Recently, it has been reported that increased plasma homocysteine (Hcy) levels are associated with the risk of developing schizophrenia (SZ) and its severity. In vivo and in vitro studies have shown that Hcy promotes oxidative stress and inflammation, and damages of white matter (WM).
Additionally, large-scale studies using diffusion tensor imaging (DTI) have reported lower fractional anisotropy (FA), an indicator of WM dysconnectivity, in people with SZ. However, the underlying mechanism of WM dysconnectivity in SZ remains unclear. We investigated the relationship between plasma Hcy levels and WM microstructure in 53 individuals with SZ and 83 healthy controls (HC) using DTI. A significant negative correlation between plasma Hcy levels and WM microstructural disruption was found in the SZ group but not in the HC group. Our results suggest that increased Hcy may be associated with WM dysconnectivity in SZ, and the interaction between Hcy and WM dysconnectivity may be a potential mechanism of the pathophysiology of SZ (Schizophrenia. 2024).