Quinolinic acid is associated with cognitive deficits in schizophrenia but not major depressive disorder

Abstract Tryptophan and its catabolites (TRYCATs) have been suggested to link peripheral immune system activation and central neurotransmitter abnormalities with relevance to the etio-pathophysiology of schizophrenia (SZ) and major depressive disorder (MDD). The relationship to different psychopatho...

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Main Authors: Flurin Cathomas, Karoline Guetter, Erich Seifritz, Federica Klaus, Stefan Kaiser
Format: Article
Language:English
Published: Nature Portfolio 2021-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-89335-9
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author Flurin Cathomas
Karoline Guetter
Erich Seifritz
Federica Klaus
Stefan Kaiser
author_facet Flurin Cathomas
Karoline Guetter
Erich Seifritz
Federica Klaus
Stefan Kaiser
author_sort Flurin Cathomas
collection DOAJ
description Abstract Tryptophan and its catabolites (TRYCATs) have been suggested to link peripheral immune system activation and central neurotransmitter abnormalities with relevance to the etio-pathophysiology of schizophrenia (SZ) and major depressive disorder (MDD). The relationship to different psychopathological dimensions within these disorders however remains to be elucidated. We thus investigated potential group differences of tryptophan, kynurenine, kynurenic acid, 3-hydroxy kynurenine and quinolinic acid in the plasma of 19 healthy controls (HC), 45 patients with SZ and 43 patients with MDD and correlated plasma proteins with the “motivation and pleasure” dimension and cognition. After correcting for the covariates age, sex, body mass index, smoking and medication, patients with MDD showed lower kynurenine and 3-hydroxy kynurenine levels compared to HC. Quinolinic acid correlated negatively with composite cognitive score in patients with SZ, indicating that more severe cognitive impairments were associated with increased plasma levels of quinolinic acid. No correlations were found in patients with MDD. These results indicate that MDD and SZ are associated with dysregulation of the kynurenine pathway. Quinolinic acid might be specifically implicated in the pathophysiology of cognitive deficits in patients with SZ. Further studies are needed to determine whether TRYCATs are causally involved in the etiology of these neuropsychiatric disorders.
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spelling doaj.art-1776a6e286cd4af58010460e1f044ff12022-12-21T19:10:53ZengNature PortfolioScientific Reports2045-23222021-05-0111111010.1038/s41598-021-89335-9Quinolinic acid is associated with cognitive deficits in schizophrenia but not major depressive disorderFlurin Cathomas0Karoline Guetter1Erich Seifritz2Federica Klaus3Stefan Kaiser4Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of ZurichDepartment of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of ZurichDepartment of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of ZurichDepartment of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of ZurichDivision of Adult Psychiatry, Department of Psychiatry, Geneva University HospitalsAbstract Tryptophan and its catabolites (TRYCATs) have been suggested to link peripheral immune system activation and central neurotransmitter abnormalities with relevance to the etio-pathophysiology of schizophrenia (SZ) and major depressive disorder (MDD). The relationship to different psychopathological dimensions within these disorders however remains to be elucidated. We thus investigated potential group differences of tryptophan, kynurenine, kynurenic acid, 3-hydroxy kynurenine and quinolinic acid in the plasma of 19 healthy controls (HC), 45 patients with SZ and 43 patients with MDD and correlated plasma proteins with the “motivation and pleasure” dimension and cognition. After correcting for the covariates age, sex, body mass index, smoking and medication, patients with MDD showed lower kynurenine and 3-hydroxy kynurenine levels compared to HC. Quinolinic acid correlated negatively with composite cognitive score in patients with SZ, indicating that more severe cognitive impairments were associated with increased plasma levels of quinolinic acid. No correlations were found in patients with MDD. These results indicate that MDD and SZ are associated with dysregulation of the kynurenine pathway. Quinolinic acid might be specifically implicated in the pathophysiology of cognitive deficits in patients with SZ. Further studies are needed to determine whether TRYCATs are causally involved in the etiology of these neuropsychiatric disorders.https://doi.org/10.1038/s41598-021-89335-9
spellingShingle Flurin Cathomas
Karoline Guetter
Erich Seifritz
Federica Klaus
Stefan Kaiser
Quinolinic acid is associated with cognitive deficits in schizophrenia but not major depressive disorder
Scientific Reports
title Quinolinic acid is associated with cognitive deficits in schizophrenia but not major depressive disorder
title_full Quinolinic acid is associated with cognitive deficits in schizophrenia but not major depressive disorder
title_fullStr Quinolinic acid is associated with cognitive deficits in schizophrenia but not major depressive disorder
title_full_unstemmed Quinolinic acid is associated with cognitive deficits in schizophrenia but not major depressive disorder
title_short Quinolinic acid is associated with cognitive deficits in schizophrenia but not major depressive disorder
title_sort quinolinic acid is associated with cognitive deficits in schizophrenia but not major depressive disorder
url https://doi.org/10.1038/s41598-021-89335-9
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