Evidence map›Paper›PMID 32221694›Full record

ArticlePsychopharmacology2020

Reduced regulatory T cells with increased proinflammatory response in patients with schizophrenia.

Cigdem Sahbaz, Noushin Zibandey, Ayse Kurtulmus, Yazgul Duran, Muazzez Gokalp, Ismet Kırpınar, Fikrettin Sahin, Sinan Guloksuz, Tunc Akkoc

Abstract read
PubMed Publisher
In one paragraph

Article in Psychopharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.7field-weighted citation impact, top 16% 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, 47 citations in OpenAlex.

  1. Causal links among gut microbiota, immune-inflammatory and compensatory immune-regulatory systems, and schizophrenia.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Schizophrenia and Alarmins.Medicina (Kaunas, Lithuania) · 2022
    Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

9 authors at 4 institutions in 3 countries.

Cigdem SahbazDepartment of Psychiatry, Bezmialem Vakif University, Istanbul, Turkey. cigdemdileksahbaz@gmail.com.
Noushin ZibandeyDepartment of Immunology, Marmara University, Istanbul, Turkey.
Ayse KurtulmusDepartment of Psychiatry, Bezmialem Vakif University, Istanbul, Turkey.
Yazgul DuranDepartment of Immunology, Marmara University, Istanbul, Turkey.
Muazzez GokalpDepartment of Immunology, Marmara University, Istanbul, Turkey.
Ismet KırpınarDepartment of Psychiatry, Bezmialem Vakif University, Istanbul, Turkey.
Fikrettin SahinDepartment of Bioengineering and Genetics, Yeditepe University, Istanbul, Turkey.
Sinan GuloksuzDepartment of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Centre, Maastricht, the Netherlands.
Tunc AkkocDepartment of Immunology, Marmara University, Istanbul, Turkey.
Marmara University · TRBezmiâlem Vakıf Üniversitesi · TRMaastricht University Medical Centre · NLYeditepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate whether circulating T cells including regulatory T cells (Treg) and derived cytokines contribute to the immune imbalance observed in schizophrenia.

methodsForty patients with schizophrenia and 40 age, sex, body mass index, education, and smoking status-matched healthy controls (HC) are included in the study. We stained cells with anti-CD14, anti-CD3, anti-CD4, anti-CD8, anti-CD19, anti-CD20, and anti-CD16/56. Peripheral blood mononuclear cells (PBMCs) were isolated and stained with the human FoxP3 kit containing anti-CD4/anti-CD25 and intracellular anti-Foxp3. PBMCs were cultured for 72 h and stimulated with anti-CD3/anti-CD28. Cytokines (IL-2, IL-4, IL-6, IL-10, IFN-γ, TNF-α, and IL-17A) were measured from the culture supernatant and plasma using the Th1/Th2/Th17 cytokine bead array kit.

resultsIn comparison with HC, Treg percentages in schizophrenia were higher (1.17 ± 0.63 vs 0.81 ± 0.53, P = 0.005) in unstimulated but lower in the stimulated condition (0.73 ± 0.69 vs 0.97 ± 0.55, P = 0.011). Activated T cell percentages were higher in schizophrenia than HC in unstimulated (2.22 ± 0.78 vs 1.64 ± 0.89, P = 0.001) and stimulated (2.25 ± 1.01 vs 1.72 ± 1.00, P = 0.010) conditions. The culture supernatant levels of IL-6 (7505.17 ± 5170.07 vs 1787.81 ± 1363.32, P < 0.001), IL-17A (191.73 ± 212.49 vs 46.43 ± 23.99, P < 0.001), TNF-α (1557 ± 1059.69 vs 426.57 ± 174.62, P = 0.023), and IFN-γ (3204.13 ± 1397.06 vs 447.79 ± 270.13, P < 0.001); and plasma levels of IL-6 (3.83 ± 3.41vs 1.89 ± 1.14, P = 0.003) and IL-17A (1.20 ± 0.84 vs 0.83 ± 0.53, P = 0.033) were higher in patients with schizophrenia than HC.

conclusionOur explorative study shows reduced level of Foxp3 expressing Treg in a stimulated condition with induced levels of proinflammatory cytokines in patients with schizophrenia.

Indexed as

AdultCross-Sectional StudiesFemaleHumansInflammation MediatorsInterleukin-10Interleukin-17Interleukin-2 Receptor alpha SubunitMaleMiddle AgedSchizophreniaT-Lymphocytes, RegulatoryTumor Necrosis Factor-alphaIL10 protein, humanIL17A protein, humanIL2RA protein, humanInflammation MediatorsInterleukin-10Interleukin-17Interleukin-2 Receptor alpha SubunitTumor Necrosis Factor-alphaAdaptive immunityFoxP3IL-17ARegulatory T cellSchizophreniaT cell

Identifiers

PMID32221694
OpenAlexW3013731225

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.