Investigating the gut microbiome in schizophrenia cases versus controls: South Africa's version.

Journal: Neurogenetics

Volume: 26

Issue: 1

Year of Publication: 2025

Affiliated Institutions:  Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa. Department of Physiological Sciences, Faculty of Science, Stellenbosch University, Stellenbosch, South Africa. Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa. @sun.ac.za.

Abstract summary 

Schizophrenia (SCZ) is a chronic and severe mental disorder with a complex molecular aetiology. Emerging evidence indicates a potential association between the gut microbiome and the development of SCZ. Considering the under-representation of African populations in SCZ research, this study aimed to explore the association between the gut microbiome and SCZ within a South African cohort. Gut microbial DNA was obtained from 89 participants (n = 41 SCZ cases; n = 48 controls) and underwent 16S rRNA (V4) sequencing. Data preparation and taxa classification were performed with the DADA2 pipeline in R studio followed by diversity analysis using QIIME2. Analysis of Compositions of Microbiomes with Bias Correction (ANCOM-BC) was utilised to identify differentially abundant taxa. No statistically significant differences were observed between SCZ patients and controls in terms of alpha-diversity (Shannon q = 0.09; Simpson q = 0.174) or beta-diversity (p = 0.547). Five taxa, namely Prevotella (p = 0.037), Faecalibacterium (p = 0.032), Phascolarctobacterium (p = 0.002), Dialister (p = 0.043), and SMB53 (p = 0.012), were differentially abundant in cases compared to controls, but this observation did not survive correction for multiple testing. This exploratory study suggests a potential association between the relative abundance of Prevotella, Faecalibacterium, Phascolarctobacterium, Dialister, and SMB53 with SCZ case-control status. Given the lack of significance after correcting for multiple testing, these results should be interpreted with caution. Mechanistic studies in larger samples are warranted to confirm these findings and better understand the association between the gut microbiome and SCZ.

Authors & Co-authors:  Rust Carlien C Asmal Laila L O'Hare Michaela M Pretorius Etheresia E Emsley Robin R Seedat Soraya S Hemmings Sian S

Study Outcome 

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Statistics
Citations :  Jones PB et al (2006) Randomized controlled trial of the effect on quality of life of second- vs first-generation antipsychotic drugs in schizophrenia: Cost Utility of the Latest Antipsychotic Drugs in Schizophrenia Study (CUtLASS 1). Arch Gen Psychiatry 63(10):1079–1087. 10.1001/archpsyc.63.10.1079
Authors :  7
Identifiers
Doi : 34
SSN : 1364-6753
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Alpha-diversity;Beta-diversity;Gut microbiome;Gut-brain-axis;Schizophrenia
Study Design
Case Control Trial,Exploratory Study
Study Approach
Country of Study
South Africa
Publication Country
United States