Evaluation of Serum Lysophosphatidic Acid and Lysophosphatidylcholine Levels in Major Depressive Disorder Patients.

Cureus Pub Date : 2020-12-30 DOI:10.7759/cureus.12388
Sumaia Riya, Sharmin Sultana, Sohel Daria, Maliha A Proma, Mohiuddin Ahmed Bhuiyan, Md Ahsanul Haque, Md Rabiul Islam
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引用次数: 13

Abstract

Background Major depressive disorder (MDD) is a heterogeneous condition featured with a continuous low mood, feeling of sadness, lack of interest to perform daily activities. Genetic, physiological, biological, social, and environmental factors are associated with the pathophysiology of depression. Though several human studies failed to identify the suitable biological markers for depression, some animal studies showed phospholipids play a vital role in the alteration of emotion. Thus, the current study aimed to measure the serum levels of lysophosphatidic acid (LPA) and lysophosphatidylcholine (LPC) in MDD patients and healthy controls (HCs) to explore their roles and relationship with depression. Methods This case-control study enrolled 53 MDD patients and 50 HCs matched by age, gender, and body mass index. Based on the diagnostic and statistical manual of mental disorders, 5th edition, a qualified psychiatrist diagnosed patients and assessed HCs. We applied the Hamilton depression rating scale (Ham-D) to measure the severity of depression. We used enzyme-linked immunosorbent assay kits to measure serum lysophosphatidic acid and lysophosphatidylcholine levels. Results We found no alterations of these parameters in serum levels of MDD patients compared to HCs. We also observed a significant positive correlation between LPA and LPC levels in MDD patients. Moreover, the present study showed no significant associations between target markers and either diagnosis of depression or Ham-D scores, or management of depression. Conclusion The present study suggests that LPA and LPC levels probably would not serve as potential biomarkers of MDD. Thus, we recommend further studies with large and more homogeneous populations to explore the exact relationship between serum lipids and MDD.

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重度抑郁症患者血清溶血磷脂酸和溶血磷脂酰胆碱水平的评价。
重度抑郁障碍(MDD)是一种异质性疾病,其特征是持续的情绪低落,感到悲伤,对日常活动缺乏兴趣。遗传、生理、生物、社会和环境因素与抑郁症的病理生理有关。虽然几项人体研究未能确定抑郁症的合适生物标志物,但一些动物研究表明磷脂在情绪的改变中起着至关重要的作用。因此,本研究旨在检测MDD患者和健康对照(hc)血清溶血磷脂酸(LPA)和溶血磷脂酰胆碱(LPC)水平,探讨其与抑郁的作用和关系。方法本病例对照研究纳入53例重度抑郁症患者和50例年龄、性别、体重指数匹配的hcc患者。根据第5版《精神障碍诊断与统计手册》,由一名合格的精神科医生对患者进行诊断并评估hc。我们采用汉密尔顿抑郁评定量表(hamd)来衡量抑郁的严重程度。采用酶联免疫吸附测定试剂盒测定血清溶血磷脂酸和溶血磷脂酰胆碱水平。结果我们发现,与hcc患者相比,MDD患者的血清中这些参数没有改变。我们还观察到MDD患者的LPA和LPC水平之间存在显著的正相关。此外,目前的研究表明,目标标记物与抑郁症的诊断或Ham-D评分或抑郁症的管理之间没有显著的关联。结论LPA和LPC水平可能不能作为重度抑郁症的潜在生物标志物。因此,我们建议在更大、更均匀的人群中进行进一步的研究,以探索血脂和重度抑郁症之间的确切关系。
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