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在一个大型社区样本中,新型炎症生物标志物半乳糖凝集素-3 与抑郁症状严重程度的关系。

Relationship between novel inflammatory biomarker galectin-3 and depression symptom severity in a large community-based sample.

机构信息

Department of Psychiatry, The University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, MC 8849 Dallas, TX 75390-8849, USA.

Division of Cardiology, Department of Internal Medicine, The University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390-8830, USA.

出版信息

J Affect Disord. 2021 Feb 15;281:384-389. doi: 10.1016/j.jad.2020.12.050. Epub 2020 Dec 15.

Abstract

Major depressive disorder is associated with pro-inflammatory markers, such as cytokines TNF-alpha, IL-6, IL-1ß, and C-reactive protein. Galectin-3 is a novel emerging biomarker with pro-inflammatory properties. It is a saccharide binding protein distributed throughout many tissues with varying functions and is a predictor of poor outcomes in patients with heart failure and stroke. However, its role as a predictor in depressive symptom severity remains undefined. Data from the community-based Dallas Heart Study (n = 2554) were examined using a multiple linear regression analysis to evaluate the relationship between galectin-3 and depressive symptom severity as assessed with Quick Inventory of Depressive Symptomatology Self-Report (QIDS-SR) scores. Additional covariates included age, sex, race/ethnicity, body mass index (BMI), years of education, serum creatinine, history of diabetes, and smoking history. Galectin-3 levels statistically significantly predicted QIDS-SR depressive symptom severity (β = 0.055, p = .015). Female sex, smoking status, and BMI were found to be statistically significant positive predictors of depression severity, while age, years of education, non-Hispanic White race, and Hispanic ethnicity were negative predictors of depressive symptom severity. In this large sample, higher galectin-3 levels were associated with higher levels of depressive symptoms. The findings suggest that galectin-3 may be a new and useful inflammatory biomarker associated with depression.

摘要

重度抑郁症与促炎标志物有关,如细胞因子 TNF-α、IL-6、IL-1β和 C 反应蛋白。半乳糖凝集素-3 是一种具有促炎特性的新型新兴生物标志物。它是一种分布在许多组织中的糖结合蛋白,具有不同的功能,是心力衰竭和中风患者预后不良的预测因子。然而,其作为抑郁症状严重程度预测因子的作用尚未确定。使用多元线性回归分析检查了基于社区的达拉斯心脏研究(n=2554)的数据,以评估半乳糖凝集素-3与使用贝克抑郁自评量表(BDI)评分评估的抑郁症状严重程度之间的关系。其他协变量包括年龄、性别、种族/民族、体重指数(BMI)、受教育年限、血清肌酐、糖尿病史和吸烟史。半乳糖凝集素-3 水平与 BDI 抑郁症状严重程度呈统计学显著正相关(β=0.055,p=0.015)。女性、吸烟状况和 BMI 被发现是抑郁严重程度的统计学显著正预测因子,而年龄、受教育年限、非西班牙裔白人种族和西班牙裔种族是抑郁症状严重程度的负预测因子。在这个大样本中,较高的半乳糖凝集素-3 水平与较高的抑郁症状水平相关。研究结果表明,半乳糖凝集素-3 可能是一种新的、有用的与抑郁相关的炎症生物标志物。

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