PMID- 30008602 OWN - NLM STAT- MEDLINE DCOM- 20190121 LR - 20190121 IS - 1449-1907 (Electronic) IS - 1449-1907 (Linking) VI - 15 IP - 9 DP - 2018 TI - Assessment of a combination of Serum Proteins as potential biomarkers to clinically predict Schizophrenia. PG - 900-906 LID - 10.7150/ijms.24346 [doi] AB - Schizophrenia (SZ) is a devastating psychiatric disorder. Validation of potential serum biomarkers during first-episode psychosis (FEP) is especially helpful to understand the onset and prognosis of this disorder. To address this question, we examined multiple blood biomarkers and assessed the efficacy to diagnose SZ. The expression levels of Neuregulin1 (NRG1), ErbB4, brain-derived neurotrophic factor (BDNF), DNA methyltransferases 1 (DNMT1) and ten-eleven translocation 1 (TET1) proteins in peripheral blood of 53 FEP patients and 57 healthy controls were determined by enzyme-linked immunosorbent assay (ELISA). Multivariable logistic regression including biomarker concentration as covariates was used to predict SZ. Differentiating performance of these five serum protein levels was analyzed by Receiver Operating Characteristic (ROC) curve analysis. We found that patients with SZ present a higher concentration of DNMT1, and TET1 in peripheral blood, but a lower concentration of NRG1, ErbB4 and BDNF than controls. Multivariable logistic regression showed that ErbB4, BDNF and TET1 were independent predictors of SZ, and when combined, provided high diagnostic accuracy for SZ. Together, our findings highlight that altered expression of NRG1, ErbB4, BDNF, DNMT1 and TET1 are involved in schizophrenia development and they may serve as potential biomarkers for the diagnosis of the schizophrenia. Therefore, our study provides evidence that combination of ErbB4, BDNF and TET1 biomarkers could greatly improve the diagnostic performance. FAU - Li, Cunyan AU - Li C AD - Department of Laboratory Medicine, Hunan Provincial People's Hospital, The first affiliated hospital of Hunan Normal University, Changsha, 410005, Hunan, China. FAU - Tao, Huai AU - Tao H AD - Department of Biochemistry and Molecular Biology, Hunan University of Chinese Medicine, Changsha 410208, Hunan, China. FAU - Yang, Xiudeng AU - Yang X AD - Department of Laboratory Medicine, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China. FAU - Zhang, Xianghui AU - Zhang X AD - Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University & Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, China; China National Clinical Research Center on Mental Disorders (Xiangya) & China National Technology Institute on Mental Disorders, China. FAU - Liu, Yong AU - Liu Y AD - Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University & Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, China; China National Clinical Research Center on Mental Disorders (Xiangya) & China National Technology Institute on Mental Disorders, China. FAU - Tang, Yamei AU - Tang Y AD - Department of Laboratory Medicine, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China. FAU - Tang, Aiguo AU - Tang A AD - Department of Laboratory Medicine, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, China. LA - eng PT - Journal Article DEP - 20180604 PL - Australia TA - Int J Med Sci JT - International journal of medical sciences JID - 101213954 RN - 0 (Biomarkers) RN - 0 (Blood Proteins) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Proto-Oncogene Proteins) RN - EC 1.- (Mixed Function Oxygenases) RN - EC 1.- (TET1 protein, human) RN - EC 2.7.10.1 (ERBB4 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-4) SB - IM MH - Adolescent MH - Adult MH - Biomarkers/*blood MH - Blood Proteins MH - Brain-Derived Neurotrophic Factor/blood MH - Case-Control Studies MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Logistic Models MH - Male MH - Mixed Function Oxygenases/blood MH - Proto-Oncogene Proteins/blood MH - Receptor, ErbB-4/blood MH - Schizophrenia/blood/*diagnosis MH - Young Adult PMC - PMC6036096 OTO - NOTNLM OT - BDNF OT - DNMT1 OT - ErbB4 OT - NRG1 OT - Schizophrenia OT - TET1 OT - biomarker COIS- Competing Interests: The authors have declared that no competing interest exists. EDAT- 2018/07/17 06:00 MHDA- 2019/01/22 06:00 PMCR- 2018/01/01 CRDT- 2018/07/17 06:00 PHST- 2017/12/13 00:00 [received] PHST- 2018/04/27 00:00 [accepted] PHST- 2018/07/17 06:00 [entrez] PHST- 2018/07/17 06:00 [pubmed] PHST- 2019/01/22 06:00 [medline] PHST- 2018/01/01 00:00 [pmc-release] AID - ijmsv15p0900 [pii] AID - 10.7150/ijms.24346 [doi] PST - epublish SO - Int J Med Sci. 2018 Jun 4;15(9):900-906. doi: 10.7150/ijms.24346. eCollection 2018.