Evidence map›Paper›PMID 40857980›Full record

ArticleSchizophrenia research2025

T cells are associated with negative symptoms in persons with anti-gliadin antibody positive schizophrenia and related disorders.

Deepak Salem, Sarah M Clark, Daniel J O Roche, Nevil J Singh, Monica V Talor, Robert W Buchanan, Valerie Harrington, Zhenyao Ye, Shuo Chen, Deanna L Kelly

Abstract read
In one paragraph

Article in Schizophrenia research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Deepak SalemMaryland Psychiatric Research Center, University of Maryland School of Medicine, Baltimore, MD, United States of America; Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Sarah M ClarkDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Daniel J O RocheMaryland Psychiatric Research Center, University of Maryland School of Medicine, Baltimore, MD, United States of America; Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Nevil J SinghDepartment of Microbiology & Immunology, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Monica V TalorJohns Hopkins University-School of Medicine, Department of Pathology, Baltimore, MD, United States of America.
Robert W BuchananMaryland Psychiatric Research Center, University of Maryland School of Medicine, Baltimore, MD, United States of America; Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Valerie HarringtonMaryland Psychiatric Research Center, University of Maryland School of Medicine, Baltimore, MD, United States of America; Department of Microbiology & Immunology, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Zhenyao YeMaryland Psychiatric Research Center, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Shuo ChenMaryland Psychiatric Research Center, University of Maryland School of Medicine, Baltimore, MD, United States of America; Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Deanna L KellyMaryland Psychiatric Research Center, University of Maryland School of Medicine, Baltimore, MD, United States of America; Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, United States of America. Electronic address: dlkelly@som.umaryland.edu.

Funding

The Effects of Kynurenine Aminotransferase Inhibition in People with SchizophreniaP50MH103222 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI BUCHANAN, ROBERT W · 2014 to 2023
$25.2M
Confirmatory Double-Blind Placebo-Controlled Efficacy Trial of a Gluten-Free Diet in a Subgroup of Persons with Schizophrenia Who Have High Levels of IgG Anti-Gliadin AntibodiesR01MH113617 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI EATON, WILLIAM W, KELLY, DEANNA L · 2017 to 2021
$4.3M
Mechanisms coordinating the local and systemic resistance to pathogensR01AI168192 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI Nevil John Singh · 2023 to 2026
$2.3M
NIAID NIH HHS R01 AI168192NIMH NIH HHS P50 MH103222NIMH NIH HHS R01 MH113617
6 · The paper itself

Abstract

backgroundAbout one-third of persons with schizophrenia and related disorders (SRD) have elevated anti-gliadin IgG antibodies (AGA), associated with gluten sensitivity, increased negative symptoms, greater functional impairments, and limited therapeutic options. Alterations in T cells have been demonstrated in SRD, and we have previously shown that regulatory T cells (Tregs) are increased and correlate with fewer negative symptoms in SRD.

methodsWe investigated the relationship of T cells and negative symptoms in 26 clinically stable, medicated persons with AGA positive (AGA+) or AGA negative (AGA-) SRD. Negative symptoms were evaluated using the Scale for the Assessment of Negative Symptoms (SANS). Blood samples were analyzed for: 1) AGA-IgG levels (measured by ELISA; AGA positivity defined as ≥20U), 2) flow cytometry to quantify proportions of pan-T cells (CD3

results46 % of SRD participants were AGA+ and in this group, aTregs were increased in proportion (p = 0.0061). In AGA+ SRD, pan-T cells were correlated with higher SANS total, anhedonia, avolition and alogia scores (all p < 0.05), while increased helper T cells and Tregs were correlated with less negative symptoms (respectively, SANS total, blunting, anhedonia, and alogia; SANS total, anhedonia, alogia; all p < 0.05). AGA+ SRD also had several elevated immune markers, corresponding with a pro-inflammatory phenotype.

conclusionsThese hypothesis-generating findings suggest T cell dysfunction in AGA+ SRD, suggesting Tregs mitigating negative symptom severity, but also an unidentified other T cell population possibly contributing to negative symptomatology.

Indexed as

AutoantibodiesGliadinSchizophreniaT-Lymphocytes, RegulatoryAdultFemaleHumansImmunoglobulin GMaleMiddle AgedAutoantibodiesGliadinImmunoglobulin GGlutenInflammationNegative symptomsT cells

Identifiers

PMID40857980
PMCPMC13262375

What Socratic holds

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LicenceCC BY-NC
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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.