Gomułka Krzysztof, Liebhart Jerzy, Mędrala Wojciech
Department of Internal Medicine, Pneumology and Allergology, Wroclaw Medical University, 50-369 Wroclaw, Poland.
J Clin Med. 2021 Nov 15;10(22):5301. doi: 10.3390/jcm10225301.
The vascular endothelial growth factor (VEGF) plays a pivotal role in process of angiogenesis in adults. If angiogenesis is not properly controlled, its deregulation may implicate it in various psychosomatic diseases states. The aim of our study was to reveal possible correlation between severity of depression in asthmatics with different degrees of airway narrowing and serum vascular endothelial growth factor levels. The study population included a total of 122 adult subjects: 82 patients with asthma (among them 42 patients with irreversible bronchoconstriction and 40 patients with reversible bronchoconstriction) and 40 healthy participants as a control group. The standardized Beck Depression Inventory (BDI) was used to estimate the depression symptoms. Enzyme-linked immunosorbent assay (ELISA) was used to assess the VEGF serum concentration in all participants. There was a significant difference in depression symptoms in asthmatics with reversible ( = 0.0432) and irreversible airway obstruction ( = 0.00005) in comparison to control group and between these two subgroups of asthmatics ( = 0.0233). Obtained results revealed significant correlation between level of depression and mean VEGF serum concentration in asthmatics with reversible airway obstruction ( = 0.0202). There was no difference between enhanced depression symptoms and VEGF serum concentration in patients with irreversible airway obstruction nor in the total group of asthmatics (in both > 0.05). The relationship between asthma severity and depression symptoms seems to be certain. VEGF might be considered as a putative biomarker of depression in asthmatics, mainly those with reversible airway narrowing.
血管内皮生长因子(VEGF)在成人血管生成过程中起关键作用。如果血管生成未得到适当控制,其失调可能会使其与各种身心疾病状态相关联。我们研究的目的是揭示不同程度气道狭窄的哮喘患者抑郁严重程度与血清血管内皮生长因子水平之间可能存在的相关性。研究人群共有122名成年受试者:82名哮喘患者(其中42名不可逆性支气管收缩患者和40名可逆性支气管收缩患者)以及40名健康参与者作为对照组。使用标准化的贝克抑郁量表(BDI)来评估抑郁症状。采用酶联免疫吸附测定(ELISA)法评估所有参与者的VEGF血清浓度。与对照组相比,可逆性(P = 0.0432)和不可逆性气道阻塞(P = 0.00005)的哮喘患者抑郁症状存在显著差异,且这两个哮喘亚组之间也存在显著差异(P = 0.0233)。获得的结果显示,可逆性气道阻塞的哮喘患者抑郁水平与平均VEGF血清浓度之间存在显著相关性(P = 0.0202)。不可逆性气道阻塞患者以及哮喘患者总体中,抑郁症状加重与VEGF血清浓度之间均无差异(两者P均> 0.05)。哮喘严重程度与抑郁症状之间的关系似乎是确定的。VEGF可能被视为哮喘患者尤其是那些可逆性气道狭窄患者抑郁的一种假定生物标志物。