Evidence map›Paper›PMID 30462333›Full record

ArticleSchizophrenia bulletin2019

Schizophrenia is Associated With an Aberrant Immune Response to Epstein-Barr Virus.

Faith Dickerson, Lorraine Jones-Brando, Glen Ford, Giulio Genovese, Cassie Stallings, Andrea Origoni, Colm O'Dushlaine, Emily Katsafanas, Kevin Sweeney, Sunil Khushalani and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Schizophrenia bulletin, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.0field-weighted citation impact, top 10% 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

29 citing papers in PubMed, 58 citations in OpenAlex.

  1. Article
  2. Review
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  6. Article
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  9. Article
  10. Microbes and Mental Illness: Past, Present, and Future.Healthcare (Basel, Switzerland) · 2023
    Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Therapeutic Implications of the Microbial Hypothesis of Mental Illness.Current topics in behavioral neurosciences · 2023
    Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Challenges in Prescribing Clozapine in the Era of COVID-19: A Review Focused on Immunological Implications.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2021
    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

11 authors at 3 institutions in 1 country.

Faith DickersonThe Stanley Research Program at Sheppard Pratt, Baltimore, MD.
Lorraine Jones-BrandoThe Stanley Neurovirology Laboratory, Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD.
Glen FordVanPelt Biosciences, Rockville, MD.
Giulio GenoveseStanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA.
Cassie StallingsThe Stanley Research Program at Sheppard Pratt, Baltimore, MD.
Andrea OrigoniThe Stanley Research Program at Sheppard Pratt, Baltimore, MD.
Colm O'DushlaineStanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA.
Emily KatsafanasThe Stanley Research Program at Sheppard Pratt, Baltimore, MD.
Kevin SweeneyThe Stanley Research Program at Sheppard Pratt, Baltimore, MD.
Sunil KhushalaniThe Stanley Research Program at Sheppard Pratt, Baltimore, MD.
Robert YolkenThe Stanley Neurovirology Laboratory, Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD.
Sheppard Pratt Health System · USBroad Institute · USJohns Hopkins University · US

Funding

Project 3P50MH094268 · NIMH · JOHNS HOPKINS UNIVERSITY · PI SAWA, AKIRA · 2011 to 2020
$19.9M
NIMH NIH HHS P50 MH094268
6 · The paper itself

Abstract

backgroundEpstein-Barr virus (EBV) is a highly prevalent human herpesvirus capable of infecting the central nervous system and establishing persistent infection.

methodsWe employed solid phase immunoassay techniques to measure immunoglobulin G (IgG) class antibodies to EBV virions and defined proteins in 432 individuals with schizophrenia and 311 individuals without a history of a psychiatric disorder. Western blot testing was performed to document reactivity to specific EBV proteins. Polygenic risk for schizophrenia was calculated from genome sequencing arrays. Levels of antibodies between the groups were compared by multivariate analyses incorporating clinical, genetic, and demographic measures.

resultsIndividuals with schizophrenia had marked elevations in the levels of antibodies to EBV virions as compared to the control population. Further analyses indicated increased levels of reactivity to EBV-viral capsid antibody (VCA) but not to EBV nuclear antigen-1 (EBNA-1) or to other human herpesviruses. Western blot analysis confirmed increased reactivity to VCA proteins in the group of individuals with schizophrenia and documented a lack of increased levels of antibodies to EBNA-1. Genetic analyses indicated an additive effect of increased levels of antibodies to EBV virions and genetic susceptibility to schizophrenia, with individuals with elevated levels of both type of markers having a greater than 8.5-fold odds of a schizophrenia diagnosis.

conclusionsIndividuals with schizophrenia have increased levels of antibodies to some but not all EBV proteins indicating an aberrant response to EBV infection. This aberrant response may contribute to the immunopathology of schizophrenia and related disorders.

Indexed as

AdultAntibodies, ViralAntigens, ViralBlotting, WesternCapsid ProteinsCase-Control StudiesEpstein-Barr Virus InfectionsEpstein-Barr Virus Nuclear AntigensFemaleGenetic Predisposition to DiseaseHerpesvirus 4, HumanHumansImmunoglobulin GMaleMiddle AgedPolymorphism, GeneticAntibodies, ViralAntigens, ViralCapsid ProteinsEBV-encoded nuclear antigen 1Epstein-Barr viral capsid antigenEpstein-Barr Virus Nuclear AntigensImmunoglobulin GViral ProteinsEpstein–Barr virusherpes virusinfectionschizophrenia

Identifiers

PMID30462333
PMCPMC6737467
OpenAlexW2905006007

What OpenQuestion holds

Textmetadata
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.