Evidence map›Paper›PMID 27336045›Full record

ArticleNPJ schizophrenia2015

The association between antibodies to neurotropic pathogens and schizophrenia: a case-control study.

Lot D de Witte, Hans C van Mierlo, Manja Litjens, Hans C Klein, Sabine Bahn, Ab D Osterhaus, GROUP Investigators

Open access · goldAbstract read
In one paragraph

Article in NPJ schizophrenia, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
0.7field-weighted citation impact, top 35% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Systematic review and modelling ofEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Review
  7. Therapeutic Implications of the Microbial Hypothesis of Mental Illness.Current topics in behavioral neurosciences · 2023
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. IsPathogens (Basel, Switzerland) · 2021
    Article
  13. Infection withParasitology · 2020
    Article
  14. Article
  15. Review
  16. Article
  17. Article
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

7 authors at 4 institutions in 2 countries.

Lot D de WitteDepartment of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht , Utrecht, The Netherlands.
Hans C van MierloDepartment of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht , Utrecht, The Netherlands.
Manja LitjensDepartment of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht , Utrecht, The Netherlands.
Hans C KleinDepartment of Psychiatry, University of Groningen , Groningen, The Netherlands.
Sabine BahnDepartment of Chemical Engineering and Biotechnology, University of Cambridge , Cambridge, UK.
Ab D OsterhausDepartment of Viroscience, Erasmus University Medical Center , Rotterdam, The Netherlands.
GROUP Investigators
University Medical Center Utrecht · NLErasmus MC · NLUniversity of Cambridge · GBUniversity of Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExposure to neurotropic pathogens has been proposed as an environmental risk factor for schizophrenia and can be evaluated by measuring pathogen-specific immunoglobulin G (IgG). Seroprevalence of pathogen-specific IgG reflects prior exposure, whereas IgG levels are associated with reactivity or reinfection. Several studies have examined these parameters in schizophrenia. However, results still remain inconclusive, as several previous studies did not correct for important confounding factors.

aimsTo investigate whether schizophrenia is associated with prior exposure to neurotropic pathogens, or with their reactivation.

methodsWe examined the seroprevalence and titer of IgG antibodies against herpes simplex virus-1 and -2 (HSV-1/HSV-2), varicella zoster virus (VZV), Epstein-Barr virus (EBV), cytomegalovirus (CMV), and Toxoplasma gondii (TG) in plasma of 368 adult patients with a schizophrenia spectrum disorder and 282 controls using ELISA.

resultsWe did not find evidence for an increased exposure to HSV-1, HSV-2, EBV, and TG in patients. There was a significantly higher seroprevalence of VZV (98.9% vs. 95.6%, P<0.05) and CMV (40.4% vs. 27.7%, P<0.001) in controls as compared with patients, which did not remain statistically significant after adjustment for various potential confounders. We did not find significant differences in antibody titers of seropositive patients and controls for any of the six pathogens.

conclusionsOur results do not support the hypothesis that increased exposure to neurotropic pathogens after birth is associated with schizophrenia.

Identifiers

PMID27336045
PMCPMC4849462
OpenAlexW2469403296

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.