Evidence map›Paper›PMID 37816260›Full record

ArticleBrain : a journal of neurology2024

Extracellular vesicle biomarkers for complement dysfunction in schizophrenia.

Ting Xue, Wenxin Liu, Lijun Wang, Yuan Shi, Ying Hu, Jing Yang, Guiming Li, Hongna Huang, Donghong Cui

Open access · hybridAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
5.8field-weighted citation impact, top 3% 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, 38 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Observational
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Blood and neuronal extracellular vesicle mitochondrial disruptions in schizophrenia.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  16. Article
  17. Biomarkers of bipolar disorder in omics and neuroimaging.Journal of pharmaceutical analysis · 2025
    Review
  18. Review
  19. Review
  20. Review
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 1 country.

Ting XueShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 201108, China.ORCID 0000-0002-3650-6308
Wenxin LiuCollege of Life Sciences, Shanghai Normal University, Shanghai 200234, China.
Lijun WangShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 201108, China.
Yuan ShiShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 201108, China.
Ying HuShenzhi Department, Fourth Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China.
Jing YangDepartment of Hematology, Tongji Hospital, Frontier Science Center for Stem Cell Research, Shanghai Key Laboratory of Signaling and Disease Research, School of Life Sciences and Technology, Tongji University, Shanghai 200092, China.
Guiming LiDepartment of Hematology, Tongji Hospital, Frontier Science Center for Stem Cell Research, Shanghai Key Laboratory of Signaling and Disease Research, School of Life Sciences and Technology, Tongji University, Shanghai 200092, China.
Hongna HuangShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 201108, China.
Donghong CuiShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 201108, China.ORCID 0000-0001-6941-0997
Shanghai Jiao Tong University · CNTongji University · CNShanghai Normal University · CNXinjiang Medical University · CN

Funding

National Key R&D Program of China 2017YFC0909200National Natural Science Foundation of China 82271539Shanghai Municipal Health Commission Clinical Specialization in Health Industry 20214Y0057Shanghai Natural Science Foundation 21ZR1455300Shanghai Sailing Program 17YF141630
6 · The paper itself

Abstract

Schizophrenia, a complex neuropsychiatric disorder, frequently experiences a high rate of misdiagnosis due to subjective symptom assessment. Consequently, there is an urgent need for innovative and objective diagnostic tools. In this study, we used cutting-edge extracellular vesicles' (EVs) proteome profiling and XGBoost-based machine learning to develop new markers and personalized discrimination scores for schizophrenia diagnosis and prediction of treatment response. We analysed plasma and plasma-derived EVs from 343 participants, including 100 individuals with chronic schizophrenia, 34 first-episode and drug-naïve patients, 35 individuals with bipolar disorder, 25 individuals with major depressive disorder and 149 age- and sex-matched healthy controls. Our innovative approach uncovered EVs-based complement changes in patients, specific to their disease-type and status. The EV-based biomarkers outperformed their plasma counterparts, accurately distinguishing schizophrenia individuals from healthy controls with an area under curve (AUC) of 0.895, 83.5% accuracy, 85.3% sensitivity and 82.0% specificity. Moreover, they effectively differentiated schizophrenia from bipolar disorder and major depressive disorder, with AUCs of 0.966 and 0.893, respectively. The personalized discrimination scores provided a personalized diagnostic index for schizophrenia and exhibited a significant association with patients' antipsychotic treatment response in the follow-up cohort. Overall, our study represents a significant advancement in the field of neuropsychiatric disorders, demonstrating the potential of EV-based biomarkers in guiding personalized diagnosis and treatment of schizophrenia.

Indexed as

Antipsychotic AgentsExtracellular VesiclesMajor Depressive DisorderSchizophreniaBiomarkersComplement System ProteinsHumansAntipsychotic AgentsBiomarkersComplement System Proteinsantipsychotic responseextracellular vesiclemachine learningproteomicsschizophrenia

Identifiers

PMID37816260
PMCPMC10907082
OpenAlexW4387485080

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.