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Interleukin-17 Alteration in First-Episode Psychosis: A Meta-Analysis

机译:白细胞介素17改变在第一次发作的精神病:荟萃分析。

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摘要

Schizophrenia is accompanied with central nervous system and peripheral immune system imbalances. Interleukin-17 (IL-17) is implicated in various immune and inflammatory processes. Aberrant levels of IL-17 have been reported in patients with schizophrenia, whereas the results are not consistent. To clarify the relationship between IL-17 and schizophrenia, we performed a meta-analysis in this study. We carried out a structured literature search in PubMed and Embase database up to April 16, 2017, and retrieved all eligible case-control studies according to the inclusion criteria. Finally, a total of 313 patients with drug-naïve first-episode psychosis and 238 healthy control subjects from 5 studies were included in our meta-analysis. There were no significant differences between first-episode psychosis patients and healthy controls with respect to the levels of IL-17 (p = 0.21), even when we removed 2 studies which were not European samples (p = 0.12). Our findings suggested that IL-17 may not be involved in the pathological mechanism of schizophrenia.
机译:精神分裂症伴有中枢神经系统和外周免疫系统失衡。白介素17(IL-17)与多种免疫和炎症过程有关。据报道精神分裂症患者IL-17水平异常,但结果不一致。为了阐明IL-17与精神分裂症之间的关系,我们在这项研究中进行了荟萃分析。截至2017年4月16日,我们在PubMed和Embase数据库中进行了结构化文献检索,并根据纳入标准检索了所有符合条件的病例对照研究。最后,我们的荟萃分析包括来自5项研究的313例初次使用药物的首次发作性精神病患者和238例健康对照者。即使我们删除了两项非欧洲样本的研究(p = 0.12),首发精神病患者和健康对照组之间的IL-17水平也没有显着差异(p = 0.21)。我们的发现提示IL-17可能不参与精神分裂症的病理机制。

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