Peripheral inflammatory and metabolic markers as potential biomarkers in treatment-resistant schizophrenia: Insights from a Qatari Cohort

<p dir="ltr">Schizophrenia presents significant diagnostic and treatment challenges, particularly in distinguishing between treatment-resistant (TRS) and non-treatment-resistant schizophrenia (NTRS). This cross-sectional study analyzed routine laboratory parameters as potential bioma...

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التفاصيل البيبلوغرافية
المؤلف الرئيسي: Mohamed Adil Shah Khoodoruth (14589828) (author)
مؤلفون آخرون: Tarteel Hussain (21480143) (author), Sami Ouanes (9617363) (author), Nuzhah Widaad Chut-kai Khoodoruth (22282546) (author), Adel Hmissi (22282549) (author), Samuel L. Lachica (22282552) (author), Mustafa Nissar Bankur (22282555) (author), Abdul Waheed Khan (4835988) (author), Mohamad Samir Makki (22282558) (author), Yasser Saeed Khan (17191735) (author), James Currie (16079431) (author), Majid Alabdullah (17945051) (author), Farhan Mohammad (256409) (author)
منشور في: 2024
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author Mohamed Adil Shah Khoodoruth (14589828)
author2 Tarteel Hussain (21480143)
Sami Ouanes (9617363)
Nuzhah Widaad Chut-kai Khoodoruth (22282546)
Adel Hmissi (22282549)
Samuel L. Lachica (22282552)
Mustafa Nissar Bankur (22282555)
Abdul Waheed Khan (4835988)
Mohamad Samir Makki (22282558)
Yasser Saeed Khan (17191735)
James Currie (16079431)
Majid Alabdullah (17945051)
Farhan Mohammad (256409)
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author_facet Mohamed Adil Shah Khoodoruth (14589828)
Tarteel Hussain (21480143)
Sami Ouanes (9617363)
Nuzhah Widaad Chut-kai Khoodoruth (22282546)
Adel Hmissi (22282549)
Samuel L. Lachica (22282552)
Mustafa Nissar Bankur (22282555)
Abdul Waheed Khan (4835988)
Mohamad Samir Makki (22282558)
Yasser Saeed Khan (17191735)
James Currie (16079431)
Majid Alabdullah (17945051)
Farhan Mohammad (256409)
author_role author
dc.creator.none.fl_str_mv Mohamed Adil Shah Khoodoruth (14589828)
Tarteel Hussain (21480143)
Sami Ouanes (9617363)
Nuzhah Widaad Chut-kai Khoodoruth (22282546)
Adel Hmissi (22282549)
Samuel L. Lachica (22282552)
Mustafa Nissar Bankur (22282555)
Abdul Waheed Khan (4835988)
Mohamad Samir Makki (22282558)
Yasser Saeed Khan (17191735)
James Currie (16079431)
Majid Alabdullah (17945051)
Farhan Mohammad (256409)
dc.date.none.fl_str_mv 2024-12-06T12:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.psychres.2024.116307
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Peripheral_inflammatory_and_metabolic_markers_as_potential_biomarkers_in_treatment-resistant_schizophrenia_Insights_from_a_Qatari_Cohort/30173257
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biological sciences
Genetics
Biomedical and clinical sciences
Clinical sciences
Neurosciences
Health sciences
Health services and systems
Treatment resistant schizophrenia
Schizophrenia
Biomarkers
Inflammation
Clozapine
Machine learning
Qatar precision health institute-Qatar biobank
dc.title.none.fl_str_mv Peripheral inflammatory and metabolic markers as potential biomarkers in treatment-resistant schizophrenia: Insights from a Qatari Cohort
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">Schizophrenia presents significant diagnostic and treatment challenges, particularly in distinguishing between treatment-resistant (TRS) and non-treatment-resistant schizophrenia (NTRS). This cross-sectional study analyzed routine laboratory parameters as potential biomarkers to differentiate TRS, NTRS, and healthy individuals within a Qatari cohort. The study included 31 TRS and 38 NTRS patients diagnosed with schizophrenia, alongside 30 control subjects from the Qatar Biobank. Key measurements included complete blood count, lipid panel, HbA1c, and ferritin levels. Our findings indicated elevated body mass index (BMI) and triglyceride (TG) levels in both patient groups compared to controls. The NTRS group also showed higher HbA1c levels. Variations in inflammatory markers were noted, with the NTRS group exhibiting a higher platelet/lymphocyte ratio (PLR). Multivariate analysis highlighted significant differences in platelet count, mean platelet volume (MPV), TG, HbA1c, BMI, neutrophil/lymphocyte ratio (NLR), monocyte/lymphocyte ratio (MLR), and ferritin among the groups. Linear regression analysis revealed that MLR and clozapine treatment were significantly correlated with the severity of schizophrenia symptoms. The Random Forest model, a supervised machine learning algorithm, efficiently differentiated between cases and controls and between TRS and NTRS, with accuracies of 86.87 % and 88.41 %, respectively. However, removing <u>PANSS</u> scores notably decreased the model's diagnostic effectiveness. These results suggest that accessible peripheral laboratory parameters can serve as useful biomarkers for schizophrenia, potentially aiding in the early identification of TRS, enhancing personalized treatment strategies, and contributing to precision psychiatry. Future longitudinal studies are necessary to confirm these findings and further explore the role of inflammation in schizophrenia pathophysiology and treatment response.</p><h2>Other Information</h2><p dir="ltr">Published in: Psychiatry Research<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.psychres.2024.116307" target="_blank">https://dx.doi.org/10.1016/j.psychres.2024.116307</a></p>
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identifier_str_mv 10.1016/j.psychres.2024.116307
network_acronym_str Manara2
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spelling Peripheral inflammatory and metabolic markers as potential biomarkers in treatment-resistant schizophrenia: Insights from a Qatari CohortMohamed Adil Shah Khoodoruth (14589828)Tarteel Hussain (21480143)Sami Ouanes (9617363)Nuzhah Widaad Chut-kai Khoodoruth (22282546)Adel Hmissi (22282549)Samuel L. Lachica (22282552)Mustafa Nissar Bankur (22282555)Abdul Waheed Khan (4835988)Mohamad Samir Makki (22282558)Yasser Saeed Khan (17191735)James Currie (16079431)Majid Alabdullah (17945051)Farhan Mohammad (256409)Biological sciencesGeneticsBiomedical and clinical sciencesClinical sciencesNeurosciencesHealth sciencesHealth services and systemsTreatment resistant schizophreniaSchizophreniaBiomarkersInflammationClozapineMachine learningQatar precision health institute-Qatar biobank<p dir="ltr">Schizophrenia presents significant diagnostic and treatment challenges, particularly in distinguishing between treatment-resistant (TRS) and non-treatment-resistant schizophrenia (NTRS). This cross-sectional study analyzed routine laboratory parameters as potential biomarkers to differentiate TRS, NTRS, and healthy individuals within a Qatari cohort. The study included 31 TRS and 38 NTRS patients diagnosed with schizophrenia, alongside 30 control subjects from the Qatar Biobank. Key measurements included complete blood count, lipid panel, HbA1c, and ferritin levels. Our findings indicated elevated body mass index (BMI) and triglyceride (TG) levels in both patient groups compared to controls. The NTRS group also showed higher HbA1c levels. Variations in inflammatory markers were noted, with the NTRS group exhibiting a higher platelet/lymphocyte ratio (PLR). Multivariate analysis highlighted significant differences in platelet count, mean platelet volume (MPV), TG, HbA1c, BMI, neutrophil/lymphocyte ratio (NLR), monocyte/lymphocyte ratio (MLR), and ferritin among the groups. Linear regression analysis revealed that MLR and clozapine treatment were significantly correlated with the severity of schizophrenia symptoms. The Random Forest model, a supervised machine learning algorithm, efficiently differentiated between cases and controls and between TRS and NTRS, with accuracies of 86.87 % and 88.41 %, respectively. However, removing <u>PANSS</u> scores notably decreased the model's diagnostic effectiveness. These results suggest that accessible peripheral laboratory parameters can serve as useful biomarkers for schizophrenia, potentially aiding in the early identification of TRS, enhancing personalized treatment strategies, and contributing to precision psychiatry. Future longitudinal studies are necessary to confirm these findings and further explore the role of inflammation in schizophrenia pathophysiology and treatment response.</p><h2>Other Information</h2><p dir="ltr">Published in: Psychiatry Research<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.psychres.2024.116307" target="_blank">https://dx.doi.org/10.1016/j.psychres.2024.116307</a></p>2024-12-06T12:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.psychres.2024.116307https://figshare.com/articles/journal_contribution/Peripheral_inflammatory_and_metabolic_markers_as_potential_biomarkers_in_treatment-resistant_schizophrenia_Insights_from_a_Qatari_Cohort/30173257CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/301732572024-12-06T12:00:00Z
spellingShingle Peripheral inflammatory and metabolic markers as potential biomarkers in treatment-resistant schizophrenia: Insights from a Qatari Cohort
Mohamed Adil Shah Khoodoruth (14589828)
Biological sciences
Genetics
Biomedical and clinical sciences
Clinical sciences
Neurosciences
Health sciences
Health services and systems
Treatment resistant schizophrenia
Schizophrenia
Biomarkers
Inflammation
Clozapine
Machine learning
Qatar precision health institute-Qatar biobank
status_str publishedVersion
title Peripheral inflammatory and metabolic markers as potential biomarkers in treatment-resistant schizophrenia: Insights from a Qatari Cohort
title_full Peripheral inflammatory and metabolic markers as potential biomarkers in treatment-resistant schizophrenia: Insights from a Qatari Cohort
title_fullStr Peripheral inflammatory and metabolic markers as potential biomarkers in treatment-resistant schizophrenia: Insights from a Qatari Cohort
title_full_unstemmed Peripheral inflammatory and metabolic markers as potential biomarkers in treatment-resistant schizophrenia: Insights from a Qatari Cohort
title_short Peripheral inflammatory and metabolic markers as potential biomarkers in treatment-resistant schizophrenia: Insights from a Qatari Cohort
title_sort Peripheral inflammatory and metabolic markers as potential biomarkers in treatment-resistant schizophrenia: Insights from a Qatari Cohort
topic Biological sciences
Genetics
Biomedical and clinical sciences
Clinical sciences
Neurosciences
Health sciences
Health services and systems
Treatment resistant schizophrenia
Schizophrenia
Biomarkers
Inflammation
Clozapine
Machine learning
Qatar precision health institute-Qatar biobank