PMID- 38339807 OWN - NLM STAT- Publisher LR - 20240210 IS - 1751-7893 (Electronic) IS - 1751-7885 (Linking) DP - 2024 Feb 9 TI - Association of non-essential metals with Chinese schizophrenia: A case-control study. LID - 10.1111/eip.13505 [doi] AB - BACKGROUND: The potential link between environmental pollutants, including metals, and schizophrenia development remains debated. This study aimed to explore the association between plasma levels of three non-essential metals-barium (Ba), tungsten (W), and uranium (U)-and schizophrenia risk among Chinese individuals. METHOD: We recruited a total of 221 patients and 219 healthy controls. Plasma levels of three non-essential metals were measured using inductively coupled plasma mass spectrometry. We employed unconditional logistic regression and Bayesian kernel machine regression (BKMR) to explore the relationship between exposure to multiple metals and the risk of schizophrenia. RESULTS: Logistic regression analysis revealed that the highest quartile (Q4) of W had an odds ratio (OR) of 1.87 (95% CI: 1.08-3.21) compared to the lowest quartile (Q1), with a significant P-trend of 0.017. For U, the ORs (95% CI) for Q2, Q3, and Q4 were 2.06 (1.19-3.56), 1.99 (1.15-3.44), and 1.74 (1.00-3.00), respectively. BKMR analyses revealed a progressive increase in the risk of schizophrenia with increasing cumulative levels of the three metals at concentrations below 35%, with U playing a major role in this association. U showed a non-linear positive correlation with schizophrenia, particularly at the 75th percentile level. Moreover, potential interactions were observed between W and Ba, as well as between W and U. CONCLUSION: Higher plasma W and U concentrations were positively associated with the risk of schizophrenia, which was potentially related to the severity of symptoms in schizophrenic patients. CI - (c) 2024 John Wiley & Sons Australia, Ltd. FAU - Li, Jiale AU - Li J AD - Department of Epidemiology and Health Statistics, School of Public Health of Guangxi Medical University, Nanning, China. FAU - Chen, Jiewen AU - Chen J AD - Department of Epidemiology and Health Statistics, School of Public Health of Guangxi Medical University, Nanning, China. FAU - Shen, Bing AU - Shen B AD - Department of Epidemiology and Health Statistics, School of Public Health of Guangxi Medical University, Nanning, China. FAU - Lu, Rumei AU - Lu R AD - Department of Epidemiology and Health Statistics, School of Public Health of Guangxi Medical University, Nanning, China. FAU - He, Wanting AU - He W AD - Department of Epidemiology and Health Statistics, School of Public Health of Guangxi Medical University, Nanning, China. FAU - Huang, Xiaolan AU - Huang X AD - Department of Epidemiology and Health Statistics, School of Public Health of Guangxi Medical University, Nanning, China. FAU - Li, Dongmei AU - Li D AD - Department of Epidemiology and Health Statistics, School of Public Health of Guangxi Medical University, Nanning, China. FAU - Su, Li AU - Su L AUID- ORCID: 0000-0002-1435-9669 AD - Department of Epidemiology and Health Statistics, School of Public Health of Guangxi Medical University, Nanning, China. FAU - Long, Jianxiong AU - Long J AD - Department of Epidemiology and Health Statistics, School of Public Health of Guangxi Medical University, Nanning, China. AD - Guangxi Colleges and Universities Key Laboratory of Prevention and Control of Highly Prevalent Diseases, Guangxi Medical University, Nanning, China. LA - eng GR - 82060615/National Natural Science Foundation of China/ PT - Journal Article DEP - 20240209 PL - Australia TA - Early Interv Psychiatry JT - Early intervention in psychiatry JID - 101320027 SB - IM OTO - NOTNLM OT - Bayesian kernel machine regression OT - barium OT - schizophrenia OT - tungsten OT - uranium EDAT- 2024/02/10 10:52 MHDA- 2024/02/10 10:52 CRDT- 2024/02/10 02:22 PHST- 2023/10/19 00:00 [revised] PHST- 2023/07/22 00:00 [received] PHST- 2024/01/24 00:00 [accepted] PHST- 2024/02/10 10:52 [medline] PHST- 2024/02/10 10:52 [pubmed] PHST- 2024/02/10 02:22 [entrez] AID - 10.1111/eip.13505 [doi] PST - aheadofprint SO - Early Interv Psychiatry. 2024 Feb 9. doi: 10.1111/eip.13505.