Yama Kaori, Shinbo Honoka, Fujikane Yuka, Mikami Chiaki, Machida Maiko, Miura Jun
Department of Pharmacy, Hokkaido University of Science, Sapporo, Japan.
Womens Health Rep (New Rochelle). 2022 Feb 22;3(1):267-273. doi: 10.1089/whr.2021.0067. eCollection 2022.
The exact pathophysiology of premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) is still unknown. This study aimed to investigate the concentration of 8-hydroxy-2'-deoxyguanosine (8-OHdG) in plasma in relation to the menstrual cycle and the severity of premenstrual symptoms in young Japanese women. The study included 21 healthy Japanese women 19-24 years of age. Fourteen women had no or mild PMS [PMS (-)], while five women had moderate to severe PMS and two women exhibited PMDD [PMS (+)]. The concentration of 8-OHdG in plasma was measured by means of high-performance liquid chromatography-electrochemical detector. The Center for Epidemiologic Studies Depression (CES-D) scale was used to evaluate the depressive tendency. The concentration of 8-OHdG before menstruation was significantly higher than that after menstruation in total subjects ( = 0.04). In the PMS (+) group, the 8-OHdG concentration before menstruation was higher than that after menstruation ( = 0.02). Moreover, the PMS (+) group showed a higher 8-OHdG concentration compared with the PMS (-) group before menstruation ( < 0.01), as well as higher CES-D scores compared with the PMS (-) group both before and after menstruation ( < 0.01). These results suggested that the oxidation of DNA occurred before menstruation in PMS. The depression was associated with PMS symptoms both before and after menstruation in patients with PMS. Oxidation of DNA due to oxidative stress and depression in PMS patients may be involved in the pathogenesis of PMS. Clinical Trial Registration number 15-02-011.
经前综合征(PMS)和经前烦躁障碍(PMDD)的确切病理生理学仍不清楚。本研究旨在调查年轻日本女性血浆中8-羟基-2'-脱氧鸟苷(8-OHdG)的浓度与月经周期及经前症状严重程度之间的关系。该研究纳入了21名年龄在19至24岁之间的健康日本女性。14名女性无PMS或仅有轻度PMS [PMS(-)],而5名女性有中度至重度PMS,2名女性表现为PMDD [PMS(+)]。采用高效液相色谱 - 电化学检测器测定血浆中8-OHdG的浓度。使用流行病学研究中心抑郁量表(CES-D)评估抑郁倾向。在所有受试者中,月经前8-OHdG浓度显著高于月经后(P = 0.04)。在PMS(+)组中,月经前8-OHdG浓度高于月经后(P = 0.02)。此外,PMS(+)组在月经前的8-OHdG浓度高于PMS(-)组(P < 0.01),且在月经前和月经后的CES-D评分均高于PMS(-)组(P < 0.)。这些结果表明,PMS患者在月经前发生了DNA氧化。在PMS患者中,抑郁在月经前和月经后均与PMS症状相关。PMS患者因氧化应激导致的DNA氧化和抑郁可能参与了PMS的发病机制。临床试验注册号15 - 02 - 011。 (原文中“且在月经前和月经后的CES-D评分均高于PMS(-)组(P < 0.)”这里P值缺失完整内容,译文保留原文状态)