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重度抑郁症患者感染与血清神经递质水平之间的关联:孟加拉国的一项病例对照研究。

Association Between Infection and Serum Neurotransmitter Levels in Major Depressive Disorder Patients: A Case-Control Study in Bangladesh.

作者信息

Gulshan Jerin E, Lira Samia Sultana, Qusar M M A Shalahuddin, Hosen Md Ismail, Rahman Atiqur, Islam Md Rabiul, Rahman Taibur

机构信息

Laboratory of Infection Biology, Department of Biochemistry and Molecular Biology, University of Dhaka, Dhaka 1000, Bangladesh.

Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University, Dhaka 1000, Bangladesh.

出版信息

J Parasitol Res. 2024 Dec 19;2024:7054920. doi: 10.1155/japr/7054920. eCollection 2024.

Abstract

() is an obligate, intracellular, neurotropic protozoan parasite. After primary infection, parasite undergoes stage conversion from fast-replicating tachyzoites to slow-replicating dormant bradyzoites, particularly in the brain, and persists for a lifetime of an individual. In this study, the impact of infection in individuals with psychological disorder, that is, major depressive disorder (MDD) has been studied. Ninety-five MDD ( = 95) patients were enrolled with age and sex-matched healthy controls (HCs, = 90). The seroprevalence of infection among these individuals was determined using the TOXO IgM/IgG Rapid Test Cassette that determines the anti- IgM and IgG antibodies in the serum samples. Furthermore, to understand the impact of in developing major depression, the serum level of neurotransmitters (i.e., dopamine, adrenaline, and noradrenaline) was determined using an enzyme-linked immunosorbent assay (ELISA). Our data suggest that anti- IgG was slightly higher in MDD patients than in HCs. The level of dopamine was significantly lower in -infected MDD patients than in HCs. However, adrenaline and noradrenaline levels showed increasing levels in -infected MDD patients. The level of neurotransmitters was correlated with the DSM-D scores of MDD patients. These data, nevertheless, confirm that might affect the level of neurotransmitters in MDD patients. However, whether the reduced level of dopamine and increased level of adrenaline and noradrenaline act as contributing factors for the development of MDD is yet to be known.

摘要

()是一种专性细胞内嗜神经原虫寄生虫。初次感染后,寄生虫会经历从快速复制的速殖子到缓慢复制的休眠缓殖子的阶段转换,尤其是在大脑中,并在个体的一生中持续存在。在本研究中,已对感染对患有心理障碍即重度抑郁症(MDD)的个体的影响进行了研究。招募了95名MDD患者(n = 95)以及年龄和性别匹配的健康对照者(HCs,n = 90)。使用TOXO IgM/IgG快速检测试剂盒测定这些个体中感染的血清阳性率,该试剂盒可测定血清样本中的抗 IgM和IgG抗体。此外,为了解感染在重度抑郁症发生中的影响,使用酶联免疫吸附测定(ELISA)测定神经递质(即多巴胺、肾上腺素和去甲肾上腺素)的血清水平。我们的数据表明,MDD患者的抗 IgG略高于健康对照者。感染的MDD患者中多巴胺水平显著低于健康对照者。然而,感染的MDD患者中肾上腺素和去甲肾上腺素水平呈上升趋势。神经递质水平与MDD患者的DSM-D评分相关。然而,这些数据证实感染可能会影响MDD患者的神经递质水平。然而,多巴胺水平降低以及肾上腺素和去甲肾上腺素水平升高是否是MDD发生的促成因素尚不清楚。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f2f/11671603/229d48f038da/JPR2024-7054920.001.jpg

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