Original Investigation

Multivariate Brain-Blood Signatures in Early-Stage Depression and Psychosis

JAMA Psychiatry 10.1001/jamapsychiatry.2025.3803

December 17, 2025 at 11:00 AM EST

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Can combined peripheral inflammatory markers with whole-brain gray matter volume in a multivariate framework distinguish early-stage depression and psychosis?In this cross-sectional study of 678 individuals from the multicenter PRONIA study, sparse partial least squares isolated 2 distinct blood-brain signatures: one differentiating recent-onset psychosis from clinical high-risk states for psychosis and another separating recent-onset depression from healthy control individuals, each with different cytokine and gray matter volume patterns.The findings suggest that peripheral and neuroanatomical biomarkers may have the potential to support stage-specific differentiation and inform stratified approaches to psychiatric care.

Corresponding Authors: Rachel Upthegrove, MBE, MBBS, PhD, Department of Psychiatry, Oxford University, Warneford Hospital, Headington, Oxford, OX3 7JX, United Kingdom (rachel.upthegrove@psych.ox.ac.uk); David Popovic, MD, PhD, Max Planck Institute of Psychiatry, Kraepelinstr. 2-10, 80804 Munich, Germany (david_popovic@psych.mpg.de).

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