PMID- 35938405 OWN - NLM STAT- MEDLINE DCOM- 20230612 LR - 20230612 IS - 1471-1788 (Electronic) IS - 1365-1501 (Linking) VI - 27 IP - 2 DP - 2023 Jun TI - Increased NLRP3 inflammasome expression in peripheral blood mononuclear cells of patients with schizophrenia: a case-control study. PG - 111-117 LID - 10.1080/13651501.2022.2106245 [doi] AB - OBJECTIVE: This study aimed to evaluate the gene expression of the P2X purinoceptor 7 (P2X7R)- nod-like receptor pyrin domain-containing protein 3 (NLRP3) signal pathway in peripheral blood mononuclear cells (PBMCs) between schizophrenia (SCZ) patients and healthy controls (HC) to reveal its relationship with clinical variables. METHODS: Thirty-two SCZ patients and 41 healthy controls were included in this study. The Scale for the Assessment of Positive Symptoms (SAPS) and the Scale for the Assessment of Negative Symptoms (SANS), The Global Assessment of Functioning (GAF) scale and the Functioning Assessment Short Test (FAST) scales were applied. P2X7R, NLRP3, IL-1beta and IL-18 gene expression levels were evaluated by real-time polymerase chain reaction in PBMCs. RESULTS: NLRP3, P2RX7, IL-1beta and IL-18 expression levels were significantly higher in PBMCs of SCZ patients than in HC subjects. Negative correlations were found between NLRP3 gene expression levels and GAF and FAST scales scores. There was a negative correlation between IL-18 expression levels and the GAF and FAST scales scores and a positive correlation with the SAPS scale scores. CONCLUSIONS: Systemic inflammation is implicated in SCZ pathogenesis, according to our findings, which suggest that the NLRP3 pathway may be involved. The NLRP3 inflammasome may serve as a biomarker for SCZ, and its pharmacological regulation may be a promising treatment approach.Key pointsWe hypothesised that the NLRP3 pathway may contribute to the etiopathogenesis of schizophrenia.NLRP3, IL-1beta and IL-18 mRNA levels were higher in patients with schizophrenia compared to healthy controls.Negative correlations were found between NLRP3 gene expression levels and GAF and FAST scales scores.There was a negative correlation between IL-18 expression levels and the GAF and FAST scales scores.The SAPS scale scores and IL-18 expression levels had a positive correlation.Given all these findings, it can be stated that NLRP3 inflammasome may play a role in the pathogenesis and symptoms of schizophrenia. FAU - Ozdamar Unal, Gulin AU - Ozdamar Unal G AUID- ORCID: 0000-0002-6750-468X AD - Department of Psychiatry, Suleyman Demirel University, Faculty of Medicine, Isparta, Turkey. FAU - Hekimler Ozturk, Kuyas AU - Hekimler Ozturk K AUID- ORCID: 0000-0002-7075-8875 AD - Department of Medical Genetics, Suleyman Demirel University, Faculty of Medicine, Isparta, Turkey. FAU - Inci, Huseyin Emre AU - Inci HE AUID- ORCID: 0000-0001-8965-7102 AD - Department of Psychiatry, Suleyman Demirel University, Faculty of Medicine, Isparta, Turkey. LA - eng PT - Journal Article DEP - 20220806 PL - England TA - Int J Psychiatry Clin Pract JT - International journal of psychiatry in clinical practice JID - 9709509 RN - 0 (Inflammasomes) RN - 0 (NLR Family, Pyrin Domain-Containing 3 Protein) RN - 0 (Interleukin-18) SB - IM MH - Humans MH - *Inflammasomes/genetics/metabolism MH - NLR Family, Pyrin Domain-Containing 3 Protein/genetics/metabolism MH - Interleukin-18/metabolism MH - Leukocytes, Mononuclear/metabolism/pathology MH - Case-Control Studies MH - *Schizophrenia/metabolism OTO - NOTNLM OT - IL-18 OT - IL-1beta OT - NLRP3 OT - P2X7R OT - Schizophrenia OT - inflammasome EDAT- 2022/08/09 06:00 MHDA- 2023/06/12 06:42 CRDT- 2022/08/08 05:03 PHST- 2023/06/12 06:42 [medline] PHST- 2022/08/09 06:00 [pubmed] PHST- 2022/08/08 05:03 [entrez] AID - 10.1080/13651501.2022.2106245 [doi] PST - ppublish SO - Int J Psychiatry Clin Pract. 2023 Jun;27(2):111-117. doi: 10.1080/13651501.2022.2106245. Epub 2022 Aug 6.