Oxidative Stress and Antioxidant Parameters in Patients With Major Depressive Disorder Compared to Healthy Controls Before and After Antidepressant Treatment
Abstract:Results suggest that oxidative stress plays a role in depression and that antidepressant activity may be mediated via improving oxidative stress/antioxidant function.
“…37 Second, low physical performance and depression share some risk and pathogenic factors (particularly increased rate of oxidative stress 38 and inflammation 39 , and decreased sex hormone levels 40 ) that may influence the onset of depression. 14,41,42 Third, it may be that individuals with low physical performance level were socially more isolated, and so at higher risk of depression, with an increasing evidence base suggesting that social isolation is associated with depression. 43 Fourth, older adults with reduced physical performance are likely to have reduced functional mobility, be at increased risk of falls and therefore avoid more activities due to a fear of falling.…”
“…37 Second, low physical performance and depression share some risk and pathogenic factors (particularly increased rate of oxidative stress 38 and inflammation 39 , and decreased sex hormone levels 40 ) that may influence the onset of depression. 14,41,42 Third, it may be that individuals with low physical performance level were socially more isolated, and so at higher risk of depression, with an increasing evidence base suggesting that social isolation is associated with depression. 43 Fourth, older adults with reduced physical performance are likely to have reduced functional mobility, be at increased risk of falls and therefore avoid more activities due to a fear of falling.…”
“…More specifically, depressive disorders have been associated with increased levels of pro-oxidant markers, namely, 8-hydroxy-2′-deoxyguanosine (8-OHdG), F2-isoprostanes, malondialdehyde (MDA) and decreased levels of anti-oxidant molecules, namely, glutathione (gamma-glutamyl-cysteinyl-glycine; GSH), superoxide dismutase (SOD) and glutathione peroxidase (GPx) (Maurya et al, 2016). Further, antidepressant response has been associated with decreased O&NS, suggesting a mediational role of O&NS reduction in the effective treatment of depression (Jimenez-Fernandez et al, 2015). As such, there has been great interest in further understanding the mechanisms sub-serving increased O&NS along with the potential novel drug targets these mechanisms may offer.…”
“…In another study, the administration of a saffron extract dose-dependently increased brain concentrations of dopamine, and at high doses increased glutamate levels; however, it had no effect on serotonin or norepinephrine concentrations (Ettehadi et al, 2013). The monoaminergic activity of pharmaceutical antidepressants such as serotonin reuptake inhibitors is well recognised; however, recent evidence suggests that they may also have antioxidant and anti-inflammatory effects (Jimenez-Fernandez et al, 2015;Wiedlocha et al, 2017). Saffron as an adjuvant agent may be particularly pertinent as there are adult studies suggesting that lower premorbid antioxidant levels (Baek et al, 2016), and higher inflammation are associated with increased non-response from antidepressant treatment (Eller et al, 2008).…”
Esta es la versión de autor del artículo publicado en: This is an author produced version of a paper published in:Journal of Affective Disorders 232 (2018) However, this is the first study examining its mood-related effects in teenagers.
MethodsIn this 8-week, randomised, double-blind, placebo-controlled study, youth aged 12 to 16 years, with mild-to-moderate anxiety or depressive symptoms were given tablets containing placebo or a saffron extract (affron ® , 14mg b.i.
d). The youth and parent versions of the Revised ChildAnxiety and Depression Scale (RCADS) were used as outcome measures.Results 80 participants were enrolled and 68 completed the study. Based on youth self-reports, affron ® was associated with greater improvements in overall internalising symptoms (p = .049), separation anxiety (p = .003), social phobia (p = .023), and depression (p = .016). Total internalising scores decreased by an average of 33% compared to 17% in the placebo group (p=.029). However, parental reports of improvements were inconsistent as mean improvements in RCADS scores were greater in the saffron group (40% vs 26%) (p=.026), although no other significant differences were identified. affron ® was well-tolerated and there was a trend of reduced headaches in participants on the active treatment.Limitations: The use of a self-report instrument, limited study duration, single treatment dose, and non-clinical sample used in this study limit the generalisability of study findings.
ConclusionThe administration of a standardised saffron extract (affron ® ) for 8 weeks improved anxiety and depressive symptoms in youth with mild-to-moderate symptoms, at least from the perspective of the adolescent. However, these beneficial effects were inconsistently corroborated by parents.
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