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[重度抑郁症患者血浆天冬氨酸、甘氨酸和天冬酰胺水平的变化]

[Alterations of plasma aspartic acid, glycine and asparagine levels in patients with major depressive disorder].

作者信息

Fu Xin-yan, Lu Yun-rong, Wu Juan-li, Wu Xue-yan, Bao Ai-min

机构信息

Department of Neurobiology, Zhejiang University School of Medicine, Hangzhou 310058, China.

出版信息

Zhejiang Da Xue Xue Bao Yi Xue Ban. 2012 Mar;41(2):132-8.

Abstract

OBJECTIVE

To evaluate the changes of plasma levels of the excitatory amino acid neurotransmitter aspartic acid (Asp), inhibitory neurotransmitter glycine (Gly) and asparagine (Asn) in patients with major depressive disorder (MDD).

METHODS

Plasma samples were collected from 15 MDD patients (9 males and 6 females, aged 32-64 y) and 14 healthy subjects (7 males and 7 females, aged 30-65 y); and also collected from 7 MDD patients (5 males and 2 females) 2 months after antidepressant treatment. The plasma levels of amino acids were determined by high performance liquid chromatography with fluorescence detection method.

RESULTS

Plasma Asp and Gly levels were significantly lower in MDD patients than those in controls (P<0.04). There were positive correlations between plasma levels of Gly and Asp, and between Gly and Asn (P<0.005) in the control group; while in MDD patients, a significant positive correlation was found only between plasma levels of Gly and of Asp (P<0.001). MDD patients did not show significant changes in plasma Asp, Asn and Gly levels after antidepressant treatment compared to those before treatment.

CONCLUSION

The reduced plasma Asp and Gly levels may serve as a clinical biomarker for MDD.

摘要

目的

评估重度抑郁症(MDD)患者血浆中兴奋性氨基酸神经递质天冬氨酸(Asp)、抑制性神经递质甘氨酸(Gly)和天冬酰胺(Asn)水平的变化。

方法

采集15例MDD患者(9例男性,6例女性,年龄32 - 64岁)和14名健康受试者(7例男性,7例女性,年龄30 - 65岁)的血浆样本;同时采集7例MDD患者(5例男性,2例女性)在抗抑郁治疗2个月后的血浆样本。采用高效液相色谱荧光检测法测定血浆氨基酸水平。

结果

MDD患者血浆Asp和Gly水平显著低于对照组(P<0.04)。对照组血浆Gly与Asp水平之间以及Gly与Asn水平之间呈正相关(P<0.005);而在MDD患者中,仅血浆Gly与Asp水平之间存在显著正相关(P<0.001)。与治疗前相比,MDD患者抗抑郁治疗后血浆Asp、Asn和Gly水平无显著变化。

结论

血浆Asp和Gly水平降低可能是MDD的一种临床生物标志物。

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