Thyroid allostasis in drug-free affective disorder patients.

AIM: To assess the thyroid allostasis in drug-free patients with affective disorder. METHODS: Patients with major depressive disorder or bipolar disorder as drug-free, defined as those without psychiatric drugs exposure for at least 4 months before admission, from a tertiary hospital were recruited in this cross-sectional study. The primary outcomes were "structure parameters of thyroid homeostasis", which include "thyroid's secretory capacity" (SPINA-GT), "sum step-up activity of deiodinases" (SPINA-GD), the ratio of total to free thyroxine and "thyroid homeostasis central set point" (TSH index and "thyroid feedback quantile-based index" [TFQI]), calculated by TSH and thyroid hormones measured at admission. A healthy population and non-affective psychiatric disorder (schizophrenia) from the same catchment area were recruited as two comparison groups. RESULTS: A total of 1263 cases of major depressive disorder, 1619 cases of bipolar disorder, 1186 cases of schizophrenia, and 162 healthy controls were included in the study. Compared to healthy control, GD and ratio of total to free thyroxine were lower in affective disorders. Bipolar with mania episode had higher GT than bipolar with depressive episode and major depressive disorder (median level at 3.70 vs. 3.04 and 3.03, respectively). Compared with healthy control, schizophrenia had higher TSH index and TFQI, but no increase in these parameters in major depressive disorder and bipolar disorder. CONCLUSION: Affective disorders have a unique profile of thyroid allostasis with impaired step-up deiodinase activity and reduced serum protein binding of thyroid hormones, but no change in thyroid homeostasis central set point. Mania episode may be associated with higher thyroid secretory capacity.

Physiological responses of two moss species to the combined stress of water deficit and elevated N deposition (II): Carbon and nitrogen metabolism.

Nitrogen (N) deposition levels and frequencies of extreme drought events are increasing globally. In efforts to improve understanding of plants' responses to associated stresses, we have investigated responses of mosses to drought under elevated nitrogen conditions. More specifically, we exposed Pogonatum cirratum subsp. fuscatum and Hypnum plumaeforme to various nitrate (KNO 3) or ammonium (NH 4Cl) treatments, with and without water deficit stress and monitored indices related to carbon (C) and N metabolism both immediately after the stress and after a short recovery period. The results show that N application stimulated both C and N assimilation activities, including ribulose-1,5-bisphosphate carboxylase, glutamine synthetase/glutamate synthase (GS/GOGAT), and glutamate dehydrogenase (GDH) activities, while water deficit inhibited C and N assimilation. The mosses could resist stress caused by excess N and water deficit by increasing their photorespiration activity and proline (Pro) contents. However, N supply increased their sensitivity to water stress, causing sharper reductions in C and N assimilation rates, and further increases in photorespiration and Pro contents, indicating more serious oxidative or osmotic stress in the mosses. In addition, there were interspecific differences in N assimilation pathways, as the GS/GOGAT and GDH pathways were the preferentially used ammonium assimilation pathways in P. cirratum and H. plumaeforme when stressed, respectively. After rehydration, both mosses exhibited overcompensation effects for most C and N assimilation activities, but when supplied with N, the activities were generally restored to previous levels (or less), indicating that N supply reduced their ability to recover from water deficit stress. In conclusion, mosses can tolerate a certain degree of water deficit stress and possess some resilience to environmental fluctuations, but elevated N deposition reduces their tolerance and ability to recover.