Evidence map›Paper›PMID 37424013›Full record

ArticleBMC medicine2023

Transcriptional level of inflammation markers associates with short-term brain structural changes in first-episode schizophrenia.

Long-Biao Cui, Xian-Yang Wang, Yu-Fei Fu, Xiao-Fan Liu, Yongbin Wei, Shu-Wan Zhao, Yue-Wen Gu, Jing-Wen Fan, Wen-Jun Wu, Hengfen Gong and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Genome-Wide by Lifetime Environment Interaction Studies of Brain Imaging Phenotypes.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Frontiers in cellular and infection microbiology · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Childhood maltreatment influences adult brain structure through its effects on immune, metabolic, and psychosocial factors.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  17. Article
  18. Article
  19. 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

14 authors at 9 institutions in 2 countries.

Long-Biao Cui *Department of Radiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China. lbcui@fmmu.edu.cn.ORCID 0000-0002-0784-181X
Xian-Yang Wang *Schizophrenia Imaging Lab, Fourth Military Medical University, Xi'an, China.
Yu-Fei Fu *Schizophrenia Imaging Lab, Fourth Military Medical University, Xi'an, China.
Xiao-Fan Liu *Schizophrenia Imaging Lab, Fourth Military Medical University, Xi'an, China.
Yongbin WeiSchool of Artificial Intelligence, Beijing University of Posts and Telecommunications, Beijing, China.
Shu-Wan ZhaoSchizophrenia Imaging Lab, Fourth Military Medical University, Xi'an, China.
Yue-Wen GuDepartment of Radiology, The Second Medical Center, Chinese PLA General Hospital, Beijing, China.
Jing-Wen FanSchizophrenia Imaging Lab, Fourth Military Medical University, Xi'an, China.
Wen-Jun WuDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Hengfen GongSchool of Medicine, Shanghai Pudong New Area Mental Health Center, Tongji University, Shanghai, China.
Bochao Danae LinDepartment of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Centre, Maastricht, The Netherlands.
Hong YinDepartment of Radiology, Xi'an People's Hospital (Xi'an Fourth Hospital), Xi'an, China.
Fanglin GuanDepartment of Forensic Psychiatry, School of Medicine & Forensics, Xi'an Jiaotong University Health Science Center, Xi'an, China. fanglingguan@163.com.
Xiao ChangInstitute of Science and Technology for Brain-Inspired Intelligence, Fudan University, Shanghai, China. xchang@fudan.edu.cn.
Air Force Medical University · CNChinese PLA General Hospital · CNBeijing University of Posts and Telecommunications · CNFudan University · CNMaastricht University Medical Centre · NLTongji University · CNXi’an Children’s Hospital · CNXi'an Jiaotong University · CNXijing Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInflammation has been implicated in the pathology of schizophrenia and may cause neuronal cell death and dendrite loss. Neuroimaging studies have highlighted longitudinal brain structural changes in patients with schizophrenia, yet it is unclear whether this is related to inflammation. We aim to address this question, by relating brain structural changes with the transcriptional profile of inflammation markers in the early stage of schizophrenia.

methodsThirty-eight patients with first-episode schizophrenia and 51 healthy controls were included. High-resolution T1-weighted magnetic resonance imaging (MRI) and clinical assessments were performed at baseline and 2 ~ 6 months follow-up for all subjects. Changes in the brain structure were analyzed using surface-based morphological analysis and correlated with the expression of immune cells-related gene sets of interest reported by previous reviews. Transcriptional data were retrieved from the Allen Human Brain Atlas. Furthermore, we examined the brain structural changes and peripheral inflammation markers in association with behavioral symptoms and cognitive functioning in patients.

resultsPatients exhibited accelerated cortical thickness decrease in the left frontal cortices, less decrease or an increase in the superior parietal lobule and right lateral occipital lobe, and increased volume in the bilateral pallidum, compared with controls. Changes in cortical thickness correlated with the transcriptional level of monocyte across cortical regions in patients (r = 0.54, p < 0.01), but not in controls (r =  - 0.05, p = 0.76). In addition, cortical thickness change in the left superior parietal lobule positively correlated with changes in digital span-backward test scores in patients.

conclusionsPatients with schizophrenia exhibit regional-specific cortical thickness changes in the prefrontal and parietooccipital cortices, which is related to their cognitive impairment. Inflammation may be an important factor contributing to cortical thinning in first-episode schizophrenia. Our findings suggest that the immunity-brain-behavior association may play a crucial role in the pathogenesis of schizophrenia.

Indexed as

SchizophreniaBrainCerebral CortexCognitionHumansMagnetic Resonance ImagingBrain structureInflammationLongitudinal alterationsSchizophreniaTranscriptome

Identifiers

PMID37424013
PMCPMC10332052
OpenAlexW4383681920

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.