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V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY

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Inflammation-related genes and their role in the pathogenesis of schizophrenia: current scientific evidence

https://doi.org/10.31363/2313-7053-2025-4-2-1099

Abstract

Objective. The aim of this analytical review was to search, analyze, and summarize data on associations of inflammatory candidate genes and their effect on the pathogenesis and clinical manifestations of schizophrenia. Materials and Methods. A comprehensive search was conducted for original research articles, systematic reviews, and meta-analyses in the databases Google Scholar, PubMed, and eLIBRARY.ru. The inclusion criteria encompassed publications from January 1, 2017, to December 31, 2024, without language restrictions, focusing on the genetic aspects of inflammation in the context of schizophrenia. Results. The review confirmed the significant role of inflammatory genetic associations in the pathogenesis of schizophrenia. Polymorphisms in genes encoding pro- and anti-inflammatory molecules (IL6, IL10, IL1B, IL28B, TNF-α, HLA, VEGF-A, NF-κB) were found to be associated with disease risk, clinical symptoms, and brain structure alterations. Additionally, genetic regulation of inflammatory processes appears to contribute to impaired neuroplasticity, blood–brain barrier permeability, and oxidative stress in schizophrenia. Conclusion. Our review highlights the critical role of genetic associations related to inflammatory mechanisms in the pathogenesis of schizophrenia. A hereditary predisposition to immune response imbalance may influence the development, severity, and course of the disorder.

About the Authors

A. P. Otmakhov
Almazov National Medical Research Centre
Russian Federation

Andrey P. Otmakhov   

Saint Petersburg



L. R. Bakirov
Bashkir State Medical University
Russian Federation

Linar R. Bakirov 

Ufa



N. G. Neznanov
V.M. Bekhterev National Medical Research Centre for Psychiatry and Neurology; I.P. Pavlov First St. Petersburg State Medical University
Russian Federation

Nikolai G. Neznanov   

Saint Petersburg



A. R. Asadullin
Bashkir State Medical University; Saratov State Medical University named after V.I. Razumovsky
Russian Federation

Azat R. Asadullin  

Ufa; Saratov



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Otmakhov A.P., Bakirov L.R., Neznanov N.G., Asadullin A.R. Inflammation-related genes and their role in the pathogenesis of schizophrenia: current scientific evidence. V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY. (In Russ.) https://doi.org/10.31363/2313-7053-2025-4-2-1099

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