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Tian Y, Yang C, Liu L, Zhao X, Fan H, Xia L, Liu H. The associations of psychopathology and metabolic parameters with serum bilirubin levels in patients with acute-episode and drug-free schizophrenia: a 5-year retrospective study using an electronic medical record system. BMC Psychiatry 2024; 24:403. [PMID: 38811905 PMCID: PMC11138041 DOI: 10.1186/s12888-024-05862-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Accepted: 05/23/2024] [Indexed: 05/31/2024] Open
Abstract
BACKGROUND The oxidative system plays an important role in the pathogenesis of schizophrenia. Inconsistent associations were found between hyperbilirubinemia and psychopathology as well as glycolipid metabolism in patients with schizophrenia at different episodes. This current study aimed to examine these associations in patients with acute-episode and drug-free (AEDF) schizophrenia. METHODS This is a retrospective study using 5 years of data from May 2017 to May 2022 extracted from the electronic medical record system of Chaohu Hospital of Anhui Medical University. Healthy controls (HCs) from the local medical screening center during the same period were also included. Participants' data of the bilirubin levels [total bilirubin (TB), conjugated bilirubin (CB), unconjugated bilirubin (UCB)], glycolipid metabolic parameters and the score of the Brief Psychiatric Rating Scale (BPRS) were collected. RESULTS A total of 1468 case records were identified through the initial search. After screening, 89 AEDF patients and 100 HCs were included. Compared with HCs, patients had a higher CB level, and lower levels of glycolipid metabolic parameters excluding high density lipoprotein-cholesterol (HDL-C) (all P < 0.001). Binary logistic regression analyses revealed that high bilirubin levels in the patients were independently associated with higher total and resistance subscale scores of BPRS, a higher HDL-C level, and lower total cholesterol and triglyceride levels (all P < 0.05). CONCLUSION Bilirubin levels are elevated in patients with AEDF schizophrenia. Patients with high bilirubin levels have more severe psychopathology and relatively optimized glycolipid metabolism. In clinical practice, regular monitoring of bilirubin levels in this patient population should be carried out.
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Affiliation(s)
- Yinghan Tian
- Department of Psychiatry, Chaohu Hospital of Anhui Medical University, 64 Chaohu North Road, Hefei, 238000, Anhui Province, P. R. China
- Anhui Psychiatric Center, Anhui Medical University, Hefei, Anhui Province, P. R. China
- Department of Psychiatry, School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, Anhui Province, P. R. China
| | - Cheng Yang
- Department of Psychiatry, Chaohu Hospital of Anhui Medical University, 64 Chaohu North Road, Hefei, 238000, Anhui Province, P. R. China
- Anhui Psychiatric Center, Anhui Medical University, Hefei, Anhui Province, P. R. China
- Department of Psychiatry, School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, Anhui Province, P. R. China
| | - Lewei Liu
- Department of Psychiatry, Chaohu Hospital of Anhui Medical University, 64 Chaohu North Road, Hefei, 238000, Anhui Province, P. R. China
- Anhui Psychiatric Center, Anhui Medical University, Hefei, Anhui Province, P. R. China
- Department of Psychiatry, School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, Anhui Province, P. R. China
| | - Xin Zhao
- Department of Psychiatry, School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, Anhui Province, P. R. China
| | - Haojie Fan
- Department of Psychiatry, Chaohu Hospital of Anhui Medical University, 64 Chaohu North Road, Hefei, 238000, Anhui Province, P. R. China
- Anhui Psychiatric Center, Anhui Medical University, Hefei, Anhui Province, P. R. China
- Department of Psychiatry, School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, Anhui Province, P. R. China
| | - Lei Xia
- Department of Psychiatry, Chaohu Hospital of Anhui Medical University, 64 Chaohu North Road, Hefei, 238000, Anhui Province, P. R. China.
- Anhui Psychiatric Center, Anhui Medical University, Hefei, Anhui Province, P. R. China.
- Department of Psychiatry, School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, Anhui Province, P. R. China.
| | - Huanzhong Liu
- Department of Psychiatry, Chaohu Hospital of Anhui Medical University, 64 Chaohu North Road, Hefei, 238000, Anhui Province, P. R. China.
- Anhui Psychiatric Center, Anhui Medical University, Hefei, Anhui Province, P. R. China.
- Anhui Provincial Key Laboratory for Brain Bank Construction and Resource Utilization, Anhui Medical University, Hefei, Anhui Province, P. R. China.
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Zhang Y, Liu F, Zhang Y, Wang J, D’Andrea D, Walters JB, Li S, Yoon HJ, Wu M, Li S, Hu Z, Wang T, Choi J, Bailey K, Dempsey E, Zhao K, Lantsova A, Bouricha Y, Huang I, Guo H, Ni X, Wu Y, Lee G, Jiang F, Huang Y, Franz CK, Rogers JA. Self-powered, light-controlled, bioresorbable platforms for programmed drug delivery. Proc Natl Acad Sci U S A 2023; 120:e2217734120. [PMID: 36888661 PMCID: PMC10089205 DOI: 10.1073/pnas.2217734120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Accepted: 02/06/2023] [Indexed: 03/09/2023] Open
Abstract
Degradable polymer matrices and porous scaffolds provide powerful mechanisms for passive, sustained release of drugs relevant to the treatment of a broad range of diseases and conditions. Growing interest is in active control of pharmacokinetics tailored to the needs of the patient via programmable engineering platforms that include power sources, delivery mechanisms, communication hardware, and associated electronics, most typically in forms that require surgical extraction after a period of use. Here we report a light-controlled, self-powered technology that bypasses key disadvantages of these systems, in an overall design that is bioresorbable. Programmability relies on the use of an external light source to illuminate an implanted, wavelength-sensitive phototransistor to trigger a short circuit in an electrochemical cell structure that includes a metal gate valve as its anode. Consequent electrochemical corrosion eliminates the gate, thereby opening an underlying reservoir to release a dose of drugs by passive diffusion into surrounding tissue. A wavelength-division multiplexing strategy allows release to be programmed from any one or any arbitrary combination of a collection of reservoirs built into an integrated device. Studies of various bioresorbable electrode materials define the key considerations and guide optimized choices in designs. In vivo demonstrations of programmed release of lidocaine adjacent the sciatic nerves in rat models illustrate the functionality in the context of pain management, an essential aspect of patient care that could benefit from the results presented here.
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Affiliation(s)
- Yamin Zhang
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL60208
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL60208
| | - Fei Liu
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL60208
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL60208
- Department of Materials Science and Engineering, Northwestern University, Evanston, IL60208
| | - Yuhe Zhang
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL60208
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL60208
| | - Jin Wang
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL60208
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL60208
- Department of Materials Science and Engineering, Northwestern University, Evanston, IL60208
| | - Dominic D’Andrea
- Regenerative Neurorehabilitation Laboratory, Shirley Ryan Ability Lab, Chicago, IL60611
| | - Jordan B. Walters
- Regenerative Neurorehabilitation Laboratory, Shirley Ryan Ability Lab, Chicago, IL60611
| | - Shupeng Li
- Department of Mechanical Engineering, Northwestern University, Evanston, IL60208
| | - Hong-Joon Yoon
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL60208
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL60208
- Department of Electronic Engineering, Gachon University, Seongnam-si, Gyeonggi-do13120, Republic of Korea
| | - Mingzheng Wu
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL60208
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL60208
- Department of Neurobiology, Northwestern University, Evanston, IL60208
| | - Shuo Li
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL60208
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL60208
| | - Ziying Hu
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL60208
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL60208
| | - Tong Wang
- Department of Chemical and Biological Engineering, Northwestern University, Evanston, IL60208
| | - Junhwan Choi
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL60208
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL60208
- Department of Chemical Engineering, Dankook University, Yongin16890, Republic of Korea
| | | | - Elizabeth Dempsey
- Developmental Therapeutics Core, Northwestern University, Evanston, IL60208
| | - Kaiyu Zhao
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL60208
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL60208
- Department of Materials Science and Engineering, Northwestern University, Evanston, IL60208
| | - Anastasia Lantsova
- Department of Biomedical Engineering, Northwestern University, Evanston, IL60208
| | - Yasmine Bouricha
- Regenerative Neurorehabilitation Laboratory, Shirley Ryan Ability Lab, Chicago, IL60611
| | - Ivy Huang
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL60208
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL60208
- Department of Materials Science and Engineering, Northwestern University, Evanston, IL60208
| | - Hexia Guo
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL60208
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL60208
- Department of Materials Science and Engineering, Northwestern University, Evanston, IL60208
| | - Xinchen Ni
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL60208
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL60208
| | - Yunyun Wu
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL60208
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL60208
| | - Geumbee Lee
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL60208
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL60208
| | - Fuchang Jiang
- Department of Biomedical Engineering, Northwestern University, Evanston, IL60208
| | - Yonggang Huang
- Department of Mechanical Engineering, Northwestern University, Evanston, IL60208
| | - Colin K. Franz
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL60208
- Regenerative Neurorehabilitation Laboratory, Shirley Ryan Ability Lab, Chicago, IL60611
- Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL60611
- The Ken and Ruth Davee Department of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, IL60611
| | - John A. Rogers
- Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL60208
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL60208
- Department of Materials Science and Engineering, Northwestern University, Evanston, IL60208
- Department of Mechanical Engineering, Northwestern University, Evanston, IL60208
- Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL60611
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Wu YH, Hsieh HL. Roles of Heme Oxygenase-1 in Neuroinflammation and Brain Disorders. Antioxidants (Basel) 2022; 11:antiox11050923. [PMID: 35624787 PMCID: PMC9137505 DOI: 10.3390/antiox11050923] [Citation(s) in RCA: 23] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Revised: 05/03/2022] [Accepted: 05/06/2022] [Indexed: 12/25/2022] Open
Abstract
The heme oxygenase (HO) system is believed to be a crucial mechanism for the nervous system under stress conditions. HO degrades heme to carbon monoxide, iron, and biliverdin. These heme degradation products are involved in modulating cellular redox homeostasis. The first identified isoform of the HO system, HO-1, is an inducible protein that is highly expressed in peripheral organs and barely detectable in the brain under normal conditions, whereas HO-2 is a constitutive protein that is highly expressed in the brain. Several lines of evidence indicate that HO-1 dysregulation is associated with brain inflammation and neurodegeneration, including Parkinson’s and Alzheimer’s diseases. In this review, we summarize the essential roles that the HO system plays in ensuring brain health and the molecular mechanism through which HO-1 dysfunction leads to neurodegenerative diseases and disruption of nervous system homeostasis. We also provide a summary of the herbal medicines involved in the regulation of HO-1 expression and explore the current situation regarding herbal remedies and brain disorders.
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Affiliation(s)
- Yi-Hsuan Wu
- Research Center for Chinese Herbal Medicine, College of Human Ecology, Chang Gung University of Science and Technology, Taoyuan 333, Taiwan;
| | - Hsi-Lung Hsieh
- Research Center for Chinese Herbal Medicine, College of Human Ecology, Chang Gung University of Science and Technology, Taoyuan 333, Taiwan;
- Department of Nursing, Division of Basic Medical Sciences, Graduate Institute of Health Industry Technology, Chang Gung University of Science and Technology, Taoyuan 333, Taiwan
- Department of Neurology, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan
- Correspondence: ; Tel.: +886-3-211-8999 (ext. 5421)
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