NeuroImaging Correlates of Tobacco-smoking in Early psychosis (NICOTINE)


Tobacco use is highly prevalent among patients with schizophrenia, around 3 times higher than in the general population. Furthermore, smoking is linked to higher rates of psychotic relapse, more severe symptoms, reduced quality of life, and increased mortality in schizophrenia. While the underlying mechanisms of this co-occurrence remain unclear, it is likely that shared neurobiological and genetic vulnerabilities play an important role. Understanding the neurobiological basis of smoking in schizophrenia may contribute to more effective prevention and treatment options by identifying key factors that make patients particularly vulnerable to tobacco addiction.

The NICOTINE-project of PhD-student Merel Koster, supervised by senior researchers at the psychiatry department of Amsterdam UMC, investigates the neurobiological underpinnings and consequences of smoking in early psychosis using longitudinal magnetic resonance imaging (MRI) data. By analysing structural, functional, and neurochemical MRI in first-episode psychosis patients and individuals at clinical high risk, we aim to gain a comprehensive overview of the association between smoking and brain changes during this critical period.

Collaborators (main):

  • Dr. Elsmarieke van der Giessen, MD
  • Prof. dr. Lieuwe de Haan, MD
  • Merel Koster, MSc
  • Dr. Marieke van der Pluijm
  • Dr. Jentien Vermeulen, MD
  • Prof. dr. Guido van Wingen

Funding (partial):

Amsterdam Brain & Cognition Talent Grant 2021 (Ziermans/vdGiessen/Vermeulen)

Publications


Neuromelanin-MRI and tobacco smoking in first episode psychosis patients and controls


M. Koster, J. Vermeulen, T. Ziermans, C. van Hooijdonk, J. Selten, J. Booij, L. de Haan, E. van de Giessen, M. van der Pluijm

Schizophrenia Research, vol. 297, 2026 Jul, pp. 1-7


Resting-state connectivity and tobacco smoking in clinical high-risk for psychosis (NAPLS-3)


M. Koster, M. van der Pluijm, R. Veelers, E. van de Giessen, L. de Haan, G. van Wingen, T. Ziermans, J. Vermeulen

General Psychiatry, vol. 39, 2026 Feb


Tobacco Smoking and Gray Matter Volume in Individuals at Clinical High Risk for Psychosis: A Longitudinal Magnetic Resonance Imaging Study


M. Koster, M. van der Pluijm, M. Fraikin, G. van Wingen, E. van de Giessen, L. de Haan, J. Vermeulen, T. Ziermans

Biological Psychiatry: Global Open Science, vol. 5, 2025 Sep


The Association Between Chronic Tobacco Smoking and Brain Alterations in Schizophrenia: A Systematic Review of Magnetic Resonance Imaging Studies


M. Koster, L. Mannsdörfer, M. van der Pluijm, L. de Haan, T. Ziermans, G. van Wingen, J. Vermeulen

Schizophrenia Bulletin, vol. 51, 2025 May, pp. 608-624


The association of tobacco smoking and metabolite levels in the anterior cingulate cortex of first-episode psychosis patients: A case-control and 6-month follow-up 1H-MRS study


M. Koster, M. van der Pluijm, E. van de Giessen, A. Schrantee, C. F. M. van Hooijdonk, J.-P. Selten, J. Booij, L. de Haan, T. Ziermans, J. Vermeulen

Schizophrenia Research, vol. 271, 2024 Sep, pp. 144-152