Brewer Janet K
Department of Medicine, Division of Neurosciences, Section of Neuropsychology, University of Illinois-Carle Clinic, 602 West University Avenue, Urbana, IL 61801, USA.
J Mol Neurosci. 2008 Jul;35(3):307-22. doi: 10.1007/s12031-008-9078-2. Epub 2008 Jun 18.
This study investigates the causes of the observed linkage between depression and later onset of cancer. The prevailing view is that cancer in depressed patients results from a weakened immune system. However, molecular biologists have recognized that dysregulation of the ras proto-oncogene results in impaired serotonin and dopamine synthesis manifesting as major depression. A qualitative review of the literature showed that (1) studies using the Minnesota Multiphasic Personality Inventory showed a greater correlation between depression and later cancer onset than those employing other measures and (2) the more related the cancer type was to the Ras oncogene family, the greater the correlation between depression and later cancer onset. These results support the hypothesis that the ras proto-oncogene plays a role in the etiology of depression and could be the common denominator in long-observed depression/cancer linkages. Previous depression/cancer linkage studies are confounded in that they failed to analyze cancer type and accurately diagnose depression.
本研究调查了抑郁症与癌症发病延迟之间存在关联的原因。普遍观点认为,抑郁症患者患癌症是免疫系统减弱所致。然而,分子生物学家已经认识到,原癌基因ras的失调会导致血清素和多巴胺合成受损,表现为重度抑郁症。对文献的定性综述表明:(1)使用明尼苏达多相人格问卷的研究显示,抑郁症与癌症发病延迟之间的相关性比采用其他测量方法的研究更高;(2)癌症类型与Ras癌基因家族的关联越紧密,抑郁症与癌症发病延迟之间的相关性就越高。这些结果支持了以下假设:原癌基因ras在抑郁症的病因中起作用,并且可能是长期观察到的抑郁症/癌症关联中的共同因素。先前的抑郁症/癌症关联研究存在混淆,因为它们没有分析癌症类型,也没有准确诊断抑郁症。