Evidence map›Paper›PMID 29074356›Full record

ArticleBrain, behavior, and immunity2018

Anti gliadin antibodies (AGA IgG) related to peripheral inflammation in schizophrenia.

Deanna L Kelly, Haley K Demyanovich, William W Eaton, Nicola Cascella, Jessica Jackson, Alessio Fasano, William T Carpenter

Open access · greenAbstract read
In one paragraph

Article in Brain, behavior, and immunity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 31% 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, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Autoantibodies and Inflammation in Schizophrenia.Psychiatry and clinical neurosciences · 2025
    Review
  8. Article
  9. Frontiers in cellular and infection microbiology · 2025
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Neuroinflammation and Schizophrenia.Current psychiatry reports · 2019
    Review
  18. 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 1 country.

Deanna L KellyMaryland Psychiatric Research Center, University of Maryland School of Medicine, PO Box 21247, Baltimore, MD 21228, United States. Electronic address: dkelly@mprc.umaryland.edu.
Haley K DemyanovichMaryland Psychiatric Research Center, University of Maryland School of Medicine, PO Box 21247, Baltimore, MD 21228, United States.
William W EatonDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, United States.
Nicola CascellaNeuropsychiatry Program Sheppard Pratt Health System, 6501 N. Charles Street, Baltimore, MD 21204, United States.
Jessica JacksonMaryland Psychiatric Research Center, University of Maryland School of Medicine, PO Box 21247, Baltimore, MD 21228, United States.
Alessio FasanoCenter for Celiac Research and Treatment, Mucosal Immunology and Biology Research Center, and Division of Pediatric Gastroenterology and Nutrition, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, United States.
William T CarpenterMaryland Psychiatric Research Center, University of Maryland School of Medicine, PO Box 21247, Baltimore, MD 21228, United States.
University of Maryland, Baltimore · USJohns Hopkins University · USMassachusetts General Hospital · USSheppard Pratt Health System · 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
NIMH NIH HHS R34 MH100776
6 · The paper itself

Abstract

Altered immune function and inflammation are seen in schizophrenia, however, peripheral inflammatory markers are not consistently elevated in all people, suggesting inflammation may be present only in a subgroup. We measured TNF-α and IL-Iβ in 100 people with schizophrenia or schizoaffective disorder and correlated these with antibodies to gliadin, a protein found in wheat, barley and rye that has been found to be elevated in some people with schizophrenia. We hypothesized that higher peripheral antigliadin antibodies (AGA IgG) would be associated with higher peripheral inflammation as measured by TNF-α and IL-1β. Mean log transformed values of TNF-α, (p=.029) and IL-1β (p=.016) were over twofold higher in people with schizophrenia who had high levels of AGA IgG (≥7 U) compared to those who did not have positivity to AGA IgG. We found a significant positive correlation between AGA IgG and the log transformed TNF-α (r=0.42, p<.0001) as well as IL-Iβ (r=0.51, p<.0001). The relationship was independent of cigarette smoking, body mass index and antipsychotic medications. People with schizophrenia having higher levels of AGA IgG show higher levels of peripheral inflammation and may define a subgroup with distinct pathophysiology and potentially novel treatment targets.

Indexed as

AdultAutoantibodiesFemaleGliadinHumansImmunoglobulin GInflammationInterleukin-1betaMalePsychotic DisordersSchizophreniaTumor Necrosis Factor-alphaYoung AdultAutoantibodiesGliadinImmunoglobulin GInterleukin-1betaTumor Necrosis Factor-alphaAntibodiesGliadinInflammationSchizophreniaTNFα

Identifiers

PMID29074356
PMCPMC8582000
OpenAlexW2766999391

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.