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Neuromelanin accumulation in patients with schizophrenia: A systematic review and meta-analysis. | LitMetric

Neuromelanin accumulation in patients with schizophrenia: A systematic review and meta-analysis.

Neurosci Biobehav Rev

Brain Health Imaging Centre, Centre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada; Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada; Campbell Family Mental Health Research Institute, CAMH, Toronto, Ontario, Canada. Electronic address:

Published: January 2022

AI Article Synopsis

  • Schizophrenia is linked to higher dopamine function in the striatum, but its relationship with neuromelanin levels, a potential biomarker for dopamine neuron activity, is unclear.
  • A systematic review and meta-analysis of 7 studies (5 using MRI and 2 postmortem) found that patients with schizophrenia had significantly higher neuromelanin levels in the substantia nigra compared to healthy controls.
  • The findings suggest that increased neuromelanin might serve as a biomarker for distinguishing schizophrenia, highlighting the need for further research considering the disorder's complexity.

Article Abstract

Although schizophrenia is associated with increased presynaptic dopamine function in the striatum, it remains unclear if neuromelanin levels, which are thought to serve as a biomarker for midbrain dopamine neuron function, are increased in patients with schizophrenia. We conducted a systematic review and meta-analysis of magnetic resonance imaging (MRI) and postmortem studies comparing neuromelanin (NM) levels between patients with schizophrenia and healthy controls (HCs). Standard mean differences were calculated to assess group differences in NM accumulation levels between patients with schizophrenia and HCs. This study included 7 articles in total. Five studies employed NM-sensitive MRI (NM-MRI) and two were postmortem brain studies. The patient group (n = 163) showed higher NM levels in the substantia nigra (SN) than HCs (n = 228) in both the analysis of the seven studies and the subgroup analysis of the 5 NM-MRI studies. This analysis suggest increased NM levels in the SN may be a potential biomarker for stratifying schizophrenia, warranting further research that accounts for the heterogeneity of this disorder.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9059704PMC
http://dx.doi.org/10.1016/j.neubiorev.2021.10.028DOI Listing

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