Mitogen-stimulated interleukin-2 production in never-medicated, first-episode schizophrenic patients. The influence of age at onset and negative symptoms

Arch Gen Psychiatry. 1995 Aug;52(8):668-72. doi: 10.1001/archpsyc.1995.03950200058014.

Abstract

Background: Decreased interleukin-2 (IL-2) production is characteristic of active autoimmune diseases and has previously been reported in patients with schizophrenia. We attempted to replicate this finding in never-medicated schizophrenic patients and examine the possible correlation between IL-2 production and clinical variables.

Methods: The production of IL-2 was measured in equal numbers (N = 33) of DSM-III-R-diagnosed schizophrenic patients and controls who were matched for age, race, and gender. Patients were also assessed for positive, negative, and depressive symptoms.

Results: The production of IL-2 was significantly lower in patients than in controls. There was a significant positive correlation between IL-2 production and age at onset, and significant negative correlation between IL-2 production and negative symptom scores. In multivariate analyses, the predictive power was stronger for age at onset than for negative symptoms. Positive or depressive symptoms were unrelated to IL-2 production.

Conclusions: Our finding of low IL-2 production in neuroleptic-native schizophrenic patients confirms that this finding is not confounded by medications. The correlation of low IL-2 production with younger age at onset suggests that this may be a marker for a subtype of the illness or for severity.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acute Disease
  • Age of Onset
  • Biomarkers
  • Depressive Disorder / diagnosis
  • Depressive Disorder / immunology
  • Enzyme-Linked Immunosorbent Assay
  • Humans
  • Interleukin-2 / immunology*
  • Lymphocyte Activation / immunology
  • Mitogens*
  • Psychiatric Status Rating Scales
  • Schizophrenia / diagnosis*
  • Schizophrenia / immunology
  • Schizophrenic Psychology
  • Severity of Illness Index

Substances

  • Biomarkers
  • Interleukin-2
  • Mitogens