{Reference Type}: Journal Article {Title}: Association of serum interleukin-6 with negative symptoms in stable early-onset schizophrenia. {Author}: Chen P;Yang HD;Wang JJ;Zhu ZH;Zhao HM;Yin XY;Cai Y;Zhu HL;Fu JL;Zhang XZ;Sun WX;Hui L;Zhang XB; {Journal}: World J Psychiatry {Volume}: 14 {Issue}: 6 {Year}: 2024 Jun 19 {Factor}: 3.5 {DOI}: 10.5498/wjp.v14.i6.794 {Abstract}: BACKGROUND: Accumulating evidence suggests that the inflammatory cytokine interleukin-6 (IL-6) contributes to the pathophysiology of psychiatric disorders. However, there was no study concerning the relationship between IL-6 concentrations and clinical features in the chronic phase of early-onset schizophrenia (EOS).
OBJECTIVE: To investigate the relationship between serum IL-6 concentration and the clinical features of EOS.
METHODS: We measured serum IL-6 Levels from 74 patients with chronic schizophrenia, including 33 with age at onset < 21 years (EOS group) and 41 with onset ≥ 21 years in [adult-onset schizophrenia (AOS) group], and from 41 healthy controls. Symptom severities were evaluated using the Positive and Negative Syndrome Scale (PANSS).
RESULTS: Serum IL-6 concentrations were higher in both EOS and AOS groups than healthy controls (F = 22.32, P < 0.01), but did not differ significantly between EOS and AOS groups (P > 0.05) after controlling for age, body mass index, and other covariates. Negative symptom scores were higher in the EOS group than the AOS group (F = 6.199, P = 0.015). Serum IL-6 concentrations in the EOS group were negatively correlated with both total PANSS-negative symptom score (r = -0.389, P = 0.032) and avolition/asociality subscore (r = -0.387, P = 0.026).
CONCLUSIONS: Patients with EOS may have more severe negative symptoms than those with adult-onset schizophrenia during the chronic phase of the illness. IL-6 signaling may regulate negative symptoms and its avolition/asociality subsymptoms among the early-onset chronic schizophrenic patients.