肠道透性和抑郁症 - - 一个对精选的基于血液的生物标志物的叙述性审查
Anca C Bibolar1, Bianca D Crecan-Suciu1, Ramona L Păunescu1
1Department of Neurosciences, "Iuliu Hațieganu" University of Medicine and Pharmacy, 43 Victor Babeș Street, 400012 Cluj-Napoca, Romania.
International journal of molecular sciences
|October 29, 2025
概括
肠道透性的血液标记在抑郁症患者中显示不一致的结果. 需要进一步的研究来确定这些肠道健康指标是否可以识别抑郁症亚型或指导治疗.
科学领域:
- 神经科学是一个神经科学.
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
背景情况:
- 人们越来越认识到肠道屏障在抑郁症病理生理学中的作用.
- 基于血液的肠道透性的标志物正在被调查为抑郁症的潜在指标.
研究的目的:
- 审查目前关于抑郁症肠道透性的血液标记物的文献.
- 评估这些标记物的一致性和临床实用性.
主要方法:
- 我们对PubMed和EMBASE进行了结构化的文献搜索.
- 研究的重点是素,肠脂肪酸结合蛋白 (I-FABP),脂多糖 (LPS),LPS结合蛋白 (LBP) 和可溶性CD14 (sCD14).
主要成果:
- 研究报告称,抑郁症中肠道透性标记物发生变化,但研究结果不一致.
- 样本规模较小和方法差异使解释变得复杂.
- 一些改变的生物标志物水平与疾病严重程度或治疗反应相关.
结论:
- 目前的证据不支持对这些抑郁症标志物的常规临床使用.
- 需要进一步的研究来验证它们在精神病患者群体中的作用.
- 验证的标记物可以帮助识别与炎症相关的抑郁症亚型,并个性化治疗.
相关概念视频
Depressive Disorders: Etiology
433
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
433
Assessment of the Gastrointestinal System II: Health Perception Pattern
443
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
443
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
631
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
631
Irritable Bowel Syndrome I: Introduction
910
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
910
Assessment of the Gastrointestinal System I: Subjective Data
609
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
609
Depression: Overview
768
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
768


