Quantitative Characteristics of Small Extracellular Vesicles from the Blood of Patients with Non-Suicidal Self-Injury

IF 0.5 4区 医学 Q4 NEUROSCIENCES Neurochemical Journal Pub Date : 2024-01-30 DOI:10.1134/s1819712423040189
I. N. Mishin, M. S. Zinchuk, T. A. Druzhkova, N. V. Gulyaeva, A. B. Guekht, A. A. Yakovlev
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Abstract—The aim of the study was to determine the quantitative characteristics of small extracellular vesicles (sEV) in the blood of patients with non-suicidal self-injury (NSSI) and comparison of the concentration and size of sEVs in patients with major depressive disorder (MDD) with and without NSSI, as well as to assess the relationship between the size and concentration of sEVs in the sample with such parameters as the severity of situational and personal anxiety, depression, and suicidal risk. The study included 28 patients (11 m/17 f) with a current episode of major depression and at least five episodes of NSSI in the last 12 months (main group, mean age 28.3 years) and 28 patients with major depression identical in sex and age without NSSI throughout life (comparison group). Patients’ mental status was assessed using the MINI interview, the Beck Depression Inventory II (BDI II), and the Spielberger Anxiety Scale. Isolation of sEVs from blood was carried out using polyethylene glycol (PEG) precipitation and gel filtration. The size and concentration of isolated particles were estimated using dynamic light scattering (DLS) and nanoparticle tracking analysis (NTA). The groups differed significantly in the severity of depression according to the BDI-II questionnaire, the Spielberger Situational Anxiety Scale, and the Spielberger Personality Anxiety Scale. The assessment of suicidal risk, carried out according to the corresponding module of the MINI questionnaire, revealed a significantly larger number of participants with medium and high suicidal risk in the group of patients with NSSI. The sEV fraction was isolated from the blood of the patients of the main group and the comparison group. There were no differences in the concentration or size of sEVs between groups of patients with depression with and without NSSI. In our study, we found no dependence of the concentration and size of sEVs on the severity of depression, situational and personal anxiety, and the severity of suicidal risk. Conclusion: NSSI in individuals with major depressive disorder is associated with a more severe course of the disorder (greater severity of depression, situational and personal anxiety), as well as a higher risk of suicide. Our study did not reveal any differences in the quantitative characteristics of sEV in patients with a depressive episode with and without NSSI. Future studies should focus on investigating the structural differences and functional features of sEVs in NSSI.

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非自杀性自伤患者血液中细胞外小泡的定量特征
摘要--该研究旨在确定非自杀性自伤(NSSI)患者血液中细胞外小泡(sEV)的定量特征,比较伴有和不伴有NSSI的重度抑郁障碍(MDD)患者中sEV的浓度和大小,并评估样本中sEV的大小和浓度与情境和个人焦虑、抑郁和自杀风险的严重程度等参数之间的关系。研究对象包括 28 名重度抑郁症患者(11 名男性/17 名女性)和 28 名在过去 12 个月中至少发生过五次 NSSI 的重度抑郁症患者(主要组,平均年龄 28.3 岁)以及 28 名性别和年龄相同但一生中未发生过 NSSI 的重度抑郁症患者(对比组)。使用 MINI 访谈、贝克抑郁量表 II (BDI II) 和斯皮尔伯格焦虑量表评估患者的精神状态。使用聚乙二醇(PEG)沉淀法和凝胶过滤法从血液中分离出 sEVs。利用动态光散射(DLS)和纳米颗粒跟踪分析(NTA)估算分离出的颗粒的大小和浓度。根据 BDI-II 问卷、Spielberger 情境焦虑量表和 Spielberger 人格焦虑量表,两组在抑郁严重程度上存在明显差异。根据 MINI 问卷的相应模块进行的自杀风险评估显示,在 NSSI 患者组中,具有中度和高度自杀风险的参与者人数明显较多。从主要组和对比组患者的血液中分离出了 sEV 部分。在有和没有 NSSI 的抑郁症患者组之间,sEV 的浓度和大小没有差异。在我们的研究中,我们发现 sEVs 的浓度和大小与抑郁症的严重程度、情景焦虑和个人焦虑以及自杀风险的严重程度无关。结论重度抑郁症患者的 NSSI 与更严重的抑郁症病程(更严重的抑郁、情境焦虑和个人焦虑)以及更高的自杀风险有关。我们的研究并未发现抑郁发作且有和没有 NSSI 的患者的 sEV 数量特征有任何差异。未来的研究应侧重于调查 NSSI 中 sEV 的结构差异和功能特征。
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来源期刊
Neurochemical Journal
Neurochemical Journal 医学-神经科学
自引率
20.00%
发文量
40
审稿时长
>12 weeks
期刊介绍: Neurochemical Journal (Neirokhimiya) provides a source for the communication of the latest findings in all areas of contemporary neurochemistry and other fields of relevance (including molecular biology, biochemistry, physiology, neuroimmunology, pharmacology) in an afford to expand our understanding of the functions of the nervous system. The journal presents papers on functional neurochemistry, nervous system receptors, neurotransmitters, myelin, chromaffin granules and other components of the nervous system, as well as neurophysiological and clinical aspects, behavioral reactions, etc. Relevant topics include structure and function of the nervous system proteins, neuropeptides, nucleic acids, nucleotides, lipids, and other biologically active components. The journal is devoted to the rapid publication of regular papers containing the results of original research, reviews highlighting major developments in neurochemistry, short communications, new experimental studies that use neurochemical methodology, descriptions of new methods of value for neurochemistry, theoretical material suggesting novel principles and approaches to neurochemical problems, presentations of new hypotheses and significant findings, discussions, chronicles of congresses, meetings, and conferences with short presentations of the most sensational and timely reports, information on the activity of the Russian and International Neurochemical Societies, as well as advertisements of reagents and equipment.
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