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Published on: September 9, 2012
Increased plasma complement factor H is associated with geriatric depression
Cheolmin Shin1, Byung-Joo Ham1, Young-Hoon Ko1
1Department of Psychiatry,College of Medicine,Korea University,Seoul,Republic of Korea.
Insights
Elderly individuals with depression show higher plasma levels of complement factor H (CFH). This suggests the complement system
Area of Science:
- Neuroscience
- Immunology
- Gerontology
Background:
- Complement factor H (CFH) regulates the complement system's alternative pathway.
- Dysregulation of CFH is implicated in inflammation-mediated diseases, including neuropsychiatric disorders.
Purpose of the Study:
- To investigate the association between plasma CFH levels and geriatric depression.
- To determine if CFH levels differ in elderly individuals with and without depression.
Main Methods:
- 152 elderly individuals (76 with MDD, 76 controls) were analyzed.
- Plasma CFH levels were measured and compared between groups.
- Multiple regression analysis adjusted for confounders was performed.
Main Results:
- Plasma CFH levels were significantly higher in the MDD group compared to controls (p < 0.001).
- CFH was significantly associated with geriatric depression after adjusting for confounders (p < 0.001).
Conclusions:
- Elevated plasma CFH levels are associated with geriatric depression.
- This suggests the complement system's alternative pathway may contribute to geriatric depression development.
Abstract:
ABSTRACTBackground:Complement factor H (CFH) plays a key role in regulating the cascade of the alternative pathway of the complement system. Dysregulation of CFH may be involved in the pathophysiology of various inflammation-mediated diseases including neuropsychiatric illnesses. This study aimed to investigate this relationship by examining determining CFH levels in elderly individuals with and without depression.
Methods:
A total of 152 elderly individuals (major depressive disorder (MDD) group, n = 76; comparison sample, n = 76) were selected from the Ansan Geriatric study. The plasma level of CFH was measured. MDD was diagnosed with the Mini-International Neuropsychiatric Interview as per DSM-IV criteria. The severity of depression was evaluated with the geriatric depression scale (GDS). Mean CFH levels were compared using the Mann-Whitney U test. After adjusting for possible confounding factors including age, sex, marital status, education, alcohol use, hemoglobin levels, and the Korean version of the Mini-Mental State Examination (MMSE-KC), a multiple regression analysis was conducted. The GDS score and plasma level of CFH were analyzed using Spearman's correlation.
Results:
Plasma CFH level was significantly higher in individuals with MDD than in the comparison sample (289.51 ± 21.16 vs. 339.67 ± 66.23, p < 0.001). In a regression model adjusted for possible confounders, CFH was significantly associated with geriatric depression (p < 0.001). CFH levels were not significantly related to GDS scores in the depressed group.
Conclusion:
This study revealed an association between high plasma levels of CFH and geriatric depression, thereby suggesting the alternative pathway of the complement system contributing to the development of geriatric depression.
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