Lech Magdalena, Ostrowska Lucyna, Waszkiewicz Napoleon, Kułak-Bejda Agnieszka, Maciejczyk Mateusz, Witczak-Sawczuk Katarzyna, Zalewska Anna, Dańkowska Karolina, Żendzian-Piotrowska Małgorzata
Department of Dietetics and Clinical Nutrition Medical University of Bialystok, Bialystok, Poland.
Department of Psychiatry, Medical University of Bialystok, Bialystok, Poland.
Front Psychiatry. 2024 Apr 24;15:1382303. doi: 10.3389/fpsyt.2024.1382303. eCollection 2024.
This study aimed to evaluate oxidative stress parameters in individuals with depression and schizophrenia, considering gender differences, and manifesting suicidal behavior, encompassing thoughts without a tendency to be realized, thoughts with a tendency to be realized, and suicide attempts.
From among the patients from Department of Psychiatry 120 individuals were selected who met the inclusion criteria and did not meet the exclusion criteria for the study. In the initial phase of the project, patients eligible for the study underwent the M.I.N.I 7.0.2 questionnaire (Mini International Neuropsychiatric Interview). Subsequently, in the second phase of the research, venous blood samples were collected from the patients for the purpose of conducting biochemical assessments, focusing on oxidative stress parameters.
The obtained results suggest that redox biomarkers, namely TOS (total oxidation state) and OSI (TOS/TAC ratio), in the blood plasma of women increase in tandem with the severity of suicidal behavior. No notable alterations in SOD (Cu-Zn-superoxide dismutase), GPx (glutathione peroxidase), and GSH (reduced glutathione) concentrations and activity were noted between groups exhibiting suicidal behavior. The observed variations in the concentrations and activity of antioxidant parameters were significant solely in comparison to the control group.
Redox biomarkers TOS and OSI could prove valuable in diagnosing women at a genuine risk of committing suicide. On the other hand, antioxidant parameters - SOD, GPx, and GSH may be instrumental in identifying patients with suicidal behaviors, without specifying their intensity.
本研究旨在评估抑郁症和精神分裂症患者的氧化应激参数,考虑性别差异,并表现出自杀行为,包括未付诸行动的自杀念头、有付诸行动倾向的自杀念头以及自杀未遂。
从精神科患者中选取120名符合纳入标准且不符合研究排除标准的个体。在项目的初始阶段,符合研究条件的患者接受了M.I.N.I 7.0.2问卷(迷你国际神经精神访谈)。随后,在研究的第二阶段,采集患者的静脉血样用于进行生化评估,重点关注氧化应激参数。
所得结果表明,血浆中氧化还原生物标志物,即总氧化状态(TOS)和氧化应激指数(OSI,TOS/TAC比值),在女性中随着自杀行为严重程度的增加而升高。在表现出自杀行为的组之间,超氧化物歧化酶(Cu-Zn-超氧化物歧化酶,SOD)、谷胱甘肽过氧化物酶(GPx)和还原型谷胱甘肽(GSH)的浓度及活性未观察到显著变化。抗氧化参数浓度和活性的观察到的差异仅与对照组相比有统计学意义。
氧化还原生物标志物TOS和OSI可能在诊断真正有自杀风险的女性方面具有价值。另一方面,抗氧化参数——SOD、GPx和GSH可能有助于识别有自杀行为的患者,但无法明确其自杀行为的严重程度。