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在接受选择性 5-羟色胺再摄取抑制剂类抗抑郁药治疗的抑郁患者的初级保健样本中,油酰乙醇酰胺的血浆浓度增加。

Plasma concentrations of oleoylethanolamide in a primary care sample of depressed patients are increased in those treated with selective serotonin reuptake inhibitor-type antidepressants.

机构信息

Unidad de Gestión Clínica de Salud Mental, Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Regional Universitario de Málaga/Universidad de Málaga, Málaga, 29010, Spain; Departamento de Personalidad, Evaluación y Tratamientos Psicológicos, Facultad de Psicología, Universidad de Málaga (UMA), Spain; Department of Psychology and Neuroscience, Dalhousie University, Halifax, Nova Scotia, Canada.

Unidad de Gestión Clínica de Salud Mental, Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Regional Universitario de Málaga/Universidad de Málaga, Málaga, 29010, Spain; Department of Psychology and Neuroscience, Dalhousie University, Halifax, Nova Scotia, Canada.

出版信息

Neuropharmacology. 2019 May 1;149:212-220. doi: 10.1016/j.neuropharm.2019.02.026. Epub 2019 Feb 26.

Abstract

Oleoylethanolamide (OEA) is a non-cannabinoid acylethanolamide with multiple physiological roles that has been proposed to have antidepressant-like activity in preclinical models. OEA shares biosynthetic pathways with anandamide (AEA) a transmitter involved in affective disorders and anxiety in humans. However, although the participation of OEA in depression has been proposed, both, the contribution of OEA to the depressive phenotype and the effect of antidepressant therapy on circulating levels of this and related non-cannabinoid acylethanolamides in humans are basically unknown. The main objective of this study is to compare the plasma concentrations of OEA and related acylethanolamides in a sample of primary care patients with depression (n = 69) with those of healthy non-depressed patients (n = 47). At the time of admission to the study, 22 patients were under selective serotonin reuptake inhibitor (SSRI) antidepressant treatment and 47 patients were not receiving any type of intervention. In addition, plasma concentrations of the endocannabinoid 2-AG and two related monoacylglycerols were monitored. Plasma OEA concentrations were found to be elevated in depressed patients and to correlate with somatic symptoms of depression. Plasma concentrations of both, AEA and 2-AG, were found to be elevated also in depressed patients. Further analysis demonstrated that the elevation observed in the plasma concentrations of both, OEA and 2-AG, was associated to SSRI antidepressant therapy at the time of recruitment. Further clinical research is needed to understand whether SSRI-induced elevations in OEA levels contribute to the response to SSRI in depressed patients as described in preclinical models.

摘要

油酰乙醇胺(OEA)是非大麻类酰基乙醇酰胺,具有多种生理作用,已被提出在临床前模型中具有抗抑郁样活性。OEA 与大麻素(AEA)共享生物合成途径,AEA 是一种与人类情感障碍和焦虑有关的递质。然而,尽管已经提出了 OEA 参与抑郁症的作用,但 OEA 对抑郁表型的贡献以及抗抑郁治疗对这种和相关非大麻酰基乙醇酰胺在人类循环水平的影响基本上是未知的。本研究的主要目的是比较一组初级保健抑郁症患者(n=69)和健康非抑郁患者(n=47)的血浆 OEA 和相关酰基乙醇酰胺浓度。在研究入院时,22 名患者正在接受选择性 5-羟色胺再摄取抑制剂(SSRI)抗抑郁治疗,47 名患者未接受任何类型的干预。此外,监测了内源性大麻素 2-AG 和两种相关单酰基甘油的血浆浓度。发现抑郁患者的血浆 OEA 浓度升高,并与抑郁的躯体症状相关。还发现抑郁患者的 AEA 和 2-AG 血浆浓度均升高。进一步的分析表明,在招募时,SSRI 抗抑郁治疗与 OEA 和 2-AG 血浆浓度的升高有关。需要进一步的临床研究来了解 SSRI 诱导的 OEA 水平升高是否有助于描述的临床前模型中抑郁患者对 SSRI 的反应。

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