TY - JOUR
T1 - A systematic, quantitative review of blood autoantibodies in schizophrenia
AU - Ezeoke, Amaka
AU - Mellor, Andrew
AU - Buckley, Peter
AU - Miller, Brian
N1 - Copyright:
Copyright 2013 Elsevier B.V., All rights reserved.
PY - 2013/10
Y1 - 2013/10
N2 - Objective: Schizophrenia is associated with immune system dysfunction, including an increased prevalence of autoimmune disorders and autoantibodies. We performed a systematic, quantitative review of self-reacting blood antibodies in patients with schizophrenia. Method: We identified articles by searching PubMed, PsychInfo, and ISI, and the reference lists of identified studies. Results: Eighty-one of 111 studies identified met the inclusion criteria. There was a significant increased prevalence of positive titers for 20 different autoantibodies in patients with schizophrenia compared to controls. The prevalence of positive anti-cardiolipin IgG and NMDA receptor titers was also significantly increased in subjects with first-episode psychosis versus controls (p < 0.01). Absolute titers for anti-cardiolipin IgG and IgM, and nerve growth factor were significantly increased in patients with schizophrenia compared to controls (p < 0.02 for each). Conclusion: Schizophrenia is associated with an increased prevalence of multiple autoantibodies, although there is marked study heterogeneity, and correlations between autoantibodies and clinical features are inconsistent. This area merits more research evaluation, especially controlling for potential confounding factors such as clinical status, age, genetic background, psychotropic medications, BMI, and smoking.
AB - Objective: Schizophrenia is associated with immune system dysfunction, including an increased prevalence of autoimmune disorders and autoantibodies. We performed a systematic, quantitative review of self-reacting blood antibodies in patients with schizophrenia. Method: We identified articles by searching PubMed, PsychInfo, and ISI, and the reference lists of identified studies. Results: Eighty-one of 111 studies identified met the inclusion criteria. There was a significant increased prevalence of positive titers for 20 different autoantibodies in patients with schizophrenia compared to controls. The prevalence of positive anti-cardiolipin IgG and NMDA receptor titers was also significantly increased in subjects with first-episode psychosis versus controls (p < 0.01). Absolute titers for anti-cardiolipin IgG and IgM, and nerve growth factor were significantly increased in patients with schizophrenia compared to controls (p < 0.02 for each). Conclusion: Schizophrenia is associated with an increased prevalence of multiple autoantibodies, although there is marked study heterogeneity, and correlations between autoantibodies and clinical features are inconsistent. This area merits more research evaluation, especially controlling for potential confounding factors such as clinical status, age, genetic background, psychotropic medications, BMI, and smoking.
KW - Autoantibody
KW - Autoimmune
KW - Epidemiology
KW - First-episode psychosis
KW - Immunology
KW - Meta-analysis
KW - Schizophrenia
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U2 - 10.1016/j.schres.2013.07.029
DO - 10.1016/j.schres.2013.07.029
M3 - Review article
C2 - 23953827
AN - SCOPUS:84884159215
SN - 0920-9964
VL - 150
SP - 245
EP - 251
JO - Schizophrenia Research
JF - Schizophrenia Research
IS - 1
ER -