Elevated serum chemokine CCL22 levels in first-episode psychosis: associations with symptoms, peripheral immune state and in vivo brain glial cell function.


Journal

Translational psychiatry
ISSN: 2158-3188
Titre abrégé: Transl Psychiatry
Pays: United States
ID NLM: 101562664

Informations de publication

Date de publication:
16 03 2020
Historique:
received: 21 01 2020
accepted: 03 03 2020
revised: 18 02 2020
entrez: 18 3 2020
pubmed: 18 3 2020
medline: 22 6 2021
Statut: epublish

Résumé

Several lines of research support immune system dysregulation in psychotic disorders. However, it remains unclear whether the immunological marker alterations are stable and how they associate with brain glial cell function. This longitudinal study aimed at investigating whether peripheral immune functions are altered in the early phases of psychotic disorders, whether the changes are associated with core symptoms, remission, brain glial cell function, and whether they persist in a one-year follow-up. Two independent cohorts comprising in total of 129 first-episode psychosis (FEP) patients and 130 controls were assessed at baseline and at the one-year follow-up. Serum cyto-/chemokines were measured using a 38-plex Luminex assay. The FEP patients showed a marked increase in chemokine CCL22 levels both at baseline (p < 0.0001; Cohen's d = 0.70) and at the 12-month follow-up (p = 0.0007) compared to controls. The group difference remained significant (p = 0.0019) after accounting for relevant covariates including BMI, smoking, and antipsychotic medication. Elevated serum CCL22 levels were significantly associated with hallucinations (ρ = 0.20) and disorganization (ρ = 0.23), and with worse verbal performance (ρ = -0.23). Brain glial cell activity was indexed with positron emission tomography and the translocator protein radiotracer [

Identifiants

pubmed: 32179746
doi: 10.1038/s41398-020-0776-z
pii: 10.1038/s41398-020-0776-z
pmc: PMC7075957
doi:

Substances chimiques

CCL22 protein, human 0
Chemokine CCL22 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

94

Subventions

Organisme : Academy of Finland (Suomen Akatemia)
ID : 278155
Pays : International
Organisme : Academy of Finland (Suomen Akatemia)
ID : 278181
Pays : International
Organisme : Academy of Finland (Suomen Akatemia)
ID : 323035
Pays : International

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Auteurs

Heikki Laurikainen (H)

Turku PET Centre, University of Turku, Turku, Finland. heikki.laurikainen@utu.fi.
Department of Psychiatry, University of Turku and Turku University Hospital, Turku, Finland. heikki.laurikainen@utu.fi.

Arja Vuorela (A)

Clinicum, University of Helsinki, Helsinki, Finland.

Anna Toivonen (A)

Department of Psychiatry, University of Turku and Turku University Hospital, Turku, Finland.

Linnea Reinert-Hartwall (L)

Research Program for Clinical and Molecular Metabolism, University of Helsinki, Helsinki, Finland.

Kalevi Trontti (K)

SleepWell Research Program, University of Helsinki, Helsinki, Finland.
Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland.

Maija Lindgren (M)

Finnish Institute for Health and Welfare, Mental Health Unit, Helsinki, Finland.

Jaakko Keinänen (J)

Finnish Institute for Health and Welfare, Mental Health Unit, Helsinki, Finland.

Teemu Mäntylä (T)

Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland.
Finnish Institute for Health and Welfare, Mental Health Unit, Helsinki, Finland.

Janina Paju (J)

Department of Psychiatry, University of Turku and Turku University Hospital, Turku, Finland.

Tuula Ilonen (T)

Department of Psychiatry, University of Turku and Turku University Hospital, Turku, Finland.

Reetta-Liina Armio (RL)

Turku PET Centre, University of Turku, Turku, Finland.
Department of Psychiatry, University of Turku and Turku University Hospital, Turku, Finland.

Maija Walta (M)

Department of Psychiatry, University of Turku and Turku University Hospital, Turku, Finland.

Jouni Tuisku (J)

Turku PET Centre, University of Turku, Turku, Finland.

Semi Helin (S)

Turku PET Centre, University of Turku, Turku, Finland.

Päivi Marjamäki (P)

Turku PET Centre, University of Turku, Turku, Finland.

Iiris Hovatta (I)

SleepWell Research Program, University of Helsinki, Helsinki, Finland.
Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland.

Sebastian Therman (S)

Finnish Institute for Health and Welfare, Mental Health Unit, Helsinki, Finland.

Outi Vaarala (O)

Research Program for Clinical and Molecular Metabolism, University of Helsinki, Helsinki, Finland.

Outi Linnaranta (O)

Douglas Mental Health University Institute, Montreal, QC, Canada.
Department of Psychiatry, McGill University, Montreal, QC, Canada.

Tuula Kieseppä (T)

Department of Psychiatry, Helsinki University and Helsinki University Hospital, Helsinki, Finland.

Raimo K R Salokangas (RKR)

Department of Psychiatry, University of Turku and Turku University Hospital, Turku, Finland.

Jarno Honkanen (J)

Research Program for Clinical and Molecular Metabolism, University of Helsinki, Helsinki, Finland.

Jarmo Hietala (J)

Turku PET Centre, University of Turku, Turku, Finland.
Department of Psychiatry, University of Turku and Turku University Hospital, Turku, Finland.

Jaana Suvisaari (J)

Finnish Institute for Health and Welfare, Mental Health Unit, Helsinki, Finland.

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