Department of Adult Psychiatry, Medical University of Łódź, Poland.
J Affect Disord. 2012 May;138(3):360-6. doi: 10.1016/j.jad.2012.01.016. Epub 2012 Feb 12.
There is evidence that inflammation, oxidative and nitrosative stress (IO&NS) play a role in the pathophysiology of depression. There are also data indicating altered inflammatory gene expression in depressive disorder and that genetic variants of IO&NS genes are associated with increased risk of the disease in question. The aim of this study was to explore mRNA expression of four IO&NS genes PTGS2, MPO, NOS2A, and PLA2G2A coding respectively: cyclooxygenase-2 (COX-2), myeloperoxidase (MPO), inducible nitric oxide synthase (iNOS) and secretory phospholipase A2 type IIA (sPLA2-IIA).
Expression of the mRNA was determined using quantitative real-time PCR, in peripheral blood cells of patients with recurrent depressive disorder (rDD) and normal controls.
The mRNA expressions of the genes encoding for COX-2, MPO, iNOS and sPLA2-IIA were significantly increased in the peripheral blood cells of depressed patients versus controls.
Patients were treated with antidepressants.
Our results indicate and may confirm the role of peripheral IO&NS pathways in the pathophysiology of depression. The results represent a promising way to investigate biological markers of depression.
有证据表明,炎症、氧化和硝化应激(IO&NS)在抑郁症的病理生理学中起作用。还有数据表明,抑郁障碍中炎症基因表达发生改变,IO&NS 基因的遗传变异与该疾病的风险增加有关。本研究旨在探讨四种 IO&NS 基因 PTGS2、MPO、NOS2A 和 PLA2G2A 的 mRNA 表达情况,分别编码:环氧化酶-2(COX-2)、髓过氧化物酶(MPO)、诱导型一氧化氮合酶(iNOS)和分泌型磷脂酶 A2 同工酶 IIA(sPLA2-IIA)。
使用定量实时 PCR 测定复发性抑郁障碍(rDD)患者和正常对照者外周血细胞中这些基因的 mRNA 表达。
与对照组相比,抑郁患者外周血细胞中编码 COX-2、MPO、iNOS 和 sPLA2-IIA 的基因的 mRNA 表达明显增加。
患者接受了抗抑郁药物治疗。
我们的结果表明并可能证实了外周 IO&NS 途径在抑郁症病理生理学中的作用。这些结果为研究抑郁症的生物学标志物提供了一种有前途的方法。