Cytokine alterations in CSF and serum samples of patients with a first episode of schizophrenia: results and methodological considerations

Eur Arch Psychiatry Clin Neurosci. 2023 Sep;273(6):1387-1393. doi: 10.1007/s00406-023-01569-y. Epub 2023 Feb 11.

Abstract

We determined cytokine levels in paired serum/CSF samples from first-episode schizophrenia (FES) participants (n = 20) and controls (n = 21) using a 13-plex immunoassay. Applying strictly-determined detection limits, 12 cytokines were found in serum and two in CSF. Higher serum MCP-1 levels (p = 0.007) were present in FES versus controls, which correlated with serum IgG (R = - 0.750; p = 0.013). Finally, IL-18 levels correlated with body weight in FES (R = 0.691; p = 0.041). This study demonstrates potential limitations in the sensitivity of multiplex cytokine assays for CSF studies in mental disorders and suggests that some published studies in this area should be re-evaluated.

Keywords: CSF; Cytokines; First-episode psychosis; Inflammation; Schizophrenia; Serum, cerebrospinal fluid.

MeSH terms

  • Cytokines*
  • Humans
  • Schizophrenia*

Substances

  • Cytokines