Combined serum levels of multiple proteins in tPA-BDNF pathway may aid the diagnosis of five mental disorders

Abstract Mental disorders are severe, disabling conditions with unknown etiology and are commonly misdiagnosed when clinical symptomology criteria are solely used. Our previous work indicated that combination of serum levels of multiple proteins in tissue plasminogen activator (tPA)-brain-derived ne...

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Autores principales: Suzhen Chen, Haitang Jiang, Yang Liu, Zhenhua Hou, Yingying Yue, Yuqun Zhang, Fuying Zhao, Zhi Xu, Yinghui Li, Xiaodong Mou, Lei Li, Tianyu Wang, Jingjing Zhao, Chongyang Han, Yuxiu Sui, Ming Wang, Zhong Yang, Yan Lu, Yifeng Zhu, Jianhua Li, Xinhua Shen, Fei Sun, Qingsong Chen, Huanxin Chen, Yonggui Yuan
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Publicado: Nature Portfolio 2017
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spelling oai:doaj.org-article:7d1ed4e81f454f1bb8810dcc669162742021-12-02T11:53:06ZCombined serum levels of multiple proteins in tPA-BDNF pathway may aid the diagnosis of five mental disorders10.1038/s41598-017-06832-62045-2322https://doaj.org/article/7d1ed4e81f454f1bb8810dcc669162742017-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-06832-6https://doaj.org/toc/2045-2322Abstract Mental disorders are severe, disabling conditions with unknown etiology and are commonly misdiagnosed when clinical symptomology criteria are solely used. Our previous work indicated that combination of serum levels of multiple proteins in tissue plasminogen activator (tPA)-brain-derived neurotrophic factor (BDNF) pathway improved accuracy of diagnosis of major depressive disorder (MDD). Here, we measured serum levels of tPA, plasminogen activator inhibitor-1 (PAI-1), BDNF, precursor-BDNF (proBDNF), tropomyosin-related kinase B (TrkB) and neurotrophin receptor p75 (p75NTR) in patients with paranoid schizophrenia (SZ, n = 34), MDD (n = 30), bipolar mania (BM, n = 30), bipolar depression (BD, n = 22), panic disorder (PD, n = 30), and healthy controls (HCs, n = 30) by Enzyme-linked immunosorbent assay kits. We used receiver operating characteristic (ROC) curve to analyze diagnostic potential of these proteins. We found, compared with HCs, that serum tPA and proBDNF were lower in SZ, BM and BD; TrkB was lower in SZ and BD; and p75NTR was declined in SZ and BM. ROC analysis showed that combined serum level of tPA, PAI-1, BDNF, proBDNF, TrkB and p75NTR was better than any single protein in accuracy of diagnosis and differentiation, suggesting that the combination of multiple serum proteins levels in tPA-BDNF pathway may have a potential for a diagnostic panel in mental disorders.Suzhen ChenHaitang JiangYang LiuZhenhua HouYingying YueYuqun ZhangFuying ZhaoZhi XuYinghui LiXiaodong MouLei LiTianyu WangJingjing ZhaoChongyang HanYuxiu SuiMing WangZhong YangYan LuYifeng ZhuJianhua LiXinhua ShenFei SunQingsong ChenHuanxin ChenYonggui YuanNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-9 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Suzhen Chen
Haitang Jiang
Yang Liu
Zhenhua Hou
Yingying Yue
Yuqun Zhang
Fuying Zhao
Zhi Xu
Yinghui Li
Xiaodong Mou
Lei Li
Tianyu Wang
Jingjing Zhao
Chongyang Han
Yuxiu Sui
Ming Wang
Zhong Yang
Yan Lu
Yifeng Zhu
Jianhua Li
Xinhua Shen
Fei Sun
Qingsong Chen
Huanxin Chen
Yonggui Yuan
Combined serum levels of multiple proteins in tPA-BDNF pathway may aid the diagnosis of five mental disorders
description Abstract Mental disorders are severe, disabling conditions with unknown etiology and are commonly misdiagnosed when clinical symptomology criteria are solely used. Our previous work indicated that combination of serum levels of multiple proteins in tissue plasminogen activator (tPA)-brain-derived neurotrophic factor (BDNF) pathway improved accuracy of diagnosis of major depressive disorder (MDD). Here, we measured serum levels of tPA, plasminogen activator inhibitor-1 (PAI-1), BDNF, precursor-BDNF (proBDNF), tropomyosin-related kinase B (TrkB) and neurotrophin receptor p75 (p75NTR) in patients with paranoid schizophrenia (SZ, n = 34), MDD (n = 30), bipolar mania (BM, n = 30), bipolar depression (BD, n = 22), panic disorder (PD, n = 30), and healthy controls (HCs, n = 30) by Enzyme-linked immunosorbent assay kits. We used receiver operating characteristic (ROC) curve to analyze diagnostic potential of these proteins. We found, compared with HCs, that serum tPA and proBDNF were lower in SZ, BM and BD; TrkB was lower in SZ and BD; and p75NTR was declined in SZ and BM. ROC analysis showed that combined serum level of tPA, PAI-1, BDNF, proBDNF, TrkB and p75NTR was better than any single protein in accuracy of diagnosis and differentiation, suggesting that the combination of multiple serum proteins levels in tPA-BDNF pathway may have a potential for a diagnostic panel in mental disorders.
format article
author Suzhen Chen
Haitang Jiang
Yang Liu
Zhenhua Hou
Yingying Yue
Yuqun Zhang
Fuying Zhao
Zhi Xu
Yinghui Li
Xiaodong Mou
Lei Li
Tianyu Wang
Jingjing Zhao
Chongyang Han
Yuxiu Sui
Ming Wang
Zhong Yang
Yan Lu
Yifeng Zhu
Jianhua Li
Xinhua Shen
Fei Sun
Qingsong Chen
Huanxin Chen
Yonggui Yuan
author_facet Suzhen Chen
Haitang Jiang
Yang Liu
Zhenhua Hou
Yingying Yue
Yuqun Zhang
Fuying Zhao
Zhi Xu
Yinghui Li
Xiaodong Mou
Lei Li
Tianyu Wang
Jingjing Zhao
Chongyang Han
Yuxiu Sui
Ming Wang
Zhong Yang
Yan Lu
Yifeng Zhu
Jianhua Li
Xinhua Shen
Fei Sun
Qingsong Chen
Huanxin Chen
Yonggui Yuan
author_sort Suzhen Chen
title Combined serum levels of multiple proteins in tPA-BDNF pathway may aid the diagnosis of five mental disorders
title_short Combined serum levels of multiple proteins in tPA-BDNF pathway may aid the diagnosis of five mental disorders
title_full Combined serum levels of multiple proteins in tPA-BDNF pathway may aid the diagnosis of five mental disorders
title_fullStr Combined serum levels of multiple proteins in tPA-BDNF pathway may aid the diagnosis of five mental disorders
title_full_unstemmed Combined serum levels of multiple proteins in tPA-BDNF pathway may aid the diagnosis of five mental disorders
title_sort combined serum levels of multiple proteins in tpa-bdnf pathway may aid the diagnosis of five mental disorders
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/7d1ed4e81f454f1bb8810dcc66916274
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