title: Increased calcium-independent phospholipase A2 activity in first but not in multiepisode chronic schizophrenia.
abstract: BACKGROUND
  Increased activity of calcium independent phospholipase A2 (iPLA2) has repeatedly been found in the serum of unmedicated first-episode schizophrenia patients and assumed to reflect a pertubation of phospholipid metabolism. Previous studies in chronic schizophrenia were less conclusive. To explore whether iPLA2 changes are stage dependent, we investigated serum iPLA2 activity in various stages of schizophrenia.
  
  
  METHODS
  iPLA2 activity was assessed in the serum of 30 first-episode and 23 multiepisode schizophrenia patients and 53 healthy control subjects matched for age and gender. A fluorimetric assay was applied using the PLA2 specific substrate NBDC6-HPC, thin-layer chromatography of reaction products, and digital image scanning for signal detection.
  
  
  RESULTS
  Group comparison between first-episode and multiepisode patients and corresponding control groups revealed significantly increased iPLA2 activity only in first-episode patients. Enzyme activity in first-episode patients was also markedly increased, compared with chronic patients. iPLA2 changes observed were irrespective of neuroleptic medication, age, or gender.
  
  
  CONCLUSIONS
  Our results suggest increased lipid turnover in the acute early phase of schizophrenia that is less obvious in chronic stages. Future longitudinal studies involving iPLA2 activity and phosphorous magnetic resonance spectroscopy need to address the relation between perturbed brain lipid metabolism and iPLA2 increment in the course of schizophrenia.
authors.affiliation: Department of Psychiatry, Friedrich-Schiller-University Jena, Jena, USA. smesny@web.de
authors.forename: Stefan
authors.initials: S
authors.lastname: Smesny
authors.forename: Daniel
authors.initials: D
authors.lastname: Kinder
authors.forename: Ingo
authors.initials: I
authors.lastname: Willhardt
authors.forename: Timm
authors.initials: T
authors.lastname: Rosburg
authors.forename: Jürgen
authors.initials: J
authors.lastname: Lasch
authors.forename: Gregor
authors.initials: G
authors.lastname: Berger
authors.forename: Heinrich
authors.initials: H
authors.lastname: Sauer
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000704:Analysis of Variance; D014150:Antipsychotic Agents / Q000627:therapeutic use; D016022:Case-Control Studies; D002855:Chromatography, Thin Layer / Q000379:methods; D002908:Chronic Disease; D005260:Female; D005470:Fluorometry / Q000379:methods; D054522:Group VI Phospholipases A2; D006801:Humans; D008297:Male; D008385:Marijuana Smoking / Q000097:blood; D008875:Middle Aged; D010741:Phospholipases A / Q000097:blood*; D054467:Phospholipases A2; D011569:Psychiatric Status Rating Scales; D012559:Schizophrenia / Q000097:blood / Q000188:drug therapy / Q000201:enzymology*; D012565:Schizophrenic Psychology; D012737:Sex Factors; D012907:Smoking / Q000097:blood; D013997:Time Factors
chemical_list: D014150:Antipsychotic Agents; D010741:Phospholipases A; D054522:Group VI Phospholipases A2; C516475:PLA2G6 protein, human; D054467:Phospholipases A2