Evaluating the Hypothesis That Schizophrenia Is an Inflammatory Disorder
Brian J Miller1, David R Goldsmith1
1Department of Psychiatry and Health Behavior, Augusta University, Augusta, Georgia (Miller); Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta (Goldsmith).
Schizophrenia research suggests inflammation may play a role in this complex disorder. Further studies are needed to confirm if schizophrenia is an inflammatory condition and explore its potential as a treatment target.
Area of Science:
- Neuroscience
- Psychiatry
- Immunology
Background:
- Immune system abnormalities have been investigated in schizophrenia for decades.
- Schizophrenia is increasingly viewed as a potential inflammatory disorder.
Purpose of the Study:
- To review replicated findings on schizophrenia as an inflammatory disorder.
- To explore the role of inflammation in the illness course, psychopathology, and treatment of schizophrenia.
Main Methods:
- Selected review of existing studies.
- Emphasis on replicated findings.
- Summarization of evidence for inflammation, neuroimaging, and treatment response.
Main Results:
- Evidence suggests inflammation occurs throughout the course of schizophrenia.
- Relationships between inflammation and psychopathology are discussed.
- Neuroimaging studies of neuroinflammation are presented.
Conclusions:
- While not definitively proven, schizophrenia as an inflammatory disorder shows promise for understanding its etiopathophysiology.
- Inflammation may serve as a marker for treatment response and a potential treatment target.
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