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Related Concept Videos

Depressive Disorders: Etiology01:27

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Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
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Schizophrenia is a neurodevelopmental disorder whose origins are rooted in complex genetic components. Despite our burgeoning understanding, the pathophysiology of this disorder remains incompletely deciphered.
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Multivariate Brain-Blood Signatures in Early-Stage Depression and Psychosis.

David Popovic1,2, Clara Weyer2,3, Dominic B Dwyer4

  • 1Max Planck Institute of Psychiatry, Munich, Germany.

JAMA Psychiatry
|December 17, 2025
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Summary
This summary is machine-generated.

Early-stage depression and psychosis show distinct inflammation and brain volume patterns. These neurobiological signatures, influenced by trauma and cognition, may guide new interventions for mood and psychotic disorders.

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Immunology

Background:

  • Inflammation is increasingly recognized as a factor in mood and psychotic disorders.
  • Integrating blood biomarkers and brain imaging offers a path to understanding disease mechanisms and developing targeted treatments.

Purpose of the Study:

  • To identify shared and distinct multivariate patterns of peripheral inflammation and gray matter volume (GMV) in early-stage depressive and psychotic disorders.
  • Utilize a transdiagnostic machine learning approach to analyze these patterns.

Main Methods:

  • The PRONIA study analyzed data from 678 participants (recent-onset depression, psychosis, clinical high-risk for psychosis, and healthy controls).
  • Sparse partial least squares identified brain-blood signatures, correlating peripheral inflammation markers (cytokines, BDNF, S100B) with GMV using structural MRI.
  • Support vector machine classification assessed psychosocial and neurocognitive predictors of these signatures.

Main Results:

  • Four distinct signatures were identified. A psychosis signature linked elevated IL-6/TNF-α and reduced CRP with GMV changes in corticothalamic circuits.
  • A depression signature showed elevated IL-1β/IL-2/IL-4/S100B/BDNF and reduced GMV in limbic regions.
  • Psychosocial factors, particularly childhood trauma, predicted both depression and psychosis signatures, while cognitive performance predicted only the psychosis signature.

Conclusions:

  • Early-stage depression and psychosis present unique neurobiological profiles involving immune and neuroanatomical markers.
  • These findings challenge fully dimensional models of these disorders.
  • The identified signatures, influenced by childhood trauma and cognition, hold potential for developing biologically informed early interventions.