白细胞端粒长度和线粒体DNA拷贝数与治疗耐受性抑郁症及对电休克疗法的反应:一项试验性纵向研究。

IF 1.8 4区 医学 Q3 BEHAVIORAL SCIENCES
Alessio Squassina, Claudia Pisanu, Valentina Menesello, Anna Meloni, Donatella Congiu, Mirko Manchia, Pasquale Paribello, Maria Abate, Marco Bortolomasi, Bernhard T Baune, Massimo Gennarelli, Alessandra Minelli
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引用次数: 0

摘要

研究目的在这项研究中,我们调查了白细胞端粒长度(LTL)和线粒体DNA拷贝数(mtDNA-cn)这两种细胞衰老标志物的变化是否与治疗耐受性抑郁症(TRD)以及对电休克疗法(ECT)的反应有关:方法:对31名TRD患者在接受ECT治疗前(T0)、1周(T1)和4周(T2)以及65名健康对照者的LTL和mtDNA-cn进行了测量:结果:与基线健康对照组相比,TRD患者的LTL明显较短,mtDNA-cn明显较高。在TRD样本中,LTL与基线时的蒙哥马利-奥斯伯格抑郁评分量表(Montgomery-Åsberg Depression Rating Scale)得分成反比。LTL或mtDNA-cn的基线水平与ECT反应无关。同样,LTL或mtDNA-cn的变化无论是作为二分性状(有反应者与无反应者)还是作为症状改善的百分比变化,都与ECT反应无关:我们的研究是第一项探索LTL和mtDNA-cn在ECT反应中的作用的纵向研究。这项试点调查的结果表明,LTL和mtDNA-cn可能构成TRD的疾病生物标志物,但与ECT反应无关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Leukocyte Telomere Length and Mitochondrial DNA Copy Number in Treatment-Resistant Depression and Response to Electroconvulsive Therapy: A Pilot Longitudinal Study.

Objectives: In this study, we investigated if changes in leukocyte telomere length (LTL) and mitochondrial DNA copy number (mtDNA-cn), 2 markers of cellular aging, are associated with treatment-resistant depression (TRD) and with response to electroconvulsive therapy (ECT).

Methods: LTL and mtDNA-cn were measured in 31 TRD patients before (T0), 1 week (T1), and 4 weeks (T2) after the ECT course, as well as in a sample of 65 healthy controls.

Results: TRD patients had significantly shorter LTL and higher mtDNA-cn compared with healthy controls at baseline. In the TRD sample, LTL was inversely correlated with Montgomery-Åsberg Depression Rating Scale scores at baseline. Baseline levels of LTL or mtDNA-cn were not correlated with response to ECT. Similarly, changes in LTL or mtDNA-cn were not associated with response to ECT either when considered as a dichotomous trait (responders vs nonresponders) or as a percentage change in symptoms improvements.

Conclusions: Ours is the first longitudinal study exploring the role of LTL and mtDNA-cn in response to ECT. Findings of this pilot investigation suggest that LTL and mtDNA-cn may constitute disease biomarkers for TRD but are not involved in response to ECT.

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来源期刊
Journal of Ect
Journal of Ect 医学-行为科学
CiteScore
3.70
自引率
20.00%
发文量
154
审稿时长
6-12 weeks
期刊介绍: ​The Journal of ECT covers all aspects of contemporary electroconvulsive therapy, reporting on major clinical and research developments worldwide. Leading clinicians and researchers examine the effects of induced seizures on behavior and on organ systems; review important research results on the mode of induction, occurrence, and propagation of seizures; and explore the difficult sociological, ethical, and legal issues concerning the use of ECT.
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