Assessment of intestinal barrier integrity and associations with innate immune activation and metabolic syndrome in acutely ill, antipsychotic-free schizophrenia patients
Our findings suggest separable gut‑related processes in antipsychotic-free Sz. The apparent LBP elevation was not schizophrenia‑specific; its strong correlations with CRP and neutrophils point to smoking related inflammation rather than a schizophrenia specific effect. Accordingly, prior findings of LBP elevations in Sz likely reflect unaccounted smoking. In contrast, reduced I-FABP, independent of smoking, may indicate epithelial injury. The absent correlation between LBP and I-FABP highlights distinct pathophysiological dimensions of gut dysfunction. Longitudinal studies, ideally spanning prodromal phases and integrating microbiome, dietary, smoking, and permeability assessments, are needed to clarify temporal dynamics and guide stratified treatments.
Authors
- Johann Steiner (ORCID: https://orcid.org/0000-0002-2611-2268)
- Katrin Borucki (ORCID: https://orcid.org/0000-0003-3648-2657)
- Kaushiki Mukherjee
- Paul C. Guest (ORCID: https://orcid.org/0000-0002-5030-7137)
- Alexander Link (ORCID: https://orcid.org/0000-0002-9514-4562)
- Thomas Nickl‐Jockschat (ORCID: https://orcid.org/0000-0003-2616-6503)
- Hans‐Gert Bernstein (ORCID: https://orcid.org/0000-0002-2594-1689)
- Borna Relja (ORCID: https://orcid.org/0000-0002-5625-8823)
- Gabriela Meyer-Lotz (ORCID: https://orcid.org/0000-0002-9555-879X)
- Henrik Dobrowolny (ORCID: https://orcid.org/0000-0003-3393-3037)
- Kolja Schiltz (ORCID: https://orcid.org/0000-0003-3788-3241)
- Markus Nußbaumer
- Leon Dudeck (ORCID: https://orcid.org/0009-0006-0428-6757)
- Leila Shokati Asl
Institutions
- University of Iowa (US)
- Universidade Estadual de Campinas (UNICAMP) (BR)
- Universität Ulm (DE)
- Center for Behavioral Brain Sciences (DE)
- University Hospital Magdeburg (DE)
- Ludwig-Maximilians-Universität München (DE)
- Otto-von-Guericke-Universität Magdeburg (DE)
Publication Details
- Journal
- Journal of Neuroinflammation
- Published
- 2025-10-13
- DOI
- https://doi.org/10.1186/s12974-025-03584-3
- Primary Topic
- Gut microbiota and health
- Type
- article
- Field-Weighted Citation Impact
- 0.00