Maryland Psychiatric Research Center, University of Maryland School of Medicine, Catonsville, MD, USA.
Women's Mental Health Research Program, University of Illinois at Chicago, Chicago, IL, USA.
Psychiatr Q. 2018 Dec;89(4):937-946. doi: 10.1007/s11126-018-9591-6.
Recent literature suggests that schizophrenia is linked to an abnormal response of the immune system. Interferon-γ is a cytokine that acts as a mediator between immune stimulation and the kynurenine pathway and may be related to cognitive abilities. The objectives of the present study are to determine if serum cytokines are correlated with cognitive function differently in patients with schizophrenia compared to controls. Fourteen midlife (30-70 year-old) females with DSM-IV diagnosis of schizophrenia or schizoaffective disorder and 13 midlife control females were analyzed. Cytokines were collected from serum blood draws and analyzed at the Cytokine Core Lab at the University of Maryland, Baltimore. The RBANS, HVLT-R, and UPSA were performed to measure cognition and social performance. The results demonstrate a non-significant difference between interferon-γ levels in women with schizophrenia compared to controls, but this cytokine appears to correlate to cognitive abilities differently in these groups. There were several significant negative correlations between interferon-γ and cognition in midlife patients with schizophrenia, but only one in the midlife control group. The negative correlations between interferon-γ and cognition in patients with schizophrenia suggest the hypothesis that inflammation and the kynurenine pathway have important roles in this disorder.
近期文献表明,精神分裂症与免疫系统的异常反应有关。干扰素-γ是一种细胞因子,作为免疫刺激与犬尿氨酸途径之间的介质,可能与认知能力有关。本研究的目的是确定与对照组相比,精神分裂症患者的血清细胞因子是否与认知功能的相关性不同。分析了 14 名中年(30-70 岁)女性,她们被诊断为 DSM-IV 精神分裂症或分裂情感障碍,以及 13 名中年对照组女性。从血清血液中采集细胞因子,并在马里兰大学巴尔的摩分校的细胞因子核心实验室进行分析。使用 RBANS、HVLT-R 和 UPSA 来测量认知和社会表现。结果表明,精神分裂症女性与对照组女性的干扰素-γ水平没有显著差异,但这种细胞因子在这两组中的相关性不同。在中年精神分裂症患者中,干扰素-γ与认知之间存在一些显著的负相关关系,但在中年对照组中只有一个。精神分裂症患者干扰素-γ与认知之间的负相关关系表明,炎症和犬尿氨酸途径在这种疾病中具有重要作用。