Pro/Antioxidant State as a Potential Biomarker of Schizophrenia

To allow better diagnosis and management of psychiatric illnesses, the use of easily accessible biomarkers are proposed. Therefore, recognition of some diseases by a set of related pathogenesis biomarkers is a promising approach. The study aims to assess the usefulness of examining oxidative stress...

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Main Authors: Dariusz Juchnowicz, Michał Dzikowski, Joanna Rog, Napoleon Waszkiewicz, Kaja Hanna Karakuła, Anna Zalewska, Mateusz Maciejczyk, Hanna Karakula-Juchnowicz
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/18/4156
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author Dariusz Juchnowicz
Michał Dzikowski
Joanna Rog
Napoleon Waszkiewicz
Kaja Hanna Karakuła
Anna Zalewska
Mateusz Maciejczyk
Hanna Karakula-Juchnowicz
author_facet Dariusz Juchnowicz
Michał Dzikowski
Joanna Rog
Napoleon Waszkiewicz
Kaja Hanna Karakuła
Anna Zalewska
Mateusz Maciejczyk
Hanna Karakula-Juchnowicz
author_sort Dariusz Juchnowicz
collection DOAJ
description To allow better diagnosis and management of psychiatric illnesses, the use of easily accessible biomarkers are proposed. Therefore, recognition of some diseases by a set of related pathogenesis biomarkers is a promising approach. The study aims to assess the usefulness of examining oxidative stress (OS) in schizophrenia as a potential biomarker of illness using the commonly used data mining decision tree method. The study group was comprised of 147 participants: 98 patients with schizophrenia (SZ group), and the control group (n = 49; HC). The patients with schizophrenia were divided into two groups: first-episode schizophrenia (n = 49; FS) and chronic schizophrenia (n = 49; CS). The assessment included the following biomarkers in sera of patients: catalase (CAT), glutathione peroxidase (GPx), superoxide dismutase-1 (SOD-1), glutathione reductase (GR), reduced glutathione (GSH), total antioxidant capacity (TAC), ferric reducing ability of plasma (FRAP), advanced glycation end products (AGEs), advanced oxidation protein products (AOPP), dityrosine (DITYR), kynurenine (KYN), N-formylkynurenine (NFK), tryptophan (TRY), total oxidant status (TOS), nitric oxide (NO) and total protein. Maximum accuracy (89.36%) for distinguishing SZ from HC was attained with TOS and GPx (cut-off points: 392.70 and 15.33). For differentiating between FS and CS, the most promising were KYN, AOPP, TAC and NO (100%; cut-off points: 721.20, 0.55, 64.76 and 2.59). To distinguish FS from HC, maximum accuracy was found for GSH and TOS (100%; cut-off points: 859.96 and 0.31), and in order to distinguish CS from HC, the most promising were GSH and TOS (100%; cut-off points: 0.26 and 343.28). Using redox biomarkers would be the most promising approach for discriminating patients with schizophrenia from healthy individuals and, in the future, could be used as an add-on marker to diagnose and/or respond to treatment.
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spelling doaj.art-e0959cc2602b47119a8f41d013eaad942023-11-22T13:40:22ZengMDPI AGJournal of Clinical Medicine2077-03832021-09-011018415610.3390/jcm10184156Pro/Antioxidant State as a Potential Biomarker of SchizophreniaDariusz Juchnowicz0Michał Dzikowski1Joanna Rog2Napoleon Waszkiewicz3Kaja Hanna Karakuła4Anna Zalewska5Mateusz Maciejczyk6Hanna Karakula-Juchnowicz7Department of Psychiatric Nursing, Medical University of Lublin, 20-124 Lublin, Poland1st Department of Psychiatry, Psychotherapy and Early Intervention, Medical University of Lublin, 20-439 Lublin, Poland1st Department of Psychiatry, Psychotherapy and Early Intervention, Medical University of Lublin, 20-439 Lublin, PolandDepartment of Psychiatry, Medical University of Bialystok, 16-070 Choroszcz, Poland1st Department of Psychiatry, Psychotherapy and Early Intervention, Medical University of Lublin, 20-439 Lublin, PolandExperimental Dentistry Laboratory and Department of Restorative Dentistry, Medical University of Bialystok, 15-437 Bialystok, PolandDepartment of Hygiene, Epidemiology and Ergonomics, Medical University of Bialystok, 15-089 Bialystok, Poland1st Department of Psychiatry, Psychotherapy and Early Intervention, Medical University of Lublin, 20-439 Lublin, PolandTo allow better diagnosis and management of psychiatric illnesses, the use of easily accessible biomarkers are proposed. Therefore, recognition of some diseases by a set of related pathogenesis biomarkers is a promising approach. The study aims to assess the usefulness of examining oxidative stress (OS) in schizophrenia as a potential biomarker of illness using the commonly used data mining decision tree method. The study group was comprised of 147 participants: 98 patients with schizophrenia (SZ group), and the control group (n = 49; HC). The patients with schizophrenia were divided into two groups: first-episode schizophrenia (n = 49; FS) and chronic schizophrenia (n = 49; CS). The assessment included the following biomarkers in sera of patients: catalase (CAT), glutathione peroxidase (GPx), superoxide dismutase-1 (SOD-1), glutathione reductase (GR), reduced glutathione (GSH), total antioxidant capacity (TAC), ferric reducing ability of plasma (FRAP), advanced glycation end products (AGEs), advanced oxidation protein products (AOPP), dityrosine (DITYR), kynurenine (KYN), N-formylkynurenine (NFK), tryptophan (TRY), total oxidant status (TOS), nitric oxide (NO) and total protein. Maximum accuracy (89.36%) for distinguishing SZ from HC was attained with TOS and GPx (cut-off points: 392.70 and 15.33). For differentiating between FS and CS, the most promising were KYN, AOPP, TAC and NO (100%; cut-off points: 721.20, 0.55, 64.76 and 2.59). To distinguish FS from HC, maximum accuracy was found for GSH and TOS (100%; cut-off points: 859.96 and 0.31), and in order to distinguish CS from HC, the most promising were GSH and TOS (100%; cut-off points: 0.26 and 343.28). Using redox biomarkers would be the most promising approach for discriminating patients with schizophrenia from healthy individuals and, in the future, could be used as an add-on marker to diagnose and/or respond to treatment.https://www.mdpi.com/2077-0383/10/18/4156biomarkersschizophreniaoxidative stressredox biomarkersdata mining
spellingShingle Dariusz Juchnowicz
Michał Dzikowski
Joanna Rog
Napoleon Waszkiewicz
Kaja Hanna Karakuła
Anna Zalewska
Mateusz Maciejczyk
Hanna Karakula-Juchnowicz
Pro/Antioxidant State as a Potential Biomarker of Schizophrenia
Journal of Clinical Medicine
biomarkers
schizophrenia
oxidative stress
redox biomarkers
data mining
title Pro/Antioxidant State as a Potential Biomarker of Schizophrenia
title_full Pro/Antioxidant State as a Potential Biomarker of Schizophrenia
title_fullStr Pro/Antioxidant State as a Potential Biomarker of Schizophrenia
title_full_unstemmed Pro/Antioxidant State as a Potential Biomarker of Schizophrenia
title_short Pro/Antioxidant State as a Potential Biomarker of Schizophrenia
title_sort pro antioxidant state as a potential biomarker of schizophrenia
topic biomarkers
schizophrenia
oxidative stress
redox biomarkers
data mining
url https://www.mdpi.com/2077-0383/10/18/4156
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AT michałdzikowski proantioxidantstateasapotentialbiomarkerofschizophrenia
AT joannarog proantioxidantstateasapotentialbiomarkerofschizophrenia
AT napoleonwaszkiewicz proantioxidantstateasapotentialbiomarkerofschizophrenia
AT kajahannakarakuła proantioxidantstateasapotentialbiomarkerofschizophrenia
AT annazalewska proantioxidantstateasapotentialbiomarkerofschizophrenia
AT mateuszmaciejczyk proantioxidantstateasapotentialbiomarkerofschizophrenia
AT hannakarakulajuchnowicz proantioxidantstateasapotentialbiomarkerofschizophrenia