PMID- 30974307 OWN - NLM STAT- MEDLINE DCOM- 20191202 LR - 20191202 IS - 1876-2026 (Electronic) IS - 1876-2018 (Linking) VI - 42 DP - 2019 Apr TI - Cytokine alterations in first-onset postpartum psychosis-clues for underlying immune dysregulation. PG - 74-78 LID - S1876-2018(18)31043-8 [pii] LID - 10.1016/j.ajp.2019.03.012 [doi] AB - BACKGROUND: Emerging evidence suggests a possible role for immune system dysregulation in the pathogenesis of postpartum psychosis (PP) but the evidence is limited. The current study sought to determine the serum cytokines/ chemokine changes associated with first-onset PP. METHODS: Women with first onset PP were recruited as cases and the cytokines/ chemokine changes were compared against healthy postpartum (HP) and healthy non-postpartum (HNP) women.There were 20 subjects in each of the three groups. Levels of serum cytokines and Monocyte Chemoattractant Protein-1 (MCP-1) were estimated with a cytometric beadarray assay. RESULTS: HP group showed significantly elevated levels of interleukin (IL)-6 as compared to HNP group. Whereas, the first onset PP group showed significantly elevated levels of both IL-6 and IL-8 as compared to HNP group. CONCLUSION: Postpartum period appears to be a state of altered immune functioning considering the elevated level of IL-6 in both HP and PP group. Additionally, IL-8 appears to play a role in the manifestation of PP. Our study highlights the immune alterations associated with first-onset PP. CI - Copyright (c) 2019 Elsevier B.V. All rights reserved. FAU - Sathyanarayanan, Gopinath AU - Sathyanarayanan G AD - National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road, 560029, Bengaluru, Karnataka, India. FAU - Thippeswamy, Harish AU - Thippeswamy H AD - National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road, 560029, Bengaluru, Karnataka, India. Electronic address: docharisht@gmail.com. FAU - Mani, Reeta AU - Mani R AD - National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road, 560029, Bengaluru, Karnataka, India. FAU - Venkataswamy, Manjunatha AU - Venkataswamy M AD - National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road, 560029, Bengaluru, Karnataka, India. FAU - Kumar, Mahesh AU - Kumar M AD - National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road, 560029, Bengaluru, Karnataka, India. FAU - Philip, Mariamma AU - Philip M AD - National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road, 560029, Bengaluru, Karnataka, India. FAU - Chandra, Prabha S AU - Chandra PS AD - National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road, 560029, Bengaluru, Karnataka, India. LA - eng PT - Journal Article DEP - 20190326 PL - Netherlands TA - Asian J Psychiatr JT - Asian journal of psychiatry JID - 101517820 RN - 0 (CXCL8 protein, human) RN - 0 (Cytokines) RN - 0 (IL6 protein, human) RN - 0 (Interleukin-6) RN - 0 (Interleukin-8) SB - IM MH - Adult MH - Cytokines/*blood MH - Female MH - Humans MH - Interleukin-6/blood MH - Interleukin-8/blood MH - Psychotic Disorders/blood/*immunology MH - Puerperal Disorders/blood/*immunology MH - Young Adult OTO - NOTNLM OT - Acute Psychosis OT - Chemokine OT - Cytokine OT - Depression OT - Immune OT - Mania OT - Postpartum psychosis EDAT- 2019/04/12 06:00 MHDA- 2019/12/04 06:00 CRDT- 2019/04/12 06:00 PHST- 2018/12/08 00:00 [received] PHST- 2019/02/16 00:00 [revised] PHST- 2019/03/25 00:00 [accepted] PHST- 2019/04/12 06:00 [pubmed] PHST- 2019/12/04 06:00 [medline] PHST- 2019/04/12 06:00 [entrez] AID - S1876-2018(18)31043-8 [pii] AID - 10.1016/j.ajp.2019.03.012 [doi] PST - ppublish SO - Asian J Psychiatr. 2019 Apr;42:74-78. doi: 10.1016/j.ajp.2019.03.012. Epub 2019 Mar 26.