Hidalgo Borrajo, R., et al., Validity of maternal recall of obstetric complications in mothers of patients with schizophrenia spectrum disorders and their healthy siblings, Schizophr. Res. (2010), doi:10.1016/j.schres.2010.09.017

Difficulties during delivery, brain ventricle enlargement and cognitive impairment in first episode psychosis

BACKGROUND

Patients with a first episode of psychosis (FEP) display clinical, cognitive, and structural brain abnormalities at illness onset. Ventricular enlargement has been identified in schizophrenia since the initial development of neuroimaging techniques. Obstetric abnormalities have been associated with an increased risk of developing psychosis but also with cognitive impairment and brain structure abnormalities. Difficulties during delivery are associated with a higher risk of birth asphyxia leading to brain structural abnormalities, such as ventriculomegaly, which has been related to cognitive disturbances.

METHODS

We examined differences in ventricular size between 142 FEP patients and 123 healthy control participants using magnetic resonance imaging. Obstetric complications were evaluated using the Lewis-Murray scale. We examined the impact of obstetric difficulties during delivery on ventricle size as well as the possible relationship between ventricle size and cognitive impairment in both groups.

RESULTS

FEP patients displayed significantly larger third ventricle size compared with healthy controls. Third ventricle enlargement was associated with diagnosis (higher volume in patients), with difficulties during delivery (higher volume in subjects with difficulties), and was highest in patients with difficulties during delivery. Verbal memory was significantly associated with third ventricle to brain ratio.

CONCLUSIONS

Our results suggest that difficulties during delivery might be significant contributors to the ventricular enlargement historically described in schizophrenia. Thus, obstetric complications may contribute to the development of psychosis through changes in brain architecture.

Effects of defoliation and nitrogen on carbon dioxide (CO2) emissions and microbial communities in soils of cherry tree orchards

Background

In farmland, microbes in soils are affected by exogenous carbon, nitrogen, and soil depth and are responsible for soil organic carbon (SOC) mineralization. The cherry industry has been evolving rapidly in northwest China and emerged as a new source of income for local farmers to overcome poverty. Accordingly, it is highly imperative to probe the effect of defoliation and nitrogen addition on carbon dioxide (CO₂) emissions and microbial communities in soils of dryland cherry orchards.

Methods

CO₂ emissions and microbial communities were determined in soil samples at three depths, including 0-10 cm, 10-30 cm, and 30-60 cm, from a 15-year-old rain-fed cherry orchard. The samples were respectively incubated with or without 1% defoliation under three input levels of nitrogen (0 mg kg^-1, 90 mg kg^-1, and 135 mg kg^-1) at 25°C in the dark for 80 days.

Results

Defoliation and nitrogen addition affected CO₂ emissions and microbial communities and increased microbial biomass carbon (MBC), the activity of soil catalase, alkaline phosphatase, and cellulase in soils of the dryland cherry orchard. The culture with defoliation significantly promoted CO₂ emissions in soils at the three depths mainly by increasing the MBC, catalase, alkaline phosphatase, and cellulase activities, resulted in positive priming index. Nitrogen addition elevated the MBC and changed soil enzymes and reduced CO₂ emissions in soils at the three depths. Moreover, the priming index was higher in deep soils than in top and middle soils under the condition of defoliation and nitrogen addition. No significant differences were observed in the soil bacterial diversity (Chao1, Shannon, and Simpson) among all treatments. Meanwhile, the relative abundance of Proteobacteria was markedly increased and that of Acidobacteria was substantially diminished in soils at the three depths by defoliation and nitrogen addition. The results sustained that defoliation and nitrogen can regulate SOC dynamics by directly and indirectly affecting soil microbial activities and communities. As a result, the combination of defoliation return and nitrogen fertilization management is a promising strategy to increase SOC and promote soil quality in dryland cherry orchards.

The effect of early life events on glucose levels in first-episode psychosis

First episode of psychosis (FEP) patients display a wide variety of metabolic disturbances at onset, which might underlie these patients' increased morbidity and early mortality. Glycemic abnormalities have been previously related to pharmacological agents; however, recent research highlights the impact of early life events. Birth weight (BW), an indirect marker of the fetal environment, has been related to glucose abnormalities in the general population over time. We aim to evaluate if BW correlates with glucose values in a sample of FEP patients treated with different antipsychotics. Two hundred and thirty-six patients were included and evaluated for clinical and metabolic variables at baseline and at 2, 6, 12, and 24 months of follow-up. Pearson correlations and linear mixed model analysis were conducted to analyze the data. Antipsychotic treatment was grouped due to its metabolic risk profile. In our sample of FEP patients, BW was negatively correlated with glucose values at 24 months of follow-up [r=-0.167, p=0.037]. BW showed a trend towards significance in the association with glucose values over the 24-month period (F=3.22; p=0.073) despite other confounders such as age, time, sex, body mass index, antipsychotic type, and chlorpromazine dosage. This finding suggests that BW is involved in the evolution of glucose values over time in a cohort of patients with an FEP, independently of the type of pharmacological agent used in treatment. Our results highlight the importance of early life events in the later metabolic outcome of patients.

Obstetric Complications and Brain Imaging in Schizophrenia: A Systematic Review

Schizophrenia is a complex disorder in which clinical symptomatology typically reflects underlying brain abnormalities that coalign with multiple physical health comorbidities. The pathogenesis of schizophrenia involves the interplay between genetic and environmental factors, with obstetric complications widely described as key players in elevating the risk of psychosis. In this regard, understanding the anatomical and functional alterations associated with obstetric complications may help to elucidate potential mechanisms through which birth complications could contribute to schizophrenia pathogenesis. We conducted a systematic review of the extant literature describing brain abnormalities and obstetric complications in patients with schizophrenia and related disorders in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines. A total of 471 studies were retrieved and screened, and 33 studies met inclusion criteria for our review. Studies varied considerably in their methods, with 11 studies employing computed tomography, 1 using magnetic resonance spectroscopy, and 21 using magnetic resonance imaging. The scientific quality of the included studies was assessed and documented. Obstetric complications increase the risk of provoking brain abnormalities. These abnormalities range from decreased gray matter volume and abnormal brain-ventricle ratios to a reduction of volume in limbic regions-which relate to what is commonly observed in schizophrenia. However, current evidence from neuroimaging studies remains scant in relation to establishing obstetric complications as an independent risk factor for schizophrenia.