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- 2017
抑郁症患者血清微量元素、铜蓝蛋白与执行功能的关系
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Abstract:
摘要 目的: 探讨抑郁症患者(MDD)血清微量元素、铜蓝蛋白(Cp)与执行功能的关系.方法: 采用威斯康星卡片分类测验(WCST)及连线测验(TMT)评估35例符合美国精神障碍统计与诊断手册第5版(DSM-5)诊断标准的抑郁症患者和 30例正常对照者的执行功能,检测两组的血清铜(Cu)、锌(Zn)和Cp含量并探讨这3种物质与执行功能的相关性.结果: 抑郁组患者在TMT(反应时)和WCST测验(分类数、总错误数、持续错误数和非持续错误数)的成绩均低于对照组,差异具有统计学意义(P<0.05);抑郁组患者血清Zn、Cp水平明显低于对照组,Cu离子含量显著高于正常对照组,差异具有统计学意义(P<0.05);抑郁组患者血清中的Cp含量与TMT(反应时、错误数)的成绩呈正相关,与WCST非持续性错误数呈负相关;抑郁组Cu含量与TMT(提笔数)呈正相关.结论: 抑郁症患者的执行功能可能与铜和铜蓝蛋白密切相关.
[1] | SNYDER H R. Major depressive disorder is associated with broad impairments on neuropsychological measures of executive function: a meta-analysis and review[J]. Psychol Bull, 2013, 139(1): 81-132. |
[2] | LI X, WU H, LOU C, et al. Study on the executive function of attention in depression patients based on SPECT technology[J]. Int J Clin Exp Med, 2014, 7(4): 1110-1115. |
[3] | 贾艳滨, 王 颖, 钟舒明,等. 双相抑郁患者前额叶及海马磁共振质子波谱成像研究[J]. 中国神经精神疾病杂志, 2012, 38(6): 358-362. |
[4] | JIA Y B, WANG Y, ZHONG S M, et al. The magnetic resonance proton spectrum imaging study of prefrontal cortex and hippocampus with bipolar disorder[J]. Chinese Journal of Neural Mental Illness, 2012, 38(6): 358-362. |
[5] | 宫春勇. 铜蓝蛋白及其临床应用[J]. 医学综述, 2006, 12(13): 823-825. |
[6] | COLLOBY S J, FIRBANK M J, THOMAS A J, et al. White matter changes in late-life depression;a diffusion tensor imaging study[J]. J Affect Disord, 2011, 135(13):216-220. |
[7] | 李 祥, 杨文明, 汪 瀚,等. 以抑郁障碍起病的肝豆状核变性生物学机制探讨[J]. 中医药临床杂志, 2015,27(4): 451-453. |
[8] | LI Y, YANG W M, WANG Y, et al. The biological mechanism study on the pathogenesis of hepatolenticular degeneration in depression[J]. The Journal of Chinese Traditional Clinical Medicine, 2015,27(4): 451-453. |
[9] | EGGERS B,HERMANN W,BARTHEL H,et al. The degree of depression in Hamilton rating scale is correlated with the density of presynaptic serotonin transporters in 23patients with Wilson's disease[J]. J Neurol, 2003, 250(5): 576-580. |
[10] | BOST M, HOUDART S, OBERLI M, et al. Dietary Copper and human health: current evidence and unresolved issues[J]. J Trace Elem Med Bio, 2016, 35(2):107-115. |
[11] | ESTEVES C S, DE OLIVEIRA C R, IRIGARAY T Q, et al. Desempenho de idosos com e sem sintomas depressivos no WCST-64[J]. Avali??£ao Psicol? 3 gica, 2016, 15(1): 31. |
[12] | SARKAR S, SARKAR R, BERG T, et al. Sadness and mild cognitive impairment as predictors for interferon-alpha-induced depression in patients with hepatitis C[J]. British JPsychiat the J Mental Science, 2015, 206(1): 45-51. |
[13] | TYLER A, ASSELBERGS F, WILLIAMS S, MOORE J. Shadows of complexity: what biological networks reveal about epistasis and pleiotropy[J]. Bioessays, 2009, 31(2): 220-227. |
[14] | SHEN Y C. Psychiatry[M]. 5th ed. Beijing: People's Medical Publishing House, 2011: 544. |
[15] | KHOR G L, MISRA S. Micronutrient interventions on cognitive performance of children aged 5-15 years in developing countries[J]. Asia Pac J Clin Nutr, 2012, 21(4): 476-86. |
[16] | de MOURA J E, de MOURA E N, ALVES C X, et al. Oral zinc supplementation may improve cognitive function in schoolchildren[J]. Biol Trace Elem Res, 2013, 155(1): 23-28. |
[17] | ZIMBREAN P C,SCHILSKY M L. Psychiatric aspects of Wilson disease:a Review[J].Gen Hosp Psychiatry, 2014, 36(1): 53-62. |
[18] | 沈渔邨.精神病学[M].5版. 北京: 人民卫生出版社, 2011: 544. |
[19] | ALGHADIR A H, GABR S A, AL-EISA E. Effects of Physical Activity on Trace Elements and Depression Related Biomarkers in Children and Adolescents[J]. BiolTrace Elem Res, 2016, 172(2): 1-8. |
[20] | KAYA M C, BEZ Y, SELEK S, et al. No effect of antidepressant treatment on elevated serum ceruloplasmin level in patients with first-episode depression: a longitudinal study[J]. Arch Med Res, 2012, 43(4): 294-297. |
[21] | HAMMERS D, RAMIREZ G, PERSAD C, et al. Diagnostic Profiles of Patients Differentially Failing Executive Functioning Measures[J]. American Journal of Alzheimer S Disease Other Dementias, 2015, 31(3): 214-22. |
[22] | MATHIE A, SUTTON G L, CLARKE C E, et al. Zinc and copper: Pharmacological probes and endogenous modulators of neuronal excitability[J]. Pharmacol Therapeut, 2006, 111(3): 567-583. |
[23] | TAKEDA A, TAMANO H. Zinc signaling through glucocorticoid and glutamate signaling in stressful circumstances[J]. J Neurosci Res, 2010, 88(14): 3002-3010. |
[24] | GAO S F, BAO A M. Corticotropin-releasing hormone, glutamate, and γ-aminobutyric acid in depression[J]. Neuroscientist, 2011, 17(1): 124-144. |
[25] | 陈 嬿, 蒋雨平. 铜蓝蛋白的代谢和低铜蓝蛋白血症的临床表现[J]. 中国临床神经科学, 2006, 14(1): 86-89. |
[26] | CHEN Y, JIANG Y P. The clinical manifestations of ceruloplasmin metabolism and hypoceruloplasminemia[J]. The Chinese Clinical Neuroscience, 2006, 14(1): 86-89. |
[27] | STYCZE? K, SOWA-KU?MA M, SIWEK M, et al. Study of the serum copper levels in patients with major depressive disorder[J]. Biol Trace Elem Res, 2016,174(2): 287-293. |
[28] | LAVOIE J, ILLIANO P, SOTNIKOVA T D, et al. The electroretinogram as a biomarker of central dopamine and serotonin: Potential relevance to psychiatric disorders[J]. Biol Psychiatry, 2014, 75(6): 479-486. |
[29] | HAN K H, SHIMADA K, SEKIKAWA M, et al. Anthocyanin-rich red potato flakes affect serum lipid peroxidation and hepatic sod mrna level in rats[J]. Biosci Biotechnol Biochem, 2007, 71(5): 1356-1359. |
[30] | SALUSTRI C, SQUITTI R, ZAPPASODI F, et al. P02-31-Oxidative stress and brain glutamate-mediated excitability in depressed patients[J]. J Affect Disord, 2010, 127(1/2/3): 626-626. |
[31] | GONG C Y. The clinical application of ceruloplasmin[J]. Medical Review, 2006, 12(13): 823-825. |
[32] | BELLEBAUM C, KOCH B, SCHWARZ M, et al. Focal basal ganglia lesions are associated with impairments in reward-based reversal learning[J]. Brain, 2008, 131(3): 829-841. |