Evidence map›Paper›PMID 29567371›Full record

ArticleBrain, behavior, and immunity2018

A pilot study on immuno-psychiatry in the 22q11.2 deletion syndrome: A role for Th17 cells in psychosis?

Elfi Vergaelen, Carmen Schiweck, Kristof Van Steeland, Jacqueline Counotte, Wim Veling, Ann Swillen, Hemmo Drexhage, Stephan Claes

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 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 17% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. A Systematic Review of Autoimmunity in 22q11.2 Deletion Syndrome.Expert reviews in molecular medicine · 2026
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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

8 authors at 4 institutions in 2 countries.

Elfi VergaelenUniversity Psychiatric Center KU Leuven, University Hospital Leuven, Leuven, Belgium; Center for Human Genetics, University Hospital Leuven, Leuven, Belgium. Electronic address: elfi.vergaelen@uzleuven.be.
Carmen SchiweckUniversity Psychiatric Center KU Leuven, University Hospital Leuven, Leuven, Belgium.
Kristof Van SteelandUniversity Psychiatric Center KU Leuven, University Hospital Leuven, Leuven, Belgium.
Jacqueline CounotteParnassia Psychiatric Institute, The Hague, The Netherlands.
Wim VelingUniversity of Groningen, University Medical Center Groningen, Department of Psychiatry, Groningen, The Netherlands.
Ann SwillenCenter for Human Genetics, University Hospital Leuven, Leuven, Belgium; Department of Human Genetics, KU Leuven, Leuven, Belgium.
Hemmo DrexhageDepartment of Immunology, Erasmus MC, Rotterdam, The Netherlands.
Stephan ClaesUniversity Psychiatric Center KU Leuven, University Hospital Leuven, Leuven, Belgium.
KU Leuven · BEErasmus University Rotterdam · NLParnassia Groep · NLUniversity of Groningen · NL

Funding

"4/5 International Consortium on Brain and Behavior in 22q11.2 Deletion Syndrome"U01MH101722 · NIMH · KATHOLIEKE UNIVERSITEIT LEUVEN · PI SWILLEN, ANN · 2013 to 2016
$1.3M
Dissecting the effects of genomic variants on neurobehavioral dimensions in CNVs enriched for neuropsychiatric disordersU01MH119759 · NIMH · KATHOLIEKE UNIVERSITEIT LEUVEN · PI SWILLEN, ANN · 2019 to 2023
$513k
NIMH NIH HHS U01 MH101722NIMH NIH HHS U01 MH119759
6 · The paper itself

Abstract

backgroundA growing body of evidence supports a role for immune alterations in Schizophrenia Spectrum Disorders (SSD). A high prevalence (25-40%) of SSD has been found in patients with 22q11.2 deletion syndrome (22q11.2DS), which is known for T-cell deficits due to thymus hypoplasia. This study is the first to explore the association between the T-cell subsets and psychotic symptoms in adults with 22q11.2DS.

methods34 individuals (aged 19-38 yrs.) with 22q11.2DS and 34 healthy age- and gender matched control individuals were included. FACS analysis of the blood samples was performed to define T-cell subsets. Ultra-high risk for psychosis or diagnosis of SSD was determined based on CAARMS interviews and DSM-5 criteria for SSD. Positive psychotic symptom severity was measured based on the PANSS positive symptoms subscale.

resultsA partial T-cell immune deficiency in 22q11.2DS patients was confirmed by significantly reduced percentages of circulating T and T-helper cells. Significantly higher percentages of inflammatory Th1, Th17, and memory T-helper cells were found in adults with 22q11.2DS. Most importantly an increased Th17 percentage was found in adults with psychotic symptoms as compared to non-psychotic adults with 22q11.2DS, and Th17 percentage were related to the presence of positive psychotic symptoms.

conclusionsGiven the literature on the role of T cells and in particular of Th17 cells and IL-17 in hippocampus development, cognition and behavior, these results support the hypothesis for a role of Th17 cells in the development and/or regulation of psychotic symptoms in 22q11.2DS. This pilot study underlines the importance to further study the role of T-cell defects and of Th17 cells in the development of psychiatric symptoms. It also supports the possibility to use 22q11.2DS as a model to study T-cell involvement in the development of SSD.

Indexed as

AdultDiGeorge SyndromeFemaleHumansMalePilot ProjectsPsychiatric Status Rating ScalesPsychotic DisordersSchizophreniaTh17 Cells22q11.2 deletion syndromeNeuro-inflammationPsychosisSchizophrenia spectrum disorderT-cell immune deficiencyTh17 cells

Identifiers

PMID29567371
PMCPMC6206432
OpenAlexW2793013228

What OpenQuestion holds

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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.