Associations between Sex Hormones and Circulating Growth Differentiation Factor-15 in Male Patients with Major Depressive Disorder

The interaction between the endocrine system and inflammation is crucial pathogenesis of depression. Our study aimed at exploring the possible relationship between sex hormones and growth differentiation factor-15 (GDF-15), a common indicator of inflammation in male patients with major depressive di...

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Main Authors: Ting Sun, Rui Peng, Xiaojun Sun, Yan Li
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/11/12/1612
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author Ting Sun
Rui Peng
Xiaojun Sun
Yan Li
author_facet Ting Sun
Rui Peng
Xiaojun Sun
Yan Li
author_sort Ting Sun
collection DOAJ
description The interaction between the endocrine system and inflammation is crucial pathogenesis of depression. Our study aimed at exploring the possible relationship between sex hormones and growth differentiation factor-15 (GDF-15), a common indicator of inflammation in male patients with major depressive disorder (MDD). Methods: GDF-15 levels of 121 male MDD patients were compared with 105 healthy subjects with the help of a Cobas 8000 automatic chemiluminescence immunoanalyzer. Results: (1) MDD patients showed higher GDF-15 levels, a lower testosterone (T) level and testosterone/estradiol ratio (T/E2 ratio) than healthy subjects (all <i>p</i> < 0.05). (2) Serum T levels and the T/E2 ratio were inversely associated with GDF-15 serum levels (all <i>p</i> < 0.05). (3) HAMD-24 scores were positively correlated with the levels of GDF-15 (<i>p</i> < 0.01), but not with T levels, estradiol (E2) levels, and the T/E2 ratio (all <i>p</i> > 0.05). Conclusion: The high level of GDF-15 was correlated with a low T/E2 ratio and T deficiency in male MDD patients. The above results demonstrate that up-regulation of serum GDF-15 and down-regulation of T and T/E2 ratio may be correlated with the occurrence and severity of depression. So, changing the level of GDF-15 by regulating the proportion of sex hormones may play a key role in the prognosis and treatment of depression.
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spelling doaj.art-8f4e1ffcfaf645529238dd913be7d5de2023-11-23T04:02:04ZengMDPI AGBrain Sciences2076-34252021-12-011112161210.3390/brainsci11121612Associations between Sex Hormones and Circulating Growth Differentiation Factor-15 in Male Patients with Major Depressive DisorderTing Sun0Rui Peng1Xiaojun Sun2Yan Li3Department of Clinical Laboratory, Renmin Hospital of Wuhan University, Wuhan 430060, ChinaDepartment of Clinical Laboratory, Renmin Hospital of Wuhan University, Wuhan 430060, ChinaDepartment of Stomatology, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, ChinaDepartment of Clinical Laboratory, Renmin Hospital of Wuhan University, Wuhan 430060, ChinaThe interaction between the endocrine system and inflammation is crucial pathogenesis of depression. Our study aimed at exploring the possible relationship between sex hormones and growth differentiation factor-15 (GDF-15), a common indicator of inflammation in male patients with major depressive disorder (MDD). Methods: GDF-15 levels of 121 male MDD patients were compared with 105 healthy subjects with the help of a Cobas 8000 automatic chemiluminescence immunoanalyzer. Results: (1) MDD patients showed higher GDF-15 levels, a lower testosterone (T) level and testosterone/estradiol ratio (T/E2 ratio) than healthy subjects (all <i>p</i> < 0.05). (2) Serum T levels and the T/E2 ratio were inversely associated with GDF-15 serum levels (all <i>p</i> < 0.05). (3) HAMD-24 scores were positively correlated with the levels of GDF-15 (<i>p</i> < 0.01), but not with T levels, estradiol (E2) levels, and the T/E2 ratio (all <i>p</i> > 0.05). Conclusion: The high level of GDF-15 was correlated with a low T/E2 ratio and T deficiency in male MDD patients. The above results demonstrate that up-regulation of serum GDF-15 and down-regulation of T and T/E2 ratio may be correlated with the occurrence and severity of depression. So, changing the level of GDF-15 by regulating the proportion of sex hormones may play a key role in the prognosis and treatment of depression.https://www.mdpi.com/2076-3425/11/12/1612sex hormonesdepressiongrowth differentiation factor-15
spellingShingle Ting Sun
Rui Peng
Xiaojun Sun
Yan Li
Associations between Sex Hormones and Circulating Growth Differentiation Factor-15 in Male Patients with Major Depressive Disorder
Brain Sciences
sex hormones
depression
growth differentiation factor-15
title Associations between Sex Hormones and Circulating Growth Differentiation Factor-15 in Male Patients with Major Depressive Disorder
title_full Associations between Sex Hormones and Circulating Growth Differentiation Factor-15 in Male Patients with Major Depressive Disorder
title_fullStr Associations between Sex Hormones and Circulating Growth Differentiation Factor-15 in Male Patients with Major Depressive Disorder
title_full_unstemmed Associations between Sex Hormones and Circulating Growth Differentiation Factor-15 in Male Patients with Major Depressive Disorder
title_short Associations between Sex Hormones and Circulating Growth Differentiation Factor-15 in Male Patients with Major Depressive Disorder
title_sort associations between sex hormones and circulating growth differentiation factor 15 in male patients with major depressive disorder
topic sex hormones
depression
growth differentiation factor-15
url https://www.mdpi.com/2076-3425/11/12/1612
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