Interleukin-17 Alteration in First-Episode Psychosis: A Meta-Analysis.

Molecular Neuropsychiatry Pub Date : 2018-02-01 Epub Date: 2017-10-28 DOI:10.1159/000481661
Xinyu Fang, Yi Zhang, Weixing Fan, Wei Tang, Chen Zhang
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引用次数: 25

Abstract

Schizophrenia is accompanied with central nervous system and peripheral immune system imbalances. Interleukin-17 (IL-17) is implicated in various immune and inflammatory processes. Aberrant levels of IL-17 have been reported in patients with schizophrenia, whereas the results are not consistent. To clarify the relationship between IL-17 and schizophrenia, we performed a meta-analysis in this study. We carried out a structured literature search in PubMed and Embase database up to April 16, 2017, and retrieved all eligible case-control studies according to the inclusion criteria. Finally, a total of 313 patients with drug-naïve first-episode psychosis and 238 healthy control subjects from 5 studies were included in our meta-analysis. There were no significant differences between first-episode psychosis patients and healthy controls with respect to the levels of IL-17 (p = 0.21), even when we removed 2 studies which were not European samples (p = 0.12). Our findings suggested that IL-17 may not be involved in the pathological mechanism of schizophrenia.

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首发精神病患者白细胞介素-17的改变:一项荟萃分析。
精神分裂症伴有中枢神经系统和外周免疫系统失衡。白细胞介素-17 (IL-17)参与多种免疫和炎症过程。在精神分裂症患者中有异常水平的IL-17的报道,然而结果并不一致。为了阐明IL-17与精神分裂症之间的关系,我们在本研究中进行了荟萃分析。我们在截至2017年4月16日的PubMed和Embase数据库中进行了结构化文献检索,并根据纳入标准检索了所有符合条件的病例对照研究。最后,来自5项研究的313名drug-naïve首发精神病患者和238名健康对照者被纳入我们的荟萃分析。首发精神病患者与健康对照者在IL-17水平方面没有显著差异(p = 0.21),即使我们剔除了2项非欧洲样本的研究(p = 0.12)。我们的发现提示IL-17可能不参与精神分裂症的病理机制。
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