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2.
Sci Rep ; 6: 26105, 2016 05 19.
Article in English | MEDLINE | ID: mdl-27193331

ABSTRACT

Many observational studies have shown elevated blood CRP levels in schizophrenia compared with controls, and one population-based prospective study has reported that elevated plasma CRP levels were associated with late- and very-late-onset schizophrenia. Furthermore, several clinical studies have reported the efficacy of anti-inflammatory drugs on the symptoms in patients with schizophrenia. However, whether elevated CRP levels are causally related to schizophrenia is not still established because of confounding factors and reverse causality. In the present study, we demonstrated that serum CRP levels were significantly higher in patients with schizophrenia than in the controls by conducting a case-control study and a meta-analysis of case-control studies between schizophrenia and serum CRP levels. Furthermore, we provided evidence for a causal association between elevated CRP levels and increased schizophrenia risk by conducting a Mendelian randomization analysis. Our findings suggest that elevated CRP itself may be a causal risk factor for schizophrenia.


Subject(s)
C-Reactive Protein/analysis , Schizophrenia/pathology , Schizophrenia/physiopathology , Serum/chemistry , Adult , Aged , Case-Control Studies , Female , Humans , Male , Middle Aged , Prospective Studies
3.
J ECT ; 31(4): 234-7, 2015 Dec.
Article in English | MEDLINE | ID: mdl-25807342

ABSTRACT

INTRODUCTION: Electroconvulsive therapy (ECT) is currently regarded as a significant treatment option for intractable psychiatric disorders, such as catatonic schizophrenia or treatment-resistant depression; however, the underlying molecular mechanism for its therapeutic effect remains obscure. METHODS: Employing microarray analysis (Human Genome U133 Plus 2.0 Array; Affymetrix, United States) of cDNA derived from the peripheral blood of patients with catatonic schizophrenia (n = 5), we detected a significant change in 145 genes (0.68%) before and after modified ECT (mECT). Moreover, we performed quantitative polymerase chain reaction validation of genes that had previously been suggested to be functionally related to schizophrenia. RESULTS: Of 4 genes examined (AKT3, TCF7, PPP3R1, and GADD45B), only TCF7 was increased during the mECT procedure (P = 0.0025). DISCUSSION: This study describes the first attempt to uncover the molecular mechanism of mECT using a microarray assay of mRNA derived from peripheral blood, and our results suggest that the TCF family may play a role in the functional mechanism of mECT.


Subject(s)
Electroconvulsive Therapy , Microarray Analysis/methods , Schizophrenia, Catatonic/genetics , Schizophrenia, Catatonic/therapy , Antigens, Differentiation/genetics , Calcineurin/genetics , DNA, Complementary/genetics , Female , Gene Expression Regulation , Humans , Male , Middle Aged , Polymerase Chain Reaction , Proto-Oncogene Proteins c-akt/genetics , RNA, Messenger/biosynthesis , RNA, Messenger/genetics , T Cell Transcription Factor 1/genetics , Treatment Outcome
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