Journals / Anadolu Psikiyatri Dergisi / 2011 / Cilt: 12 - Sayı: 1

Urinary neopterin levels in patients with major depressive disorder and panic disorder who do not receive pharmacologic treatment

İlaç kullanmayan majör depresif bozukluk ve panik bozukluğu hastalarında idrar neopterin düzeyi

Pages
7–12
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

According to the results our study, changes in neopterine and BH4 levels may have

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: To measure urinary level of pterine which takes place in synthesis of monoamine in major depressive disorder and panic disorder patiens and compare results with healthy group.
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Key Findings & Data:Methods: Fourteen patients with panic disorder, 26 patients with major depressive disorder and 20 healthy volunteers were included to the study.
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Conclusion & Impact:According to the results our study, changes in neopterine and BH4 levels may have
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: To measure urinary level of pterine which takes place in synthesis of monoamine in major depressive disorder and panic disorder patiens and compare results with healthy group. Methods: Fourteen patients with panic disorder, 26 patients with major depressive disorder and 20 healthy volunteers were included to the study. Beck Depression İnventory, Beck Anxiety İnventory, Panic-Agoraphobia Scale, State-Trait Anxiety İnventory were applied to patients in order to evaluate severity of disorders. Results: Measurement results of neopterin levels were 199.6±90.8 μmol/creatinine in depressive disorder group, 182.9±68.0 μmol/creatinin panic disorder group and 181.4±202.8 μmol/creatinin in control group (p=0.030). Neopterin level in depressive disorder is significantly higher than control group (p=0.015). Conclusion: Tetrahydrobiopterin (BH4) is cofactor of tyrosine hydroxylase and tryptophan hydroxylase, the rate limiting enzymes in synthesis of serotonin, noradrenaline and dopamine from tyrosine and tryptophan. Rise in plasma levels of neopterine means activation in BH4 synthesis and reduction in monoamine levels. According to the results our study, changes in neopterine and BH4 levels may have

Özet

Amaç: Monoamin sentezinde rol alan pterinlerin idrar düzeylerinin majör depresif bozukluk ve panik bozukluğu hastalarında ölçülerek sağlıklı bireylerle karşılaştırılması amaçlanmıştır. Yöntem: Çalışmaya 14 panik bozukluğu, 26 depresif bozukluk hastası ve herhangi bir yakınması olmayan 20 sağlıklı gönüllü alınmıştır. Hastalık şiddetinin değerlendirilmesi amacıyla katılımcılara Beck Depresyon Ölçeği, Beck Anksiyete Ölçeği, Panik Agorafobi Ölçeği, Durumluk ve Süreklilik Kaygı Ölçeği uygulanmıştır. Bulgular: Grupların neopterin düzeyleri değerlendirildiğinde depresif bozukluk grubunda 199.6±90.8, panik bozukluğu grubunda 182.9±68.0 ve kontrol grubunda181.4±202.8 μmol/kreatinin olarak bulunmuştur (p=0.030). Depresif bozuklukta neopterin düzeyi kontrol grubuna göre anlamlı olarak yüksektir (p=0.015). Sonuç: Tetrahidrobiopterin (BH4), serotonin, noradrenalin ve dopaminin, tirozin ve triptofandan sentezinde hız kısıtlayıcı enzim olan tirozin hidroksilaz ve triptofan hidroksilaz için kofaktör olarak görev yapmaktadır. Plazma neopterin düzeyindeki artış, BH4 sentez yolundaki aktivasyona ve monoamin düzeylerindeki düşüklüğe işaret eder. Çalışmamızın sonuçlarına göre, monoaminlerin sentezinde rol alan neopterinler ve BH4 düzeyindeki değişikliklerin, panik bozukluğundan çok, depresif bozukluk oluşumunda etkisi olabilir.

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Cite This Article

TAYMUR, İ., ERBERK, N. Ö., BORATAV, R. C., YAMAN, H. (2011). Urinary neopterin levels in patients with major depressive disorder and panic disorder who do not receive pharmacologic treatment. Anadolu Psikiyatri Dergisi, Cilt: 12 - Sayı: 1, 7–12. https://ajindex.com/articles/356358

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References (14)

  1. Hoekstra R, Fekkes D. Pteridines and affective disorders. Acta Neuropsychiatrica 2002; 14:120-126
  2. Abou-Saleh MT, Anderson DN, Collins J, Hughes K, Cattell RJ, Hamon CG, et al. The role of pterins in depression and the effects of antidepressive therapy. Biol Psychiatry 1995; 38:458-463
  3. Thony B, Auerbach G, Blau N. Tetrahydrobiopterin biosynthesis, regeneration and functions. Biochemistry J 2000; 347(Pt 1):1-16
  4. Levine RA. Tetrahydrobiopterin and biogenic amine metabolism in neuropsychiatry, immunology, and aging. Ann NY Acad Sci 1988; 521:129-139 5. Barford PA, Blair JA, Eggar C, Hamon C, Morar C, Whitburn SB. Tetrahydrobiopterin metabolism in the temporal lobe of patients dying with senile dementia of Alzheimer type. J Neurol Neurosurg Psychiatry 1984; 47:736-738
  5. Hashimoto R, Ozaki N, Ohta T, Kasahara Y, Kaneda N, Nagatsu T. Total biopterin levels of plasma in patients with depression. Neuropsychobiology 1987; 17:176-177
  6. Duch DS, Woolf JH, Nichol CA, Davidson JR, Garbut JC. Urinary excretion of biopterin and neopterin in psychiatric disorders. Psychiatr Res 1984; 11:83-89
  7. Hoekstra R, van den Broek WW, Fekkes D, Bruijn JA, Mulder PG, Pepplinkhuizen L. Effect of electroconvulsive therapy on biopterin and large neutral amino acids in severe, medication-resistant depression. Psychiatry Res 2001; 103:115-123
  8. Coppen A, Swade C, Jones SA, Armstrong RA, Blair JA, Leeming RJ. Depression and tetrahydrobiopterin: the folate connection. J Affect Disord 1989; 16:103-107
  9. Knapp S, Irwin M. Plasma levels of tetrahydrobiopterin and folate in major depression. Biol Psychiatry 1989; 26:156-162
  10. Hashimoto R, Ozaki N, Ohta T, Kasahara Y, Kaneda N, Nagatsu T. The plasma tetrahydrobiopterin levels in patients with affective disorders. Biol Psychiatry 1990; 28:526-528
  11. O'Toole SM, Chiappelli F, Rubin RT. Plasma neopterin in major depression: relationship to basal and stimulated pituitary-adrenal cortical axis function. Psychiatry Res 1998; 79:21-29
  12. Hoekstra R, Fekkes D, van de Wetering BJ, Pepplinkhuizen L, Verhoeven WM. Effect of light therapy on biopterin, neopterin and tryptophan in patients with seasonal affective disorder. Psychiatry Res 2003; 120:37-42
  13. Atmaca M, Tezcan M, Kuloglu M, Onal S. Neopterin production in posttraumatic stress disorder before and after pharmacotherapy. Eur Arch Psychiatry Clin Neurosci 2003; 253:34-36
  14. Atmaca M, Kuloglu M, Tezcan E, Onal S, Ustundag B. Neopterin levels and dexamethasone suppre