Department of Adult Psychiatry, Medical University of Lodz, Lodz, Poland.
Department of Adult Psychiatry, Medical University of Lodz, Lodz, Poland.
J Psychiatr Res. 2024 Nov;179:175-181. doi: 10.1016/j.jpsychires.2024.09.008. Epub 2024 Sep 7.
Altered immune system activity is one of the common pathomechanisms of depressive disorders and cancer. The aim of this study is to evaluate level of selected elements of the kynurenine pathway in groups of depressed and oncological patients. The study included 156 individuals, aged 19-65 years (M = 43.46, SD = 13.99), divided into three groups, namely depressive disorders (DD), oncology patients (OG), and a comparison group of healthy subjects (CG). A sociodemographic questionnaire and the Hamilton Depression Rating Scale (HDRS) were used in the study to assess the intensity of depressive symptoms. Level of TDO2, L-KYN, HK, AA and QA was significantly higher in patients from OG and DD groups than in the comparison group. TDO2 level in the OG group was positively correlated with the severity of depressive symptoms. When the OG and DD groups were analyzed together, level of TDO2, 3-HKYN, AA, QA correlated positively with the severity of depressive symptoms. Thus, kynurenine pathway might play an integral role in the pathogenesis of depression.
免疫系统功能改变是抑郁症和癌症的常见病理机制之一。本研究旨在评估抑郁和肿瘤患者群体中犬尿氨酸途径的某些元素的水平。研究共纳入了 156 名年龄在 19-65 岁之间的个体(M=43.46,SD=13.99),分为三组:抑郁症患者(DD)、肿瘤患者(OG)和健康对照组(CG)。研究采用社会人口统计学问卷和汉密尔顿抑郁评定量表(HDRS)来评估抑郁症状的严重程度。OG 和 DD 组患者的 TDO2、L-KYN、HK、AA 和 QA 水平明显高于对照组。OG 组 TDO2 水平与抑郁症状严重程度呈正相关。当 OG 和 DD 组一起分析时,TDO2、3-HKYN、AA 和 QA 水平与抑郁症状严重程度呈正相关。因此,犬尿氨酸途径可能在抑郁症的发病机制中发挥整体作用。