Abstract

A growing body of evidence confirms abnormal fatty acid (FAs) metabolism in the pathophysiology of schizophrenia. Omega-3 polyunsaturated fatty acids (PUFAs) are endogenous ligands of the G protein-coupled receptors, which have anti-inflammatory properties and are a therapeutic target in many diseases. No clinical studies are concerned with the role of the GPR120 signaling pathway in schizophrenia. The aim of the study was to determine the differences in PUFA nutritional status and metabolism between patients with schizophrenia (SZ group) and healthy individuals (HC group). The study included 80 participants (40 in the SZ group, 40 in the HC group). There were no differences in serum GPR120 and PUFA concentrations and PUFA intake between the examined groups. In the HC group, there was a relationship between FAs in serum and GPR120 concentration (p < 0.05): α-linolenic acid (ALA) (R = −0.46), docosahexaenoic acid (DHA) (R = −0.54), omega-3 PUFAs (R = −0.41), arachidonic acid (AA) (R = −0.44). In the SZ group, FA serum concentration was not related to GPR120 (p > 0.05). In the HC group, ALA and DHA serum concentrations were independently associated with GPR120 (p < 0.05) in the model adjusted for eicosapentaenoic acid (EPA) and accounted for 38.59% of GPR120 variability (p < 0.05). Our results indicate different metabolisms of FAs in schizophrenia. It is possible that the diminished anti-inflammatory response could be a component connecting GPR120 insensitivity with schizophrenia.

Highlights

  • Polyunsaturated fatty acid (PUFA) imbalance is linked with various clinical conditions, especially neuropsychiatric diseases, including schizophrenia [1]

  • Despite the fact that research concerning fatty acid metabolism is going on for a long time, there is an insufficient amount of evidence to determine the mechanism and all pathways engaged in lipid disturbances related to schizophrenia [23]

  • We found numerous correlations between the intake of eicosapentaenoic acid (EPA) and the concentration of blood PUFAs in patients, which we did not notice in the HC group

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Summary

Introduction

Polyunsaturated fatty acid (PUFA) imbalance is linked with various clinical conditions, especially neuropsychiatric diseases, including schizophrenia [1]. Numerous reports confirmed that patients with schizophrenia (SZ) have lower levels of blood omega-3 fatty acids (FAs) compared with healthy individuals [2,3]. The comparison of the erythrocyte FA composition in 429 subjects with schizophrenia and 444 healthy individuals revealed that the patients had lower levels of omega-3 PUFAs fatty acids: docosahexaenoic acid (DHA, 22:6), docosapentaenoic acid (DPA, 22:5), eicosapentaenoic acid (EPA, 20:5), and an omega-6 fatty acid, arachidonic acid (AA, 20:4) [4]. Studies indicated that several factors engage in improper FA blood concentrations, including poor nutrition, antipsychotic drug interactions with cell membranes, and disturbances of lipid metabolism, as well as fatty acid-dependent signaling pathways [2,3,5].

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