Proteomic Biomarkers for the Prediction of Transition to Psychosis in Individuals at Clinical High Risk: A Multi-cohort Model Development Study
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Proteomic Biomarkers for the Prediction of Transition to Psychosis in Individuals at Clinical High Risk : A Multi-cohort Model Development Study. / Byrne, Jonah F.; Healy, Colm; Föcking, Melanie; Susai, Subash Raj; Mongan, David; Wynne, Kieran; Kodosaki, Eleftheria; Heurich, Meike; de Haan, Lieuwe; Hickie, Ian B.; Smesny, Stefan; Thompson, Andrew; Markulev, Connie; Young, Alison Ruth; Schäfer, Miriam R.; Riecher-Rössler, Anita; Mossaheb, Nilufar; Berger, Gregor; Schlögelhofer, Monika; Nordentoft, Merete; Chen, Eric Y. H.; Verma, Swapna; Nieman, Dorien H.; Woods, Scott W.; Cornblatt, Barbara A.; Stone, William S.; Mathalon, Daniel H.; Bearden, Carrie E.; Cadenhead, Kristin S.; Addington, Jean; Walker, Elaine F.; Cannon, Tyrone D.; Cannon, Mary; McGorry, Pat; Amminger, Paul; Cagney, Gerard; Nelson, Barnaby; Jeffries, Clark; Perkins, Diana; Cotter, David R.
I: Schizophrenia Bulletin, Bind 50, Nr. 3, 2024, s. 579-588.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Proteomic Biomarkers for the Prediction of Transition to Psychosis in Individuals at Clinical High Risk
T2 - A Multi-cohort Model Development Study
AU - Byrne, Jonah F.
AU - Healy, Colm
AU - Föcking, Melanie
AU - Susai, Subash Raj
AU - Mongan, David
AU - Wynne, Kieran
AU - Kodosaki, Eleftheria
AU - Heurich, Meike
AU - de Haan, Lieuwe
AU - Hickie, Ian B.
AU - Smesny, Stefan
AU - Thompson, Andrew
AU - Markulev, Connie
AU - Young, Alison Ruth
AU - Schäfer, Miriam R.
AU - Riecher-Rössler, Anita
AU - Mossaheb, Nilufar
AU - Berger, Gregor
AU - Schlögelhofer, Monika
AU - Nordentoft, Merete
AU - Chen, Eric Y. H.
AU - Verma, Swapna
AU - Nieman, Dorien H.
AU - Woods, Scott W.
AU - Cornblatt, Barbara A.
AU - Stone, William S.
AU - Mathalon, Daniel H.
AU - Bearden, Carrie E.
AU - Cadenhead, Kristin S.
AU - Addington, Jean
AU - Walker, Elaine F.
AU - Cannon, Tyrone D.
AU - Cannon, Mary
AU - McGorry, Pat
AU - Amminger, Paul
AU - Cagney, Gerard
AU - Nelson, Barnaby
AU - Jeffries, Clark
AU - Perkins, Diana
AU - Cotter, David R.
N1 - © The Author(s) 2024. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center.
PY - 2024
Y1 - 2024
N2 - Psychosis risk prediction is one of the leading challenges in psychiatry. Previous investigations have suggested that plasma proteomic data may be useful in accurately predicting transition to psychosis in individuals at clinical high risk (CHR). We hypothesized that an a priori-specified proteomic prediction model would have strong predictive accuracy for psychosis risk and aimed to replicate longitudinal associations between plasma proteins and transition to psychosis. This study used plasma samples from participants in 3 CHR cohorts: the North American Prodrome Longitudinal Studies 2 and 3, and the NEURAPRO randomized control trial (total n = 754). Plasma proteomic data were quantified using mass spectrometry. The primary outcome was transition to psychosis over the study follow-up period. Logistic regression models were internally validated, and optimism-corrected performance metrics derived with a bootstrap procedure. In the overall sample of CHR participants (age: 18.5, SD: 3.9; 51.9% male), 20.4% (n = 154) developed psychosis within 4.4 years. The a priori-specified model showed poor risk-prediction accuracy for the development of psychosis (C-statistic: 0.51 [95% CI: 0.50, 0.59], calibration slope: 0.45). At a group level, Complement C8B, C4B, C5, and leucine-rich α-2 glycoprotein 1 (LRG1) were associated with transition to psychosis but did not surpass correction for multiple comparisons. This study did not confirm the findings from a previous proteomic prediction model of transition from CHR to psychosis. Certain complement proteins may be weakly associated with transition at a group level. Previous findings, derived from small samples, should be interpreted with caution.
AB - Psychosis risk prediction is one of the leading challenges in psychiatry. Previous investigations have suggested that plasma proteomic data may be useful in accurately predicting transition to psychosis in individuals at clinical high risk (CHR). We hypothesized that an a priori-specified proteomic prediction model would have strong predictive accuracy for psychosis risk and aimed to replicate longitudinal associations between plasma proteins and transition to psychosis. This study used plasma samples from participants in 3 CHR cohorts: the North American Prodrome Longitudinal Studies 2 and 3, and the NEURAPRO randomized control trial (total n = 754). Plasma proteomic data were quantified using mass spectrometry. The primary outcome was transition to psychosis over the study follow-up period. Logistic regression models were internally validated, and optimism-corrected performance metrics derived with a bootstrap procedure. In the overall sample of CHR participants (age: 18.5, SD: 3.9; 51.9% male), 20.4% (n = 154) developed psychosis within 4.4 years. The a priori-specified model showed poor risk-prediction accuracy for the development of psychosis (C-statistic: 0.51 [95% CI: 0.50, 0.59], calibration slope: 0.45). At a group level, Complement C8B, C4B, C5, and leucine-rich α-2 glycoprotein 1 (LRG1) were associated with transition to psychosis but did not surpass correction for multiple comparisons. This study did not confirm the findings from a previous proteomic prediction model of transition from CHR to psychosis. Certain complement proteins may be weakly associated with transition at a group level. Previous findings, derived from small samples, should be interpreted with caution.
U2 - 10.1093/schbul/sbad184
DO - 10.1093/schbul/sbad184
M3 - Journal article
C2 - 38243809
VL - 50
SP - 579
EP - 588
JO - Schizophrenia Bulletin
JF - Schizophrenia Bulletin
SN - 0586-7614
IS - 3
ER -
ID: 387373285