Volume 19 Issue 12
Dec.  2021
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HE Yi, PANG Jian-yue, LIU Yu-jia, DENG Ya-jie, LIU Yu-xia, LI Heng-fen. Levels of plasma myelin-associated proteins and inflammatory factors in patients with major depressive disorder[J]. Chinese Journal of General Practice, 2021, 19(12): 2084-2087. doi: 10.16766/j.cnki.issn.1674-4152.002243
Citation: HE Yi, PANG Jian-yue, LIU Yu-jia, DENG Ya-jie, LIU Yu-xia, LI Heng-fen. Levels of plasma myelin-associated proteins and inflammatory factors in patients with major depressive disorder[J]. Chinese Journal of General Practice, 2021, 19(12): 2084-2087. doi: 10.16766/j.cnki.issn.1674-4152.002243

Levels of plasma myelin-associated proteins and inflammatory factors in patients with major depressive disorder

doi: 10.16766/j.cnki.issn.1674-4152.002243
Funds:

 SB201901012

  • Received Date: 2021-01-26
    Available Online: 2022-03-02
  •   Objective  To compare the levels of peripheral plasma myelin-associated protein and inflammatory factors between patients with first-episode untreated and recurrent major depressive disorder and healthy people.  Methods  A total of 118 subjects in our hospital from March 2019 to May 2020 were recruited, including 40 patients with first-episode untreated major depressive disorder (first-episode group), 40 patients with recurrent major depressive disorder (recurrent group) and 38 healthy controls (control group). The levels of peripheral plasma myelin basic protein (MBP), myelin-associated glycoprotein, myelin oligodendrocyte glycoprotein, C-reactive protein, interleukin-6 and tumour necrosis factor-α (TNF-α) were measured by enzyme-linked immunosorbent assay. The 24-item Hamilton Depression scale (HAMD-24) was used to score the degree of depression in all patients.  Results  Statistically significant differences were observed in the levels of MBP amongst the three groups [recurrent group (2.32±0.95) ng/mL; first-episode group (1.92±0.91) ng/mL; control group (1.40±0.76) ng/mL] and TNF-α [recurrent group (8.49±5.45) ng/mL; first-episode group (6.30±4.71) ng/mL; control group (4.90±4.18) ng/mL, FMBP=10.824, P < 0.05; FTNF-α=5.510, P < 0.05]. The levels of MBP and TNF-α in the recurrent group were significantly higher than those in the first-episode group (tMBP=4.646, P < 0.05; tTNF-α=3.285, P < 0.05), whilst the levels of MBP and TNF-α in the recurrent group were significantly higher than those in the control group (tMBP=2.069, P < 0.05; tTNF-α=2.034, P < 0.05). The MBP of the first-episode group was significantly higher than that of the control group (tMBP=2.603, P < 0.05). No significant correlation was observed between the levels of myelin-associated protein, inflammatory factors and HAMD-24 scores.  Conclusion  The level of MBP in peripheral plasma may be an important biomarker to determine the prognosis of depression and the severity of pathological injury of the nerve myelin sheath. The level of TNF-α may be related to the recurrence of major depressive disorder.

     

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