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    Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/34066

    標題: Alterations of plasma cytokine biomarkers for identifying age at onset of schizophrenia with neurological soft signs
    作者: Liu, Jia-Yun
    Chen, Han-Yu
    Lin, Jin-Jia
    Lu, Ming-Kun
    Tan, Hung-Pin
    Jang, Fong-Lin
    Lin, Sheng-Hsiang
    貢獻者: Natl Cheng Kung Univ, Coll Med, Inst Clin Med
    Changhua Christian Hosp, Ctr Med Genet, Dept Med Res
    Changhua Christian Hosp, Ctr Med Genet, Dept Genom Med
    Chimei Med Ctr, Dept Psychiat
    Jianan Mental Hosp, Dept Hlth
    Chia Nan Univ Pharm & Sci, Dept Appl Life Sci & Hlth
    Kaohsiung Vet Gen Hosp, Dept Psychiat, Tainan Branch
    Natl Cheng Kung Univ, Coll Med, Dept Environm & Occupat Hlth
    Natl Cheng Kung Univ, Coll Med, Dept Publ Hlth
    Natl Cheng Kung Univ, Natl Cheng Kung Univ Hosp, Coll Med, Biostat Consulting Ctr
    關鍵字: schizophrenia
    immune dysregulation
    discriminant analysis
    日期: 2020
    上傳時間: 2022-11-18 11:22:31 (UTC+8)
    出版者: Ivyspring Int Publ
    摘要: Several studies have been suggested that immunity plays a part in neurodevelopment and schizophrenia pathogenesis. Early age of onset in schizophrenia is associated with genetic factors which affect neurodevelopment. This study aims to identify immune abnormalities associated with neurodevelopmental impairments in early-onset schizophrenia (EOS) and adult-onset schizophrenia (AOS) patients. We determined the plasma levels of six cytokines (IL-1 beta, IL-4, IL-6, IL-10, IL-12 and TNF-alpha) in schizophrenia patients and healthy controls. Measurements included neurological soft signs (NSS) to distinguish and subgroup those with neurodevelopmental impairments. The study included 210 schizophrenia patients, which were divided into 84 EOS and 126 AOS patients, as well as 122 healthy controls. We observed significant differences in levels of IL-4, IL-6 and IL-10 between EOS and AOS patients. The results demonstrated the area under ROC curve (AUC) of the IL-4 in EOS and healthy controls was 0.81. Moreover, these results indicated that AUC of the IL-4 and the combination of IL-4, IL-6 and IL-12 in EOS with NSS and healthy controls were 0.91 and 0.95. These cytokines are altered in EOS and schizophrenia patients with neurodevelopmental impairments and demonstrated good classification abilities. These findings manifested that both pro- and anti-inflammatory cytokines are contributed to the clinical and pathophysiological features of schizophrenia. Future works are expected to explore potential genetic effectors and predictors as well as therapeutic directions in personalized medicine for early-onset schizophrenia.
    關聯: International Journal of Medical Sciences, v.17, n.2, pp.8
    Appears in Collections:[生活保健科技系] 期刊論文

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