Department of Psychiatry, Faculty of Medicine, Rize University, 53100, Rize, Turkey.
Metab Brain Dis. 2012 Dec;27(4):425-30. doi: 10.1007/s11011-012-9323-9. Epub 2012 Jun 19.
There is some evidence that an immune response with an increased production of proinflammatory cytokines frequently accompanies major depression. The aim of this study was to determine the serum levels of interleukines (IL-1β, IL-6, IL-8, IL-10), tumor necrosis factor-alpha (TNF-α), interferon-gamma (IFN-γ) and immonuglobulines (IgG, IgA and IgM) levels and to examine the relationships between all above parameters and lipid parameters. The study group included 30 patients and 30 healthy volunteers. Although total cholesterol, HDL-cholesterol, and IgM levels were increased significantly (p < 0.05) in patients and compared to those of the controls, no statistically significant differences (p > 0.05) were observed with other parameters. IFN-γ were positively correlated with total cholesterol (r = 0.425; P = 0.019) and LDL-cholesterol (r = 0.391; P = 0.032) levels in patients. Other cytokines and immunoglobulins did not show any correlation with lipid parameters. It was concluded that although no differences was observed in cytokines and immunoglobulin levels in the present study, the dysregulation of the lipids and immune system including the cytokine network is associated with the etiology and pathophysiology of major depressive disorders.
有证据表明,伴随重度抑郁症的往往是产生促炎细胞因子的免疫反应增加。本研究旨在确定白细胞介素(IL-1β、IL-6、IL-8、IL-10)、肿瘤坏死因子-α(TNF-α)、干扰素-γ(IFN-γ)和免疫球蛋白(IgG、IgA 和 IgM)的血清水平,并研究所有上述参数与脂质参数之间的关系。研究组包括 30 名患者和 30 名健康志愿者。尽管患者的总胆固醇、高密度脂蛋白胆固醇和 IgM 水平显著升高(p<0.05),且与对照组相比,其他参数无统计学差异(p>0.05)。IFN-γ与患者的总胆固醇(r=0.425;P=0.019)和 LDL 胆固醇(r=0.391;P=0.032)水平呈正相关。其他细胞因子和免疫球蛋白与脂质参数之间没有相关性。结论是,尽管本研究中细胞因子和免疫球蛋白水平没有差异,但包括细胞因子网络在内的脂质和免疫系统的失调与重度抑郁症的病因和发病机制有关。