title: Altered red cell membrane compositions related to functional vitamin B(12) deficiency manifested by elevated urine methylmalonic acid concentrations in patients with schizophrenia.
abstract: BACKGROUND
  Abnormal cell membrane composition and functional cobalamin (vitamin B(12)) deficiency was reported in schizophrenic individuals. We aimed to investigate the relationship between cobalamin state and cell membrane composition in patients with schizophrenia.
  
  
  METHODS
  Malondialdehyde (MDA), cholesterol, and phospholipid classes in the erythrocyte membranes of 18 schizophrenic and 20 healthy individuals of the same age and sex distribution were determined. Serum vitamin B(12), plasma total homocysteine, serum folate, and urine methylmalonic acid (uMMA) concentrations were measured in both groups.
  
  
  RESULTS
  In the schizophrenic group, uMMA, membrane MDA, membrane cholesterol, membrane phosphatidylinositol concentrations were significantly higher and the membrane phosphatidylserine concentrations were lower than the control group values. In schizophrenic individuals, uMMA concentrations have a significant positive correlation with membrane MDA and a negative correlation with membrane cholesterol concentrations (P<0.05). The negative correlation of uMMA with membrane cholesterol concentrations may be a biological response to the increased membrane rigidity. Also, a free radical elevation related to the elevated uMMA concentrations in the erythrocyte membrane, might reflect the role of methylmalonic acid (MMA) in membrane damage.
  
  
  CONCLUSIONS
  Our present findings suggest that, functional vitamin B(12) deficiency representing itself by MMA elevations in schizophrenic individuals could damage cell membrane.
authors.affiliation: Department of Biochemistry, GATA Haydarpasa Training Hospital, 81327 Usküdar, Istanbul, Turkey. ozcanmd@yahoo.com
authors.forename: Omer
authors.initials: O
authors.lastname: Ozcan
authors.forename: Osman Metin
authors.initials: OM
authors.lastname: Ipçioğlu
authors.forename: Mustafa
authors.initials: M
authors.lastname: Gültepe
authors.forename: Cengiz
authors.initials: C
authors.lastname: Başoğglu
mesh_terms: D000328:Adult; D004910:Erythrocyte Membrane / Q000378:metabolism*; D005260:Female; D006801:Humans; D008297:Male; D008764:Methylmalonic Acid / Q000652:urine*; D012559:Schizophrenia / Q000652:urine*; D014806:Vitamin B 12 Deficiency / Q000652:urine*
chemical_list: D008764:Methylmalonic Acid