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Ensayo controlado aleatorizado2025

Effects of sulforaphane on negative symptoms and cognitive impairments in chronic schizophrenia patients: A randomized double-blind trial

Chen H, Lu J, Zou T, Teng Z, Qin Y, Wu R, Yan Y, Fu K, Jiang W, Ju Y, Zhu R, Mo J, Lu J, Huang J

Journal of psychiatric research · 5 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento
Consumo medido con
No se indica

Quién lo pagó

Financiación
Financiación independiente
Gobierno
National Natural Science Foundation of China
Universidad u hospital
Central South University
Gobierno
Natural Science Foundation of Hunan Province
Gobierno
Science and Technology Program of Hunan Province
Gobierno
Hunan Provincial Natural Science Foundation
Subvenciones
National Natural Science Foundation of China (82072096); Natural Science Foundation of Hunan Province (2022JJ40691); Science and Technology Program of Hunan Province (2024RC3055)

Según 5 financiadores declarados.

Publicación

Publicado
2025-03-13 · J Psychiatr Res · vol. 184 · págs. 464–472
Editorial
Elsevier BV
Citado
9 citas · más que el 96% de estudios similares · 5.6× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
58 trabajos
Acceso
De pago
Áreas de investigación
Schizophrenia research and treatment · Tryptophan and brain disorders · Parkinson's Disease Mechanisms and Treatments
Palabras clave
sulforaphane, chronic schizophrenia, negative symptoms, cognitive impairment, oxidative stress, neuroinflammation, antioxidants, anti-inflammatory agents, adjunctive therapy, PANSS, MATRICS Consensus Cognitive Battery
MeSH
humans, chronic disease, isothiocyanates, sulfoxides, antipsychotic agents, double-blind method, schizophrenia, adult, middle aged, female, male, cognitive dysfunction, outcome assessment, health care

16 autores

  • Haiyu Chen🇨🇳Central South University; Second Xiangya Hospital of Central South University
  • Jinjun Lu · autor de correspondencia
  • Jinjun Lu🇨🇳Central South University; Second Xiangya Hospital of Central South University
  • Tianxiang Zou🇨🇳Central South University; Second Xiangya Hospital of Central South University
  • Ziwei Teng🇨🇳Central South University; Second Xiangya Hospital of Central South University
  • Yue Qin🇨🇳Central South University; Second Xiangya Hospital of Central South University
  • Renrong Wu🇨🇳Central South University; Second Xiangya Hospital of Central South University
  • Yeliang Yan
  • Kai Fu
  • Wenjuan Jiang
  • Yunxia Ju🇨🇳Third Hospital of Changsha
  • Riyong Zhu🇨🇳Third Hospital of Changsha
  • Jianzhong Mo🇨🇳Third Hospital of Changsha
  • Jian Lü🇨🇳 · autor de correspondenciaCentral South University; Second Xiangya Hospital of Central South University
  • Jian Lü
  • Jing Hua Huang🇨🇳 · autor de correspondenciaCentral South University; Second Xiangya Hospital of Central South University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

The pathological mechanisms of negative symptoms and cognitive impairment in schizophrenia may involve oxidative stress and neuroinflammation. Sulforaphane is an organosulfur compound with antioxidant and anti-inflammatory properties. This study aimed to evaluate its efficacy in ameliorating negative symptoms and cognitive impairments in chronic schizophrenia patients.

Method

This 24-week double-blind randomised trial (NCT04521868) recruited schizophrenia patients with significant negative symptoms. Participants were randomly assigned to receive either sulforaphane or placebo and were required to complete at least one post-intervention assessment to evaluate changes in negative symptoms and cognitive functioning. Existing antipsychotic medication treatment regimens remained unchanged throughout the study.

Results

A total of 42 patients were included in the statistical analysis, with 28 receiving sulforaphane and 14 assigned to placebo. Sulforaphane significantly reduced the Negative Symptom Score from the PANSS 5-Factor model between groups (p = 0.007) and exhibited a significant time-by-group interaction (p = 0.023), with more pronounced group differences observed after 12 weeks compared to 24 weeks of treatment. Sulforaphane also demonstrated a significant reduction in the original PANSS Negative Symptom Score between groups (p = 0.029). However, sulforaphane showed no significant effects on the MATRICS Consensus Cognitive Battery composite score or its subscores.

Conclusion

The significant improvements in the Negative Symptom Score from the PANSS 5-Factor model and the original PANSS Negative Symptom Score in the sulforaphane group suggest the potential of sulforaphane as an adjunctive treatment for ameliorating negative symptoms in chronic schizophrenia. Further research is warranted to explore the effects of sulforaphane on cognitive function.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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