Increased number of monocytes and plasma levels of MCP‐1 and YKL‐40 in first‐episode psychosis

Objective Accumulating evidence implicates immune activation in the development of schizophrenia. Here, monocyte numbers, monocyte chemoattractant protein‐1 (MCP‐1) and chitinase‐3‐like protein 1 (YKL‐40) were investigated in plasma and cerebrospinal fluid (CSF) in first‐episode psychosis (FEP) pati...

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Veröffentlicht in:Acta psychiatrica Scandinavica 2018-11, Vol.138 (5), p.432-440
Hauptverfasser: Orhan, F., Schwieler, L., Fatouros‐Bergman, H., Malmqvist, A., Cervenka, S., Collste, K., Flyckt, L., Farde, L., Sellgren, C. M., Piehl, F., Engberg, G., Erhardt, S., Hedberg, Mikael, Victorsson, Pauliina
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container_end_page 440
container_issue 5
container_start_page 432
container_title Acta psychiatrica Scandinavica
container_volume 138
creator Orhan, F.
Schwieler, L.
Fatouros‐Bergman, H.
Malmqvist, A.
Cervenka, S.
Collste, K.
Flyckt, L.
Farde, L.
Sellgren, C. M.
Piehl, F.
Engberg, G.
Erhardt, S.
Hedberg, Mikael
Victorsson, Pauliina
description Objective Accumulating evidence implicates immune activation in the development of schizophrenia. Here, monocyte numbers, monocyte chemoattractant protein‐1 (MCP‐1) and chitinase‐3‐like protein 1 (YKL‐40) were investigated in plasma and cerebrospinal fluid (CSF) in first‐episode psychosis (FEP) patients. Method CSF and blood were sampled from 42 first‐episode psychosis (FEP) patients and 22 healthy controls. The levels of YKL‐40 and MCP‐1 were measured using electrochemiluminescence assay, and blood monocytes were counted using an XN‐9000‐hematology analyzer. Results We found higher plasma levels of MCP‐1 and YKL‐40 in FEP patients compared with healthy controls, a condition that was unrelated to antipsychotic and/or anxiolytic medication. This was combined with an increased number of blood monocytes and a borderline significant increase in YKL‐40 levels in the CSF of tobacco‐free FEP patients. Plasma or CSF chemokines or blood monocytes did not correlate with the severity of symptoms or the level of functioning. Conclusion These data demonstrate activation of monocytes in FEP and strengthens the idea of an immune dysfunction of psychotic disorders. Further studies are required to perceive a role of YKL‐40 and MCP‐1 in the initiation and progression of schizophrenia.
doi_str_mv 10.1111/acps.12944
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M. ; Piehl, F. ; Engberg, G. ; Erhardt, S. ; Hedberg, Mikael ; Victorsson, Pauliina</creator><creatorcontrib>Orhan, F. ; Schwieler, L. ; Fatouros‐Bergman, H. ; Malmqvist, A. ; Cervenka, S. ; Collste, K. ; Flyckt, L. ; Farde, L. ; Sellgren, C. M. ; Piehl, F. ; Engberg, G. ; Erhardt, S. ; Hedberg, Mikael ; Victorsson, Pauliina ; Karolinska Schizophrenia Project (KaSP) Consortium</creatorcontrib><description>Objective Accumulating evidence implicates immune activation in the development of schizophrenia. Here, monocyte numbers, monocyte chemoattractant protein‐1 (MCP‐1) and chitinase‐3‐like protein 1 (YKL‐40) were investigated in plasma and cerebrospinal fluid (CSF) in first‐episode psychosis (FEP) patients. Method CSF and blood were sampled from 42 first‐episode psychosis (FEP) patients and 22 healthy controls. The levels of YKL‐40 and MCP‐1 were measured using electrochemiluminescence assay, and blood monocytes were counted using an XN‐9000‐hematology analyzer. Results We found higher plasma levels of MCP‐1 and YKL‐40 in FEP patients compared with healthy controls, a condition that was unrelated to antipsychotic and/or anxiolytic medication. This was combined with an increased number of blood monocytes and a borderline significant increase in YKL‐40 levels in the CSF of tobacco‐free FEP patients. Plasma or CSF chemokines or blood monocytes did not correlate with the severity of symptoms or the level of functioning. Conclusion These data demonstrate activation of monocytes in FEP and strengthens the idea of an immune dysfunction of psychotic disorders. Further studies are required to perceive a role of YKL‐40 and MCP‐1 in the initiation and progression of schizophrenia.</description><identifier>ISSN: 0001-690X</identifier><identifier>ISSN: 1600-0447</identifier><identifier>EISSN: 1600-0447</identifier><identifier>DOI: 10.1111/acps.12944</identifier><identifier>PMID: 30132802</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Antipsychotics ; Blood ; Cell activation ; Cerebrospinal fluid ; Chemokines ; Chitinase ; first-episode psychosis ; Hematology ; Immune response ; Mental disorders ; Monocyte chemoattractant protein ; Monocytes ; neuroimmunology ; Plasma ; Plasma levels ; Psychosis ; Schizophrenia ; Tobacco</subject><ispartof>Acta psychiatrica Scandinavica, 2018-11, Vol.138 (5), p.432-440</ispartof><rights>2018 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><rights>2018 John Wiley &amp; Sons A/S. 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The levels of YKL‐40 and MCP‐1 were measured using electrochemiluminescence assay, and blood monocytes were counted using an XN‐9000‐hematology analyzer. Results We found higher plasma levels of MCP‐1 and YKL‐40 in FEP patients compared with healthy controls, a condition that was unrelated to antipsychotic and/or anxiolytic medication. This was combined with an increased number of blood monocytes and a borderline significant increase in YKL‐40 levels in the CSF of tobacco‐free FEP patients. Plasma or CSF chemokines or blood monocytes did not correlate with the severity of symptoms or the level of functioning. Conclusion These data demonstrate activation of monocytes in FEP and strengthens the idea of an immune dysfunction of psychotic disorders. 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M.</au><au>Piehl, F.</au><au>Engberg, G.</au><au>Erhardt, S.</au><au>Hedberg, Mikael</au><au>Victorsson, Pauliina</au><aucorp>Karolinska Schizophrenia Project (KaSP) Consortium</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increased number of monocytes and plasma levels of MCP‐1 and YKL‐40 in first‐episode psychosis</atitle><jtitle>Acta psychiatrica Scandinavica</jtitle><addtitle>Acta Psychiatr Scand</addtitle><date>2018-11</date><risdate>2018</risdate><volume>138</volume><issue>5</issue><spage>432</spage><epage>440</epage><pages>432-440</pages><issn>0001-690X</issn><issn>1600-0447</issn><eissn>1600-0447</eissn><abstract>Objective Accumulating evidence implicates immune activation in the development of schizophrenia. Here, monocyte numbers, monocyte chemoattractant protein‐1 (MCP‐1) and chitinase‐3‐like protein 1 (YKL‐40) were investigated in plasma and cerebrospinal fluid (CSF) in first‐episode psychosis (FEP) patients. Method CSF and blood were sampled from 42 first‐episode psychosis (FEP) patients and 22 healthy controls. The levels of YKL‐40 and MCP‐1 were measured using electrochemiluminescence assay, and blood monocytes were counted using an XN‐9000‐hematology analyzer. Results We found higher plasma levels of MCP‐1 and YKL‐40 in FEP patients compared with healthy controls, a condition that was unrelated to antipsychotic and/or anxiolytic medication. This was combined with an increased number of blood monocytes and a borderline significant increase in YKL‐40 levels in the CSF of tobacco‐free FEP patients. Plasma or CSF chemokines or blood monocytes did not correlate with the severity of symptoms or the level of functioning. Conclusion These data demonstrate activation of monocytes in FEP and strengthens the idea of an immune dysfunction of psychotic disorders. 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source Wiley Online Library Journals Frontfile Complete
subjects Antipsychotics
Blood
Cell activation
Cerebrospinal fluid
Chemokines
Chitinase
first-episode psychosis
Hematology
Immune response
Mental disorders
Monocyte chemoattractant protein
Monocytes
neuroimmunology
Plasma
Plasma levels
Psychosis
Schizophrenia
Tobacco
title Increased number of monocytes and plasma levels of MCP‐1 and YKL‐40 in first‐episode psychosis
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