Inflammation in individuals with schizophrenia - Implications for neurocognition and daily function

Brain Behav Immun. 2018 Nov:74:296-299. doi: 10.1016/j.bbi.2018.09.016. Epub 2018 Sep 12.

Abstract

Individuals with schizophrenia display substantial deficits in neurocognition, resulting in poor daily functioning and disability. Recent reports have suggested that neurocognitive dysfunction in this population is linked to increased inflammation. However, there is paucity of evidence supporting this link, as well as lack of information about the putative link of inflammation to daily functioning. We examined neurocognition (MCCB) and daily functioning (SLOF), as well as inflammatory markers (TNF-α, IL-6, IL-1β, and IL-12p70) in 41 individuals with schizophrenia. Poor neurocognition was significantly associated with increased peripheral TNF-α and IL-12p70 (r = -0.44 and r = -0.38, respectively, controlling for BMI, depression and antipsychotic medication). Notably, difficulties with daily functioning were significantly associated with increased peripheral TNF-α (r = -0.51) and a trend with increased IL-12p70. Our findings support previous hypotheses linking neurocognitive impairment to increased inflammation in individuals with schizophrenia. Our results extend these associations in this population, linking inflammation to poor daily functioning in this population.

Keywords: Cognition; Daily functioning; IL-12-p70; IL-1β; IL-6; Inflammation; Neurocognition; Schizophrenia; TNF-α.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Activities of Daily Living / psychology*
  • Adult
  • Antipsychotic Agents
  • Cognition / physiology*
  • Cognition Disorders / psychology
  • Female
  • Humans
  • Inflammation / complications
  • Inflammation / metabolism
  • Inflammation / physiopathology
  • Interleukin-12 / metabolism
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Psychiatric Status Rating Scales
  • Schizophrenia / immunology*
  • Schizophrenia / physiopathology
  • Schizophrenic Psychology
  • Tumor Necrosis Factor-alpha / metabolism

Substances

  • Antipsychotic Agents
  • Tumor Necrosis Factor-alpha
  • Interleukin-12