Background: Depression is a heterogeneous disorder and is thought to develop as a result of complex interactions between genetic and environmental factors. One-carbon metabolism that includes vitamin B12, folic acid, and homocysteine has been investigated in psychiatric disorders like depression. In recent years, vitamin D has also been considered to contribute to psychiatric disorders. In this study, serum levels of folate, vitamin B12, and homocysteine related to one-carbon metabolism and vitamin D were investigated in children and adolescents with depression and to assess possible roles in depression pathogenesis. Methods: The study included 89 children and adolescents with depression (69 female, 20 male; mean age AE SD = 15.08 AE 1.46) and 43 control subjects (31 female, 12 male; mean age AE SD = 14.41 AE 2.32) without any DSM-5 diagnosis. Each subject completed a sociodemographic form, Childhood Depression Inventory, State-Trait Anxiety Inventory 1-2 and measured serum folate, vitamin B12, homocysteine, and 25-OH vitamin D levels. Results: There was no significant difference between the groups in terms of folate levels (p = .052). In the patient group, the vitamin B12 and vitamin D levels were clearly low (p values for both levels were <.001), while homocysteine levels were found to be remarkably high (p < .001). In addition, there was a negative correlation between depression severity and vitamin B12 and vitamin D, while a positive correlation was found with homocysteine. Conclusions: The results of the study show that vitamin B12 deficiency or insufficiency and elevated homocysteine may contribute to the etiopathogenesis of depression. Additionally, it was shown that lower vitamin D levels may be associated with depression. Key Practitioner Message • Depression of children and adolescents is associated with the interaction of environmental and genetic factors. • Homocysteine, vitamin B12, and folate related to one-carbon metabolism are associated with psychiatric disorders such as depression in adulthood. • Vitamin D also contributes to psychiatric disorders pathogenesis. • There are not enough studies in the literature about these parameters in children with depression. • Low vitamin B12 and vitamin D levels and increased homocysteine levels may play a role in the pathogenesis of depression in children and adolescents. • Investigation of vitamin B12, folate, homocysteine, and vitamin D levels are recommended in children and adolescents with depression.
While serum NSE, MBP, and S100B values cannot be considered as biomarkers for ASD, GFAP may be a biomarker and is suggested as a possible indicator of autism severity.
Aim: Autism spectrum disorders are lifelong neurodevelopmental disorders whose pathogeneses are not fully understood. Borna disease virus is a neurotropic virus that affects the central nervous system. Considering the neuropsychiatric and behavioral effects of the virus, it can be suggested that it may play a role in autism spectrum disorder. However, there are insufficient evidence to support this. In this study, we aimed to investigate the presence of Borna disease virus in patients with autism spectrum disorders and healthy controls. Methods: This case-control study, performed in children with autism spectrum disorders and a control group, included patients with autism who visited the Child and Adolescent Psychiatry outpatient clinic between December 2017 -December 2018. Borna virus positivity was assayed with the ELISA method in serum samples. Data was analyzed using SPSS version 22. Results: The study included 63 children diagnosed with autism spectrum disorder and 31 healthy controls. The age range of autism patients was 3-14 years, their mean age was 7.83 (1.96) years, and The Childhood Autism Rating Scale score was 51.09 (5.71). The seropositivity rate for Borna disease virus in the autism and healthy control groups were 25.39% and 25.80%, respectively (P=0.966). For all patients, seropositivity rate was 25.53%. Conclusion: No relationship was found between autism spectrum disorders and Borna disease virus. The clinical significance of Borna disease virus positivity in society is unknown. We conclude that Borna disease virus is not involved in the pathogenesis of autism spectrum disorders.
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