Plasma prevalence of anti-N-methyl-d-aspartate receptor IgG antibodies in early stages of psychosis

Cien Saude Colet. 2021 Mar;26(3):1085-1094. doi: 10.1590/1413-81232021263.07552019. Epub 2019 May 7.

Abstract

We investigated the feasibility of including plasma anti-NMDAR antibody screening in the assessment of first-episode psychosis patients in an early intervention programme in the Southern hemisphere. Anti-NMDAR IgG antibodies were assessed by ELISA in 166 patients (64.0% men), 166 matched population-based controls and 76 patients' siblings (30.3% men). Fisher's exact test and ANOVA were performed. Positive anti-NMDAR antibody patients were more often observed in bipolar disorder (10.0%) than schizophrenia (2.4%) or psychotic depression (3.1%), although no significant differences were observed. Our results are not conclusive regarding the inclusion of plasma anti-NMDAR IgG antibodies in differential diagnostic protocols for psychosis.

MeSH terms

  • Bipolar Disorder*
  • Female
  • Humans
  • Male
  • Prevalence
  • Psychotic Disorders* / epidemiology
  • Receptors, N-Methyl-D-Aspartate
  • Schizophrenia*

Substances

  • Receptors, N-Methyl-D-Aspartate