Evidence map›Paper›PMID 27913877›Full record

ArticleEuropean archives of psychiatry and clinical neuroscience2018

Oxidative stress in drug-naïve first episode patients with schizophrenia and major depression: effects of disease acuity and potential confounders.

Wolfgang Jordan, Henrik Dobrowolny, Sabine Bahn, Hans-Gert Bernstein, Tanja Brigadski, Thomas Frodl, Berend Isermann, Volkmar Lessmann, Jürgen Pilz, Andrea Rodenbeck and 6 more

Abstract read
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In one paragraph

Article in European archives of psychiatry and clinical neuroscience, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 24% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Serum Levels of 8-Iso-Prostaglandin F2α and Raftlin in Patients with Generalized Anxiety Disorder.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2023
    Article
  7. Review
  8. Review
  9. Review
  10. Oxidative Stress and Emergence of Psychosis.Antioxidants (Basel, Switzerland) · 2022
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Review
  20. Cognitive-Behavioural Correlates of Dysbiosis: A Review.International journal of molecular sciences · 2020
    Review
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

16 authors at 9 institutions in 3 countries.

Wolfgang JordanDepartment of Psychiatry and Psychotherapy, Magdeburg Hospital GmbH, Magdeburg, Germany.
Henrik DobrowolnyDepartment of Psychiatry and Psychotherapy, University of Magdeburg, Leipziger Strasse 44, 39120, Magdeburg, Germany.
Sabine BahnDepartment of Chemical Engineering and Biotechnology, University of Cambridge, Cambridge, UK.
Hans-Gert BernsteinDepartment of Psychiatry and Psychotherapy, University of Magdeburg, Leipziger Strasse 44, 39120, Magdeburg, Germany.
Tanja BrigadskiInstitute of Physiology, University of Magdeburg, Magdeburg, Germany.
Thomas FrodlDepartment of Psychiatry and Psychotherapy, University of Magdeburg, Leipziger Strasse 44, 39120, Magdeburg, Germany.
Berend IsermannInstitute of Clinical Chemistry and Pathobiochemistry, University of Magdeburg, Magdeburg, Germany.
Volkmar LessmannInstitute of Physiology, University of Magdeburg, Magdeburg, Germany.
Jürgen PilzLaboratory of Stress Monitoring, Hardegsen, Germany.
Andrea RodenbeckSleep Laboratory, Department of Pneumology, Evangelisches Krankenhaus Goettingen-Weende gGmbH, Goettingen, Germany.
Kolja SchiltzDepartment of Psychiatry and Psychotherapy, University of Magdeburg, Leipziger Strasse 44, 39120, Magdeburg, Germany.
Edzard SchwedhelmInstitute of Experimental and Clinical Pharmacology and Toxicology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Hayrettin TumaniDepartment of Neurology, University of Ulm, Ulm, Germany.
Jens WiltfangDepartment of Psychiatry and Psychotherapy, University of Goettingen, Goettingen, Germany.
Paul C GuestDepartment of Biochemistry and Tissue Biology, University of Campinas (UNICAMP), Campinas, Brazil.
Johann SteinerDepartment of Psychiatry and Psychotherapy, University of Magdeburg, Leipziger Strasse 44, 39120, Magdeburg, Germany. johann.steiner@med.ovgu.de.
Center for Behavioral Brain Sciences · DEUniversity Hospital Magdeburg · DEFachklinik für Neurologie Dietenbronn · DEGerman Center for Neurodegenerative Diseases · DESt. Hedwig-Krankenhaus · DEUniversidade Estadual de Campinas (UNICAMP) · BRUniversity Medical Center Hamburg-Eppendorf · DEUniversity of Cambridge · GBUniversity of Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Oxidative stress and immune dysregulation have been linked to schizophrenia and depression. However, it is unknown whether these factors are related to the pathophysiology or whether they are an epiphenomenon. Inconsistent oxidative stress-related findings in previous studies may have resulted from the use of different biomarkers which show disparate aspects of oxidative stress. Additionally, disease severity, medication, smoking, endocrine stress axis activation and obesity are potential confounders. In order to address some of these shortcomings, we have analyzed a broader set of oxidative stress biomarkers in our exploratory study, including urinary 8-iso-prostaglandin F2α (8-iso-PGF2α), 8-OH-2-deoyxguanosine (8-OH-2-dG), and blood levels of malondialdehyde (MDA), superoxide dismutase (SOD) and glutathione S-transferase (GST) in acutely ill drug-naïve first episode patients with schizophrenia (n = 22), major depression (n = 18), and controls (n = 43). Possible confounding factors were considered, and patients were followed-up after 6 weeks of treatment. No differences were observed regarding 8-OH-2-dG, MDA and GST. At baseline, 8-iso-PGF2α levels were higher in patients with schizophrenia (p = 0.004) and major depression (p = 0.037), with a trend toward higher SOD concentrations in schizophrenia (p = 0.053). After treatment, schizophrenia patients showed a further increase in 8-iso-PGF2α (p = 0.016). These results were not related to age, sex, disease severity, medication or adipose tissue mass. However, 8-iso-PGF2α was associated with smoking, endocrine stress axis activation, C-reactive protein levels and low plasma concentrations of brain-derived neurotrophic factor. This study suggests a role of lipid peroxidation particularly in drug-naïve acutely ill schizophrenia patients and highlights the importance of taking into account other confounding factors in biomarker studies.

Indexed as

AdultDinoprostFemaleFollow-Up StudiesGlutathione TransferaseHumansMajor Depressive DisorderMaleMalondialdehydeMiddle AgedOxidative StressPsychiatric Status Rating ScalesSchizophreniaStatistics, NonparametricSuperoxide Dismutase8-epi-prostaglandin F2alphaDinoprostGlutathione TransferaseMalondialdehydeSuperoxide Dismutase8-Iso-prostaglandin F2α8-OH-2-deoyxguanosineDepressionGlutathione S-transferaseIsoprostaneMalondialdehydeOxidative stressSchizophreniaSuperoxide dismutase

Identifiers

PMID27913877
OpenAlexW2558879170

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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.