Evidence map›Paper›PMID 39639174›Full record

ReviewMolecular psychiatry2025

Glial cell deficits are a key feature of schizophrenia: implications for neuronal circuit maintenance and histological differentiation from classical neurodegeneration.

Hans-Gert Bernstein, Madeleine Nussbaumer, Veronika Vasilevska, Henrik Dobrowolny, Thomas Nickl-Jockschat, Paul C Guest, Johann Steiner

Abstract readReview
In one paragraph

Review in Molecular psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Efficacy and safety of Nrf2 activators for schizophrenia: a systematic review and meta-analysis.European archives of psychiatry and clinical neuroscience · 2026
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  6. Neuronal genetic risk within the multicellular landscape of schizophrenia.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hans-Gert BernsteinDepartment of Psychiatry, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany.
Madeleine NussbaumerDepartment of Psychiatry, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany.
Veronika VasilevskaDepartment of Psychiatry, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany.
Henrik DobrowolnyDepartment of Psychiatry, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany.
Thomas Nickl-JockschatDepartment of Psychiatry, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany.ORCID 0000-0003-2616-6503
Paul C GuestDepartment of Psychiatry, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany.
Johann SteinerDepartment of Psychiatry, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany. johann.steiner@med.ovgu.de.ORCID 0000-0002-2611-2268

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dysfunctional glial cells play a pre-eminent role in schizophrenia pathophysiology. Post-mortem studies have provided evidence for significantly decreased glial cell numbers in different brain regions of individuals with schizophrenia. Reduced glial cell numbers are most pronounced in oligodendroglia, but reduced astrocyte cell densities have also been reported. This review highlights that oligo- and astroglial deficits are a key histopathological feature in schizophrenia, distinct from typical changes seen in neurodegenerative disorders. Significant deficits of oligodendrocytes in schizophrenia may arise in two ways: (i) demise of mature functionally compromised oligodendrocytes; and (ii) lack of mature oligodendrocytes due to failed maturation of progenitor cells. We also analyse in detail the controversy regarding deficits of astrocytes. Regardless of their origin, glial cell deficits have several pathophysiological consequences. Among these, myelination deficits due to a reduced number of oligodendrocytes may be the most important factor, resulting in the disconnectivity between neurons and different brain regions observed in schizophrenia. When glial cells die, it appears to be through degeneration, a process which is basically reversible. Thus, therapeutic interventions that (i) help rescue glial cells (ii) or improve their maturation might be a viable option. Since antipsychotic treatment alone does not seem to prevent glial cell loss or maturation deficits, there is intense search for new therapeutic options. Current proposals range from the application of antidepressants and other chemical agents as well as physical exercise to engrafting healthy glial cells into brains of schizophrenia patients.

Indexed as

NeurogliaSchizophreniaAnimalsAstrocytesBrainCell DifferentiationHumansNeurodegenerative DiseasesNeuronsOligodendroglia

Identifiers

PMID39639174
PMCPMC11835740

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.