PMID- 36796338 OWN - NLM STAT- MEDLINE DCOM- 20230405 LR - 20230405 IS - 1423-0224 (Electronic) IS - 0302-282X (Linking) VI - 82 IP - 2 DP - 2023 TI - Changes in Inflammatory Markers in Clinical High Risk of Developing Psychosis. PG - 104-116 LID - 10.1159/000528770 [doi] AB - INTRODUCTION: Immune alterations are associated with the progression of psychosis. However, there are few studies designed to longitudinally measure inflammatory biomarkers during psychotic episodes. We aimed to assess changes in biomarkers from the prodromal phase to psychotic episodes in individuals with clinical high risk (CHR) of psychosis and compare converters and non-converters to psychosis as well as healthy controls (HCs). METHODS: We enrolled 394 individuals with CHR and 100 HCs. A total of 263 individuals with CHR completed the 1-year follow-up, and 47 had converted to psychosis. Interleukin (IL)-1beta, 2, 6, 8, 10, tumor necrosis factor-alpha (TNF-alpha), and vascular endothelial growth factor levels were measured at baseline and 1 year after completion of the clinical assessment. RESULTS: The baseline serum levels of IL-10, IL-2, and IL-6 were significantly lower in the conversion group than in the non-conversion group (IL-10, p = 0.010; IL-2, p = 0.023; IL-6, p = 0.012) and HC (IL-6: p = 0.034). Self-controlled comparisons showed that IL-2 changed significantly (p = 0.028), and IL-6 levels tended toward significance (p = 0.088) in the conversion group. In the non-conversion group, serum levels of TNF-alpha (p = 0.017) and VEGF (p = 0.037) changed significantly. Repeated measures analysis of variance revealed a significant time effect related to TNF-alpha (F = 4.502, p = 0.037, effect size (eta2) = 0.051), a group effect related to IL-1beta (F = 4.590, p = 0.036, eta2 = 0.062), and IL-2 (F = 7.521, p = 0.011, eta2 = 0.212), but no time x group effect. DISCUSSION: Alterations in the serum levels of inflammatory cytokines were found to precede the first episode of psychosis in the CHR population, particularly for those who later converted to psychosis. Longitudinal analysis supports the varied roles of cytokines in individuals with CHR with later psychotic conversion or non-conversion outcomes. CI - (c) 2023 S. Karger AG, Basel. FAU - Zhang, TianHong AU - Zhang T AD - Shanghai Mental Health Center, Shanghai Intelligent Psychological Evaluation and Intervention Engineering Technology Research Center (20DZ2253800), Shanghai Key Laboratory of Psychotic Disorders, Shanghai Jiaotong University School of Medicine, Shanghai, China. FAU - Zeng, JiaHui AU - Zeng J AD - Shanghai Mental Health Center, Shanghai Intelligent Psychological Evaluation and Intervention Engineering Technology Research Center (20DZ2253800), Shanghai Key Laboratory of Psychotic Disorders, Shanghai Jiaotong University School of Medicine, Shanghai, China. FAU - Wei, YanYan AU - Wei Y AD - Shanghai Mental Health Center, Shanghai Intelligent Psychological Evaluation and Intervention Engineering Technology Research Center (20DZ2253800), Shanghai Key Laboratory of Psychotic Disorders, Shanghai Jiaotong University School of Medicine, Shanghai, China. FAU - Ye, JiaYi AU - Ye J AD - Shanghai Mental Health Center, Shanghai Intelligent Psychological Evaluation and Intervention Engineering Technology Research Center (20DZ2253800), Shanghai Key Laboratory of Psychotic Disorders, Shanghai Jiaotong University School of Medicine, Shanghai, China. FAU - Tang, XiaoChen AU - Tang X AD - Shanghai Mental Health Center, Shanghai Intelligent Psychological Evaluation and Intervention Engineering Technology Research Center (20DZ2253800), Shanghai Key Laboratory of Psychotic Disorders, Shanghai Jiaotong University School of Medicine, Shanghai, China. FAU - Xu, LiHua AU - Xu L AD - Shanghai Mental Health Center, Shanghai Intelligent Psychological Evaluation and Intervention Engineering Technology Research Center (20DZ2253800), Shanghai Key Laboratory of Psychotic Disorders, Shanghai Jiaotong University School of Medicine, Shanghai, China. FAU - Hu, YeGang AU - Hu Y AD - Shanghai Mental Health Center, Shanghai Intelligent Psychological Evaluation and Intervention Engineering Technology Research Center (20DZ2253800), Shanghai Key Laboratory of Psychotic Disorders, Shanghai Jiaotong University School of Medicine, Shanghai, China. FAU - Liu, HaiChun AU - Liu H AD - Department of Automation, Shanghai Jiao Tong University, Shanghai, China. FAU - Chen, Tao AU - Chen T AD - Big Data Research Lab, University of Waterloo, Waterloo, Ontario, Canada. AD - Labor and Worklife Program, Harvard University, Cambridge, Massachusetts, USA. FAU - Li, ChunBo AU - Li C AD - Shanghai Mental Health Center, Shanghai Intelligent Psychological Evaluation and Intervention Engineering Technology Research Center (20DZ2253800), Shanghai Key Laboratory of Psychotic Disorders, Shanghai Jiaotong University School of Medicine, Shanghai, China. FAU - Wang, JiJun AU - Wang J AD - Shanghai Mental Health Center, Shanghai Intelligent Psychological Evaluation and Intervention Engineering Technology Research Center (20DZ2253800), Shanghai Key Laboratory of Psychotic Disorders, Shanghai Jiaotong University School of Medicine, Shanghai, China. AD - Center for Excellence in Brain Science and Intelligence Technology (CEBSIT), Chinese Academy of Science, Shanghai, China. AD - Institute of Psychology and Behavioral Science, Shanghai Jiao Tong University, Shanghai, China. LA - eng PT - Journal Article DEP - 20230216 PL - Switzerland TA - Neuropsychobiology JT - Neuropsychobiology JID - 7512895 RN - 130068-27-8 (Interleukin-10) RN - 0 (Interleukin-6) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (Interleukin-2) RN - 0 (Vascular Endothelial Growth Factor A) RN - 0 (Cytokines) RN - 0 (Biomarkers) SB - IM MH - Humans MH - *Interleukin-10 MH - Interleukin-6 MH - Tumor Necrosis Factor-alpha MH - Interleukin-2 MH - Vascular Endothelial Growth Factor A MH - Longitudinal Studies MH - *Psychotic Disorders/epidemiology MH - Cytokines MH - Biomarkers OTO - NOTNLM OT - Cytokine OT - Inflammatory markers OT - Interleukin OT - Transition OT - Ultra-high risk EDAT- 2023/02/17 06:00 MHDA- 2023/04/05 06:42 CRDT- 2023/02/16 18:22 PHST- 2022/10/22 00:00 [received] PHST- 2022/12/12 00:00 [accepted] PHST- 2023/04/05 06:42 [medline] PHST- 2023/02/17 06:00 [pubmed] PHST- 2023/02/16 18:22 [entrez] AID - 000528770 [pii] AID - 10.1159/000528770 [doi] PST - ppublish SO - Neuropsychobiology. 2023;82(2):104-116. doi: 10.1159/000528770. Epub 2023 Feb 16.