Shorter Chain Triglycerides Are Negatively Associated with Symptom Improvement in Schizophrenia
Open accessAbstract
Schizophrenia is a serious mental disorder requiring lifelong treatment. While medications are available that are effective in treating some patients, individual treatment responses can vary, with some patients exhibiting resistance to one or multiple drugs. Currently, little is known about the causes of the difference in treatment response observed among individuals with schizophrenia, and satisfactory markers of poor response are not available for clinical practice. Here, we studied the changes in the levels of 322 blood plasma lipids between two time points assessed in 92 individuals diagnosed with schizophrenia during their inpatient treatment and their association with the extent of symptom improvement. We found 20 triglyceride species increased in individuals with the least improvement in Positive and Negative Syndrome Scale (PANSS) scores, but not in those with the largest reduction in PANSS scores. These triglyceride species were distinct from the rest of the triglyceride species present in blood plasma. They contained a relatively low number of carbons in their fatty acid residues and were relatively low in abundance compared to the principal triglyceride species of blood plasma.
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Nine studies evaluated broad panels of different lipid markers in patients with SCZ and detected statistical differences in fatty acyls, sterols, glycerolipids, sphingolipids, glycerophospholipids, and products of lipid metabolism.
“Nine studies evaluated the broad panels of different lipid markers in patients with SCZ [31,34,40,41,42,43,44,45,46] and detected statistical differences in the following lipid classes: fatty acyls, sterols, glycerolipids, sphingolipids, glycerophospholipids, and products of lipid metabolism.”
From Lipids in Psychiatric Disorders: Functional and Potential Diagnostic Role as Blood Biomarkers (2024) · cites this paper as [41]
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T45. THE EFFICACY AND HETEROGENEITY OF ANTIPSYCHOTIC RESPONSE IN SCHIZOPHRENIA: A META-ANALYSIS
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Self-citationCeramides: Shared Lipid Biomarkers of Cardiovascular Disease and Schizophrenia
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“After excluding all lipid species known to be altered by fasting status ( n = 30; of which 26 were fatty acids) [51], 364 annotated lipids species not affected by fasting status remained and were carried forward to the analysis (Supplementary tables S1 – S3).”
Self-citationPlasma and Serum LC-MS Lipidomic Fingerprints of Bipolar Disorder and Schizophrenia
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“The treatment with antipsychotics could additionally affect TG concentrations [126–128], and serum/plasma TG profiles.”
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“Tkachev et al. (2021) determined the abundance of Cer(d18:1/16:0), Cer(d18:1/18:0) and Cer(d18:1/24:1) in the plasma of 82 SCH patients and 138 controls using LC–HRMS and confirmed a higher content of all three types of Cer in patients with SCH compared to control groups, which is in agreement with…”
ResultDiscrimination of Bipolar Disorder and Schizophrenia Patients Based on LC-HRMS Lipidomics
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“Several recent lipidomics studies suggest that antipsychotic treatments in SCH patients could lead to the alteration of serum lipid profiles, including the downregulation of shorter-chain triacylglycerols [21,33,34].”
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Weber, A., Papiol, S., Tkachev, A., Senner, F., Reich‐Erkelenz, D., Navarro‐Flores, A., Kohshour, M. O., Heilbronner, U., Heilbronner, M., Budde, M., et al. (2026) · medRxiv · doi:10.64898/2026.01.06.26343451
Self-citation
- Authors
- Tkachev, A., Stekolshchikova, E., Anikanov, N., Zozulya, S., Barkhatova, A., Klyushnik, T., & Petrova, D.
- Affiliations
- Skolkovo Institute of Science and Technology (RU)
- V. Zelman Center for Neurobiology and Brain Restoration, Skolkovo Institute of Science and Technology, 121205 Moscow, Russia
- Mental Health Research Center of Russian Academy of Medical Sciences (RU)
- Corresponding author
- Tkachev, Anna
- Venue
- Biomolecules
- Publisher
- MDPI AG
- Published
- 2021-05-11
- Volume
- 11
- Issue
- 5
- Pages
- 720
- ISSN
- 2218-273X (ISSN-L)
- PMC
- PMC8151512
- OpenAlex
- W3163838196
- Cited by
- 11
- References
- 53
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 2 · 2021: 1
- FWCI
- 1.08
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Biomolecules (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Russian Science Foundation (19-74-00151)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolomics and Mass Spectrometry Studies
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Keywords
- schizophrenia, triglycerides, short-chain fatty acids, plasma lipids, treatment response, symptom improvement, PANSS, lipidomics, biomarkers, inpatient care
- MeSH terms
- Lipidomics, Adolescent, Adult, Behavioral Symptoms, Female, Humans, Inpatients, Male, Russia, Schizophrenia, Antipsychotic Agents, Triglycerides, Biomarkers, Treatment Outcome, Young Adult
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