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首发抑郁症女性的脑源性神经营养因子(BDNF)血清水平及其与临床和代谢参数的相关性

Brain-derived neurotrophic factor (BDNF) serum level in women with first-episode depression, correlation with clinical and metabolic parameters.

作者信息

Skibinska Maria, Kapelski Pawel, Rajewska-Rager Aleksandra, Pawlak Joanna, Szczepankiewicz Aleksandra, Narozna Beata, Twarowska-Hauser Joanna, Dmitrzak-Weglarz Monika

机构信息

a Psychiatric Genetics Unit, Department of Psychiatry , Poznan University of Medical Sciences , Poznan , Poland.

b Department of Adult Psychiatry , Poznan University of Medical Sciences , Poland Poznan.

出版信息

Nord J Psychiatry. 2018 Apr;72(3):191-196. doi: 10.1080/08039488.2017.1415373. Epub 2017 Dec 13.

Abstract

BACKGROUND

Brain-derived neurotrophic factor (BDNF) influences neuron differentiation during development, as well as the synaptic plasticity and neuron survival in adulthood. BDNF has been implicated in the pathogenesis of psychiatric disorders and its serum level is a potential biomarker for depression. The aim of this study was to examine serum levels of BDNF in first-episode depression and its correlation with clinical and metabolic parameters.

MATERIALS AND METHODS

The study was performed on a group of 60 women: 30 diagnosed with a first-episode of depression and 30 healthy controls. 17-Item Hamilton Depression Rating Scale (HDRS-17) was used to assess the severity of depression. Patients were randomly chosen for treatment with sertraline or venlafaxine. BDNF serum levels and metabolic parameters: fasting serum glucose, cholesterol, triglyceride (TG), high-density lipoprotein (HDL-C), low-density lipoprotein (LDL-C) were measured at baseline and week 8 of treatment.

RESULTS

There were no differences between BDNF level in depressed patients compared with the healthy controls. Lack of differences in medication effect of sertraline or venlafaxine on HDRS-17 scores during 8 weeks of treatment was observed. Correlation of BDNF at baseline and fasting serum glucose at baseline and week 8 was detected.

CONCLUSIONS

Correlations of BDNF serum levels with metabolic parameters were observed.

摘要

背景

脑源性神经营养因子(BDNF)在发育过程中影响神经元分化,以及成年期的突触可塑性和神经元存活。BDNF与精神疾病的发病机制有关,其血清水平是抑郁症的潜在生物标志物。本研究的目的是检测首发抑郁症患者的BDNF血清水平及其与临床和代谢参数的相关性。

材料与方法

本研究对一组60名女性进行:30名被诊断为首发抑郁症患者和30名健康对照者。采用17项汉密尔顿抑郁量表(HDRS-17)评估抑郁严重程度。患者随机选择接受舍曲林或文拉法辛治疗。在基线和治疗第8周测量BDNF血清水平和代谢参数:空腹血清葡萄糖、胆固醇、甘油三酯(TG)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)。

结果

抑郁症患者与健康对照者的BDNF水平无差异。观察到舍曲林或文拉法辛在8周治疗期间对HDRS-17评分的药物疗效无差异。检测到基线时的BDNF与基线和第8周时的空腹血清葡萄糖之间的相关性。

结论

观察到BDNF血清水平与代谢参数之间的相关性。

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