Schizophrenia as a common disabling psychiatric disorder has been associated with dysregulation of several genes and pathways among them are those being regulated by long non-coding RNAs (lncRNAs). Based on the acknowledged roles of lncRNAs in neurodevelopment, in the current study, we assessed expression of six lncRNAs namely
HOXA-AS
2,
Linc-ROR
,
MALAT1
,
MEG3
,
SPRY4-IT1
and
UCA1
in peripheral blood of 60 patients with schizophrenia and 60 healthy subjects.
HOXA-AS2
,
Linc-ROR
,
MEG3
,
SPRY4-IT1
and
UCA1
levels were significantly higher in total patients compared with total controls. However, when evaluating expression of genes in sex-based subgroups, the differences in the expression of these lncRNAs were significant only among females. Assessment of partial correlation between expression of lncRNAs and age of study participants after controlling the effect of sex, revealed significant correlations for
HOXA-AS2
,
MALAT1
and
UCA1
in both patients and controls. Besides, expressions of
Linc-ROR
and
SPRY4-IT1
were correlated with age only in patients. Significant pairwise correlations were recognized between expression levels of lncRNAs in both patients with schizophrenia and controls. Based on the area under curve (AUC) values,
SPRY4-IT1
had the best performance in differentiation of female patients with schizophrenia from female controls (AUC = 0.85, P < 0.0001). Combination of
Linc-ROR
,
MEG3
,
SPRY4-IT1
and
UCA1
expression levels could differentiate female patients with 95.2% sensitivity, 76.9% specificity and diagnostic power of 0.88 (P < 0.0001). The current study suggests the presence of a sex-based dysregulation of lncRNAs in patients with schizophrenia and their possible application as diagnostic biomarkers.