Fibroblast Growth Factor 9 as a Potential Biomarker for Schizophrenia

Preclinical and clinical studies have suggested that fibroblast growth factor (FGF) system contributed to the onset and development of schizophrenia (SCZ). However, there was no strong clinical evidence to link an individual FGF with SCZ. In this study, we aim to measure blood FGF9 levels in the pat...

Full description

Bibliographic Details
Main Authors: Xiao-Ling Li, Yun Yu, Yang Hu, Huan-Tong Wu, Xue-Song Li, Guang-Yang Chen, Yong Cheng
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.788677/full
_version_ 1828350745737428992
author Xiao-Ling Li
Xiao-Ling Li
Yun Yu
Yang Hu
Huan-Tong Wu
Xue-Song Li
Guang-Yang Chen
Yong Cheng
author_facet Xiao-Ling Li
Xiao-Ling Li
Yun Yu
Yang Hu
Huan-Tong Wu
Xue-Song Li
Guang-Yang Chen
Yong Cheng
author_sort Xiao-Ling Li
collection DOAJ
description Preclinical and clinical studies have suggested that fibroblast growth factor (FGF) system contributed to the onset and development of schizophrenia (SCZ). However, there was no strong clinical evidence to link an individual FGF with SCZ. In this study, we aim to measure blood FGF9 levels in the patients with SCZ with and/or without medication, and test whether FGF9 has a potential to be a biomarker for SCZ. We recruited 130 patients with SCZ and 111 healthy individuals, and the ELISA and qRT-PCR assays were used to measure serum FGF9 levels in the participants. ELISA assay demonstrated that serum FGF9 protein levels were dramatically reduced in first-episode, drug-free patients, but not in chronically medicated patients when compared to healthy control subjects. Further analysis showed that treatment of the first-episode, drug-free SCZ patients with antipsychotics for 8 weeks significantly increased the serum FGF9 levels. In addition, we found that blood FGF9 mRNA levels were significantly lower in first-onset SCZ patients than controls. Under the receiver operating characteristic curve, the optimal cutoff values for FGF9 protein level as an indicator for diagnosis of drug-free SCZ patients was projected to be 166.4 pg/ml, which yielded a sensitivity of 0.955 and specificity of 0.86, and the area under the curve was 0.973 (95% CI, 0.954-0.993). Furthermore, FGF9 had good performance to discriminate between drug-free SCZ patients and chronically medicated patients, the optimal cutoff value for FGF9 concentration was projected to be 165.035 pg/ml with a sensitivity of 0.86 and specificity of 0.919, and the AUC was 0.968 (95% CI, 0.944, 0.991). Taken together, our results for the first time demonstrated the dysregulation of FGF9 in SCZ, and FGF9 has the potential to be served as a biomarker for SCZ.
first_indexed 2024-04-14T01:29:38Z
format Article
id doaj.art-0a42cadcedf94a9088be4fbf2a80110a
institution Directory Open Access Journal
issn 1664-0640
language English
last_indexed 2024-04-14T01:29:38Z
publishDate 2022-04-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Psychiatry
spelling doaj.art-0a42cadcedf94a9088be4fbf2a80110a2022-12-22T02:20:13ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-04-011310.3389/fpsyt.2022.788677788677Fibroblast Growth Factor 9 as a Potential Biomarker for SchizophreniaXiao-Ling Li0Xiao-Ling Li1Yun Yu2Yang Hu3Huan-Tong Wu4Xue-Song Li5Guang-Yang Chen6Yong Cheng7The Third People’s Hospital of Foshan, Foshan, ChinaCenter on Translational Neuroscience, College of Life and Environmental Sciences, Minzu University of China, Beijing, ChinaCenter on Translational Neuroscience, College of Life and Environmental Sciences, Minzu University of China, Beijing, ChinaCenter on Translational Neuroscience, College of Life and Environmental Sciences, Minzu University of China, Beijing, ChinaCenter on Translational Neuroscience, College of Life and Environmental Sciences, Minzu University of China, Beijing, ChinaThe Third People’s Hospital of Foshan, Foshan, ChinaCenter on Translational Neuroscience, College of Life and Environmental Sciences, Minzu University of China, Beijing, ChinaCenter on Translational Neuroscience, College of Life and Environmental Sciences, Minzu University of China, Beijing, ChinaPreclinical and clinical studies have suggested that fibroblast growth factor (FGF) system contributed to the onset and development of schizophrenia (SCZ). However, there was no strong clinical evidence to link an individual FGF with SCZ. In this study, we aim to measure blood FGF9 levels in the patients with SCZ with and/or without medication, and test whether FGF9 has a potential to be a biomarker for SCZ. We recruited 130 patients with SCZ and 111 healthy individuals, and the ELISA and qRT-PCR assays were used to measure serum FGF9 levels in the participants. ELISA assay demonstrated that serum FGF9 protein levels were dramatically reduced in first-episode, drug-free patients, but not in chronically medicated patients when compared to healthy control subjects. Further analysis showed that treatment of the first-episode, drug-free SCZ patients with antipsychotics for 8 weeks significantly increased the serum FGF9 levels. In addition, we found that blood FGF9 mRNA levels were significantly lower in first-onset SCZ patients than controls. Under the receiver operating characteristic curve, the optimal cutoff values for FGF9 protein level as an indicator for diagnosis of drug-free SCZ patients was projected to be 166.4 pg/ml, which yielded a sensitivity of 0.955 and specificity of 0.86, and the area under the curve was 0.973 (95% CI, 0.954-0.993). Furthermore, FGF9 had good performance to discriminate between drug-free SCZ patients and chronically medicated patients, the optimal cutoff value for FGF9 concentration was projected to be 165.035 pg/ml with a sensitivity of 0.86 and specificity of 0.919, and the AUC was 0.968 (95% CI, 0.944, 0.991). Taken together, our results for the first time demonstrated the dysregulation of FGF9 in SCZ, and FGF9 has the potential to be served as a biomarker for SCZ.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.788677/fullfibroblast growth factor 9schizophreniaantipsychoticsbiomarkerfirst-episodedrug-free
spellingShingle Xiao-Ling Li
Xiao-Ling Li
Yun Yu
Yang Hu
Huan-Tong Wu
Xue-Song Li
Guang-Yang Chen
Yong Cheng
Fibroblast Growth Factor 9 as a Potential Biomarker for Schizophrenia
Frontiers in Psychiatry
fibroblast growth factor 9
schizophrenia
antipsychotics
biomarker
first-episode
drug-free
title Fibroblast Growth Factor 9 as a Potential Biomarker for Schizophrenia
title_full Fibroblast Growth Factor 9 as a Potential Biomarker for Schizophrenia
title_fullStr Fibroblast Growth Factor 9 as a Potential Biomarker for Schizophrenia
title_full_unstemmed Fibroblast Growth Factor 9 as a Potential Biomarker for Schizophrenia
title_short Fibroblast Growth Factor 9 as a Potential Biomarker for Schizophrenia
title_sort fibroblast growth factor 9 as a potential biomarker for schizophrenia
topic fibroblast growth factor 9
schizophrenia
antipsychotics
biomarker
first-episode
drug-free
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.788677/full
work_keys_str_mv AT xiaolingli fibroblastgrowthfactor9asapotentialbiomarkerforschizophrenia
AT xiaolingli fibroblastgrowthfactor9asapotentialbiomarkerforschizophrenia
AT yunyu fibroblastgrowthfactor9asapotentialbiomarkerforschizophrenia
AT yanghu fibroblastgrowthfactor9asapotentialbiomarkerforschizophrenia
AT huantongwu fibroblastgrowthfactor9asapotentialbiomarkerforschizophrenia
AT xuesongli fibroblastgrowthfactor9asapotentialbiomarkerforschizophrenia
AT guangyangchen fibroblastgrowthfactor9asapotentialbiomarkerforschizophrenia
AT yongcheng fibroblastgrowthfactor9asapotentialbiomarkerforschizophrenia