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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">ppan</journal-id><journal-title-group><journal-title xml:lang="en">Personalized Psychiatry and Neurology</journal-title><trans-title-group xml:lang="ru"><trans-title>Personalized Psychiatry and Neurology</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2712-9179</issn><publisher><publisher-name>V. M. Bekhterev National Medical Research Centre for Psychiatry and Neurology of the Ministry of Health of the Russian Federation (Bekhterev NMRC PN)</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.52667/2712-9179-2024-4-3-12-23</article-id><article-id custom-type="elpub" pub-id-type="custom">ppan-108</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Neutrophil-to-Lymphocyte Ratio Any Association with Metabolic  Syndrome in Schizophrenia</article-title><trans-title-group xml:lang="ru"><trans-title></trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Zakharova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="en"><p>Natalia V. Zakharova </p><p>192019 Saint Petersburg</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Nasyrova</surname><given-names>R. F.</given-names></name></name-alternatives><bio xml:lang="en"><p> Regina F. Nasyrova</p><p>192019 Saint Petersburg</p></bio><email xlink:type="simple">regina_nmrcpn@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Rakhmatullin</surname><given-names>A. I.</given-names></name></name-alternatives><bio xml:lang="en"><p>Artyom I. Rakhmatullin</p><p>192019 Saint Petersburg</p><p> </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Rumiantceva</surname><given-names>M. N.</given-names></name></name-alternatives><bio xml:lang="en"><p>Maria N. Rumiantceva</p><p>190121 Saint Petersburg</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Sizykh</surname><given-names>K. I.</given-names></name></name-alternatives><bio xml:lang="en"><p>Kirill I. Sizykh</p><p>197341 Saint Petersburg</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Kostin</surname><given-names>F. N.</given-names></name></name-alternatives><bio xml:lang="en"><p>Fedor N. Kostin - Independent researcher</p><p>Saint Petersburg</p></bio></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="en">V. M. Bekhterev National Medical Research Center for Psychiatry and Neurology<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="en">St. Nicholas Psychiatric hospital<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="en">Almazov National Medical Research Centre<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>18</day><month>09</month><year>2024</year></pub-date><volume>4</volume><issue>3</issue><fpage>12</fpage><lpage>23</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Zakharova N.V., Nasyrova R.F., Rakhmatullin A.I., Rumiantceva M.N., Sizykh K.I., Kostin F.N., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Zakharova N.V., Nasyrova R.F., Rakhmatullin A.I., Rumiantceva M.N., Sizykh K.I., Kostin F.N.</copyright-holder><copyright-holder xml:lang="en">Zakharova N.V., Nasyrova R.F., Rakhmatullin A.I., Rumiantceva M.N., Sizykh K.I., Kostin F.N.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.jppn.ru/jour/article/view/108">https://www.jppn.ru/jour/article/view/108</self-uri><abstract><p>To date, hematologic inflammation coefficients (HICs) have been considered as biological markers linking the functions of the immune, endocrine, and autonomous nervous systems. HICs are markers of immune abnormalities that accompany various pathologic conditions and, to a large extent, determine disease prognosis, survival time, and function. According to the results of a meta-analysis covering the results of examination of more than 168 thousand patients, it was found that the ratio of neutrophils to lymphocytes (NLR) is associated with higher levels in patients with metabolic syndrome and can potentially be used for early detection of this pathology. Given these facts, it seems reasonable to test the assumption of the role of HICs in the pathogenesis of psychiatric disorders, their participation in the mechanisms of development of comorbid conditions, or predicting the outcome and effects of therapy. In 2024, the team of the Bekhterev Center began to perform work under the state assignment of the Ministry of Health of the Russian Federation, the purpose of which was to develop and validate a model for predicting individual risks of metabolic disorders in patients with psychiatric disorders, on the basis of which interpretive software will be presented. The team of authors of this article focused on conducting a systematic review of publications to test this hypothesis.</p></abstract><kwd-group xml:lang="en"><kwd>neutrophil-to-lymphocyte ratio (NLR)</kwd><kwd>schizophrenia</kwd><kwd>metabolic syndrome</kwd><kwd>hematologic  inflammation coefficients (HICs)</kwd><kwd>systemic inflammation</kwd><kwd>psychiatric disorders</kwd><kwd>immune dysregulation</kwd><kwd>biomarkers</kwd><kwd>antipsychotic therapy</kwd><kwd>psychoneuroimmunology</kwd></kwd-group><funding-group xml:lang="en"><funding-statement>The authors are grateful to the administration and management of the V. M.  Bekhterev National Medical Research Centre for Psychiatry and Neurology and also thank the  Director of the Centre, Scientific Head of the Geriatric Psychiatry Department of the Centre, Doctor  of Medical Sciences, Professor N. G. Neznanov for the opportunity to conduct this project.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Zahorec, R. Ratio of neutrophil to lymphocyte counts--rapid and simple parameter of systemic inflammation and stress in critically ill. Bratisl Lek Listy 2001, 1:5–14.</mixed-citation><mixed-citation xml:lang="en">Zahorec, R. Ratio of neutrophil to lymphocyte counts--rapid and simple parameter of systemic inflammation and stress in critically ill. 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