ArticleBrain, behavior, and immunity2026
Epigenetic C-reactive protein and corticolimbic gray matter volume in youth at clinical high risk for psychosis.
Article in Brain, behavior, and immunity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
aimsInflammation and structural brain alterations are implicated in psychosis risk, yet it remains unknown whether epigenetic C-reactive protein (CRP), a DNA methylation-based estimator of cumulative inflammatory burden, is associated with brain structure in youth at clinical high risk for psychosis (CHR-P).
methodsWe examined associations between epigenetic and plasma CRP, regional gray matter volume (GMV), and positive symptom severity in 165 participants (108 CHR-P, 57 healthy comparison [HC] participants) from the North American Prodrome Longitudinal Study Phase 2. Epigenetic CRP was derived from the Illumina 450K array; plasma CRP was quantified in a subset of 81 participants via multiplex immunoassay. GMVs of the medial prefrontal cortex, anterior cingulate cortex (ACC), and hippocampus were extracted from 3-Tesla MRI scans; positive symptoms were assessed with the Scale of Prodromal Symptoms.
resultsEpigenetic and plasma CRP were weakly correlated (r = 0.19). Higher epigenetic CRP was associated with lower GMV in several corticolimbic regions, including the left caudal ACC (cACC; β = - 0.08, p = 0.011), and lower cACC volume was associated with greater positive symptom severity (β = - 0.26, p = 0.001). Plasma CRP showed no significant associations in the primary combined-sample model.
conclusionsTo our knowledge, this study is the first to show that epigenetic CRP is associated with corticolimbic structural differences in CHR-P and HC youth. Epigenetic CRP may capture inflammation-related neurostructural variation relevant to psychosis risk.
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