Antibodies to Infectious Agents in Individuals with Recent
Onset Schizophrenia
F. Markus Leweke, Christoph W. Gerth, Dagmar Koeth, Joachim
Klosterkötter, Inna Ruslanova, Bogdana Kriovgorsky,
E. Fuller Torrey, Robert H. Yolken
Eur Arch Psychiatry Clin
Neurosci 254: 4-8, 2004
Abstract
We investigated the levels of
antibodies to infectious agents in the serum and cerebral spinal fluids (CSFs)
of individuals with recent onset schizophrenia and compared these levels to
those of controls without psychiatric disease. We found that untreated
individuals with recent onset schizophrenia had significantly increased levels
of serum and CSF IgG antibody to cytomegalovirus and Toxoplasma gondii as
compared to controls. The levels of serum IgM class antibodies to these
agents were not increased. Untreated individuals with recent onset
schizophrenia also had significantly lower levels of serum antibody to human
herpesvirus type 6 and varicella zoster virus as compared to controls.
Levels of antibodies to herpes simplex virus type1, herpes simplex virus type 2,
and Epstein Barr virus, did not differ from cases and controls.
We also found that treatment
status had a major effect on the levels of antibodies in this population.
Individuals who were receiving treatment had lower levels of antibodies to
cytomegalovirus and Toxoplasma gondii, and higher levels of serum
antibodies to human herpesvirus type 6 as compared to untreated individuals. The
level of antibodies to Toxoplasma and human herpesvirus type 6 measured in
treated individuals did not differ from levels measured in controls. In
the case of cytomegalovirus, the levels of CSF antibodies in treated individuals
did not differ than those of controls, while the level of serum IgG antibodies
to CMV remained slightly greater than controls in this population.
Our studies indicated that
untreated individuals with recent onset schizophrenia have altered levels of
antibodies to cytomegalovirus, Toxoplasma gondii, and human herpesvirus type 6
while the levels of these antibodies in treated individuals with recent onset
schizophrenia are similar to those of controls. These findings indicate
that infectious agents may play a role in the etiopathogenesis of some case of
schizophrenia.