PMID- 25128453 OWN - NLM STAT- MEDLINE DCOM- 20150713 LR - 20180816 IS - 1573-2509 (Electronic) IS - 0920-9964 (Linking) VI - 159 IP - 1 DP - 2014 Oct TI - Serum levels of BDNF, folate and homocysteine: in relation to hippocampal volume and psychopathology in drug naive, first episode schizophrenia. PG - 51-5 LID - S0920-9964(14)00390-9 [pii] LID - 10.1016/j.schres.2014.07.033 [doi] AB - OBJECTIVE: The present study was to examine serum levels of brain-derived neurotrophic factor (BDNF), folate, homocysteine (Hcy), and their relationships with hippocampal volume and psychopathology in drug naive, first episode schizophrenia. METHOD: Drug naive, first episode schizophrenia patients and healthy controls were enrolled in the study. Serum levels of BDNF, folate and Hcy were measured using enzyme-linked immunosorbent assay (ELISA), electrochemiluminescence immunoassay (ECLIA), and enzymatic cycling method respectively. Hippocampus was parcellated and bilateral hippocampal volumes were measured using FreeSurfer. RESULTS: Forty-six patients with drug naive, first episode schizophrenia (SZ group) and 30 healthy controls (control group) were enrolled. The SZ group had significantly lower serum levels of BDNF and folate, and significantly higher serum levels of Hcy compared with the control group (p=0.013, p<0.001, p=0.003 respectively). There were no significant differences in hippocampal volumes between the two groups (ps>0.2). Within the SZ group, there were significant positive relationships between serum levels of BDNF and both left and right hippocampal volumes (r=0.327, p=0.026; r=0.338, p=0.022 respectively). In contrast, such relationships did not exist in the control group. Within the SZ group, there were significant negative relationships between serum levels of folate and PANSS-total scores and PANSS-negative symptom scores (r=0.319, p=0.031; r=0.321, p=0.030 respectively); and there was a positive relationship between serum levels of Hcy and PANSS-total scores (r=0.312, p=0.035). Controlling for potential confounding variables resulted in similar findings. CONCLUSIONS: Drug naive, first episode schizophrenia presents decreased serum levels of BDNF, folate and increased serum levels of Hcy, which may play an important role in the neurodevelopmental process and clinical manifestation of schizophrenia. CI - Copyright (c) 2014. Published by Elsevier B.V. FAU - Song, Xueqin AU - Song X AD - The First Affiliated Hospital/Zhengzhou University, Zhengzhou, China; Henan Province Biological Psychiatry Key Laboratory, Xinxiang Medical University, Xinxiang, China; Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA, USA. Electronic address: sxqzhll@126.com. FAU - Fan, Xiaoduo AU - Fan X AD - Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA, USA. FAU - Li, Xue AU - Li X AD - The First Affiliated Hospital/Zhengzhou University, Zhengzhou, China. FAU - Kennedy, David AU - Kennedy D AD - Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA, USA. FAU - Pang, Lijuan AU - Pang L AD - The First Affiliated Hospital/Zhengzhou University, Zhengzhou, China. FAU - Quan, Meina AU - Quan M AD - Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA, USA. FAU - Chen, Xumei AU - Chen X AD - The First Affiliated Hospital/Zhengzhou University, Zhengzhou, China. FAU - Gao, Jinsong AU - Gao J AD - The First Affiliated Hospital/Zhengzhou University, Zhengzhou, China. FAU - Zhang, Wei AU - Zhang W AD - The First Affiliated Hospital/Zhengzhou University, Zhengzhou, China. FAU - Zhang, Jianjiang AU - Zhang J AD - The First Affiliated Hospital/Zhengzhou University, Zhengzhou, China. FAU - Lv, Luxian AU - Lv L AD - Henan Province Biological Psychiatry Key Laboratory, Xinxiang Medical University, Xinxiang, China; Henan Province Mental Hospital, The Second Affiliated Hospital/Xinxiang Medical University, Xinxiang, China. Electronic address: lvluxian@126.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140812 PL - Netherlands TA - Schizophr Res JT - Schizophrenia research JID - 8804207 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0LVT1QZ0BA (Homocysteine) RN - 7171WSG8A2 (BDNF protein, human) RN - 935E97BOY8 (Folic Acid) SB - IM MH - Adolescent MH - Adult MH - Blood Chemical Analysis MH - Brain-Derived Neurotrophic Factor/*blood MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Folic Acid/*blood MH - Hippocampus/*pathology MH - Homocysteine/*blood MH - Humans MH - Image Processing, Computer-Assisted MH - Immunoassay MH - Male MH - Organ Size MH - Psychiatric Status Rating Scales MH - Schizophrenia/*blood/*pathology MH - Schizophrenic Psychology MH - Young Adult OTO - NOTNLM OT - BDNF OT - Folate OT - Hippocampus OT - Homocysteine OT - Schizophrenia EDAT- 2014/08/17 06:00 MHDA- 2015/07/15 06:00 CRDT- 2014/08/17 06:00 PHST- 2014/03/06 00:00 [received] PHST- 2014/07/15 00:00 [revised] PHST- 2014/07/25 00:00 [accepted] PHST- 2014/08/17 06:00 [entrez] PHST- 2014/08/17 06:00 [pubmed] PHST- 2015/07/15 06:00 [medline] AID - S0920-9964(14)00390-9 [pii] AID - 10.1016/j.schres.2014.07.033 [doi] PST - ppublish SO - Schizophr Res. 2014 Oct;159(1):51-5. doi: 10.1016/j.schres.2014.07.033. Epub 2014 Aug 12.