Pallanti Stefano, Tofani Tommaso, Zanardelli Matteo, Di Cesare Mannelli Lorenzo, Ghelardini Carla
UC Davis Department of Psychiatry and Behavioral Sciences , Sacramento, CA , USA.
Int J Psychiatry Clin Pract. 2014 Oct;18(4):255-60. doi: 10.3109/13651501.2014.940051. Epub 2014 Aug 12.
While the role of neuronal and glial plasticity are well established in the pathophysiology of mood disorders, the pattern and measures of neuronal and glial cell line-derived neurotrophic factors are unknown in generalized anxiety disorder (GAD). The present study evaluates brain-derived neurotrophic factor (BDNF) and Artemin (ARTN) plasma levels in GAD patients.
Fourteen drug-naïve GAD patients without major depression were enrolled and plasmatic levels of BDNF and ARTN mRNA were measured by RT-PCR, and compared to matched healthy controls.
The results showed an unexpected increase in mRNA levels of both BDNF and ARTN in patients with GAD, that appeared almost doubled when compared to healthy controls. In comparison, both BDNF and ARTN are reduced in patients with major depressive disorder. Further, the results are intriguing and might involve distinguishing pathophysiological pathways.
This is the first report of increased levels of a neurotrophic factor and of a glial cell line-derived neurotrophic factor family member in GAD patients. While further studies to confirm these results and the functional meaning in terms of pathophysiology of GAD are needed, the potential conceptual and clinical meanings are discussed.
虽然神经元和胶质细胞可塑性在情绪障碍的病理生理学中的作用已得到充分证实,但在广泛性焦虑症(GAD)中,神经元和胶质细胞系源性神经营养因子的模式和测量方法尚不清楚。本研究评估了GAD患者血浆中脑源性神经营养因子(BDNF)和Artemin(ARTN)的水平。
招募了14名未服用过药物且无重度抑郁症的GAD患者,通过逆转录聚合酶链反应(RT-PCR)测量BDNF和ARTN mRNA的血浆水平,并与匹配的健康对照进行比较。
结果显示,GAD患者中BDNF和ARTN的mRNA水平意外升高,与健康对照相比几乎增加了一倍。相比之下,重度抑郁症患者的BDNF和ARTN均降低。此外,这些结果很有趣,可能涉及不同的病理生理途径。
这是关于GAD患者神经营养因子水平升高以及胶质细胞系源性神经营养因子家族成员水平升高的首次报道。虽然需要进一步研究来证实这些结果以及它们在GAD病理生理学方面的功能意义,但本文讨论了其潜在的概念和临床意义。