Background: Taking into account the role of oxidative stress in neurodegeneration, we sought to evaluate the expression of genes for select enzymes with antioxidant properties (paraoxonases PON1, PON2 and PON3 and myeloperoxidase MPO) at the mRNA and protein levels in patients with depressive disorders. We further sought to determine the impact of oxidative stress in the etiopathogenesis of this group of mood disorders. Methods: A total of 290 subjects (190 depressed patients, 100 healthy controls) took part in the study. Sociodemographic and clinical data were collected. The severity of depressive symptoms was assessed using the Hamilton Depression Rating Scale (HDRS). Venous blood was collected. RT-PCR was used to assess gene expression at the mRNA level, while enzyme-linked immunosorbent assay (ELISA) was used to assess gene expression at the protein level. Results: The expression of the PON2 and PON3 genes at the protein level was significantly higher in depressive patients than in healthy controls. mRNA expression of the PON1, PON2 and PON3 genes was slightly higher in patients with depressive disorders than in the control group, however, this relationship was not statistically significant. On the other hand, the expression of the MPO gene at both mRNA and protein levels was significantly lower in patients with depressive disorder than in the control group. Conclusions: Our results are not in agreement with many studies on enzymes involved in maintaining oxidative balance. Our findings may not support the utility of paraoxonases (PON) or myeloperoxidase (MPO) as promising biomarker candidates of depression pending larger and well controlled studies.
Migrena i depresja często współwystępują, stanowiąc ważny problem kliniczny. Oba zaburzenia związane są z koniecznością przewlekłego leczenia, a ich wzajemne współwystępowanie sprzyja zjawisku lekooporności. Wpływając na funkcjonowanie pacjentów powodują także liczne konsekwnecje społeczne - oddziałując na jakość życia i realizację celów osobistych osób chorych. W prezentowanej pracy przeglądowej przedstawiono czynniki, które mogą wyjaśniać wspólne patomechanizmy depresji i migreny. Uwzględniono zaburzenia strukturalne i czynnościowe ośrodkowego układu nerwowego (OUN), zaburzenia w zakresie układów neuroprzekaźników, teorie zapalne, zaburzenia hormonalne, a także możliwe podłoże genetyczne. Ze względu na fakt, że zarówno depresja, jak i migrena mają etiologię wieloczynnikową i na obecnym etapie badań naukowych trudno jednoznacznie określić, który czynnik jest tym najważniejszym, zaprezentowano tak szeroki przegląd. Trudno także określić, które z wymienionych czynników, dobrze udokumentowanych w międzynarodowych badaniach, jedycznie współwystępują, a które z nich mogą mieć związek przyczynowo-skutkowy w opisywanych zaburzeniach. Podjęcie dalszych badań w zakresie współwystępowania migreny i depresji oraz przyczyn tego zjawiska wydają się warte rozważenia.
Introduction: The main objective of the study is to examine the hypothesis claiming a correlation between personality traits measured with the use of the Minnesota Multiphasic Personality Inventory (MMPI-2) personality questionnaire and the expression of the ERα (ESR1) and ERβ (ESR2) encoding gene in patients suffering from depression. Material and methods: The experiment was carried out on a group of 44 individuals with depression. The Polish variant of the MMPI-2 was applied with the aim of assessing personality traits. Furthermore, the authors evaluated the expression of the genes encoding the oestrogen receptors (ERα and ERβ) at the mRNA level and protein level in the studied population. Results: No significant differences in the expression of ERα and ERβ encoding genes were found and confirmed in the patients with the first episode of depression and those suffering from subsequent episodes of the disease. No differences were found between women and men, either. In women a positive relationship was found between the scale of psychopathy (p = 0.04), paranoia (p = 0.01), and mania (p = 0.03) and expression for the ERα encoding gene at the mRNA level. A negative relationship was found between the mania scale and ERβ encoding gene expression at mRNA (p = 0.03) and protein (p = 0.04) levels. In males a positive relationship between anxiety as a personality trait and expression of the ERβ receptor encoding gene at mRNA level (p = 0.03) and protein level (p = 0.03) was found. Conclusions: Personality traits may be linked with the expression of genes encoding oestrogen receptors (ERα and ERβ) among patients with depressive disorders.
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