Variations to plasma H2O2 levels and TAC in chronical medicated and treatment-resistant male schizophrenia patients: Correlations with psychopathology

Abstract Accumulating evidence suggests that imbalanced oxidative stress (OS) may contribute to the mechanism of schizophrenia. The aim of the present study was to evaluate the associations of OS parameters with psychopathological symptoms in male chronically medicated schizophrenia (CMS) and treatm...

Full description

Bibliographic Details
Main Authors: Haidong Yang, Wenxi Sun, Man Yang, Jin Li, Jing Zhang, Xiaobin Zhang
Format: Article
Language:English
Published: Nature Portfolio 2024-04-01
Series:Schizophrenia
Online Access:https://doi.org/10.1038/s41537-024-00468-y
_version_ 1797209310488428544
author Haidong Yang
Wenxi Sun
Man Yang
Jin Li
Jing Zhang
Xiaobin Zhang
author_facet Haidong Yang
Wenxi Sun
Man Yang
Jin Li
Jing Zhang
Xiaobin Zhang
author_sort Haidong Yang
collection DOAJ
description Abstract Accumulating evidence suggests that imbalanced oxidative stress (OS) may contribute to the mechanism of schizophrenia. The aim of the present study was to evaluate the associations of OS parameters with psychopathological symptoms in male chronically medicated schizophrenia (CMS) and treatment-resistant schizophrenia (TRS) patients. Levels of hydrogen peroxide (H2O2), hydroxyl radical (·OH), peroxidase (POD), α-tocopherol (α-toc), total antioxidant capacity (TAC), matrix metalloproteinase-9 (MMP-9), and tissue inhibitor of metalloproteinases-1 (TIMP-1) were assayed in males with CMS and TRS, and matched healthy controls. Schizophrenia symptoms were assessed using the Positive and Negative Syndrome Scale (PANSS). The results demonstrated significant differences in the variables H2O2 (F = 5.068, p = 0.008), ·OH (F = 31.856, p < 0.001), POD (F = 14.043, p < 0.001), α-toc (F = 3.711, p = 0.027), TAC (F = 24.098, p < 0.001), and MMP-9 (F = 3.219, p = 0.043) between TRS and CMS patients and healthy controls. For TRS patients, H2O2 levels were correlated to the PANSS positive subscale (r = 0.386, p = 0.032) and smoking (r = −0,412, p = 0.021), while TAC was significantly negatively correlated to the PANSS total score (r = −0.578, p = 0.001) and POD and TAC levels were positively correlated to body mass index (r = 0.412 and 0.357, p = 0.021 and 0.049, respectively). For patients with CMS, ·OH levels and TAC were positively correlated to the PANSS general subscale (r = 0.308, p = 0.031) and negatively correlated to the PANSS total score (r = −0.543, p < 0.001). Furthermore, H2O2, α-toc, and ·OH may be protective factors against TRS, and POD was a risk factor. Patients with CMS and TRS exhibit an imbalance in OS, thus warranting future investigations.
first_indexed 2024-04-24T09:52:40Z
format Article
id doaj.art-e4e93ea585744849992ec1d0783a99ba
institution Directory Open Access Journal
issn 2754-6993
language English
last_indexed 2024-04-24T09:52:40Z
publishDate 2024-04-01
publisher Nature Portfolio
record_format Article
series Schizophrenia
spelling doaj.art-e4e93ea585744849992ec1d0783a99ba2024-04-14T11:19:17ZengNature PortfolioSchizophrenia2754-69932024-04-011011910.1038/s41537-024-00468-yVariations to plasma H2O2 levels and TAC in chronical medicated and treatment-resistant male schizophrenia patients: Correlations with psychopathologyHaidong Yang0Wenxi Sun1Man Yang2Jin Li3Jing Zhang4Xiaobin Zhang5Department of Psychiatry, The Fourth People’s Hospital of Lianyungang, The Affiliated KangDa College of Nanjing Medical UniversityInstitute of Mental Health, Suzhou Psychiatric Hospital, The Affiliated Guangji Hospital of Soochow UniversityDepartment of Psychiatry, The Fourth People’s Hospital of Lianyungang, The Affiliated KangDa College of Nanjing Medical UniversityInstitute of Mental Health, Suzhou Psychiatric Hospital, The Affiliated Guangji Hospital of Soochow UniversityDepartment of Psychiatry, The Fourth People’s Hospital of Lianyungang, The Affiliated KangDa College of Nanjing Medical UniversityInstitute of Mental Health, Suzhou Psychiatric Hospital, The Affiliated Guangji Hospital of Soochow UniversityAbstract Accumulating evidence suggests that imbalanced oxidative stress (OS) may contribute to the mechanism of schizophrenia. The aim of the present study was to evaluate the associations of OS parameters with psychopathological symptoms in male chronically medicated schizophrenia (CMS) and treatment-resistant schizophrenia (TRS) patients. Levels of hydrogen peroxide (H2O2), hydroxyl radical (·OH), peroxidase (POD), α-tocopherol (α-toc), total antioxidant capacity (TAC), matrix metalloproteinase-9 (MMP-9), and tissue inhibitor of metalloproteinases-1 (TIMP-1) were assayed in males with CMS and TRS, and matched healthy controls. Schizophrenia symptoms were assessed using the Positive and Negative Syndrome Scale (PANSS). The results demonstrated significant differences in the variables H2O2 (F = 5.068, p = 0.008), ·OH (F = 31.856, p < 0.001), POD (F = 14.043, p < 0.001), α-toc (F = 3.711, p = 0.027), TAC (F = 24.098, p < 0.001), and MMP-9 (F = 3.219, p = 0.043) between TRS and CMS patients and healthy controls. For TRS patients, H2O2 levels were correlated to the PANSS positive subscale (r = 0.386, p = 0.032) and smoking (r = −0,412, p = 0.021), while TAC was significantly negatively correlated to the PANSS total score (r = −0.578, p = 0.001) and POD and TAC levels were positively correlated to body mass index (r = 0.412 and 0.357, p = 0.021 and 0.049, respectively). For patients with CMS, ·OH levels and TAC were positively correlated to the PANSS general subscale (r = 0.308, p = 0.031) and negatively correlated to the PANSS total score (r = −0.543, p < 0.001). Furthermore, H2O2, α-toc, and ·OH may be protective factors against TRS, and POD was a risk factor. Patients with CMS and TRS exhibit an imbalance in OS, thus warranting future investigations.https://doi.org/10.1038/s41537-024-00468-y
spellingShingle Haidong Yang
Wenxi Sun
Man Yang
Jin Li
Jing Zhang
Xiaobin Zhang
Variations to plasma H2O2 levels and TAC in chronical medicated and treatment-resistant male schizophrenia patients: Correlations with psychopathology
Schizophrenia
title Variations to plasma H2O2 levels and TAC in chronical medicated and treatment-resistant male schizophrenia patients: Correlations with psychopathology
title_full Variations to plasma H2O2 levels and TAC in chronical medicated and treatment-resistant male schizophrenia patients: Correlations with psychopathology
title_fullStr Variations to plasma H2O2 levels and TAC in chronical medicated and treatment-resistant male schizophrenia patients: Correlations with psychopathology
title_full_unstemmed Variations to plasma H2O2 levels and TAC in chronical medicated and treatment-resistant male schizophrenia patients: Correlations with psychopathology
title_short Variations to plasma H2O2 levels and TAC in chronical medicated and treatment-resistant male schizophrenia patients: Correlations with psychopathology
title_sort variations to plasma h2o2 levels and tac in chronical medicated and treatment resistant male schizophrenia patients correlations with psychopathology
url https://doi.org/10.1038/s41537-024-00468-y
work_keys_str_mv AT haidongyang variationstoplasmah2o2levelsandtacinchronicalmedicatedandtreatmentresistantmaleschizophreniapatientscorrelationswithpsychopathology
AT wenxisun variationstoplasmah2o2levelsandtacinchronicalmedicatedandtreatmentresistantmaleschizophreniapatientscorrelationswithpsychopathology
AT manyang variationstoplasmah2o2levelsandtacinchronicalmedicatedandtreatmentresistantmaleschizophreniapatientscorrelationswithpsychopathology
AT jinli variationstoplasmah2o2levelsandtacinchronicalmedicatedandtreatmentresistantmaleschizophreniapatientscorrelationswithpsychopathology
AT jingzhang variationstoplasmah2o2levelsandtacinchronicalmedicatedandtreatmentresistantmaleschizophreniapatientscorrelationswithpsychopathology
AT xiaobinzhang variationstoplasmah2o2levelsandtacinchronicalmedicatedandtreatmentresistantmaleschizophreniapatientscorrelationswithpsychopathology