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1.
Psychoneuroendocrinology ; 165: 107042, 2024 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-38613945

RESUMO

BACKGROUND: Inflammatory processes could potentially impact both mood and suicide risk, however, the relationship between cytokines and suicidal ideation remains unclear. This study aimed to investigate the association between plasma levels of cytokines and suicidal ideation in population with major depressive disorders (MDD). METHODS: A cross-sectional study was performed to assess the peripheral plasma levels of interleukin-1ß (IL-1ß), IL-2, IL-6, IL-8, IL-10 and tumor necrosis factor-α (TNF-α) in 88 Chinese Han first-episode drug-naïve MDD patients. Suicidal ideation in the past week were identified using the Beck Scale for Suicide Ideation-Chinese Version (BSI-CV). The Hamilton Depression Rating Scale-17 (HAMD-17), the Hamilton Anxiety Rating Scale-14 (HAMA-14) and the Childhood Trauma Questionnaire (CTQ) was used to assess depression, anxiety and childhood trauma. Multivariable logistic regression models were used to estimate the association between cytokines and suicidal ideation. Interaction and stratified analyses were conducted according to age, sex, marital status, education, smoking status, BMI and physical activity. RESULTS: Among the 88 participants, 42 individuals (47.7%) reported suicidal ideation within the past week. In the fully adjusted model, a statistically significant trend was observed in the association between IL-2 level and suicidal ideation (OR: 1.40, 95% CI: 1.00-1.97). The stratified analysis showed a statistically significant association between IL-6 level and suicidal ideation among younger people (OR: 1.17, 95% CI: 1.01-1.36) and a significant positive association between IL-8 (OR: 1.59, 95% CI: 1.03-2.44) and IL-10 (OR: 2.51, 95% CI: 1.27-4.96) levels and suicide ideation among higher educated populations. LIMITATIONS: The cross-sectional design, residual confounding effects and small sample size CONCLUSION: Our findings indicate a significant positive association between plasma IL-2 level and suicidal ideation in MDD patients. IL-2 has the potential to be a biomarker of suicidal ideation in patients with depression.

2.
Asia Pac Psychiatry ; 16(1): e12552, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38348641

RESUMO

BACKGROUND: Major depressive disorder (MDD) is one of the global burdens of disease, and its pathogenesis remains unclear. An increasing amount of research indicates that ghrelin regulates mood in patients with MDD. Still, current results are inconsistent, and the mechanisms underlying how ghrelin modulates depressive symptoms are inconclusive, especially in first-episode drug-naïve MDD patients. Therefore, this study aims to investigate the relationship and potential mechanism between ghrelin and first-episode drug-naïve MDD. METHODS: Ninety first-episode drug-naïve MDD patients and 65 healthy controls (HCs) were included. Hamilton Depression Scale (HAMD-17) as a measure of depressive symptoms. Plasma levels of ghrelin and hypothalamic-pituitary-adrenal axis (HPA-axis) hormones were measured in all participants. RESULTS: Compared to HCs, the ghrelin levels were higher in the MDD (p < .001) and still showed significance after covarying for sex, age, and Body Mass Index (BMI). Ghrelin was positively related to corticotropin-releasing-hormone (CRH) levels (r = .867, p < .001), adrenocorticotropic hormone (ACTH) levels (r = .830, p < .001), and cortisol levels (r = .902, p < .001) in partial correlation analysis. In addition, there was a positive correlation between HAMD total score and ghrelin levels (r = .240, p = .026). Other than that, the HAMD total score also had a positive correlation with the CRH (r = .333, p = .002) and cortisol (r = .307, p = .004) levels. Further mediation analysis demonstrated that the relationship between ghrelin and HAMD total score was mediated by CRH (ab-path; ß = .4457, 95% CI = 0.0780-1.0253, c-path; ß = .2447, p = .0260, c'-path; ß = -.2009, p = .3427). CONCLUSIONS: These findings revealed that plasma ghrelin provides a pivotal link to depressive symptoms in first-episode drug-naive MDD patients. CRH mediated the relationship between ghrelin and HAMD total score. It might provide new insights into understanding the pathogenesis of MDD, contributing to intervention and treatment from this approach.


Assuntos
Transtorno Depressivo Maior , Humanos , Depressão , Sistema Hipotálamo-Hipofisário , Hidrocortisona , Grelina , Sistema Hipófise-Suprarrenal
3.
Artigo em Inglês | MEDLINE | ID: mdl-38038762

RESUMO

Childhood maltreatment (CM) has been linked to social cognition deficits in major depressive disorder (MDD), but little is known about sex-specific effects. This study aimed to investigate the sex-specific associations of CM with social cognition in first-episode drug-naive patients with MDD. A total of 117 first-episode drug-naive patients with MDD and 134 healthy controls (HCs) were recruited and assessed for demographic and clinical characteristics. All participants completed the Childhood Trauma Questionnaire (CTQ), Toronto Alexithymia Scale (TAS-20), Interpersonal Reactivity Index-C (IRI), and Facial Emotion Recognition Test. Partial correlation analysis was used to explore the sex-specific association of CM with social cognition. Our findings revealed significant differences in the associations of CM with social cognition between males and females in MDD patients. In comparison to HCs, the associations of CM with social cognition displayed distinct and even contrasting sex-specific patterns in MDD patients. Specifically, male MDD patients exhibited unique imbalanced associations between emotional neglect and alexithymia, while both female and male MDD patients shared imbalanced associations of childhood abuse with empathy. These results emphasize the importance of considering the sex-specific associations of CM with social cognition in MDD and highlight the need for personalized interventions and treatments based on sex for MDD patients with a history of CM.

4.
J Neural Transm (Vienna) ; 130(10): 1291-1302, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37418038

RESUMO

Although depressive symptoms are common in PD, few studies investigated sex and age differences in depressive symptoms. Our study aimed to explore the sex and age differences in the clinical correlates of depressive symptoms in patients with PD. 210 PD patients aged 50-80 were recruited. Levels of glucose and lipid profiles were measured. The Hamilton Depression Rating Scale-17 (HAMD-17), the Montreal Cognitive Assessment (MoCA) and the Movement Disorder Society Unified Parkinson's Disease Rating Scale Part III (MDS-UPDRS-III) assessed depressive symptom, cognition and motor function, respectively. Male depressive PD participants had higher fasting plasma glucose (FPG) levels. Regarding the 50-59 years group, depressive patients had higher TG levels. Moreover, there were sex and age differences in the factors associated with severity of depressive symptoms. In male PD patients, FPG was an independent contributor to HAMD-17 (Beta = 0.412, t = 4.118, p < 0.001), and UPDRS-III score was still associated with HAMD-17 in female patients after controlling for confounding factors (Beta = 0.304, t = 2.961, p = 0.004). Regarding the different age groups, UPDRS-III (Beta = 0.426, t = 2.986, p = 0.005) and TG (Beta = 0.366, t = 2.561, p = 0.015) were independent contributors to HAMD-17 in PD patients aged 50-59. Furthermore, non-depressive PD patients demonstrated better performance with respect to visuospatial/executive function among the 70-80 years group. These findings suggest that sex and age are crucial non-specific factors to consider when assessing the relationship between glycolipid metabolism, PD-specific factors and depression.


Assuntos
Envelhecimento , Glicemia , Depressão , Metabolismo dos Lipídeos , Doença de Parkinson , Caracteres Sexuais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Envelhecimento/sangue , Envelhecimento/metabolismo , Glicemia/metabolismo , Depressão/sangue , Depressão/diagnóstico , Depressão/epidemiologia , Depressão/psicologia , Glicolipídeos/sangue , Glicolipídeos/metabolismo , Doença de Parkinson/sangue , Doença de Parkinson/epidemiologia , Doença de Parkinson/metabolismo , Doença de Parkinson/psicologia , Prevalência , Fatores de Risco , Disfunção Cognitiva/sangue , Disfunção Cognitiva/epidemiologia , Disfunção Cognitiva/metabolismo , Estudos Transversais , Idoso , Idoso de 80 Anos ou mais , Distribuição por Idade , Cognição , Triglicerídeos/sangue , LDL-Colesterol/sangue
5.
J Affect Disord ; 333: 51-57, 2023 07 15.
Artigo em Inglês | MEDLINE | ID: mdl-37084962

RESUMO

BACKGROUND: Childhood trauma (CT) is a significant factor affecting social cognition in major depressive disorder (MDD). However, the relationship between CT, social cognition, and MDD is still not well-understood. METHODS: A total of 251 Han Chinese participants, comprising 117 first-episode drug-naïve MDD patients and 134 healthy controls (HCs), were recruited. The Childhood Trauma Questionnaire (CTQ), Toronto Alexithymia Scale (TAS-20), Interpersonal Reactivity Index-C (IRI), and Facial Emotion Recognition Test were used to measure CT and social cognition. Partial correlations were conducted to analyze the association between CT and social cognition. RESULTS: Our results showed that no significant correlation was observed between CTQ total score and social cognition in MDD (p > 0.05), while it was different in HCs (TAS-20 total score: r = 0.21, p = 0.016; difficulty identifying feelings (DIF): r = 0.219, p = 0.012; perspective-taking (PT): r = -0.214, p = 0.014; recognizing neutral facial emotions: r = -0.4, p < 0.001). CTQ subtyping analysis revealed that CTQ subscale scores in MDD were significantly correlated with PT, personal distress (PD), and recognizing angry facial emotions. Interestingly, physical abuse score was positively correlated with PT in MDD (r = 0.219, p = 0.019) but negatively with PT in HCs (r = -0.276, p = 0.001). LIMITATIONS: Insufficient sample size and cross-sectional designs. CONCLUSION: The correlation between CT and social cognition in MDD was weakened or reversed compared to HCs, highlighting the need for further investigation to determine the cause of this specific correlation.


Assuntos
Experiências Adversas da Infância , Transtorno Depressivo Maior , Humanos , Criança , Transtorno Depressivo Maior/psicologia , Cognição Social , Estudos Transversais , População do Leste Asiático , Cognição
6.
J Ethnopharmacol ; 308: 116307, 2023 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-36842722

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: As a traditional Chinese medicine and food, Euodiae Fructus (EF) is widely used in clinics to relieve pain and prevent vomiting and for making tea for more than a thousand years. In recent years, hepatotoxic reactions to EF have been reported. The intermediates produced by evodiamine and rutaecarpine metabolism in vitro were captured by glutathione (GSH), suggesting that the toxicity of EF may be related to metabolic activation. Whether licorice can inhibit the metabolic activation of EF has not been reported, which needed an effective strategy to clarify the correlation between protein conjugates and hepatotoxicity and the attenuation mechanism of licorice processing. AIM OF THE STUDY: This study aimed to explore the toxic components and mechanisms of EF based on metabolic activation and the detoxification of licorice. MATERIALS AND METHODS: The content and toxicity index of protein conjugates in the liver were determined by orally administering mice and rats with EF. The attenuation mechanism of licorice was examined in cell and enzymology experiments. RESULTS: The change in evodiamine-cysteinylglycine (EVO-Cys-Gly) and evodiamine-cysteine (EVO-Cys) levels was consistent with the change in hepatotoxicity. Licorice inhibited the formation of the protein conjugates of EF and increased the content of GSH in L02 cells. CONCLUSION: EF mediated by P450 enzymes produced toxic intermediates, which combined with cysteine residues in animal liver and inactivate them, leading to hepatotoxicity. Interestingly, licorice can alleviate the GSH depletion caused by EF and inhibit the production of protein conjugates by inhibiting P450 enzymes.


Assuntos
Doença Hepática Induzida por Substâncias e Drogas , Glycyrrhiza , Ratos , Camundongos , Animais , Cisteína , Sistema Enzimático do Citocromo P-450 , Glutationa/metabolismo
7.
Waste Manag Res ; 27(3): 258-66, 2009 May.
Artigo em Inglês | MEDLINE | ID: mdl-19423575

RESUMO

The objective of this study was to assess the feasibility of solidification of municipal solid waste incinerator (MSWI) fly ash with circulation fluidized bed combustion (CFBC) fly ash, which is unsuitable as a cement replacement due to its high amounts of carbon, lime and anhydrite. The solidification process was conducted on samples prepared from MSWI fly ash, binders (cement clinkers and CFBC fly ash were mixed at two replacement ratios) and water (water/solid weight ratio = 0.4), among which the MSWI fly ash replaced each binder at the ratio of 0, 20, 40, 60 and 80% by dry weight. The samples were subjected to compressive strength tests and Toxicity Characteristic Leaching Procedure and the results showed that all solidified MSWI fly ash can meet the landfill standard imposed by US EPA after 28 days of curing. Micro-analysis (X-ray diffraction, scanning electron microscopy and Fourier transform infrared spectrophotometry) revealed that the main hydrate products were C-S-H gel and ettringite, which have a positive effect on heavy metals retention. Therefore, this method provides a possibility to achieve a cheap and effective solution for MSWI fly ash management and use for CFBC fly ash.


Assuntos
Carbono/química , Carvão Mineral/análise , Incineração , Material Particulado/química , Cidades , Cinza de Carvão , Poluição Ambiental/prevenção & controle , Metais Pesados/química , Microscopia Eletrônica de Varredura , Difração de Raios X
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