MicroRNAs and pro-inflammatory cytokines as candidate biomarkers for recent-onset psychosis

Ali Reza Shafiee-Kandjani1, Negin Nezhadettehad1, Sara Farhang2,3

  • 1Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

BMC Psychiatry
|August 29, 2023
PubMed
Abstract

Insights

MicroRNA-26a may serve as an early biomarker for schizophrenia, showing elevated levels in patients with recent-onset psychosis. Further research is encouraged to understand the complex interplay between microRNAs and pro-inflammatory cytokines in psychotic disorders.

Area of Science:

  • Psychiatry
  • Immunology
  • Genetics

Background:

  • Immune system alterations, including microRNAs (miRNAs) and pro-inflammatory cytokines, are implicated in schizophrenia spectrum disorders.
  • Specific miRNAs (miRNA-26a, miRNA-106a, miRNA-125b) and cytokines (IL-6, IL-1β, TNF-α) were investigated in an Iranian Azeri population.

Purpose of the Study:

  • To evaluate serum expression of selected miRNAs and pro-inflammatory cytokines in patients with recent-onset non-affective psychosis.
  • To identify potential genetic and inflammatory biomarkers for early-stage schizophrenia.

Main Methods:

  • Quantitative real-time PCR (RT-qPCR) for miRNA expression.
  • Enzyme-linked immunosorbent assay (ELISA) for cytokine levels.
  • Statistical analysis including t-test, ROC analysis, and Spearman correlation.

Main Results:

  • Patients exhibited significantly higher levels of IL-6, IL-1β, TNF-α, miR-26a, and miR-106a compared to healthy controls.
  • miR-26a demonstrated a statistically significant elevation (p < .003) and high diagnostic accuracy (AUC = 0.84) for early-stage schizophrenia.
  • No substantial association was found between the expression levels of the studied miRNAs and the measured cytokines.

Conclusions:

  • miR-26a shows promise as a suggestive biomarker for early-stage schizophrenia.
  • Further research is warranted to elucidate the relationship between other miRNAs and cytokines in psychotic disorders.