Evidence for Hypothalamus-Pituitary-Adrenal Axis and Immune Alterations at Prodrome of Psychosis in Males

被引:11
作者
Karanikas, Evangelos [1 ,2 ]
Ntouros, Evangelos [2 ]
Oikononnou, Dimitrios [2 ]
Floros, Georgios [3 ]
Griveas, Loan-Nis [4 ]
Garyfallos, Georgios [3 ]
机构
[1] Univ Queensland, Sch Med, Rural Clin Sch, 152 West St, Toowoomba, Qld 4350, Australia
[2] Gen Mil Hosp Thessaloniki, Psychiat Dept, Thessaloniki, Greece
[3] Aristotle Univ Thessaloniki, Psychiat Hosp Thessaloniki, Psychiat Dept 2, Thessaloniki, Greece
[4] Gen Mil Hosp Athens, Athens, Greece
关键词
Cortisol; Cytokines; Inflammation; Prodrome; Ultra high risk; INCREASED SERUM INTERLEUKIN-6; RISK MENTAL STATES; SCHIZOPHRENIC-PATIENTS; METAANALYSIS; ASSOCIATION; SYMPTOMS; SYSTEM; NAIVE;
D O I
10.4306/pi.2017.14.5.703
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
We aimed to investigate the inflammatory substrate in psychosis by evaluating both the Hypothalamus-Pituitary-Adrenal axis function and immune state at prodrome. This involved the recruitment of Ultra High Risk (UHR) of Psychosis subjects, Healthy Controls (HC) and patients with established Schizophrenia (CHRON). Serum cortisol at 3 different times throughout the day was measured. The Dexamethasone Suppression Test was performed plus 12 circulating cytokines were measured. The UHR subjects presented increased IL-4 levels compared with both the HC and CHRON patients. In contrast the UHR differed only from the CHRON group regarding the endocrine parameters. In conclusion, IL-4 appears to play a key role at prodrome.
引用
收藏
页码:703 / 707
页数:5
相关论文
共 22 条
[1]   Stress and obesity: the role of the hypothalamic-pituitary-adrenal axis in metabolic disease [J].
Bose, Mousumi ;
Olivan, Blanca ;
Laferrere, Blandine .
CURRENT OPINION IN ENDOCRINOLOGY DIABETES AND OBESITY, 2009, 16 (05) :340-346
[2]   A systematic review of hypothalamic-pituitary-adrenal axis function in schizophrenia: implications for mortality [J].
Bradley, Andrew J. ;
Dinan, Timothy G. .
JOURNAL OF PSYCHOPHARMACOLOGY, 2010, 24 (11) :91-118
[3]   A meta-analysis of worldwide studies demonstrates an association between schizophrenia and tobacco smoking behaviors [J].
de Leon, J ;
Diaz, FJ .
SCHIZOPHRENIA RESEARCH, 2005, 76 (2-3) :135-157
[4]  
Di Forti M, 2007, CURR OPIN PSYCHIATR, V20, P228
[5]   Interleukin-7: Fuel for the autoimmune attack [J].
Dooms, Hans .
JOURNAL OF AUTOIMMUNITY, 2013, 45 :40-48
[6]  
Kaminska T, 2001, ARCH IMMUNOL THER EX, V49, P439
[7]   Role of cortisol in patients at risk for psychosis mental state and psychopathological correlates: A systematic review [J].
Karanikas, Evangelos ;
Garyfallos, Giorgos .
PSYCHIATRY AND CLINICAL NEUROSCIENCES, 2015, 69 (05) :268-282
[8]   The Role of Cortisol in First Episode of Psychosis: A Systematic Review [J].
Karanikas, Evangelos ;
Antoniadis, Diomidis ;
Garyfallos, George D. .
CURRENT PSYCHIATRY REPORTS, 2014, 16 (11) :1-10
[9]   Cytokine Changes and Tryptophan Metabolites in Medication-Naive and Medication-Free Schizophrenic Patients [J].
Kim, Yong-Ku ;
Myint, Aye-Mu ;
Verkerk, Robert ;
Scharpe, Simon ;
Steinbusch, Harry ;
Leonard, Brian .
NEUROPSYCHOBIOLOGY, 2009, 59 (02) :123-129
[10]   The inflammatory response system in treatment-resistant schizophrenia:: increased serum interleukin-6 [J].
Lin, A ;
Kenis, G ;
Bignotti, S ;
Tura, GJB ;
De Jong, R ;
Bosmans, E ;
Pioli, R ;
Altamura, C ;
Scharpé, S ;
Maes, M .
SCHIZOPHRENIA RESEARCH, 1998, 32 (01) :9-15