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Role of T helper lymphokines in the immune-inflammatory pathophysiology of schizophrenia: Systematic review and meta-analysis

机译:T辅助淋巴因子在精神分裂症免疫炎症病理生理中的作用:系统评价和荟萃分析

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Background: Schizophrenia is highly complex multifactorial psychiatric disorder with poorly defined etiopathophysiology, which also has manifestations in the immune system. Aims: The aim of this review is to meta-analyze the available evidence regarding the role of immune activation indicated by the T helper cells in order to evaluate etiopathophysiological links between the immune system and schizophrenia. Methods: A literature search was performed in multiple electronic databases for relevant research papers published between 1990 and May 2014. Meta-analyses were conducted under both random- (REM) and -fixed-effect models (PIN) by calculating weighted mean differences with 95% confidence intervals. Heterogeneity was assessed with the I-2 index. Results: Twenty-one studies were selected after observing inclusion and exclusion criteria. In vitro interferon-gamma (INF-gamma) and interieukin (IL)-2 production was significantly lower in the schizophrenic patients compared with non-schizophrenic control individuals under both FEM and REM. Serum levels of IL-2 and serum/in vitro IL-4 were not significantly different in both groups under both IFEM and REM. Overall Th1:Th2 ratio (INF-gamma:IL-4 and IL-2:IL-4) in the serum samples was significantly deflected towards Th2 under both models in the serum samples (-0.33 [-0.59 to -0.061; P<0.03, FEM and -2.44 [- 4.27 to -0.601; P< 0.009, REM) but in vitro production Thl:Th2 ratio (INF-gamma:IL-4 and IL-2:IL-4) was deflected towards Thi under both the models (1.11 [0.45-1.781; P< 0.002, FL and 6.68 [0.72 12.64]; P< 0.03, REM). Conclusions: Whereas theltil:Th2 ratio in the serum samples deflected towards T2, in vitro Thl:Th2 ratio favored Thi when the individual study data were meta-analyzed.
机译:背景:精神分裂症是高度复杂的多因素精神病,病因生理学定义不清,在免疫系统中也有表现。目的:本综述的目的是对有关T辅助细胞指示的免疫激活作用的现有证据进行荟萃分析,以评估免疫系统与精神分裂症之间的病因生理联系。方法:在多个电子数据库中对1990年至2014年5月之间发表的相关研究论文进行文献检索。通过随机加权(REM)和固定效应模型(PIN)进行荟萃分析,计算加权均数差异为95 % 置信区间。异质性用I-2指数评估。结果:在观察纳入和排除标准后选择了二十一项研究。在FEM和REM下,精神分裂症患者的体外干扰素-γ(INF-γ)和白细胞介素(IL)-2的产生显着低于非精神分裂症对照个体。在IFEM和REM下,两组的血清IL-2水平和血清/体外IL-4均无显着差异。在两种模型中,血清样品中的总Th1:Th2比率(INF-γ:IL-4和IL-2:IL-4)均显着偏向Th2(-0.33 [-0.59至-0.061; P < 0.03,FEM和-2.44 [-4.27至-0.601; P <0.009,REM),但在两种情况下,体外产生的Thl:Th2比值(INF-γ:IL-4和IL-2:IL-4)向Thi方向偏移。模型(1.11 [0.45-1.781; P <0.002,FL和6.68 [0.72 12.64]; P <0.03,REM)。结论:尽管血清样本中的泰尔:Th2比值偏向T2,但对个体研究数据进行荟萃分析时,体外Thl:Th2比值偏向Thi。

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