Evidence map›Paper›PMID 27359171›Full record

ArticlePsychosomatic medicine2016

Kynurenine and Tryptophan Levels in Patients With Schizophrenia and Elevated Antigliadin Immunoglobulin G Antibodies.

Olaoluwa Okusaga, Dietmar Fuchs, Gloria Reeves, Ina Giegling, Annette M Hartmann, Bettina Konte, Marion Friedl, Maureen Groer, Thomas B Cook, Kelly A Stearns-Yoder and 8 more

Open access · greenAbstract read
In one paragraph

Article in Psychosomatic medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.6field-weighted citation impact, top 20% 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

18 citing papers in PubMed, 30 citations in OpenAlex.

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  8. Frontiers in psychiatry · 2021
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  14. Kynurenine is correlated with IL-1β in plasma of schizophrenia patients.Journal of neural transmission (Vienna, Austria : 1996) · 2018
    Article
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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

18 authors at 2 institutions in 1 country.

Olaoluwa OkusagaFrom the Mood and Anxiety Program (Okusaga, Postolache) and Child and Adolescent Psychiatry Division, Department of Psychiatry (Reeves), University of Maryland School of Medicine, Baltimore, Maryland; Department of Psychiatry and Behavioral Sciences (Okusaga), The University of Texas Health Science Center at Houston, Houston, Texas; Division of Biological Chemistry (Fuchs), Biocenter Innsbruck Medical University, Innsbruck, Austria; Department of Psychiatry (Hartmann, Rujescu), University of Halle-Wittenberg, Germany; University of South Florida (Groer), Tampa, Florida; Department of Public Health (Cook), Mercyhurst University, Erie, Pennsylvania; Rocky Mountain Mental Illness Research Education and Clinical Center (MIRECC; Stearns-Yoder; Hoisington, Brenner, Postolache), Denver, Colorado; Military and Veteran Microbiome Consortium for Research and Education (Stearns-Yoder, Hoisington, Lowry, Brenner, Postolache), Denver, Colorado; Department of Microbiology and Immunology (Pandey), Medical University of South Carolina, Charleston, South Carolina; Maryland Psychiatric Research Center, Department of Psychiatry (Kelly), University of Maryland School of Medicine, Baltimore, Maryland; Johns Hopkins University (Eaton), Baltimore, Maryland; Civil and Environmental Engineering Department (Hoisington), United States Air Force Academy, Colorado Springs, Colorado; Department of Integrative Physiology and Center for Neuroscience (Lowry), University of Colorado Boulder, Boulder, Colorado; Departments of Psychiatry, Neurology, and Physical Medicine and Rehabilitation (Brenner), University of Colorado, Anschutz Medical Campus, Aurora, Colorado; Veterans Integrated Service Network (VISN) 5, Mental Illness Research Education and Clinical Center (MIRECC; Postolache), Baltimore, Maryland.
Dietmar Fuchs
Gloria Reeves
Ina Giegling
Annette M Hartmann
Bettina Konte
Marion Friedl
Maureen Groer
Thomas B Cook
Kelly A Stearns-Yoder
Janardan P Pandey
Deanna L Kelly
Andrew J Hoisington
Christopher A Lowry
William W Eaton
Lisa A Brenner
Dan Rujescu
Teodor T Postolache
Mental Illness Research, Education and Clinical Centers · USUniversity of Maryland, Baltimore · US

Funding

Development for RCT of Gluten Free Diet in Gliadin-Positive SchizophreniaR34MH100776 · NIMH · JOHNS HOPKINS UNIVERSITY · PI EATON, WILLIAM W, KELLY, DEANNA L · 2013 to 2015
$712k
Intramural VA VA999999NIMH NIH HHS R34 MH100776
6 · The paper itself

Abstract

objectiveSeveral studies have reported an association between nonceliac gluten sensitivity and schizophrenia. Immune and kynurenine (KYN) pathways have also been implicated in the pathophysiology of schizophrenia, and certain proinflammatory immune mediators may increase KYN and reduce tryptophan (TRP) levels.

methodsWe measured serum antigliadin immunoglobulin G (IgG), KYN, and TRP in 950 patients with schizophrenia. Patients with antibody level at the 90th percentile or higher of control participants (21.9% of all patients) were classified as having elevated antigliadin IgG. Independent t tests and linear regression models were used to compare TRP, KYN, and KYN-TRP ratio (indicator of TRP metabolism) between patients with and those without elevated antigliadin IgG. The correlation between antigliadin IgG and TRP, KYN, and the ratio was also evaluated in the patients.

resultsKYN and KYN-TRP ratio were higher in patients with elevated antigliadin IgG (geometric mean [standard deviation {SD}] = 2.65 [0.25] µmol/L versus 2.25 [0.23] µmol/L [p < .001] and 0.05 [0.26] versus 0.04 [0.25; p = .001] respectively), findings robust to adjustment for potential demographic and clinical confounders. Antigliadin IgG positively correlated with KYN and KYN-TRP ratio (r = 0.12, p < .001; r = 0.11, p = .002). TRP did not differ between the two groups and did not correlate with antigliadin IgG.

conclusionsOur results connect nonceliac gluten sensitivity with the KYN pathway of TRP metabolism in psychotic illness and hint toward potential individualized treatment targets.

Indexed as

AdultFemaleGliadinHumansImmunoglobulin GKynurenineMaleMiddle AgedSchizophreniaTryptophanGliadinImmunoglobulin GKynurenineTryptophan

Identifiers

PMID27359171
PMCPMC5338470
OpenAlexW2472072041

What OpenQuestion holds

Textmetadata
LicenceTDM
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.