دورية أكاديمية

Changes in tryptophan breakdown associated with response to multimodal treatment in depression.

التفاصيل البيبلوغرافية
العنوان: Changes in tryptophan breakdown associated with response to multimodal treatment in depression.
المؤلفون: Reininghaus EZ; Clinical Division of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria., Lenger M; Clinical Division of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria., Schönthaler EMD; Clinical Division of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria., Fellendorf FT; Clinical Division of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria., Stross T; Clinical Division of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria., Schwarz M; Institute of Laboratory Medicine, University Hospital, Ludwig-Maximilian University (LMU), Munich, Munich, Germany., Moll N; Institute of Laboratory Medicine, University Hospital, Ludwig-Maximilian University (LMU), Munich, Munich, Germany., Reininghaus B; Clinical Division of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria., Dalkner N; Clinical Division of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria.
المصدر: Frontiers in psychiatry [Front Psychiatry] 2024 Jun 21; Vol. 15, pp. 1380620. Date of Electronic Publication: 2024 Jun 21 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Frontiers Research Foundation Country of Publication: Switzerland NLM ID: 101545006 Publication Model: eCollection Cited Medium: Print ISSN: 1664-0640 (Print) Linking ISSN: 16640640 NLM ISO Abbreviation: Front Psychiatry Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Switzerland : Frontiers Research Foundation, 2010-
مستخلص: Background: Research on depression showed that dysregulations in tryptophan (TRP), kynurenine (KYN), and its KYN pathway metabolites are key aspects in the development and maintenance of depressive symptoms. In our previous reports, we described sex-specific changes in TRP breakdown as well as changes in KYN and KYN/TRP in association with treatment response and inflammatory and metabolic parameters. However, results of treatment effects on KYN pathway metabolites as well as how pathway changes are related to treatment response remain sparse.
Objective: We investigated potential changes of KYN and KYN pathway metabolites in association with therapeutic response of individuals with depression during a six-week multimodal psychiatric rehabilitation program.
Methods: 87 participants were divided into treatment responders and non-responders (48 responders, 39 non-responders; 38 male, 49 female; M age = 51.09; SD age = 7.70) using scores of psychological questionnaires. KYN pathway metabolites serum concentrations as well as their ratios were collected using high performance liquid chromatography. Changes over time (time of admission (t1) vs. time of discharge (t2)) were calculated using repeated measure analyses of (co)variance.
Results: Non-responders exhibited higher levels of 3-Hydroxyanthralinic acid (3-HAA), nicotinic acid (NA), and 3-HAA/KYN, independently of measurement time. NA levels decreased, while 3-HAA levels increased over time in both groups, independently of treatment response. 3-HK/KYN levels decreased, while KYN levels increased in non-responders, but not in responders over time.
Discussion: The results indicate that some compounds of the KYN pathway metabolites can be altered through multimodal long-term interventions in association with treatment response. Especially the pathway degrading KYN further down to 3-HAA and 3-HK/KYN might be decisive for treatment response in depression.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2024 Reininghaus, Lenger, Schönthaler, Fellendorf, Stross, Schwarz, Moll, Reininghaus and Dalkner.)
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فهرسة مساهمة: Keywords: affective disorder; depression; kynurenine; kynurenine pathway; multimodal treatment
تواريخ الأحداث: Date Created: 20240708 Latest Revision: 20240709
رمز التحديث: 20240709
مُعرف محوري في PubMed: PMC11224482
DOI: 10.3389/fpsyt.2024.1380620
PMID: 38974918
قاعدة البيانات: MEDLINE
الوصف
تدمد:1664-0640
DOI:10.3389/fpsyt.2024.1380620