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Reduced serum TNF alpha level in chronic schizophrenia patients with or without tardive dyskinesia

Mounting evidences have demonstrated the association of altered immune factors with neurodevelopmental and pathological progression of schizophrenia. However, whether immune factors play any role in the pathogenesis of tardive dyskinesia (TD) has been underexplored. To our best knowledge, ours is am...

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Published in:Progress in neuro-psychopharmacology & biological psychiatry 2014-10, Vol.54, p.259-264
Main Authors: Tian, Li, Tan, Yunlong, Chen, Dachun, Lv, Menghan, Tan, Shuping, Soares, Jair C., Zhang, Xiang Yang
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Tan, Yunlong
Chen, Dachun
Lv, Menghan
Tan, Shuping
Soares, Jair C.
Zhang, Xiang Yang
description Mounting evidences have demonstrated the association of altered immune factors with neurodevelopmental and pathological progression of schizophrenia. However, whether immune factors play any role in the pathogenesis of tardive dyskinesia (TD) has been underexplored. To our best knowledge, ours is among the piloting studies examining the association of TNF alpha with extrapyramidal symptoms of schizophrenic patients so far. The aim of this study was to assess the clinical significance of serum TNF alpha level in chronic schizophrenia, especially its potential association with TD. Serum TNF alpha level was measured in a sandwich enzyme-linked immunosorbent assay (ELISA) from 46 medicated chronic schizophrenia patients with TD, 43 chronic schizophrenia patients without TD, and 43 healthy control subjects. The symptoms of schizophrenia were assessed by the positive and negative syndrome scale (PANSS). Chronic patients both with TD and without TD had significantly lower serum level of TNF alpha than controls (TD=9.5±2.1pg/ml, non-TD=10.7±1.8pg/ml, control=37.8±3.4pg/ml, p0.05). Serum TNF alpha level was negatively correlated with the PANSS total score in the whole schizophrenia patients (p
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However, whether immune factors play any role in the pathogenesis of tardive dyskinesia (TD) has been underexplored. To our best knowledge, ours is among the piloting studies examining the association of TNF alpha with extrapyramidal symptoms of schizophrenic patients so far. The aim of this study was to assess the clinical significance of serum TNF alpha level in chronic schizophrenia, especially its potential association with TD. Serum TNF alpha level was measured in a sandwich enzyme-linked immunosorbent assay (ELISA) from 46 medicated chronic schizophrenia patients with TD, 43 chronic schizophrenia patients without TD, and 43 healthy control subjects. The symptoms of schizophrenia were assessed by the positive and negative syndrome scale (PANSS). Chronic patients both with TD and without TD had significantly lower serum level of TNF alpha than controls (TD=9.5±2.1pg/ml, non-TD=10.7±1.8pg/ml, control=37.8±3.4pg/ml, p&lt;0.001). Compared to patients without TD, TD patients showed marginally significant reduction in the serum TNF alpha level (p=0.05). The reduced TNF alpha level was not significantly affected by daily dose or duration of antipsychotic drugs (p&gt;0.05). Serum TNF alpha level was negatively correlated with the PANSS total score in the whole schizophrenia patients (p&lt;0.01), but no significant association with TD severity was observed. Our results suggested that at chronic stage, serum TNF activity is associated with psychopathology of schizophrenia patients, but whether it can be a biomarker for TD needs further clarification in the future. •Chronic schizophrenia patients had lower TNFα level than healthy controls.•A marginally significant decrease in TNFα was noted in TD than non-TD patients.•TNFα was correlated with psychopathology of schizophrenia, but not TD severity.</description><identifier>ISSN: 0278-5846</identifier><identifier>EISSN: 1878-4216</identifier><identifier>DOI: 10.1016/j.pnpbp.2014.06.012</identifier><identifier>PMID: 24995685</identifier><identifier>CODEN: PNPPD7</identifier><language>eng</language><publisher>Amsterdam: Elsevier Inc</publisher><subject>Adult and adolescent clinical studies ; Antipsychotic Agents - therapeutic use ; Antipsychotics ; Biological and medical sciences ; Chronic Disease ; Cross-Sectional Studies ; Enzyme-Linked Immunosorbent Assay ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Movement Disorders - complications ; Movement Disorders - immunology ; Nervous system (semeiology, syndromes) ; Nervous system as a whole ; Neurology ; Neuropharmacology ; Pharmacology. 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However, whether immune factors play any role in the pathogenesis of tardive dyskinesia (TD) has been underexplored. To our best knowledge, ours is among the piloting studies examining the association of TNF alpha with extrapyramidal symptoms of schizophrenic patients so far. The aim of this study was to assess the clinical significance of serum TNF alpha level in chronic schizophrenia, especially its potential association with TD. Serum TNF alpha level was measured in a sandwich enzyme-linked immunosorbent assay (ELISA) from 46 medicated chronic schizophrenia patients with TD, 43 chronic schizophrenia patients without TD, and 43 healthy control subjects. The symptoms of schizophrenia were assessed by the positive and negative syndrome scale (PANSS). Chronic patients both with TD and without TD had significantly lower serum level of TNF alpha than controls (TD=9.5±2.1pg/ml, non-TD=10.7±1.8pg/ml, control=37.8±3.4pg/ml, p&lt;0.001). Compared to patients without TD, TD patients showed marginally significant reduction in the serum TNF alpha level (p=0.05). The reduced TNF alpha level was not significantly affected by daily dose or duration of antipsychotic drugs (p&gt;0.05). Serum TNF alpha level was negatively correlated with the PANSS total score in the whole schizophrenia patients (p&lt;0.01), but no significant association with TD severity was observed. Our results suggested that at chronic stage, serum TNF activity is associated with psychopathology of schizophrenia patients, but whether it can be a biomarker for TD needs further clarification in the future. •Chronic schizophrenia patients had lower TNFα level than healthy controls.•A marginally significant decrease in TNFα was noted in TD than non-TD patients.•TNFα was correlated with psychopathology of schizophrenia, but not TD severity.</abstract><cop>Amsterdam</cop><pub>Elsevier Inc</pub><pmid>24995685</pmid><doi>10.1016/j.pnpbp.2014.06.012</doi><tpages>6</tpages></addata></record>
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source ScienceDirect Journals
subjects Adult and adolescent clinical studies
Antipsychotic Agents - therapeutic use
Antipsychotics
Biological and medical sciences
Chronic Disease
Cross-Sectional Studies
Enzyme-Linked Immunosorbent Assay
Female
Humans
Male
Medical sciences
Middle Aged
Movement Disorders - complications
Movement Disorders - immunology
Nervous system (semeiology, syndromes)
Nervous system as a whole
Neurology
Neuropharmacology
Pharmacology. Drug treatments
Psychiatric Status Rating Scales
Psycholeptics: tranquillizer, neuroleptic
Psychology. Psychoanalysis. Psychiatry
Psychopathology
Psychopathology. Psychiatry
Psychopharmacology
Psychoses
Schizophrenia
Schizophrenia - complications
Schizophrenia - drug therapy
Schizophrenia - immunology
Severity of Illness Index
Tardive dyskinesia
Tumor necrosis factor
Tumor Necrosis Factor-alpha - blood
title Reduced serum TNF alpha level in chronic schizophrenia patients with or without tardive dyskinesia
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