Evidence map›Paper›PMID 37723153›Full record

ArticleTranslational psychiatry2023

Network analysis of inflammation and symptoms in recent onset schizophrenia and the influence of minocycline during a clinical trial.

Sarah E Herniman, Stephen J Wood, Golam Khandaker, Paola Dazzan, Carmine M Pariante, Nicholas M Barnes, Carl R Krynicki, Naghmeh Nikkheslat, Rachel C Vincent, Alex Roberts and 12 more

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. 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

22 authors at 10 institutions in 2 countries.

Sarah E HernimanOrygen, Melbourne, Australia. sarah.herniman@unimelb.edu.au.ORCID http://orcid.org/0000-0002-0547-3814
Stephen J WoodOrygen, Melbourne, Australia.
Golam KhandakerMRC Integrative Epidemiology Unit, Bristol Medical School, University of Bristol, Bristol, UK.
Paola DazzanDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, London, UK.ORCID http://orcid.org/0000-0002-8427-3617
Carmine M ParianteStress, Psychiatry and Immunology Lab & Perinatal Psychiatry, The Maurice Wohl Clinical Neuroscience Institute, King's College London, London, UK.ORCID http://orcid.org/0000-0002-9132-5091
Nicholas M BarnesInstitute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Carl R KrynickiInstitute for Mental Health and Centre for Human Brain Health, University of Birmingham, Birmingham, UK.
Naghmeh NikkheslatStress, Psychiatry and Immunology Lab & Perinatal Psychiatry, The Maurice Wohl Clinical Neuroscience Institute, King's College London, London, UK.
Rachel C VincentInstitute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Alex RobertsInstitute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Annalisa GiordanoDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
Andrew WatsonThe Department of Clinical and Motor Neurosciences, UCL Institute of Neurology, London, UK.
John SucklingBrain Mapping Unit, Department of Psychiatry, Herchel Smith Building for Brain and Mind Sciences, Cambridge, UK.ORCID http://orcid.org/0000-0002-5098-1527
Thomas R E BarnesImperial College London, Division of Psychiatry, London, UK.ORCID http://orcid.org/0000-0002-2324-656X
Nusrat HusainLancashire & South Cumbria NHS Foundation Trust, London, UK.
Peter B JonesBrain Mapping Unit, Department of Psychiatry, Herchel Smith Building for Brain and Mind Sciences, Cambridge, UK.ORCID http://orcid.org/0000-0002-0387-880X
Eileen JoyceThe Department of Clinical and Motor Neurosciences, UCL Institute of Neurology, London, UK.ORCID http://orcid.org/0000-0003-0469-2844
Stephen M LawrieDivision of Psychiatry, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0002-2444-5675
Shôn LewisDivision of Psychology and Mental Health, University of Manchester, Manchester, UK.
Bill DeakinDivision of Psychology and Mental Health, University of Manchester, Manchester, UK.ORCID http://orcid.org/0000-0002-2750-962X
Rachel UpthegroveInstitute for Mental Health and Centre for Human Brain Health, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0001-8204-5103
BeneMin Study Team
University of Birmingham · GBUniversity of Manchester · GBCentre for Mental Health · GBKing's College London · GBThe University of Melbourne · AUUniversity College London · GBWellcome Centre for Human Neuroimaging · GBAvon and Wiltshire Mental Health Partnership NHS Trust · GBImperial College London · GBUniversity of Edinburgh · GB

Funding

Department of HealthMedical Research Council MC_PC_11003Medical Research Council MR/S037675/1
6 · The paper itself

Abstract

Attempts to delineate an immune subtype of schizophrenia have not yet led to the clear identification of potential treatment targets. An unbiased informatic approach at the level of individual immune cytokines and symptoms may reveal organisational structures underlying heterogeneity in schizophrenia, and potential for future therapies. The aim was to determine the network and relative influence of pro- and anti-inflammatory cytokines on depressive, positive, and negative symptoms. We further aimed to determine the effect of exposure to minocycline or placebo for 6 months on cytokine-symptom network connectivity and structure. Network analysis was applied to baseline and 6-month data from the large multi-center BeneMin trial of minocycline (N = 207) in schizophrenia. Pro-inflammatory cytokines IL-6, TNF-α, and IFN-γ had the greatest influence in the inflammatory network and were associated with depressive symptoms and suspiciousness at baseline. At 6 months, the placebo group network connectivity was 57% stronger than the minocycline group, due to significantly greater influence of TNF-α, early wakening, and pathological guilt. IL-6 and its downstream impact on TNF-α, and IFN-γ, could offer novel targets for treatment if offered at the relevant phenotypic profile including those with depression. Future targeted experimental studies of immune-based therapies are now needed.

Indexed as

SchizophreniaCytokinesHumansInflammationInterleukin-6MinocyclineTumor Necrosis Factor-alphaCytokinesInterleukin-6MinocyclineTumor Necrosis Factor-alpha

Identifiers

PMID37723153
PMCPMC10507090
OpenAlexW4386823570

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.