Rimti Fahmida Hoque, Shahbaz Reemal, Bhatt Kunj, Xiang Alex
Chittagong Medical College, Chittagong, 4203, Bangladesh.
McMaster University, Ontario, 00000, Canada.
Heliyon. 2023 Aug 9;9(8):e18909. doi: 10.1016/j.heliyon.2023.e18909. eCollection 2023 Aug.
As major depressive disorder (MDD) is such a diverse condition, there are currently no clear ways for determining its severity, endophenotype, or therapy response. The distinctive nature of depression, the variability of analysis in literature and the large number of conceptually complicated biomarkers are some of the many reasons for the lack of progress. Markers are involved in the process of neurotrophic, metabolic, and inflammation as well as neuroendocrine and neurotransmitter systems' components. Some clinical indicators are strong enough so that can be measured using assessments of proteomic, genetic, metabolomics, neuroimaging, epigenetic and transcriptomic. Markers of oxidative stress, endocrine, inflammatory, proteomic, and growth indicators are currently among the promising biologic systems/markers identified in this analysis. This narrative review examines succinct studies which investigated cytokines of inflammatory factors, peripheral factors of development, metabolic and endocrine markers as pathophysiological biomarkers of MDD, and treatment responses. Endocrine and metabolic alterations have also been linked to MDD in various studies. So, this study summarizes all of the numerous biomarkers that are significant in the detection or treatment of MDD patients. The paper also provides an overview of various biomarkers which are important for the regulation and its effects on MDD.
由于重度抑郁症(MDD)是一种多样的病症,目前尚无明确方法来确定其严重程度、内表型或治疗反应。抑郁症的独特性质、文献分析的变异性以及大量概念复杂的生物标志物是进展不足的诸多原因。标志物参与神经营养、代谢和炎症过程以及神经内分泌和神经递质系统的组成部分。一些临床指标足够强大,可通过蛋白质组学、遗传学、代谢组学、神经影像学、表观遗传学和转录组学评估来测量。氧化应激、内分泌、炎症、蛋白质组学和生长指标的标志物目前是本分析中确定的有前景的生物系统/标志物。这篇叙述性综述审视了研究炎症因子的细胞因子、发育的外周因子、代谢和内分泌标志物作为MDD病理生理学生物标志物及治疗反应的简要研究。在各项研究中,内分泌和代谢改变也与MDD有关。因此,本研究总结了在检测或治疗MDD患者中具有重要意义的所有众多生物标志物。本文还概述了对MDD的调节及其影响具有重要意义的各种生物标志物。