Therapeutic effect of aripiprazole in chronic schizophrenia is accompanied by anti-inflammatory activity

Background weight gain and metabolic abnormalities occur in chronic schizophrenia patients treated with atypical antipsychotics. the purpose of the study was to evaluate changes in serum levels of c-reactive protein (crp),insulin and cytokines (il-6,tnf-α,il-1β,ifn-γ,stnf-r1,il-12,il-23,il-1ra,tgf-β1,il-4,and il-10) after switching to aripiprazole.methods cytokine,hscrp and insulin measurements were performed in patients (n = 17) on day 0 and day 28 of the study using standard elisa assays. the psychopathological status was assessed using panss. wc and bmi were measured and calculated,respectively.results we observed high clinical efficacy in aripiprazole linked to a 2.7% weight loss. there were statistically significant reductions in panss scores and body parameters (p < 0.001). after 28 days we detected a significant reduction in hscrp (p < 0.001),insulin (p < 0.001),il-1β,il-6,tnf-α,stnf-r1,il-12,il-23,il-1ra,tgf-β1,il-4 (p < 0.001),ifn-γ (p < 0.05) and a significant elevation of il-10 (p < 0.001). there was a significant negative correlation between il-10 levels and panss positive,negative and total scores after the study (p = 0.022,p = 0.003,p = 0.008,respectively).conclusions aripiprazole limits inflammatory processes by enhancing anti-inflammatory signaling. aripiprazole also reduces the risk of metabolic abnormalities. © 2014 institute of pharmacology,polish academy of sciences. published by elsevier urban & partner sp. z o.o. all rights reserved.