG. This article supports the participation of humoral immune alterations in SS, resulting in central parasympathetic functional deregulation. These antibodies alter mAChR activation, NOS activity, and eNOS and nNOS gene expression.  相似文献   
80.
Brazilian patients with panic disorder: the use of defense mechanisms and their association with severity   总被引:4,自引:0,他引:4  
Kipper L  Blaya C  Teruchkin B  Heldt E  Isolan L  Mezzomo K  Bond M  Manfro GG 《The Journal of nervous and mental disease》2004,192(1):58-64
This study aims to evaluate the defense mechanisms most frequently used by Brazilian patients with panic disorder when compared with a control group. The study also examines the association between severity of disease and comorbidity and the use of specific defense mechanisms. Sixty panic-disordered patients and 31 controls participated in the study. The Mini International Neuropsychiatric Interview was used to confirm the panic disorder diagnosis and to establish the comorbid diagnosis. The Clinical Global Impression (CGI) was used to assess severity and the Defensive Style Questionnaire (DSQ-40) was used to evaluate the defense mechanisms. Panic patients used more neurotic (mean = 4.9 versus 3.6; p < 0.001) and immature (mean = 3.9 versus 2.8; p < 0.001) defenses as compared with controls. Panic patients with severe disease (n = 37; CGI>4) had more depression comorbidity and used more immature defenses than patients with CGI相似文献   
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