Gender differences in platelet brain derived neurotrophic factor in patients with cardiovascular disease and
Marlene S Williams1, Chelsea K Ngongang1, Pam Ouyang1
1Department of Medicine, Johns Hopkins Medical Institution, Baltimore, MD, USA.
Insights
Women with stable coronary artery disease (CAD) show higher platelet levels of Brain-Derived Neurotrophic Factor (BDNF) compared to men, irrespective of depression status. These findings suggest potential sex-specific differences in how platelet activation and depression are linked.
Area of Science:
- Neuroscience
- Cardiology
- Psychiatry
Background:
- Women exhibit a higher prevalence of depression than men.
- Reduced serum levels of Brain-Derived Neurotrophic Factor (BDNF) are associated with depression.
- BDNF may play a protective role against coronary artery disease (CAD) pathogenesis.
Purpose of the Study:
- To investigate potential gender differences in BDNF levels among patients with stable CAD and comorbid depression.
- To compare plasma and platelet BDNF levels between men and women with stable CAD.
Main Methods:
- The study included 37 patients (17 women) diagnosed with stable CAD.
- Depression was assessed using the Beck Depression Inventory-II (BDI-II) questionnaire.
- Plasma and platelet BDNF levels were quantified using standard ELISA methods.
Main Results:
- Platelet BDNF levels were significantly higher than plasma BDNF levels across all participants.
- Women demonstrated significantly higher platelet BDNF levels compared to men (p < 0.001).
- These gender differences in platelet BDNF persisted regardless of depression severity.
Conclusions:
- Women with stable CAD possess elevated platelet BDNF levels compared to men, independent of depression.
- Observed sex-specific differences in BDNF may indicate distinct mechanisms linking platelet activation and depression in men and women.
Abstract:
Women have a higher prevalence of depression compared to men. Serum levels of Brain-derived neurotrophic factor (BDNF) are decreased in depression. BDNF may also have a protective role in the pathogenesis of coronary artery disease (CAD) or events. We examined whether there are gender differences in BDNF levels in patients with stable CAD and comorbid depression. We enrolled 37 patients (17 women) with stable CAD with and without depression from a single medical center. All patients had depression assessment with the Beck Depression Inventory-II questionnaire. Both plasma and platelet BDNF were measured in all patients using a standard ELISA method. Platelet BDNF levels were higher than plasma BDNF levels in the entire group (5903.9 ± 1915.6 vs 848.5 ± 460.5 pg/ml, p < 0.001). Women had higher platelet BDNF levels than men (6954.2 ± 1685.6 vs. 5011.2 ± 1653.5 pg/ml, p < 0.001). Women without depression (BDI-II < 5, n = 8) had higher platelet BDNF than men without depression (n = 8, 7382.8 ± 1633.1 vs 4811.7 ± 1642.3 pg/ml, p = 0.007). Women with no or minimal depression (BDI < 14, n = 14) had higher platelet BDNF levels than men with no or minimal depression (n = 18, 6900.2 ± 1486.6 vs 4972.9 ± 1568.9 pg/ml, p = 0.001). The plasma BDNF levels were similar between men and women in all categories of depression. In conclusion, women with stable CAD have increased platelet BDNF levels when compared to men with stable CAD regardless of their level of depression. Sex specific differences in BDNF could possibly indicate differences in factors linking platelet activation and depression in men and women.
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