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探索创伤后应激障碍中的脑谷胱甘肽和外周血标志物:一项[1H]磁共振波谱与外周血联合研究。

Exploring brain glutathione and peripheral blood markers in posttraumatic stress disorder: a combined [1H]MRS and peripheral blood study.

作者信息

Watling Sarah E, Rhind Shawn G, Warsh Jerry, Green Duncan, McCluskey Tina, Tong Junchao, Truong Peter, Chavez Sofia, Richardson J Don, Kish Stephen J, Boileau Isabelle

机构信息

Institute of Medical Sciences, University of Toronto, Toronto, ON, Canada.

Brain Health Imaging Centre, Centre for Addiction and Mental Health, Toronto, ON, Canada.

出版信息

Front Psychiatry. 2023 Jun 2;14:1195012. doi: 10.3389/fpsyt.2023.1195012. eCollection 2023.

Abstract

INTRODUCTION

Oxidative stress has been implicated in psychiatric disorders, including posttraumatic stress disorder (PTSD). Currently, the status of glutathione (GSH), the brain's most abundant antioxidant, in PTSD remains uncertain. Therefore, the current study investigated brain concentrations of GSH and peripheral concentrations of blood markers in individuals with PTSD vs. Healthy Controls (HC).

METHODS

GSH spectra was acquired in the anterior cingulate cortex (ACC) and dorsolateral prefrontal cortex (DLPFC) using MEGA-PRESS, a J-difference-editing acquisition method. Peripheral blood samples were analyzed for concentrations of metalloproteinase (MMP)-9, tissue inhibitors of MMP (TIMP)-1,2, and myeloperoxidase (MPO).

RESULTS

There was no difference in GSH between PTSD and HC in the ACC ( = 30 PTSD, = 20 HC) or DLPFC ( = 14 PTSD, = 18 HC). There were no group differences between peripheral blood markers ( > 0.3) except for (non-significantly) lower TIMP-2 in PTSD. Additionally, TIMP-2 and GSH in the ACC were positively related in those with PTSD. Finally, MPO and MMP-9 were negatively associated with duration of PTSD.

CONCLUSIONS

We do not report altered GSH concentrations in the ACC or DLPFC in PTSD, however, systemic MMPs and MPO might be implicated in central processes and progression of PTSD. Future research should investigate these relationships in larger sample sizes.

摘要

引言

氧化应激与包括创伤后应激障碍(PTSD)在内的精神疾病有关。目前,谷胱甘肽(GSH)作为大脑中含量最丰富的抗氧化剂,在PTSD中的状态仍不确定。因此,本研究调查了PTSD患者与健康对照者(HC)大脑中GSH的浓度以及外周血标志物的浓度。

方法

使用MEGA-PRESS(一种J-差异编辑采集方法)在前扣带回皮质(ACC)和背外侧前额叶皮质(DLPFC)采集GSH光谱。分析外周血样本中金属蛋白酶(MMP)-9、MMP组织抑制剂(TIMP)-1、2和髓过氧化物酶(MPO)的浓度。

结果

PTSD患者与HC在ACC(PTSD组 = 30例,HC组 = 20例)或DLPFC(PTSD组 = 14例,HC组 = 18例)中的GSH无差异。除PTSD患者中TIMP-2(无统计学意义)较低外,外周血标志物在两组间无差异(P>0.3)。此外,PTSD患者ACC中的TIMP-2和GSH呈正相关。最后,MPO和MMP-9与PTSD的病程呈负相关。

结论

我们未发现PTSD患者ACC或DLPFC中GSH浓度改变,然而,全身MMP和MPO可能与PTSD的中枢过程和进展有关。未来研究应以更大样本量调查这些关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e57c/10272391/dc4a7846e4dc/fpsyt-14-1195012-g0001.jpg

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