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Table 1 Overview of cytokine dysregulation in schizophrenia (key findings from the literature)

From: The role of infections and inflammation in schizophrenia: review of the evidence

Cytokine

Level in schizophrenia

Key findings

References

IL-6

Elevated

- Significantly increased in the first episode and chronic schizophrenia

- Linked to positive symptoms and cognitive impairment

- Higher levels associated with childhood psychosis and early life trauma

[113,114,115,116,117,118,119,120,121, 137, 138]

CRP

Elevated

- Increased in the first episode and chronic schizophrenia

- Linked to positive symptoms and cognitive impairment

[113,114,115, 121, 137]

IL-1β

Lower in the first episode, elevated in chronic

- Decreased in first episode psychosis

- Tended to increase during acute episodes and decrease with treatment

[116, 117]

TNF-α

Elevated

- Increased across schizophrenia, bipolar disorder, and depression

- May signal neuroinflammation

[128, 138]

sIL2R

Elevated

- Increased across schizophrenia, bipolar disorder, and depression

[128, 138]

IL-12

Elevated

- Increased in chronic schizophrenia

[128]

IL-1RA

Elevated

- Increased in acute schizophrenia, bipolar disorder, and depression

[138]

TGF-β

Elevated in acute psychosis

- Increased during acute psychotic episodes

[117]

INF-γ

Elevated

- Increased in chronic schizophrenia

[128]

IL-8

Elevated in CSF

- Higher levels in CSF of schizophrenia patients

[128]

BDNF

Decreased

- Reduced schizophrenia, linked to childhood trauma and IL-6

[120]

GSH

Decreased

- Lower in acute psychosis compared to controls

- Linked to oxidative stress

- Linked to negative symptoms

- Decreased gray matter volume

[127, 130]

Glx

Elevated in early stages

- Higher levels in young adults with acute symptoms

[134]

SOD

 

- Stable in acute psychosis

- Linked to positive symptoms

[127]

CAT

 

- Stable in acute psychosis

[127]

  1. BDNF brain-derived neurotrophic factor, CAT catalase, GSH glutathione, Glx glutamate-glutamine, IL interleukin, INF-γ interferon-gamma, SOD superoxide dismutase, TGF-β transforming growth factor-beta, TNF-α tumor necrosis factor-alpha