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血浆甘丙肽是重度抑郁症严重程度的生物标志物。

Plasma galanin is a biomarker for severity of major depressive disorder.

机构信息

Tianjin AnDing Hospital, Capital Medical University, Beijing Tsinghua University, Beijing.

Beijing Key Laboratory of Neural Regeneration and Repair, Capital Medical University.

出版信息

Int J Psychiatry Med. 2014;48(2):109-19. doi: 10.2190/PM.48.2.d.

Abstract

OBJECTIVE

This study investigated the association between plasma galanin level and depression severity.

METHODS

The severity of depression symptoms of 79 patients with major depressive disorder (MDD; 52 women and 27 men, 71 patients in onset, 8 in remission) was assessed using the 17-item Hamilton Depression Rating Scale. Venous fasting blood samples (5 mL) were taken from the 79 MDD patients, 35 healthy siblings, and 19 healthy controls, and plasma samples were prepared. Galanin levels in the plasma were measured by radioimmunoassay.

RESULTS

Plasma galanin in MDD patients was significantly higher than that of remission patients, healthy siblings, or healthy controls (P < 0.05) There was no significant difference between the healthy sibling and healthy control groups (P = 0.924). Plasma galanin of remission patients was also significantly higher than that of healthy controls (P < 0.05). There was no significant correlation between age and galanin levels in the 79 patients (r = 0.053, P = 0.646), nor was there a correlation between age and galanin levels when patients were stratified by gender (P > 0.05). There was a significant positive correlation between plasma galanin levels and depression severity in women MDD patients (r = 0.329, df = 42, P = 0.020), but not in men patients.

CONCLUSIONS

Plasma galanin levels may be an important biomarker for depression severity, especially in female patients.

摘要

目的

本研究旨在探讨血浆甘丙肽水平与抑郁严重程度的关系。

方法

采用汉密尔顿抑郁量表 17 项版本(HAMD-17)评估 79 例重性抑郁障碍(MDD)患者(52 名女性和 27 名男性,71 例首发,8 例缓解)的抑郁症状严重程度。从 79 例 MDD 患者、35 名健康同胞和 19 名健康对照中抽取空腹静脉血 5ml,制备血浆样本。采用放射免疫法测定血浆甘丙肽水平。

结果

MDD 患者的血浆甘丙肽明显高于缓解期患者、健康同胞或健康对照组(P<0.05),健康同胞组与健康对照组之间无显著差异(P=0.924)。缓解期患者的血浆甘丙肽也明显高于健康对照组(P<0.05)。79 例患者的年龄与甘丙肽水平之间无显著相关性(r=0.053,P=0.646),按性别分层后患者的年龄与甘丙肽水平之间也无相关性(P>0.05)。女性 MDD 患者的血浆甘丙肽水平与抑郁严重程度呈显著正相关(r=0.329,df=42,P=0.020),但男性患者无此相关性。

结论

血浆甘丙肽水平可能是评估抑郁严重程度的一个重要生物标志物,尤其在女性患者中。

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