Trajkovska Viktorija, Vinberg Maj, Aznar Susana, Knudsen Gitte M, Kessing Lars V
Neurobiology Research Unit and Center for Integrated Molecular Brain Imaging, Copenhagen University Hospital, Section 9201, Blegdamsvej 9, 2100 Copenhagen, Denmark.
J Affect Disord. 2008 May;108(1-2):165-9. doi: 10.1016/j.jad.2007.09.004. Epub 2007 Oct 24.
Depression has been associated with decreased blood BDNF concentrations; but it is unclear if low blood BDNF levels are a state or a trait marker of depression.
We investigated blood BDNF concentrations in a twin population including both subjects highly predisposed and protected against affective disorder. Whole blood assessed for BDNF concentrations and correlated to risk status, neuroticism, and number of stressful life events.
Between the groups, we found no significant difference in whole blood BDNF levels. Women at high-risk for depression who had experienced three or more recent stressful events (n=26) had decreased whole blood BDNF levels compared to high-risk women with two or less recent stressful events (n=35), 21.6+/-7.0 vs. 18.5+/-4.1 ng/ml, respectively, (p<0.05). No such association was found in low-risk women or in men. In men, however, low neuroticism scores and two or less recent stressful events were associated with decreased whole blood BDNF levels (n=50, p<0.05).
The cross-sectional design limits the possibility of drawing firm conclusions on causatility of the findings.
The genetic risk of developing depression does not translate directly into whole blood BDNF levels. In females who are genetically disposed for depression and subjected to recent stressful life events whole blood BDNF levels are lower.
抑郁症与血液中脑源性神经营养因子(BDNF)浓度降低有关;但尚不清楚血液中BDNF水平低是抑郁症的一种状态还是特质标记。
我们在一个双胞胎人群中调查了血液BDNF浓度,该人群包括极易患情感障碍和对情感障碍有抵抗力的个体。对全血进行BDNF浓度评估,并将其与风险状态、神经质和应激性生活事件数量相关联。
在各研究组之间,我们发现全血BDNF水平无显著差异。与近期有两个或更少应激事件的高风险女性(n = 35)相比,近期经历过三次或更多应激事件的抑郁症高风险女性(n = 26)全血BDNF水平降低,分别为21.6±7.0 vs. 18.5±4.1 ng/ml,(p<0.05)。在低风险女性或男性中未发现此类关联。然而,在男性中,低神经质得分以及近期有两个或更少应激事件与全血BDNF水平降低相关(n = 50,p<0.05)。
横断面设计限制了就研究结果的因果关系得出确凿结论的可能性。
患抑郁症的遗传风险并不会直接转化为全血BDNF水平。在具有抑郁症遗传易感性且近期经历应激性生活事件的女性中,全血BDNF水平较低。