Oktay Meltem, Asoğlu Mehmet, Taskin Seyhan, Kirmit Adnan
Department of Psychiatry, Istanbul Training and Research Hospital, Istanbul, Turkey.
Department of Psychiatry, Faculty of Medicine, Harran University, Sanliurfa, Turkey.
Neuropsychiatr Dis Treat. 2024 Jan 6;20:19-24. doi: 10.2147/NDT.S444506. eCollection 2024.
Generalized Anxiety Disorder (GAD) is a chronic disease persisting for at least 6 months, characterized by excessive and continuous anxiety, which leads to evident problems and functional disorders. S100B is a glial protein that plays a role in intercellular communication regulating cell growth and differentiation, and intracellular signal transmission. This study aimed to analyze the serum S100B, 8-OHdG, and oxidative stress levels of patients newly diagnosed with GAD who had not started treatment, to better understand the underlying neurobiological basis of the etiology of GAD.
Forty-four patients diagnosed with GAD according to DSM-5 diagnostic criteria and 44 healthy controls were included in the study. The Beck Anxiety Inventory (BAI) was used to determine the anxiety levels of the GAD patients. The serum S100B, 8-OHdG, total oxidant status (TOS), and total antioxidant status (TAS) levels were measured in the patient and control groups.
The 8-OHdG values of the GAD group were determined to be statistically significantly higher than those of the control group (=0.028). No significant difference was determined between the GAD patients and the control group in respect of the TAS, TOS, and oxidative stress index (OSI) values (>0.05). The S100B levels of the GAD group were found to be higher than those of the control group.
The results of this study showed that there could be DNA damage because of oxidative stress in GAD patients. There is a need for further studies to confirm the role of S100B protein in GAD etiology and pathogenesis.
广泛性焦虑障碍(GAD)是一种持续至少6个月的慢性疾病,其特征为过度且持续的焦虑,会导致明显的问题和功能障碍。S100B是一种神经胶质蛋白,在调节细胞生长和分化的细胞间通讯以及细胞内信号传递中发挥作用。本研究旨在分析尚未开始治疗的新诊断GAD患者的血清S100B、8-羟基脱氧鸟苷(8-OHdG)和氧化应激水平,以更好地理解GAD病因的潜在神经生物学基础。
本研究纳入了44例根据《精神疾病诊断与统计手册》第5版(DSM-5)诊断标准确诊为GAD的患者和44名健康对照者。使用贝克焦虑量表(BAI)来确定GAD患者的焦虑水平。对患者组和对照组的血清S100B、8-OHdG、总氧化状态(TOS)和总抗氧化状态(TAS)水平进行了测量。
GAD组的8-OHdG值经统计学分析确定显著高于对照组(P = 0.028)。在TAS、TOS和氧化应激指数(OSI)值方面,GAD患者与对照组之间未确定有显著差异(P>0.05)。发现GAD组的S100B水平高于对照组。
本研究结果表明,GAD患者可能因氧化应激而存在DNA损伤。需要进一步研究以证实S100B蛋白在GAD病因和发病机制中的作用。