Talarowska Monika E, Kowalczyk Małgorzata, Maes Michael, Carvalho Andre, Su Kuan-Pin, Szemraj Janusz, Gałecki Piotr
1Department of Adult Psychiatry, Medical University of Lodz, Lodz, Poland.
Department of Psychiatry, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Arch Med Sci. 2019 Feb 25;16(4):848-857. doi: 10.5114/aoms.2019.83146. eCollection 2020.
Nowadays, depression is conceptualized as an immune-inflammatory and oxidative stress disorder associated with neuroprogressive changes as a consequence of peripherally activated immune-inflammatory pathways, including peripheral cytokines and immune cells which penetrate into the brain via the blood barrier, as well as nitro-oxidative stress and antioxidant imbalances. The aim of this study was to investigate whether personality traits predisposing to a depressive episode (hypochondria, dysthymic, hysteria) are associated with changes in peripheral gene expression for selected indicators of inflammation and oxidative balance.
One hundred four people meeting the diagnostic criteria specified for a depressive episode took part in the study. Selected scales of the Minnesota Multiphasic Personality Inventory (MMPI-2) were used to measure personality traits. Expression at the mRNA and protein level for manganese superoxide dismutase (MnSOD), myeloperoxidase (MPO), cyclooxygenase 2 (COX-2), inducible nitric oxide synthase (iNOS), and metalloproteinases 2 and 9 (MMP-2, MMP-9) was examined.
Scales for the neurotic triad of the MMPI-2 test correlated significantly with the expression at the level of mRNA and protein for MnSOD, MPO and metalloproteinases 2 and 9.
The scales specified for the neurotic triad of the MMPI-2 test correspond substantially with the expression of MnSOD, MPO and metalloproteinases 2 and 9 at the mRNA and protein levels in the group of patients suffering from depression.
如今,抑郁症被概念化为一种免疫炎症和氧化应激障碍,与神经进行性变化相关,这是外周激活的免疫炎症途径的结果,包括通过血脑屏障进入大脑的外周细胞因子和免疫细胞,以及氮氧化应激和抗氧化失衡。本研究的目的是调查易患抑郁发作的人格特质(疑病症、心境恶劣、癔症)是否与炎症和氧化平衡的选定指标的外周基因表达变化相关。
104名符合抑郁发作诊断标准的人参与了该研究。使用明尼苏达多相人格调查表(MMPI-2)的选定量表来测量人格特质。检测了锰超氧化物歧化酶(MnSOD)、髓过氧化物酶(MPO)、环氧化酶2(COX-2)、诱导型一氧化氮合酶(iNOS)以及金属蛋白酶2和9(MMP-2、MMP-9)在mRNA和蛋白质水平的表达。
MMPI-2测试的神经质三联症量表与MnSOD、MPO以及金属蛋白酶2和9在mRNA和蛋白质水平的表达显著相关。
MMPI-2测试的神经质三联症所指定的量表与抑郁症患者组中MnSOD、MPO以及金属蛋白酶2和9在mRNA和蛋白质水平的表达基本相符。