Tryptophan-kynurenine metabolism: a link between the gut and brain for depression in inflammatory bowel disease

Abstract Inflammatory bowel disease (IBD), which mainly includes ulcerative colitis (UC) and Crohn's disease (CD), is a group of chronic bowel diseases that are characterized by abdominal pain, diarrhea, and bloody stools. IBD is strongly associated with depression, and its patients have a high...

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Main Authors: Li-Ming Chen, Chun-Hui Bao, Yu Wu, Shi-Hua Liang, Di Wang, Lu-Yi Wu, Yan Huang, Hui-Rong Liu, Huan-Gan Wu
Format: Article
Language:English
Published: BMC 2021-06-01
Series:Journal of Neuroinflammation
Subjects:
Online Access:https://doi.org/10.1186/s12974-021-02175-2
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author Li-Ming Chen
Chun-Hui Bao
Yu Wu
Shi-Hua Liang
Di Wang
Lu-Yi Wu
Yan Huang
Hui-Rong Liu
Huan-Gan Wu
author_facet Li-Ming Chen
Chun-Hui Bao
Yu Wu
Shi-Hua Liang
Di Wang
Lu-Yi Wu
Yan Huang
Hui-Rong Liu
Huan-Gan Wu
author_sort Li-Ming Chen
collection DOAJ
description Abstract Inflammatory bowel disease (IBD), which mainly includes ulcerative colitis (UC) and Crohn's disease (CD), is a group of chronic bowel diseases that are characterized by abdominal pain, diarrhea, and bloody stools. IBD is strongly associated with depression, and its patients have a higher incidence of depression than the general population. Depression also adversely affects the quality of life and disease prognosis of patients with IBD. The tryptophan-kynurenine metabolic pathway degrades more than 90% of tryptophan (TRP) throughout the body, with indoleamine 2,3-dioxygenase (IDO), the key metabolic enzyme, being activated in the inflammatory environment. A series of metabolites of the pathway are neurologically active, among which kynerunic acid (KYNA) and quinolinic acid (QUIN) are molecules of great interest in recent studies on the mechanisms of inflammation-induced depression. In this review, the relationship between depression in IBD and the tryptophan-kynurenine metabolic pathway is overviewed in the light of recent publications.
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spelling doaj.art-cfdc3464e622492595479647b25aef242022-12-21T22:51:16ZengBMCJournal of Neuroinflammation1742-20942021-06-0118111310.1186/s12974-021-02175-2Tryptophan-kynurenine metabolism: a link between the gut and brain for depression in inflammatory bowel diseaseLi-Ming Chen0Chun-Hui Bao1Yu Wu2Shi-Hua Liang3Di Wang4Lu-Yi Wu5Yan Huang6Hui-Rong Liu7Huan-Gan Wu8Yueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of Traditional Chinese MedicineYueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of Traditional Chinese MedicineYueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of Traditional Chinese MedicineFaculty of Economics and Business, University of GroningenYueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of Traditional Chinese MedicineKey Laboratory of Acupuncture and Immunological Effects, Shanghai University of Traditional Chinese MedicineKey Laboratory of Acupuncture and Immunological Effects, Shanghai University of Traditional Chinese MedicineYueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of Traditional Chinese MedicineYueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of Traditional Chinese MedicineAbstract Inflammatory bowel disease (IBD), which mainly includes ulcerative colitis (UC) and Crohn's disease (CD), is a group of chronic bowel diseases that are characterized by abdominal pain, diarrhea, and bloody stools. IBD is strongly associated with depression, and its patients have a higher incidence of depression than the general population. Depression also adversely affects the quality of life and disease prognosis of patients with IBD. The tryptophan-kynurenine metabolic pathway degrades more than 90% of tryptophan (TRP) throughout the body, with indoleamine 2,3-dioxygenase (IDO), the key metabolic enzyme, being activated in the inflammatory environment. A series of metabolites of the pathway are neurologically active, among which kynerunic acid (KYNA) and quinolinic acid (QUIN) are molecules of great interest in recent studies on the mechanisms of inflammation-induced depression. In this review, the relationship between depression in IBD and the tryptophan-kynurenine metabolic pathway is overviewed in the light of recent publications.https://doi.org/10.1186/s12974-021-02175-2Inflammatory bowel diseaseDepressionTryptophan-kynurenine metabolic pathwayIDOThe brain-gut axis
spellingShingle Li-Ming Chen
Chun-Hui Bao
Yu Wu
Shi-Hua Liang
Di Wang
Lu-Yi Wu
Yan Huang
Hui-Rong Liu
Huan-Gan Wu
Tryptophan-kynurenine metabolism: a link between the gut and brain for depression in inflammatory bowel disease
Journal of Neuroinflammation
Inflammatory bowel disease
Depression
Tryptophan-kynurenine metabolic pathway
IDO
The brain-gut axis
title Tryptophan-kynurenine metabolism: a link between the gut and brain for depression in inflammatory bowel disease
title_full Tryptophan-kynurenine metabolism: a link between the gut and brain for depression in inflammatory bowel disease
title_fullStr Tryptophan-kynurenine metabolism: a link between the gut and brain for depression in inflammatory bowel disease
title_full_unstemmed Tryptophan-kynurenine metabolism: a link between the gut and brain for depression in inflammatory bowel disease
title_short Tryptophan-kynurenine metabolism: a link between the gut and brain for depression in inflammatory bowel disease
title_sort tryptophan kynurenine metabolism a link between the gut and brain for depression in inflammatory bowel disease
topic Inflammatory bowel disease
Depression
Tryptophan-kynurenine metabolic pathway
IDO
The brain-gut axis
url https://doi.org/10.1186/s12974-021-02175-2
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