Blood viscosity and inflammation in first-episode and acute exacerbations of schizophrenia: A case-control study with healthy controls

dc.authorid0000-0001-8521-1613
dc.contributor.authorBalcıoğlu, Yasin Hasan
dc.contributor.authorGökçay, Hasan
dc.contributor.authorYeşilkaya, Ümit Haluk
dc.contributor.authorNamlı, Mustafa Nuray
dc.date.accessioned2023-10-26T06:35:39Z
dc.date.available2023-10-26T06:35:39Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Rektörlük, Rejeneratif ve Restoratif Tıp Araştırmaları Merkezi (REMER)
dc.departmentİstanbul Medipol Üniversitesi, Rektörlük, Sağlık Bilim ve Teknolojileri Araştırma Enstitüsü
dc.description.abstractIntroduction: Elevated proinflammatory status and alterations in blood flow, both of which are associated with the pathophysiology of schizophrenia, may be linked with an increased risk of cardiovascular diseases. However, such a relationship at different acute stages of schizophrenia has not been evaluated. We aimed to examine whether blood viscosity and systemic inflammatory status varied between first-episode schizophrenia (FES) and acute exacerbations of schizophrenia. Methods: Fifty-two patients with FES, 69 schizophrenia patients with acute exacerbation (S-AE) and 56 healthy controls (HC) were included in the study. Whole blood viscosity (WBV) was calculated according to de Simone’s formula at low and high shear rates (LSR and HSR). Systemic immune-inflammation index (SII) and systemic inflammatory response index (SIRI) were calculated from hemogram screening data at admission. Results: When adjusted for age, WBV at both LSR and HSR were significantly decreased in both FES and S-AE groups compared to HCs. Systemic inflammatory response index was significantly higher in FES patients than in the S-AE and HC groups. Total cholesterol (TC) and WBV at HSR were correlated in patients. Total cholesterol predicted WBV at LSR in patients with FES whereas other independent variables including age and SIRI did not. Conclusion: Both first and subsequent episodes of schizophrenia are associated with reduced blood viscosity. Increased inflammatory status may not fully explain such a relationship. Extrapolation of hemorheological characteristics in schizophrenia may help to stratify cardiovascular risk and reflect the pathophysiological process in the early and later stages of schizophrenia.
dc.identifier.citationBalcıoğlu, Y. H., Gökçay, H., Yeşilkaya, Ü. H. ve Namlı, M. N. (2023). Blood viscosity and inflammation in first-episode and acute exacerbations of schizophrenia: A case-control study with healthy controls. Archives of Neuropsychiatry, 60(3), 265-270. https://dx.doi.org/10.29399/npa.28394
dc.identifier.doi10.29399/npa.28394
dc.identifier.endpage270
dc.identifier.issn1300-0667
dc.identifier.issn1309-4866
dc.identifier.issue3
dc.identifier.pmid37645085
dc.identifier.scopus2-s2.0-85168601173
dc.identifier.scopusqualityQ3
dc.identifier.startpage265
dc.identifier.urihttps://dx.doi.org/10.29399/npa.28394
dc.identifier.urihttps://hdl.handle.net/20.500.12511/11642
dc.identifier.volume60
dc.identifier.wos001055620100012en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorYeşilkaya, Ümit Haluk
dc.language.isoen
dc.publisherTurkish Neuropsychiatric Society
dc.relation.ispartofArchives of Neuropsychiatryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBlood Viscosity
dc.subjectCardiovascular Risk
dc.subjectFirst-Episode Schizophrenia
dc.subjectInflammation
dc.subjectSchizophrenia
dc.titleBlood viscosity and inflammation in first-episode and acute exacerbations of schizophrenia: A case-control study with healthy controls
dc.typeArticle

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