The Association of Serum Lactoferrin Level with Psychological Symptoms, Cognition, and Executive Function in Schizophrenia Patients

Objective: Lactoferrin, a glycoprotein, has known neuroprotective effects, yet its role in the pathophysiology of neuropsychiatric disorders, particularly schizophrenia, remains unclear. This study aims to assess changes in lactoferrin levels during different phases of schizophrenia and explore its...

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Main Authors: Niloufar Mahdavi Hezaveh, Soheila Kianpour Rad, Yousef Semnani, Maryam Mousavi Bazaz, Abdolreza Javadi
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2024-12-01
Series:Iranian Journal of Psychiatry
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Online Access:https://ijps.tums.ac.ir/index.php/ijps/article/view/3969
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author Niloufar Mahdavi Hezaveh
Soheila Kianpour Rad
Yousef Semnani
Maryam Mousavi Bazaz
Abdolreza Javadi
author_facet Niloufar Mahdavi Hezaveh
Soheila Kianpour Rad
Yousef Semnani
Maryam Mousavi Bazaz
Abdolreza Javadi
author_sort Niloufar Mahdavi Hezaveh
collection DOAJ
description Objective: Lactoferrin, a glycoprotein, has known neuroprotective effects, yet its role in the pathophysiology of neuropsychiatric disorders, particularly schizophrenia, remains unclear. This study aims to assess changes in lactoferrin levels during different phases of schizophrenia and explore its relationship with cognitive symptoms and performance. Method: This before/after interventional study involved 30 patients diagnosed with schizophrenia. Participants were evaluated at two time points: upon hospital admission and after the resolution of acute symptoms. The Positive and Negative Syndrome Scale (PANSS) was utilized to measure symptom severity, while the Brief Assessment of Cognition in Schizophrenia (BACS) assessed the neurocognitive function. Serum lactoferrin levels were quantified using the Enzyme-Linked Immunosorbent Assay (ELISA) method. Results: Serum lactoferrin levels significantly decreased from 130.63 ± 52.49 ng/mL at admission to 85.42 ± 29.03 ng/mL at discharge (P < 0.001). No significant correlation was found between lactoferrin levels and PANSS scores (r = 0.011, P = 0.975). However, an inverse correlation was observed between changes in lactoferrin levels and the executive function subscale of the BACS (r = -0.360, P = 0.050). Cognitive assessments indicated significant improvements in verbal memory (P = 0.033), working memory (P = 0.002), and executive function (P = 0.039) post-treatment. Conclusion: The study demonstrates a significant reduction in serum lactoferrin levels during the acute phase of schizophrenia, suggesting its potential role in modulating cognitive functions, particularly the executive function, rather than influencing positive or negative symptoms.
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spelling doaj-art-608ad02da1244d27978bdff02a130eb52025-01-06T08:39:45ZengTehran University of Medical SciencesIranian Journal of Psychiatry1735-45872008-22152024-12-0120110.18502/ijps.v20i1.17398The Association of Serum Lactoferrin Level with Psychological Symptoms, Cognition, and Executive Function in Schizophrenia PatientsNiloufar Mahdavi Hezaveh0Soheila Kianpour Rad1Yousef Semnani2Maryam Mousavi Bazaz3Abdolreza Javadi4Department of Psychiatry, Imam Hossein Medical and Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Department of Psychiatry, Imam Hossein Medical and Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Department of Pathology and Laboratory Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Objective: Lactoferrin, a glycoprotein, has known neuroprotective effects, yet its role in the pathophysiology of neuropsychiatric disorders, particularly schizophrenia, remains unclear. This study aims to assess changes in lactoferrin levels during different phases of schizophrenia and explore its relationship with cognitive symptoms and performance. Method: This before/after interventional study involved 30 patients diagnosed with schizophrenia. Participants were evaluated at two time points: upon hospital admission and after the resolution of acute symptoms. The Positive and Negative Syndrome Scale (PANSS) was utilized to measure symptom severity, while the Brief Assessment of Cognition in Schizophrenia (BACS) assessed the neurocognitive function. Serum lactoferrin levels were quantified using the Enzyme-Linked Immunosorbent Assay (ELISA) method. Results: Serum lactoferrin levels significantly decreased from 130.63 ± 52.49 ng/mL at admission to 85.42 ± 29.03 ng/mL at discharge (P < 0.001). No significant correlation was found between lactoferrin levels and PANSS scores (r = 0.011, P = 0.975). However, an inverse correlation was observed between changes in lactoferrin levels and the executive function subscale of the BACS (r = -0.360, P = 0.050). Cognitive assessments indicated significant improvements in verbal memory (P = 0.033), working memory (P = 0.002), and executive function (P = 0.039) post-treatment. Conclusion: The study demonstrates a significant reduction in serum lactoferrin levels during the acute phase of schizophrenia, suggesting its potential role in modulating cognitive functions, particularly the executive function, rather than influencing positive or negative symptoms. https://ijps.tums.ac.ir/index.php/ijps/article/view/3969Cognitive DysfunctionLactoferrinNeurodegenerative DiseasesSchizophreniaNeuropsychiatric Disorder
spellingShingle Niloufar Mahdavi Hezaveh
Soheila Kianpour Rad
Yousef Semnani
Maryam Mousavi Bazaz
Abdolreza Javadi
The Association of Serum Lactoferrin Level with Psychological Symptoms, Cognition, and Executive Function in Schizophrenia Patients
Iranian Journal of Psychiatry
Cognitive Dysfunction
Lactoferrin
Neurodegenerative Diseases
Schizophrenia
Neuropsychiatric Disorder
title The Association of Serum Lactoferrin Level with Psychological Symptoms, Cognition, and Executive Function in Schizophrenia Patients
title_full The Association of Serum Lactoferrin Level with Psychological Symptoms, Cognition, and Executive Function in Schizophrenia Patients
title_fullStr The Association of Serum Lactoferrin Level with Psychological Symptoms, Cognition, and Executive Function in Schizophrenia Patients
title_full_unstemmed The Association of Serum Lactoferrin Level with Psychological Symptoms, Cognition, and Executive Function in Schizophrenia Patients
title_short The Association of Serum Lactoferrin Level with Psychological Symptoms, Cognition, and Executive Function in Schizophrenia Patients
title_sort association of serum lactoferrin level with psychological symptoms cognition and executive function in schizophrenia patients
topic Cognitive Dysfunction
Lactoferrin
Neurodegenerative Diseases
Schizophrenia
Neuropsychiatric Disorder
url https://ijps.tums.ac.ir/index.php/ijps/article/view/3969
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