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Elevated peripheral kynurenine/tryptophan ratio predicts poor short-term auditory memory in panic disorder patients
Laiana A Quagliato1, Rafael C Freire1, Antonio E Nardi1
1Laboratory of Panic & Respiration, Institute of Psychiatry, Federal University of Rio de Janeiro, Rua Ataulfo de Paiva 135 S. 609, 22440-901, Brazil.
Elevated kynurenine/tryptophan ratio in panic disorder (PD) patients is linked to cognitive deficits, particularly short-term memory impairment. This suggests kynurenine pathway (KP) targeting treatments may help improve cognition in PD.
Area of Science:
- Neuroscience
- Biochemistry
- Psychiatry
Background:
- Kynurenine pathway (KP) abnormalities are linked to cognitive deficits in psychiatric disorders.
- Cytokines may increase indoleamine-2,3 dioxygenase (IDO) activity, a key enzyme in the KP.
- Panic disorder (PD) patients may exhibit elevated peripheral cytokine levels.
Purpose of the Study:
- To investigate if elevated peripheral cytokine levels and kynurenine/tryptophan (kyn/tryp) ratio serve as biomarkers for PD.
- To determine the relationship between these biomarkers and cognitive function in PD patients.
Main Methods:
- Assessed serum levels of IL-2R, IL-1β, IL-10, kynurenine, and tryptophan in 78 PD patients and matched controls.
- Evaluated cognitive functions including memory, attention, and cognitive flexibility.
- Analyzed the association between cytokine levels, kyn/tryp ratio, and cognitive performance.
Main Results:
- In PD patients, IL-2R levels correlated with kynurenine levels, unlike in controls.
- An elevated kyn/tryp ratio significantly predicted poorer scores in digit span forward and total tests.
- The study identified a link between inflammation biomarkers, KP, and cognitive deficits in PD.
Conclusions:
- Elevated kyn/tryp ratio is associated with cognitive deficits, specifically short-term auditory memory impairment, in PD.
- This suggests potential therapeutic targets within the KP for cognitive abnormalities in PD patients.
- The findings highlight the role of the KP in the pathophysiology of cognitive dysfunction in PD.
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