Evidence map›Paper›PMID 41868832›Full record

SynthesisFrontiers in psychiatry2026

The relationship between total tau protein, phosphorylated tau protein, schizophrenia and bipolar disorder: a systematic review and meta-analysis.

Sien Hou, Lingxi Chen, Linxin Chang, Chunyue Huo

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in psychiatry, 2026. 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. A frontotemporal dementia-like phenotype in schizophrenia: links to striatal dopamine and iron accumulation.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Observational
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

4 authors.

Sien HouCapital Medical University, Yanjing Medical College, Beijing, China.
Lingxi ChenSchool of Education, The University of New South Wales (UNSW), Sydney, NSW, Australia.
Linxin ChangCapital Medical University, Yanjing Medical College, Beijing, China.
Chunyue HuoCapital Medical University, Yanjing Medical College, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Neurodevelopmental disorders, notably schizophrenia, continue to pose major challenges in mental health and clinical practice. Numerous studies have posited potential associations between tau proteins and schizophrenia or bipolar disorder (BD), yet these associations have not been systematically described or quantitatively examined. This study aims to compare total tau and phosphorylated tau levels in plasma, serum (collectively referred to as peripheral blood), and cerebrospinal fluid (CSF) between individuals with schizophrenia and healthy controls, and to further examine total tau levels in BD. Methods: Employing a meticulous search strategy across PubMed, Embase, Medline and Web of Science, this study adheres to PRISMA guidelines. Eligible studies were non-randomized controlled trials investigating associations between tau proteins, schizophrenia or BD. Standardized mean differences (SMDs) with 95% confidence intervals (CIs) were calculated. This study protocol has been registered on PROSPERO (CRD420251123530). Results: 10 studies were included in the meta-analysis. Total tau levels were significantly lower in patients with schizophrenia compared to controls in CSF (SMD = -0.33, 95% CI: [-0.59, -0.08]) and peripheral blood samples (SMD = -0.88, 95% CI: [-1.61, -0.15]). Combining both samples, the overall SMD was -0.48 (95% CI: [-0.66, -0.31]), indicating a significant reduction in total tau levels. The pooled analysis for phosphorylated tau group yielded an SMD of -1.07 (95% CI: [-1.55, -0.59]), with consistent findings in CSF samples (SMD = -0.76, 95% CI:[-1.17, -0.35]). In contrast, total tau levels did not differ significantly between patients with BD and healthy controls (SMD = -0.07, 95% CI: [-0.26, 0.12]), Data were insufficient to support a meta-analysis of the relationship between phosphorylated tau and BD. Conclusion: T-tau and p-tau protein levels are lower in schizophrenia patients compared with healthy controls, whereas no significant difference was observed in BD patients. These findings may have potential for clinical diagnostics. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/, identifier CRD420251123530.

Indexed as

bipolar disordermeta-analysisschizophreniatau phosphorylationtotal tau (t-tau)

Identifiers

PMID41868832
PMCPMC12999800

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.