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Cognition and psychopathology in first-episode psychosis: are they related to inflammation?

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Title: Cognition and psychopathology in first-episode psychosis: are they related to inflammation?
Authors: Cabrera, B., Bioque, M., Penadés, R., González-Pinto, A., Parellada, M., Bobes, J., Lobo, A., García-Bueno, B., Leza, J. C., Bernardo, M.
Source: Psychological Medicine. Jul2016, Vol. 46 Issue 10, p2133-2144. 12p.
Subjects: Attention, Biomarkers, Cognition disorders, Neuropsychological tests, Memory, Prostaglandins, Pathological psychology, Psychoses, Regression analysis, Research funding, Case-control method, Executive function
Abstract: BackgroundCognitive deficits are present from the onset of psychosis and are considered a core feature of the disorder. Increasing evidence suggests that cognitive function is associated with inflammatory processes. This study evaluated the association between cognition and inflammatory biomarkers in first-episode psychosis (FEP), in order to identify cognitive phenotypes from inflammatory expression profiles.MethodA case-control study of 92 FEP patients and 80 matched controls was used. Neurocognitive assessment, including verbal ability, sustained attention, verbal memory, working memory and executive function, was performed. The expression of pro- and anti-inflammatory mediators of the main intracellular inflammatory pathway was measured in peripheral blood mononuclear cells and plasma.ResultsFEP patients performed worse in all cognitive domains compared to controls and had higher expression of pro-inflammatory mediators and lower expression of anti-inflammatory mediators. In the FEP group, cognition and psychopathology were associated with inflammation. Hierarchical regression analysis showed that association between the anti-inflammatory prostaglandin 15d-PGJ2 and sustained attention on one hand, and COX-2 expression and executive function on the other, were statistically significant.ConclusionsOur study provides evidence for an association between anti-inflammatory biomarkers and cognition in FEP. The identification of a subgroup of patients based on these measures could be useful to guide treatment programmes by providing tools to select a personalized treatment approach, but longitudinal studies are needed before. In the future, establishment of biomarkers linked to cognition would be useful to monitor the course of cognitive impairment, but substantially more data will be required. Determination of IκBα, the inhibitory protein of the pro-inflammatory transcription factor NFκB, could be useful in early phases to assess clinical severity. [ABSTRACT FROM PUBLISHER]
Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Cognition and psychopathology in first-episode psychosis: are they related to inflammation?
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  Data: <searchLink fieldCode="AR" term="%22Cabrera%2C+B%2E%22">Cabrera, B.</searchLink><br /><searchLink fieldCode="AR" term="%22Bioque%2C+M%2E%22">Bioque, M.</searchLink><br /><searchLink fieldCode="AR" term="%22Penadés%2C+R%2E%22">Penadés, R.</searchLink><br /><searchLink fieldCode="AR" term="%22González-Pinto%2C+A%2E%22">González-Pinto, A.</searchLink><br /><searchLink fieldCode="AR" term="%22Parellada%2C+M%2E%22">Parellada, M.</searchLink><br /><searchLink fieldCode="AR" term="%22Bobes%2C+J%2E%22">Bobes, J.</searchLink><br /><searchLink fieldCode="AR" term="%22Lobo%2C+A%2E%22">Lobo, A.</searchLink><br /><searchLink fieldCode="AR" term="%22García-Bueno%2C+B%2E%22">García-Bueno, B.</searchLink><br /><searchLink fieldCode="AR" term="%22Leza%2C+J%2E+C%2E%22">Leza, J. C.</searchLink><br /><searchLink fieldCode="AR" term="%22Bernardo%2C+M%2E%22">Bernardo, M.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psychological+Medicine%22">Psychological Medicine</searchLink>. Jul2016, Vol. 46 Issue 10, p2133-2144. 12p.
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  Data: BackgroundCognitive deficits are present from the onset of psychosis and are considered a core feature of the disorder. Increasing evidence suggests that cognitive function is associated with inflammatory processes. This study evaluated the association between cognition and inflammatory biomarkers in first-episode psychosis (FEP), in order to identify cognitive phenotypes from inflammatory expression profiles.MethodA case-control study of 92 FEP patients and 80 matched controls was used. Neurocognitive assessment, including verbal ability, sustained attention, verbal memory, working memory and executive function, was performed. The expression of pro- and anti-inflammatory mediators of the main intracellular inflammatory pathway was measured in peripheral blood mononuclear cells and plasma.ResultsFEP patients performed worse in all cognitive domains compared to controls and had higher expression of pro-inflammatory mediators and lower expression of anti-inflammatory mediators. In the FEP group, cognition and psychopathology were associated with inflammation. Hierarchical regression analysis showed that association between the anti-inflammatory prostaglandin 15d-PGJ2 and sustained attention on one hand, and COX-2 expression and executive function on the other, were statistically significant.ConclusionsOur study provides evidence for an association between anti-inflammatory biomarkers and cognition in FEP. The identification of a subgroup of patients based on these measures could be useful to guide treatment programmes by providing tools to select a personalized treatment approach, but longitudinal studies are needed before. In the future, establishment of biomarkers linked to cognition would be useful to monitor the course of cognitive impairment, but substantially more data will be required. Determination of IκBα, the inhibitory protein of the pro-inflammatory transcription factor NFκB, could be useful in early phases to assess clinical severity. [ABSTRACT FROM PUBLISHER]
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  Data: <i>Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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