High-Sensitive c-Reactive Protein Levels in Euthymic Bipolar Patients: Case-Control Study

Psychiatr Q. 2021 Jun;92(2):803-811. doi: 10.1007/s11126-020-09854-y. Epub 2020 Oct 22.

Abstract

Bipolar disorder is a chronic, disabling disease that is characterized by the recurrence of thymic episodes. The role of the immune-inflammatory system in the etiopathogenesis of this affection arouses the interest of research. The aim of this work was to determine the plasma levels of the high sensitivity C reactive protein (hs-CRP) in patients with bipolar disorder in remission phase by comparing them to a control group.A case-control cross-sectional study was conducted from 56 subjects with bipolar disorder in clinical remission, and 56 volunteers and healthy control subjects.Mean plasma hs-CRP was significantly higher in patients with bipolar disorder than control subjects. In bipolar patients, a hs-CRP elevation was significantly associated with the disease severity item mean score.Through this study, bipolar disorder appears to be associated with a state of chronic inflammation. This should lead to randomized controlled trials evaluating the value of anti-inflammatory drugs in the management of bipolar disorder.

Keywords: Bipolar disorder; C-reactive protein; Inflammation; Inflammatory marker.

MeSH terms

  • Adult
  • Biomarkers / blood
  • Bipolar Disorder / blood*
  • Bipolar Disorder / complications*
  • Bipolar Disorder / diagnosis
  • Bipolar Disorder / immunology
  • C-Reactive Protein / analysis*
  • Case-Control Studies
  • Cross-Sectional Studies
  • Female
  • Humans
  • Inflammation / blood
  • Inflammation / complications*
  • Male
  • Recurrence

Substances

  • Biomarkers
  • C-Reactive Protein