Evidence map›Paper›PMID 23062357›Full record

SynthesisBiological psychiatry2013

Meta-analysis of lymphocytes in schizophrenia: clinical status and antipsychotic effects.

Brian J Miller, Bintou Gassama, Dale Sebastian, Peter Buckley, Andrew Mellor

Open access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in Biological psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 102 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 7 pooled it
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 7 syntheses or guidelines pooled it, 232 citations in OpenAlex.

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  10. Lymphocyte subpopulations and EEG asymmetry.Journal of neural transmission (Vienna, Austria : 1996) · 2026
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42 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Brian J MillerDepartment of Psychiatry and Health Behavior, Georgia Health Sciences University, Augusta, GA 30912, USA. brmiller@georgia.edu
Bintou Gassama
Dale Sebastian
Peter Buckley
Andrew Mellor
Augusta University Health · US

Funding

Manipulating natural host immunoregulation via IDO during viral InfectionU01AI083005 · NIAID · AUGUSTA UNIVERSITY · PI MELLOR, ANDREW LEE · 2009 to 2013
$10.1M
A Potential State and Relapse Predictive Marker in SchizophreniaK23MH098014 · NIMH · AUGUSTA UNIVERSITY · PI MILLER, BRIAN JAMES · 2012 to 2016
$921k
T cell regulation by IDO-competent plasmacytoid dendritic cellsR01AI075165 · NIAID · AUGUSTA UNIVERSITY · PI MELLOR, ANDREW LEE · 2009 to 2010
$735k
NIAID NIH HHS AI075165NIAID NIH HHS AI083005NIAID NIH HHS R01 AI075165NIAID NIH HHS U01 AI083005NIMH NIH HHS 1K23MH098014-01NIMH NIH HHS K23 MH098014
6 · The paper itself

Abstract

backgroundSchizophrenia is associated with immune system dysfunction, including abnormal blood immune cell parameters. We performed a meta-analysis of these associations, considering the effect of clinical status and antipsychotic treatment following an acute exacerbation of psychosis.

methodsWe identified articles by searching PubMed, PsycINFO, and Thomson Reuters (formerly ISI) Web of Knowledge and the reference lists of identified studies.

resultsSixteen studies of blood lymphocytes met the inclusion criteria. There was insufficient data for a meta-analysis of the mononuclear phagocytic system. In cross-sectional studies, there was a significant increase in the CD4% and CD56% in acutely relapsed inpatients. Absolute levels of total lymphocytes, CD3, and CD4, and the CD4/CD8 ratio were significantly increased, and the CD3% was significantly decreased in drug-native first-episode psychosis. In longitudinal studies, the CD4/CD8 ratio appeared to be state-related markers, as it decreased following antipsychotic treatment for acute exacerbations of psychosis. Absolute CD56 levels appeared to be a trait marker, as levels significantly increased following antipsychotic treatment for relapse.

conclusionsBlood lymphocyte abnormalities in drug-naïve first-episode psychosis suggest an effect that may be independent of antipsychotic medications. While some parameters (CD4/CD8) may be state markers for acute exacerbations of psychosis, others (CD56) may be trait markers; however, more longitudinal studies are needed. Although these findings could provide the basis for future hypothesis testing, a relatively small number of studies and subjects, lack of correlative data with clinical features, and inadequate consideration of potential confounding factors limit the results.

Indexed as

SchizophreniaAntipsychotic AgentsDatabases, FactualHumansLymphocyte CountLymphocytesAntipsychotic Agents

Identifiers

PMID23062357
PMCPMC3816144
OpenAlexW2010758493

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.