Evidence map›Paper›PMID 41430175›Full record

Observational studyBMC psychiatry2025

Interrelationships among oxidative stress, niacin response, cognition, and symptoms in chronic schizophrenia: a case-control study.

Lihua Chen, Jiyong He, Ying Yuan, Chao Sun, Qing Tian, Xiaobin Zhang

Abstract readObservational Study
In one paragraph

Observational study in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Lihua Chen *Department of Psychiatry, The Affiliated Guangji Hospital of Soochow University, Suzhou, 215137, P.R. China.
Jiyong He *Department of Psychiatry, The Affiliated Guangji Hospital of Soochow University, Suzhou, 215137, P.R. China.
Ying Yuan *Department of Psychiatry, The Affiliated Guangji Hospital of Soochow University, Suzhou, 215137, P.R. China.
Chao SunDepartment of Psychiatry, The Affiliated Guangji Hospital of Soochow University, Suzhou, 215137, P.R. China.
Qing TianDepartment of Psychiatry, The Affiliated Guangji Hospital of Soochow University, Suzhou, 215137, P.R. China.
Xiaobin ZhangDepartment of Psychiatry, The Affiliated Guangji Hospital of Soochow University, Suzhou, 215137, P.R. China. zhangxiaobim@163.com.

Funding

Suzhou Clinical Medical Center for Mood Disorders Szlcyxzx202109Suzhou Key Laboratory SZS2024016Suzhou Multicenter Clinical Research Project on Major Diseases DZXYJ202413, MR-32-25-054378Suzhou Municipal Key Project for Applied Basic Research in Medical and Health Sciences SYW2025022
6 · The paper itself

Abstract

backgroundA growing body of evidence implicates oxidative stress in the pathophysiology of schizophrenia. This study aimed to analyze the pairwise correlations among the four variables in patients with schizophrenia: oxidative stress (lipid peroxidation), the niacin skin response, cognitive function, and clinical symptoms.

methodsThis cross-sectional observational case-control study included 40 patients with chronic schizophrenia and 40 matched healthy controls. Plasma lipid peroxidation (LPO) levels, the niacin skin flush response, and cognitive function were assessed in all participants. Symptom severity in patients was evaluated using the Positive and Negative Syndrome Scale (PANSS). Regression analyses were conducted to examine the relationships among LPO levels, the niacin skin response, clinical symptoms, and cognitive function.

resultsPlasma LPO levels were significantly higher in the patient group than in the healthy controls, whereas cognitive function and the niacin skin flush response were significantly reduced. Within the patient group, correlation analysis revealed that LPO levels were negatively associated with the total flush area at concentrations 1 and 2 measured at 5 min. Furthermore, significant negative correlations were observed between cognitive function and clinical symptoms across multiple dimensions (all P < 0.05).

conclusionPatients with chronic schizophrenia exhibited elevated oxidative stress (LPO), impaired cognitive function, and attenuated niacin skin flush response. Importantly, oxidative stress showed a negative correlation with the niacin response, while cognitive performance was also negatively correlated with clinical symptom severity. These findings suggest that oxidative stress may be involved in the pathophysiological process of schizophrenia, and that the attenuated niacin skin response could serve as a measurable marker of dysfunction in the peripheral inflammation-oxidative stress axis. CLINICAL TRIAL: Not applicable.

Indexed as

CognitionNiacinOxidative StressSchizophreniaAdultCase-Control StudiesChronic DiseaseCross-Sectional StudiesFemaleFlushingHumansLipid PeroxidationMaleMiddle AgedSkinNiacinCognitive functionLipid peroxidationNiacin skin flush responseOxidative stressSchizophrenia

Identifiers

PMID41430175
PMCPMC12750708

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.