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April 12, 2026Psychological Medicine1 citationsOpen Access

Inflammatory cytokine alterations in genetic and clinical high risk groups of psychosis: a systematic review and network meta-analysis

HHHuiqun HuangYSYuqi SunJYJingyu Yin

Key Points

  • The aim is to synthesize cytokine alterations in individuals at high risk for psychosis.
  • Systematic review
  • Network meta-analysis of existing studies
  • Assessment of cytokine levels in clinical high risk and genetic high risk groups
  • Elevated IL-6 levels in clinical high risk individuals suggest immune activation.
  • Reduced IL-6 levels in genetic high risk individuals indicate a different immune profile.
  • Increased IL-13 levels in converters suggest involvement of Th2 pathways during psychosis transition.

Abstract

This study represents the first NMA to synthesize cytokine alterations in individuals at high risk for psychosis using indirect evidence. Elevated IL-6 in CHR individuals suggests immune activation, whereas reduced IL-6 in GHR may reflect a distinct immune profile. Increased IL-13 levels in converters highlight potential involvement of Th2-related pathways during transition to psychosis. However, the sparse nature of the evidence network necessitates cautious interpretation of the findings, and larger, standardized multi-center studies are required for confirmation.

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Cite This Study

Huang et al. (2026) studied this question.

synapsesocial.com/papers/69db37964fe01fead37c591ehttps://doi.org/10.1017/s0033291726103559
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