Liu Wanying, Zheng Yanqun, Zhang Fuxu, Zhu Mo, Guo Qian, Xu Hua, Liu Caiping, Chen Haiying, Wang Xiaoliang, Hu Yao, Zhang Tianhong, Lin Zhiguang, Zhang Chen, Li Guanjun, Jiang Kaida, Liu Xiaohua
Department of Psychiatry, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Front Psychiatry. 2021 Apr 12;12:627469. doi: 10.3389/fpsyt.2021.627469. eCollection 2021.
Major depressive disorder (MDD) is a serious mental disorder, and there is a great difficulty to diagnose and treat. Hitherto, relatively few studies have explored the correlation between the levels of plasma cell adhesion molecules and MDD. Thirty outpatients with acute episodes of MDD in Shanghai Mental Health Center and 34 healthy volunteers from the community were recruited as subjects. Protein microarray technology was applied to compared the differences in plasma levels of 17 kinds of adhesion molecular proteins between the two groups. Meanwhile, the diagnostic value of different proteins in depression was discussed by using the receiver operating characteristic curve. The levels of Carcinoembryonic Antigen Related Cell Adhesion Molecule-1(CEACAM-1) and Neural Cell Adhesion Molecule (NrCAM) in MDD patients were significantly higher than those in healthy controls ( < 0.05). The area under ROC curve of CEACAM-1 combined with NrCAM was 0.723, with the sensitivity 0.800 and the specificity 0.676. The plasma levels of CEACAM-1 and NrCAM were significantly up-regulated in MDD, and their combined application was of potential diagnostic value, deserving to expand the sample size for further verification.
重度抑郁症(MDD)是一种严重的精神障碍,其诊断和治疗存在很大困难。迄今为止,相对较少的研究探讨了血浆细胞黏附分子水平与MDD之间的相关性。招募了上海市精神卫生中心30例MDD急性发作的门诊患者和34名社区健康志愿者作为研究对象。应用蛋白质芯片技术比较两组之间17种黏附分子蛋白血浆水平的差异。同时,采用受试者工作特征曲线探讨不同蛋白对抑郁症的诊断价值。MDD患者的癌胚抗原相关细胞黏附分子-1(CEACAM-1)和神经细胞黏附分子(NrCAM)水平显著高于健康对照组(<0.05)。CEACAM-1联合NrCAM的ROC曲线下面积为0.723,敏感性为0.800,特异性为0.676。MDD患者血浆中CEACAM-1和NrCAM水平显著上调,两者联合应用具有潜在诊断价值,值得扩大样本量进一步验证。