Evidence map›Paper›PMID 34763685›Full record

ArticleBMC psychiatry2021

Relationship between TNF-α levels and psychiatric symptoms in first-episode drug-naïve patients with schizophrenia before and after risperidone treatment and in chronic patients.

Chen Lin, Ke Chen, Jianjin Yu, Wei Feng, Weihong Fu, Fude Yang, Xiangyang Zhang, Dachun Chen

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 18% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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  17. Inflammation, Dopaminergic Brain and Bilirubin.International journal of molecular sciences · 2023
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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 3 institutions in 2 countries.

Chen LinDepartment of Psychosomatic Medicine, Beijing HuiLongGuan Hospital, Peking University, Beijing, 100096, People's Republic of China.
Ke ChenBeijing HuiLongGuan Hospital, Peking University, Beijing, 100096, People's Republic of China.
Jianjin YuBeijing HuiLongGuan Hospital, Peking University, Beijing, 100096, People's Republic of China.
Wei FengBeijing HuiLongGuan Hospital, Peking University, Beijing, 100096, People's Republic of China.
Weihong FuBeijing HuiLongGuan Hospital, Peking University, Beijing, 100096, People's Republic of China.
Fude YangBeijing HuiLongGuan Hospital, Peking University, Beijing, 100096, People's Republic of China.
Xiangyang ZhangDepartment of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Dachun ChenBeijing HuiLongGuan Hospital, Peking University, Beijing, 100096, People's Republic of China. cdc_1963@163.com.
Beijing HuiLongGuan Hospital · CNPeking University · CNThe University of Texas Health Science Center at Houston · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe influence of antipsychotic drugs on tumor necrosis factor-α (TNF-α) levels is unclear, and there is no consensus on the association between TNF-α and psychotic symptoms. This study aimed to investigate the differences in TNF-α levels and clinical correlations in first-episode drug-naïve (FEDN) patients with schizophrenia before and after treatment and in chronic patients.

methodsA total of 103 (51 FEDN and 52 chronic) patients and 114 healthy controls were recruited. Demographic and clinical data, including TNF-α levels, were recorded. We used the Positive and Negative Syndrome Scale (PANSS) to measure the psychopathology of all patients.

resultsTNF-α levels before treatment were significantly higher in FEDN patients than in chronic patients and healthy controls. No significant sex differences were found in the TNF-α levels of patients with schizophrenia. The TNF-α levels before treatment were significantly positively related to changes in PANSS negative symptoms in FEDN patients. The TNF-α levels in chronic patients were significantly negatively correlated with the general psychopathology subscales and PANSS total scores.

conclusionsIncreased TNF-α levels in FEDN patients and their correlation with psychopathology indicate that inflammatory cytokines may play a crucial role in the etiopathogenesis of schizophrenia, and inflammation-directed therapy may, therefore, improve negative symptoms.

Indexed as

Antipsychotic AgentsPharmaceutical PreparationsSchizophreniaFemaleHumansMalePsychiatric Status Rating ScalesRisperidoneTumor Necrosis Factor-alphaAntipsychotic AgentsPharmaceutical PreparationsRisperidoneTumor Necrosis Factor-alphaInflammatory cytokinesPANSSSchizophreniaTNF-α

Identifiers

PMID34763685
PMCPMC8588730
OpenAlexW3212993497

What OpenQuestion holds

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LicenceCC BY
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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.