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Paradigm Challenge  /  Biology

Schizophrenia might be an autoimmune disease where the body’s own antibodies launch a physical attack on the brain.

The medical community has traditionally viewed schizophrenia as a chemical imbalance or a purely genetic disorder. This research identifies a high burden of autoantibodies in patients that specifically target the central nervous system. These antibodies weaken the blood-brain barrier and interfere with neural signaling in a way that correlates with severe symptoms. Patients with these specific immune markers were also found to be less responsive to standard antipsychotic medications. Shifting the focus toward immunotherapy could offer a brand-new path for treating patients who do not benefit from current psychiatric drugs.

Original Paper

High prevalence of CNS-directed autoantibodies in patients with schizophrenia

Nemani, K.; Jaycox, J. R.; Akcan, U.; Schuman, B. M.; Yeon, S. M.; Harano, N.; Qin, K.; Notestine, A. A.; Carroll, S. M.; McKenzie, B. S.; Furchtgott, L.; Lahti, A. C.; Tsien, R. W.; Agalliu, D.; Goff, D. C.; Ring, A. M.

bioRxiv  ·  10.64898/2026.05.04.722731

Schizophrenia is a severe neuropsychiatric disorder whose etiology and biological heterogeneity remain poorly understood. Immune dysregulation has long been implicated, but the breadth and clinical significance of autoantibody responses remain unclear beyond rare individual examples. Here we use Rapid Extracellular Antigen Profiling-a proteome-scale assay for autoantibodies against extracellular and secreted proteins-to profile 352 individuals with schizophrenia and 971 community controls. We fi