High Serum Levels of iNOS and MIP-1α are Associated with Post-Stroke Depression

Xiuli Wang,1,2,* Cui Fang,1,2,* Xiaoxi Liu,1,* Wei Wei,3 Mengfan Zhang,2,4 Shuang Chen,2,4 Fuping Shi1 1Department of Neurology, Affiliated Hospital of Hebei University, Baoding, People’s Republic of China; 2School of Clinical Medicine, Hebei University, Baoding, People’s Rep...

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Autores principales: Wang X, Fang C, Liu X, Wei W, Zhang M, Chen S, Shi F
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:ff124face37342569f864aca116b30092021-12-02T18:05:11ZHigh Serum Levels of iNOS and MIP-1&alpha; are Associated with Post-Stroke Depression1178-2021https://doaj.org/article/ff124face37342569f864aca116b30092021-07-01T00:00:00Zhttps://www.dovepress.com/high-serum-levels-of-inos-and-mip-1-are-associated-with-post-stroke-de-peer-reviewed-fulltext-article-NDThttps://doaj.org/toc/1178-2021Xiuli Wang,1,2,&ast; Cui Fang,1,2,&ast; Xiaoxi Liu,1,&ast; Wei Wei,3 Mengfan Zhang,2,4 Shuang Chen,2,4 Fuping Shi1 1Department of Neurology, Affiliated Hospital of Hebei University, Baoding, People’s Republic of China; 2School of Clinical Medicine, Hebei University, Baoding, People’s Republic of China; 3Department of Radiology, Hebei Province Veterans Hospital, Baoding, People’s Republic of China; 4Department of Internal Medicine, Affiliated Hospital of Hebei University, Baoding, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Fuping ShiDepartment of Neurology, Affiliated Hospital of Hebei University, No. 212 East Yuhua Road, Baoding, Hebei, 071000, People’s Republic of ChinaTel +86 132 7321 0990Email sfp-1000@163.comPurpose: Post-stroke depression (PSD) is one of the emotional disorders after the onset of stroke. Many studies have indicated that inflammatory processes can promote the occurrence and development of PSD. The purpose of our study was to explore the potential relationship between PSD and two inflammatory biomarkers: inducible nitric oxide synthase (iNOS) and macrophage inflammatory protein 1α (MIP-1α).Methods: In total, 80 patients diagnosed with depression after the first-ever acute ischemic stroke were enrolled in PSD group consecutively. During the same period, 40 non-depressed patients following the first-ever acute ischemic stroke and 40 healthy control subjects were recruited as non-PSD group and normal group, respectively. All participants have performed serum iNOS and MIP-1α level examination with enzyme-linked immunosorbent assay (ELISA). The severity of depressive symptoms was evaluated by the 24-item Hamilton Depression Scale (HAMD-24).Results: Serum iNOS and MIP-1α levels were significantly higher in PSD group than those in non-PSD and normal groups (P < 0.001). Serum iNOS and MIP-1α levels of PSD patients with varying degrees of depression were significantly different, serum iNOS and MIP-1α levels became higher as the depressive symptoms became more severe (P < 0.05). There was a positive correlation between the elevated levels of iNOS, MIP-1α and HAMD scores (r = 0.262, 0.209, P < 0.05). Logistic regression analysis showed that both serum iNOS and MIP-1α levels were independently associated with PSD (OR = 2.790, 95% CI: 0.712– 10.933, P < 0.05 and OR = 1.922, 95% CI: 0.648– 9.815, P < 0.05, respectively) after adjustment for possible relevant confounders.Conclusion: High serum levels of iNOS and MIP-1α were found to be associated with the development of PSD and closely related to its severity.Keywords: post-stroke depression, inducible nitric oxide synthase, macrophage inflammatory protein 1α, HAMD scoresWang XFang CLiu XWei WZhang MChen SShi FDove Medical Pressarticlepost-stroke depressioninducible nitric oxide synthasemacrophage inflammatory protein 1αhamd scoresNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 17, Pp 2481-2487 (2021)
institution DOAJ
collection DOAJ
language EN
topic post-stroke depression
inducible nitric oxide synthase
macrophage inflammatory protein 1α
hamd scores
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle post-stroke depression
inducible nitric oxide synthase
macrophage inflammatory protein 1α
hamd scores
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Wang X
Fang C
Liu X
Wei W
Zhang M
Chen S
Shi F
High Serum Levels of iNOS and MIP-1&alpha; are Associated with Post-Stroke Depression
description Xiuli Wang,1,2,&ast; Cui Fang,1,2,&ast; Xiaoxi Liu,1,&ast; Wei Wei,3 Mengfan Zhang,2,4 Shuang Chen,2,4 Fuping Shi1 1Department of Neurology, Affiliated Hospital of Hebei University, Baoding, People’s Republic of China; 2School of Clinical Medicine, Hebei University, Baoding, People’s Republic of China; 3Department of Radiology, Hebei Province Veterans Hospital, Baoding, People’s Republic of China; 4Department of Internal Medicine, Affiliated Hospital of Hebei University, Baoding, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Fuping ShiDepartment of Neurology, Affiliated Hospital of Hebei University, No. 212 East Yuhua Road, Baoding, Hebei, 071000, People’s Republic of ChinaTel +86 132 7321 0990Email sfp-1000@163.comPurpose: Post-stroke depression (PSD) is one of the emotional disorders after the onset of stroke. Many studies have indicated that inflammatory processes can promote the occurrence and development of PSD. The purpose of our study was to explore the potential relationship between PSD and two inflammatory biomarkers: inducible nitric oxide synthase (iNOS) and macrophage inflammatory protein 1α (MIP-1α).Methods: In total, 80 patients diagnosed with depression after the first-ever acute ischemic stroke were enrolled in PSD group consecutively. During the same period, 40 non-depressed patients following the first-ever acute ischemic stroke and 40 healthy control subjects were recruited as non-PSD group and normal group, respectively. All participants have performed serum iNOS and MIP-1α level examination with enzyme-linked immunosorbent assay (ELISA). The severity of depressive symptoms was evaluated by the 24-item Hamilton Depression Scale (HAMD-24).Results: Serum iNOS and MIP-1α levels were significantly higher in PSD group than those in non-PSD and normal groups (P < 0.001). Serum iNOS and MIP-1α levels of PSD patients with varying degrees of depression were significantly different, serum iNOS and MIP-1α levels became higher as the depressive symptoms became more severe (P < 0.05). There was a positive correlation between the elevated levels of iNOS, MIP-1α and HAMD scores (r = 0.262, 0.209, P < 0.05). Logistic regression analysis showed that both serum iNOS and MIP-1α levels were independently associated with PSD (OR = 2.790, 95% CI: 0.712– 10.933, P < 0.05 and OR = 1.922, 95% CI: 0.648– 9.815, P < 0.05, respectively) after adjustment for possible relevant confounders.Conclusion: High serum levels of iNOS and MIP-1α were found to be associated with the development of PSD and closely related to its severity.Keywords: post-stroke depression, inducible nitric oxide synthase, macrophage inflammatory protein 1α, HAMD scores
format article
author Wang X
Fang C
Liu X
Wei W
Zhang M
Chen S
Shi F
author_facet Wang X
Fang C
Liu X
Wei W
Zhang M
Chen S
Shi F
author_sort Wang X
title High Serum Levels of iNOS and MIP-1&alpha; are Associated with Post-Stroke Depression
title_short High Serum Levels of iNOS and MIP-1&alpha; are Associated with Post-Stroke Depression
title_full High Serum Levels of iNOS and MIP-1&alpha; are Associated with Post-Stroke Depression
title_fullStr High Serum Levels of iNOS and MIP-1&alpha; are Associated with Post-Stroke Depression
title_full_unstemmed High Serum Levels of iNOS and MIP-1&alpha; are Associated with Post-Stroke Depression
title_sort high serum levels of inos and mip-1&alpha; are associated with post-stroke depression
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/ff124face37342569f864aca116b3009
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