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无药物治疗的重度抑郁症患者、服用选择性5-羟色胺再摄取抑制剂(SSRI)的重度抑郁症患者与健康对照者血清白细胞介素-8水平的比较

Comparisons of Serum Interleukin-8 Levels in Major Depressive Patients With Drug-Free Versus SSRIs Versus Healthy Controls.

作者信息

Zhu Zhen Hua, Song Xiao Ying, Man Li Juan, Chen Peng, Tang Zhen, Li Rong Hua, Ji Cai Fang, Dai Ning Bin, Liu Fang, Wang Jing, Zhang Jianping, Jia Qiu Fang, Hui Li

机构信息

Research Center of Biological Psychiatry, Suzhou Guangji Hospital, Medical College of Soochow University, Suzhou, China.

Suzhou Center for Disease Prevention and Control, Suzhou, China.

出版信息

Front Psychiatry. 2022 Apr 14;13:858675. doi: 10.3389/fpsyt.2022.858675. eCollection 2022.

Abstract

OBJECTIVE

The interleukin-8 (IL-8) has been reported to play an important role in depression, which might be modulated by the selective serotonin reuptake inhibitors (SSRIs). Thus, the aim of this study was to investigate serum IL-8 levels, depressive symptom, and their associations in drug-free MDD patients, MDD patients with SSRIs, and healthy controls (HCs).

METHODS

Fifty-seven drug-free MDD patients (male/female = 35/22, mean age: 39.24 years), 30 MDD patients with SSRIs (male/female = 11/19, mean age: 39.73 years), and 101 HCs (male/female = 52/49, mean age: 37.38 years) were recruited in this cross-sectional study. Serum IL-8 levels and depressive symptom were assessed using the Flow Cytometer and Hamilton Depression Scale (HAMD). The analysis of variance was used for the comparison between groups. The relationship between serum log IL-8 levels and HAMD score was analyzed by Pearson correlation.

RESULTS

Serum logIL-8 levels were lower in all patients than HCs after controlling for covariates ( = 4.86, = 0.03). There was significant difference in serum LogIL-8 levels among three groups after controlling for covariates ( = 14.63, < 0.001). Serum LogIL-8 levels in drug-free patients were lower compared to HCs ( = 19.38, < 0.001) or patients with SSRIs ( = 21.89, < 0.001) after controlling for covariates. However, there was not difference in serum logIL-8 levels between patients with SSRIs and HCs after controlling for covariates. Moreover, serum LogIL-8 levels were negatively correlated with HAMD score in all patients ( = -0.37, = 0.02). Also, serum LogIL-8 levels were negatively correlated with HAMD score in drug-free patients ( = -0.74, = 0.01), but not in patients with SSRIs.

CONCLUSION

Our data supported that the decline in serum IL-8 levels was association with depression. Moreover, the SSRIs might modulate increased serum IL-8 levels of depression.

摘要

目的

白细胞介素-8(IL-8)据报道在抑郁症中起重要作用,其可能受选择性5-羟色胺再摄取抑制剂(SSRIs)调节。因此,本研究旨在调查未用药的重度抑郁症(MDD)患者、使用SSRIs的MDD患者及健康对照(HCs)的血清IL-8水平、抑郁症状及其相关性。

方法

本横断面研究招募了57例未用药的MDD患者(男/女 = 35/22,平均年龄:39.24岁)、30例使用SSRIs的MDD患者(男/女 = 11/19,平均年龄:39.73岁)和101例HCs(男/女 = 52/49,平均年龄:37.38岁)。使用流式细胞仪和汉密尔顿抑郁量表(HAMD)评估血清IL-8水平和抑郁症状。采用方差分析进行组间比较。通过Pearson相关性分析血清log IL-8水平与HAMD评分之间的关系。

结果

在控制协变量后,所有患者的血清logIL-8水平均低于HCs(F = 4.86,P = 0.03)。控制协变量后,三组间血清LogIL-8水平存在显著差异(F = 14.63,P < 0.001)。控制协变量后,未用药患者的血清LogIL-8水平低于HCs(F = 19.38,P < 0.001)或使用SSRIs的患者(F = 21.89,P < 0.001)。然而,控制协变量后,使用SSRIs的患者与HCs之间的血清logIL-8水平无差异。此外,所有患者的血清LogIL-8水平与HAMD评分呈负相关(r = -0.37,P = 0.02)。同样,未用药患者的血清LogIL-8水平与HAMD评分呈负相关(r = -0.74,P = 0.01),但使用SSRIs的患者则不然。

结论

我们的数据支持血清IL-8水平下降与抑郁症相关。此外,SSRIs可能调节抑郁症患者血清IL-8水平的升高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/533d/9046727/6f767b4437c0/fpsyt-13-858675-g001.jpg

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