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抑郁症的可能病因?

Towards a possible aetiology for depressions?

机构信息

Institute of Pediatric Research, Rikshospitalet, N-0027 Oslo, Norway.

出版信息

Behav Brain Funct. 2007 Sep 14;3:47. doi: 10.1186/1744-9081-3-47.

Abstract

BACKGROUND

Since a genetic disposition for depression is probable, there ought to be biochemical changes. Increased peptide levels with relevant bioactivities have been found in urine in a previous investigation, which may be such changes.

METHODS

Urine from patients with severe depression according to ICD 10 have been run on reversed phase High Performance Liquid Chromatography, and off line mass spectrometry was performed on some of these peptides.

RESULTS

We find overlapping patterns of peptide peaks in severe depression, but with considerable individuality. Mass spectrometry shows that some of these peptides are probably of dietary origin, because their sequences are found only in certain dietary proteins. Opioids from casein and gliadin are typical examples.

CONCLUSION

Our data show that the disposition must be polygenetic because some peptide peaks with the same bioactivity are of different length in different patients, but with the same diagnosis. However, some of the peaks are common Peptide increase in urine is found when break down is deficient, and the data presented agree with reports on peptidase deficiencies in depression. Antidepressant drugs decrease the peptide level after about 3 weeks.

摘要

背景

由于抑郁症很可能存在遗传倾向,因此应该会有生化变化。在之前的研究中,我们在尿液中发现了具有相关生物活性的肽含量增加,这些可能就是此类变化。

方法

根据 ICD-10,我们对患有严重抑郁症的患者的尿液进行了反相高效液相色谱分析,并对其中一些肽进行了离线质谱分析。

结果

我们发现严重抑郁症患者的肽峰模式存在重叠,但个体差异很大。质谱分析表明,其中一些肽可能来自饮食,因为它们的序列只存在于某些特定的饮食蛋白质中。酪蛋白和麦胶蛋白中的阿片肽就是典型的例子。

结论

我们的数据表明,这种倾向一定是多基因的,因为在不同患者中,具有相同生物活性的某些肽峰的长度不同,但诊断相同。然而,一些峰是常见的。当分解不足时,尿液中会发现肽增加,目前呈现的数据与抑郁症中肽酶缺乏的报告一致。抗抑郁药大约在 3 周后会降低肽水平。

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