Cycloid psychoses in the psychosis spectrum: evidence for biochemical differences with schizophrenia

Nora WA van de Kerkhof,1,2 Durk Fekkes,2,3 Frank MMA van der Heijden,1 Witte JG Hoogendijk,2 Gerald Stöber,4 Jos IM Egger,1,5,6 Willem MA Verhoeven1,2 1Vincent van Gogh Institute for Psychiatry, Centre of Excellence for Neuropsychiatry, Venray, 2Department of Psychiatry, 3Department of Cli...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: van de Kerkhof NW, Fekkes D, van der Heijden FM, Hoogendijk WJ, Stöber G, Egger JI, Verhoeven WM
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2016
Materias:
Acceso en línea:https://doaj.org/article/1e4de20cb8e6452f8038015d8fb4ca7a
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:1e4de20cb8e6452f8038015d8fb4ca7a
record_format dspace
spelling oai:doaj.org-article:1e4de20cb8e6452f8038015d8fb4ca7a2021-12-02T05:23:33ZCycloid psychoses in the psychosis spectrum: evidence for biochemical differences with schizophrenia1178-2021https://doaj.org/article/1e4de20cb8e6452f8038015d8fb4ca7a2016-08-01T00:00:00Zhttps://www.dovepress.com/cycloid-psychoses-in-the-psychosis-spectrum-evidence-for-biochemical-d-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Nora WA van de Kerkhof,1,2 Durk Fekkes,2,3 Frank MMA van der Heijden,1 Witte JG Hoogendijk,2 Gerald Stöber,4 Jos IM Egger,1,5,6 Willem MA Verhoeven1,2 1Vincent van Gogh Institute for Psychiatry, Centre of Excellence for Neuropsychiatry, Venray, 2Department of Psychiatry, 3Department of Clinical Chemistry, Erasmus University Medical Center, Rotterdam, The Netherlands; 4Department of Psychiatry, Psychosomatics and Psychotherapy, University of Würzburg, Würzburg, Germany; 5Behavioural Science Institute, 6Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, The Netherlands Abstract: Cycloid psychoses (CP) differ from schizophrenia regarding symptom profile, course, and prognosis and over many decades they were thought to be a separate entity within the psychosis spectrum. As to schizophrenia, research into the pathophysiology has focused on dopamine, brain-derived neurotrophic factor, and glutamate signaling in which, concerning the latter, the N-methyl-d-aspartate receptor plays a crucial role. The present study aims to determine whether CP can biochemically be delineated from schizophrenia. Eighty patients referred for psychotic disorders were assessed with the Comprehensive Assessment of Symptoms and History, and (both at inclusion and after 6 weeks of antipsychotic treatment) with the Positive and Negative Syndrome Scale and Clinical Global Impression. From 58 completers, 33 patients were diagnosed with schizophrenia and ten with CP according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, and Leonhard criteria, respectively. Fifteen patients were diagnosed with other disorders within the psychosis spectrum. At both time points, blood levels of the dopamine metabolite homovanillic acid, brain-derived neurotrophic factor, and amino acids related to glutamate neurotransmission were measured and compared with a matched control sample. Patients with CP showed a significantly better response to antipsychotic treatment as compared to patients with schizophrenia. In CP, glycine levels were elevated and tryptophan levels were lowered as compared to schizophrenia. Glutamate levels were increased in both patient groups as compared to controls. These results, showing marked differences in both treatment outcome and glutamate-related variable parameters, may point at better neuroplasticity in CP, necessitating demarcation of this subgroup within the psychosis spectrum. Keywords: cycloid psychoses, schizophrenia, glutamate, glycine, tryptophan, neuroplasticity van de Kerkhof NWFekkes Dvan der Heijden FMHoogendijk WJStöber GEgger JIVerhoeven WMDove Medical Pressarticlecycloid psychosesschizophreniaglutamateglycinetryptophanneuroplasticityNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2016, Iss Issue 1, Pp 1927-1933 (2016)
institution DOAJ
collection DOAJ
language EN
topic cycloid psychoses
schizophrenia
glutamate
glycine
tryptophan
neuroplasticity
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle cycloid psychoses
schizophrenia
glutamate
glycine
tryptophan
neuroplasticity
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
van de Kerkhof NW
Fekkes D
van der Heijden FM
Hoogendijk WJ
Stöber G
Egger JI
Verhoeven WM
Cycloid psychoses in the psychosis spectrum: evidence for biochemical differences with schizophrenia
description Nora WA van de Kerkhof,1,2 Durk Fekkes,2,3 Frank MMA van der Heijden,1 Witte JG Hoogendijk,2 Gerald Stöber,4 Jos IM Egger,1,5,6 Willem MA Verhoeven1,2 1Vincent van Gogh Institute for Psychiatry, Centre of Excellence for Neuropsychiatry, Venray, 2Department of Psychiatry, 3Department of Clinical Chemistry, Erasmus University Medical Center, Rotterdam, The Netherlands; 4Department of Psychiatry, Psychosomatics and Psychotherapy, University of Würzburg, Würzburg, Germany; 5Behavioural Science Institute, 6Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, The Netherlands Abstract: Cycloid psychoses (CP) differ from schizophrenia regarding symptom profile, course, and prognosis and over many decades they were thought to be a separate entity within the psychosis spectrum. As to schizophrenia, research into the pathophysiology has focused on dopamine, brain-derived neurotrophic factor, and glutamate signaling in which, concerning the latter, the N-methyl-d-aspartate receptor plays a crucial role. The present study aims to determine whether CP can biochemically be delineated from schizophrenia. Eighty patients referred for psychotic disorders were assessed with the Comprehensive Assessment of Symptoms and History, and (both at inclusion and after 6 weeks of antipsychotic treatment) with the Positive and Negative Syndrome Scale and Clinical Global Impression. From 58 completers, 33 patients were diagnosed with schizophrenia and ten with CP according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, and Leonhard criteria, respectively. Fifteen patients were diagnosed with other disorders within the psychosis spectrum. At both time points, blood levels of the dopamine metabolite homovanillic acid, brain-derived neurotrophic factor, and amino acids related to glutamate neurotransmission were measured and compared with a matched control sample. Patients with CP showed a significantly better response to antipsychotic treatment as compared to patients with schizophrenia. In CP, glycine levels were elevated and tryptophan levels were lowered as compared to schizophrenia. Glutamate levels were increased in both patient groups as compared to controls. These results, showing marked differences in both treatment outcome and glutamate-related variable parameters, may point at better neuroplasticity in CP, necessitating demarcation of this subgroup within the psychosis spectrum. Keywords: cycloid psychoses, schizophrenia, glutamate, glycine, tryptophan, neuroplasticity 
format article
author van de Kerkhof NW
Fekkes D
van der Heijden FM
Hoogendijk WJ
Stöber G
Egger JI
Verhoeven WM
author_facet van de Kerkhof NW
Fekkes D
van der Heijden FM
Hoogendijk WJ
Stöber G
Egger JI
Verhoeven WM
author_sort van de Kerkhof NW
title Cycloid psychoses in the psychosis spectrum: evidence for biochemical differences with schizophrenia
title_short Cycloid psychoses in the psychosis spectrum: evidence for biochemical differences with schizophrenia
title_full Cycloid psychoses in the psychosis spectrum: evidence for biochemical differences with schizophrenia
title_fullStr Cycloid psychoses in the psychosis spectrum: evidence for biochemical differences with schizophrenia
title_full_unstemmed Cycloid psychoses in the psychosis spectrum: evidence for biochemical differences with schizophrenia
title_sort cycloid psychoses in the psychosis spectrum: evidence for biochemical differences with schizophrenia
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/1e4de20cb8e6452f8038015d8fb4ca7a
work_keys_str_mv AT vandekerkhofnw cycloidpsychosesinthepsychosisspectrumevidenceforbiochemicaldifferenceswithschizophrenia
AT fekkesd cycloidpsychosesinthepsychosisspectrumevidenceforbiochemicaldifferenceswithschizophrenia
AT vanderheijdenfm cycloidpsychosesinthepsychosisspectrumevidenceforbiochemicaldifferenceswithschizophrenia
AT hoogendijkwj cycloidpsychosesinthepsychosisspectrumevidenceforbiochemicaldifferenceswithschizophrenia
AT stoberg cycloidpsychosesinthepsychosisspectrumevidenceforbiochemicaldifferenceswithschizophrenia
AT eggerji cycloidpsychosesinthepsychosisspectrumevidenceforbiochemicaldifferenceswithschizophrenia
AT verhoevenwm cycloidpsychosesinthepsychosisspectrumevidenceforbiochemicaldifferenceswithschizophrenia
_version_ 1718400397477937152