Polyunsaturated fatty acids and inflammatory markers in major depressive episodes during pregnancy.

作者: Jane Pei-Chen Chang , Chih-Ying Lin , Pan-Yen Lin , Yin-Hua Shih , Tsan-Hung Chiu

DOI: 10.1016/J.PNPBP.2017.05.008

关键词:

摘要: Abstract Introduction Prenatal depression (PND) is a common psychiatric disorder in pregnant women and leads to psychosocial dysfunction, high suicidal rate, adverse childcare. Patients with PND have omega-3 polyunsaturated fatty acid (omega-3 or n-3 PUFAs) deficits, which might link chronic low-grade inflammatory process the pathophysiological mechanisms of depression. In this case-control study, we examined levels PUFAs cytokines PND. Method Blood samples were obtained analyzed from 16 healthy controls 17 depressed cases (PND group) diagnosed Diagnostic Statistical Manual Mental Disorders, Fourth Edition (DSM-IV). Independent sample t -test correlation analysis performed Package for Social Sciences (SPSS) logistics analysis. Results group had significantly lower total (p = 0.026), docosahexaenoic (DHA) (p = 0.020) eicosapentaenoic (EPA) (p = 0.019) but higher omega-6 (n-6)/n-3 ratio (p = 0.007) tumor necrosis factor alpha (TNF-α) (p = 0.016) level. Moreover, duration current episodes also correlated DHA, EPA, PUFAs, n-6/n-3 TNF-α. terms cytokine levels, only DHA was inversely Conclusion associated an increased ratio, while including EPA. The TNF-α level grant further investigation into underlying PND, mediated by PUFAs.

参考文章(65)
Lauren M. Osborne, Catherine Monk, Perinatal depression—The fourth inflammatory morbidity of pregnancy? Psychoneuroendocrinology. ,vol. 38, pp. 1929- 1952 ,(2013) , 10.1016/J.PSYNEUEN.2013.03.019
Cai Song, Dirk Luchtman, Zhijian Kang, Edwin M. Tam, Lakshmi N. Yatham, Kuan-Pin Su, Raymond W. Lam, Enhanced inflammatory and T-helper-1 type responses but suppressed lymphocyte proliferation in patients with seasonal affective disorder and treated by light therapy Journal of Affective Disorders. ,vol. 185, pp. 90- 96 ,(2015) , 10.1016/J.JAD.2015.06.003
Hans Demmelmair, Berthold Koletzko, Importance of fatty acids in the perinatal period World review of nutrition and dietetics. ,vol. 112, pp. 31- 47 ,(2015) , 10.1159/000365427
Hyunkyong Ahn, Jooncheol Park, Alice Gilman-Sachs, Joanne Kwak-Kim, Immunologic Characteristics of Preeclampsia, a Comprehensive Review American Journal of Reproductive Immunology. ,vol. 65, pp. 377- 394 ,(2011) , 10.1111/J.1600-0897.2010.00913.X
Mie Shiraishi, Masayo Matsuzaki, Yuko Yatsuki, Ryoko Murayama, Elisabeth Severinsson, Megumi Haruna, Associations of dietary intake and plasma concentrations of eicosapentaenoic and docosahexaenoic acid with prenatal depressive symptoms in Japan. Nursing & Health Sciences. ,vol. 17, pp. 257- 262 ,(2015) , 10.1111/NHS.12182
Michael J James, Robert A Gibson, Leslie G Cleland, Dietary polyunsaturated fatty acids and inflammatory mediator production The American Journal of Clinical Nutrition. ,vol. 71, ,(2000) , 10.1093/AJCN/71.1.343S
Mary F. F. Chong, , Yi-Lin Ong, Philip C. Calder, Marjorelee Colega, Jocelyn X. Y. Wong, Chuen Seng Tan, Ai Lin Lim, Helena L. Fisk, Shirong Cai, Wei Wei Pang, Birit F. P. Broekman, Seang Mei Saw, Kenneth Kwek, Keith M. Godfrey, Yap-Seng Chong, Peter Gluckman, Michael J. Meaney, Helen Chen, Long-Chain Polyunsaturated Fatty Acid Status During Pregnancy and Maternal Mental Health in Pregnancy and the Postpartum Period The Journal of Clinical Psychiatry. ,vol. 76, pp. e848- e856 ,(2015) , 10.4088/JCP.14M09191
Alan Stein, Dennis H. Gath, Janet Bucher, Alison Bond, Ann Day, Peter J. Cooper, The relationship between post-natal depression and mother-child interaction. British Journal of Psychiatry. ,vol. 158, pp. 46- 52 ,(1991) , 10.1192/BJP.158.1.46
Norma I. Gavin, Bradley N. Gaynes, Kathleen N. Lohr, Samantha Meltzer-Brody, Gerald Gartlehner, Tammeka Swinson, Perinatal depression: a systematic review of prevalence and incidence. Obstetrics & Gynecology. ,vol. 106, pp. 1071- 1083 ,(2005) , 10.1097/01.AOG.0000183597.31630.DB