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Original Investigation

Characterising phospholipids and free fatty acids in patients with schizophrenia: A case-control study

ORCID Icon, , , , , & ORCID Icon show all
Pages 161-174 | Received 15 Jan 2020, Accepted 05 May 2020, Published online: 17 Jul 2020
 

Abstract

Objectives

Previous studies have indicated that schizophrenia (SCZ) is linked to abnormal phospholipid and fatty acid metabolism. However, comprehensive analysis of phospholipids and free fatty acids (FFAs) for SCZ is very limited. Herein, we sought to compare serum levels of phospholipids and FFAs between patients with SCZ and healthy controls (HCs).

Methods

One hundred and nineteen SCZ patients and 109 HCs were enrolled in the study. The levels of 177 phospholipids and FFAs were measured in serum samples using a targeted liquid chromatography-mass spectrometry (LC-MS)-based platform.

Results

One hundred and ten metabolites, including 16 FFAs, 25 phosphatidylcholines, 23 lysophosphatidylcholines, 11 phosphatidylcholine plasmalogens, 7 phosphatidylethanolamines, 9 lysophosphatidylethanolamines, 6 phosphatidylethanolamine plasmalogens, and 13 sphingomyelins, were observed to be significantly altered in SCZ patients compared to HCs. These disturbances may represent underlying pathophysiology, including but not limited to altered activity of phospholipases and acyltransferases, increased oxidative stress, dysfunctional oligodendrocyte glycosynapses, and elevated lipid mobilisation and β-oxidation.

Conclusions

Our findings suggest that complex lipid profile abnormalities are associated with SCZ. This study may contribute to investigating the role of phospholipid and FFA alterations in the pathoetiology of SCZ.

Acknowledgements

None.

Disclosure statement

None to declare.

Data availability statement

The data that support the findings of this study are available from the corresponding author, Dr. Jingyu Wang and Dr. Bing Cao, upon reasonable request.

Additional information

Funding

This work was supported by Peking University Health Science Centre Medical Cross Disciplinary Fund [BMU20140435]. We thank Dr. Chuanbo Zhang and other medical staff from Weifang Mental Health Centre for their assistance with subject recruitment, follow up and blood sample collection.

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