Evidence map›Paper›PMID 36600620›Full record

Trial reportCurrent neuropharmacology2024

The Role of Total White Blood Cell Count in Antipsychotic Treatment for Patients with Schizophrenia.

Yamin Zhang, Shiwan Tao, Jeremy Coid, Wei Wei, Qiang Wang, Weihua Yue, Hao Yan, Liwen Tan, Qi Chen, Guigang Yang and 18 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Current neuropharmacology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

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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

28 authors at 14 institutions in 2 countries.

Yamin ZhangDepartment of Neurobiology and Affiliated Mental Health Center, Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Shiwan TaoMental Health Center and Psychiatric Laboratory, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Jeremy CoidMental Health Center and Psychiatric Laboratory, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Wei WeiDepartment of Neurobiology and Affiliated Mental Health Center, Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Qiang WangMental Health Center and Psychiatric Laboratory, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Weihua YuePeking University Sixth Hospital (Institute of Mental Health), Beijing, China.
Hao YanPeking University Sixth Hospital (Institute of Mental Health), Beijing, China.
Liwen TanSecond Xiangya Hospital, Central South University, Changsha, Hunan, China.
Qi ChenBeijing Anding Hospital, Beijing Institute for Brain Disorders, Capital Medical University, Beijing, China.
Guigang YangPeking University HuiLongGuan Clinical Medical School, Beijing HuiLongGuan Hospital, Beijing, China.
Tianlan LuPeking University Sixth Hospital (Institute of Mental Health), Beijing, China.
Lifang WangPeking University Sixth Hospital (Institute of Mental Health), Beijing, China.
Fuquan ZhangWuxi Mental Health Center, Nanjing Medical University, Wuxi, Jiangshu, China.
Jianli YangInstitute of Mental Health, Tianjin Anding Hospital, Tianjin, China.
Keqing LiHebei Mental Health Center, Baoding, Hebei, China.
Luxian LvSecond Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, China.
Qingrong TanDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, Xi'an, Shanxi, China.
Hongyan ZhangPeking University Sixth Hospital (Institute of Mental Health), Beijing, China.
Xin MaBeijing Anding Hospital, Beijing Institute for Brain Disorders, Capital Medical University, Beijing, China.
Fude YangPeking University HuiLongGuan Clinical Medical School, Beijing HuiLongGuan Hospital, Beijing, China.
Lingjiang LiSecond Xiangya Hospital, Central South University, Changsha, Hunan, China.
Chuanyue WangBeijing Anding Hospital, Beijing Institute for Brain Disorders, Capital Medical University, Beijing, China.
Liansheng ZhaoMental Health Center and Psychiatric Laboratory, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Wei DengDepartment of Neurobiology and Affiliated Mental Health Center, Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Wanjun GuoDepartment of Neurobiology and Affiliated Mental Health Center, Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Xiaohong MaMental Health Center and Psychiatric Laboratory, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Dai ZhangPeking University Sixth Hospital (Institute of Mental Health), Beijing, China.
Tao LiDepartment of Neurobiology and Affiliated Mental Health Center, Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Peking University Sixth Hospital · CNSichuan University · CNCapital Medical University · CNPeking University · CNZhejiang University · CNCentral South University · CNHangzhou Seventh Peoples Hospital · CNAir Force Medical University · CNHebei Mental Health Center · CNHenan Psychiatric Hospital · CNMinistry of Health · PLNanjing Medical University · CNTianjin Medical University General Hospital · CNWest China Hospital of Sichuan University · CN

Funding

Key R & D Program of Zhejiang 2022C03096National Natural Science Foundation of China 81920108018, 82001409Post-Doctor Research Project, West China Hospital, Sichuan University 2021HXBH037
6 · The paper itself

Abstract

backgroundTotal white blood cell count (TWBCc), an index of chronic and low-grade inflammation, is associated with clinical symptoms and metabolic alterations in patients with schizophrenia. The effect of antipsychotics on TWBCc, predictive values of TWBCc for drug response, and role of metabolic alterations require further study.

methodsPatients with schizophrenia were randomized to monotherapy with risperidone, olanzapine, quetiapine, aripiprazole, ziprasidone, perphenazine or haloperidol in a 6-week pharmacological trial. We repeatedly measured clinical symptoms, TWBCc, and metabolic measures (body mass index, blood pressure, waist circumference, fasting blood lipids and glucose). We used mixed-effect linear regression models to test whether TWBCc can predict drug response. Mediation analysis to investigate metabolic alteration effects on drug response.

resultsAt baseline, TWBCc was higher among patients previously medicated. After treatment with risperidone, olanzapine, quetiapine, perphenazine, and haloperidol, TWBCc decreased significantly (

conclusionTWBCc is affected by certain antipsychotics among patients with schizophrenia, with decreases observed following short-term, but increases following long-term treatment. TWBCc is predictive of drug response, with lower TWBCc predicting better responses to antipsychotics. It also mediates the effects of certain metabolic measures on improvement of negative symptoms. This indicates that the metabolic state may affect clinical manifestations through inflammation.

Indexed as

Antipsychotic AgentsSchizophreniaBenzodiazepinesGlucoseHaloperidolHumansInflammationOlanzapinePerphenazineQuetiapine FumarateRisperidoneAntipsychotic AgentsBenzodiazepinesGlucoseHaloperidolOlanzapinePerphenazineQuetiapine FumarateRisperidoneantipsychoticsdrug responseinflammationmetabolic alterations.Schizophreniawhite blood cell

Identifiers

PMID36600620
PMCPMC10716888
OpenAlexW4313543843

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.