The association between cytokines and psychomotor speed in a spectrum of psychotic disorders: A longitudinal study

Background: In schizophrenia, impaired psychomotor speed is a common symptom predicting worse functional outcome. Inflammation causes changes in white matter integrity, which may lead to reduced psychomotor speed. Therefore, we wanted to investigate if peripheral inflammation assessed with cytokines...

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Autores principales: Jeanette Brun Larsen, Solveig Klæbo Reitan, Else-Marie Løberg, Maria Rettenbacher, Øystein Bruserud, Tor Ketil Larsen, Liss Anda, Christoffer Bartz-Johannessen, Erik Johnsen, Rune A. Kroken
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:c6c5e3082009452f9fa234d0ffc4bb042021-11-28T04:38:41ZThe association between cytokines and psychomotor speed in a spectrum of psychotic disorders: A longitudinal study2666-354610.1016/j.bbih.2021.100392https://doaj.org/article/c6c5e3082009452f9fa234d0ffc4bb042021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666354621001952https://doaj.org/toc/2666-3546Background: In schizophrenia, impaired psychomotor speed is a common symptom predicting worse functional outcome. Inflammation causes changes in white matter integrity, which may lead to reduced psychomotor speed. Therefore, we wanted to investigate if peripheral inflammation assessed with cytokines affected performance on psychomotor speed in patients with a spectrum of psychotic disorders. Methods: The current study is a prospective cohort study, including participants from a pragmatic, randomised controlled trial comparing three atypical antipsychotics in patients with a spectrum of psychotic disorders. For the purposes of this sub-study, we analysed drug treatment groups collectively. Psychomotor speed was assessed at baseline, and at weeks 6, 12, 26 and 52 of follow-up, using the neuropsychological tests trail making test (TMT) A and B, and symbol coding. Serum concentration of the following cytokines were measured: interleukin (IL)-β, IL-2, IL-4, IL-6, IL-10, IL12 p70, IL-17a, interferon (IFN)-γ and tumor necrosis factor (TNF)-α. Blood samples were collected at baseline and after 1, 3, 6, 12, 26, 39 and 52 weeks. We analysed the effect of cytokines levels on psychomotor speed over time in linear mixed effects models. Results: In our linear mixed effects models controlling for possible confounders, IFN-γ had a significant negative effect on TMT-A and symbol coding performance. None of the other tests for psychomotor speed were significantly associated with cytokines. Overall psychomotor speed performance increased significantly across the study period while cytokine levels remained stable. Conclusion: Our study indicates a negative association between IFN-γ and psychomotor speed, which might be of importance when understanding the mechanisms behind psychomotor deviations in psychotic disorders.Jeanette Brun LarsenSolveig Klæbo ReitanElse-Marie LøbergMaria RettenbacherØystein BruserudTor Ketil LarsenLiss AndaChristoffer Bartz-JohannessenErik JohnsenRune A. KrokenElsevierarticleCytokinesImmune markersInflammationSchizophreniaPsychomotor performancePsychomotor speedNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENBrain, Behavior, & Immunity - Health, Vol 18, Iss , Pp 100392- (2021)
institution DOAJ
collection DOAJ
language EN
topic Cytokines
Immune markers
Inflammation
Schizophrenia
Psychomotor performance
Psychomotor speed
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
spellingShingle Cytokines
Immune markers
Inflammation
Schizophrenia
Psychomotor performance
Psychomotor speed
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Jeanette Brun Larsen
Solveig Klæbo Reitan
Else-Marie Løberg
Maria Rettenbacher
Øystein Bruserud
Tor Ketil Larsen
Liss Anda
Christoffer Bartz-Johannessen
Erik Johnsen
Rune A. Kroken
The association between cytokines and psychomotor speed in a spectrum of psychotic disorders: A longitudinal study
description Background: In schizophrenia, impaired psychomotor speed is a common symptom predicting worse functional outcome. Inflammation causes changes in white matter integrity, which may lead to reduced psychomotor speed. Therefore, we wanted to investigate if peripheral inflammation assessed with cytokines affected performance on psychomotor speed in patients with a spectrum of psychotic disorders. Methods: The current study is a prospective cohort study, including participants from a pragmatic, randomised controlled trial comparing three atypical antipsychotics in patients with a spectrum of psychotic disorders. For the purposes of this sub-study, we analysed drug treatment groups collectively. Psychomotor speed was assessed at baseline, and at weeks 6, 12, 26 and 52 of follow-up, using the neuropsychological tests trail making test (TMT) A and B, and symbol coding. Serum concentration of the following cytokines were measured: interleukin (IL)-β, IL-2, IL-4, IL-6, IL-10, IL12 p70, IL-17a, interferon (IFN)-γ and tumor necrosis factor (TNF)-α. Blood samples were collected at baseline and after 1, 3, 6, 12, 26, 39 and 52 weeks. We analysed the effect of cytokines levels on psychomotor speed over time in linear mixed effects models. Results: In our linear mixed effects models controlling for possible confounders, IFN-γ had a significant negative effect on TMT-A and symbol coding performance. None of the other tests for psychomotor speed were significantly associated with cytokines. Overall psychomotor speed performance increased significantly across the study period while cytokine levels remained stable. Conclusion: Our study indicates a negative association between IFN-γ and psychomotor speed, which might be of importance when understanding the mechanisms behind psychomotor deviations in psychotic disorders.
format article
author Jeanette Brun Larsen
Solveig Klæbo Reitan
Else-Marie Løberg
Maria Rettenbacher
Øystein Bruserud
Tor Ketil Larsen
Liss Anda
Christoffer Bartz-Johannessen
Erik Johnsen
Rune A. Kroken
author_facet Jeanette Brun Larsen
Solveig Klæbo Reitan
Else-Marie Løberg
Maria Rettenbacher
Øystein Bruserud
Tor Ketil Larsen
Liss Anda
Christoffer Bartz-Johannessen
Erik Johnsen
Rune A. Kroken
author_sort Jeanette Brun Larsen
title The association between cytokines and psychomotor speed in a spectrum of psychotic disorders: A longitudinal study
title_short The association between cytokines and psychomotor speed in a spectrum of psychotic disorders: A longitudinal study
title_full The association between cytokines and psychomotor speed in a spectrum of psychotic disorders: A longitudinal study
title_fullStr The association between cytokines and psychomotor speed in a spectrum of psychotic disorders: A longitudinal study
title_full_unstemmed The association between cytokines and psychomotor speed in a spectrum of psychotic disorders: A longitudinal study
title_sort association between cytokines and psychomotor speed in a spectrum of psychotic disorders: a longitudinal study
publisher Elsevier
publishDate 2021
url https://doaj.org/article/c6c5e3082009452f9fa234d0ffc4bb04
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