Polyunsaturated fatty acids metabolism, purine metabolism and inosine as potential independent diagnostic biomarkers for major depressive disorder in children and adolescents

Major depressive disorder (MDD) in children and adolescents is a recurrent and disabling condition globally but its pathophysiology remains poorly elucidated and there are limited effective treatments available. We performed metabolic profiling of plasma samples based on ultra-high-performance liqui...

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Main Authors: Zhou, X, Liu, L, Lan, X, Cohen, D, Zhang, Y, Ravindran, AV, Yuan, S, Zheng, P, Coghill, D, Yang, L, Hetrick, SE, Jiang, X, Benoliel, JJ, Cipriani, A, Xie, P
Format: Journal article
Published: Springer Nature 2018
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author Zhou, X
Liu, L
Lan, X
Cohen, D
Zhang, Y
Ravindran, AV
Yuan, S
Zheng, P
Coghill, D
Yang, L
Hetrick, SE
Jiang, X
Benoliel, JJ
Cipriani, A
Xie, P
author_facet Zhou, X
Liu, L
Lan, X
Cohen, D
Zhang, Y
Ravindran, AV
Yuan, S
Zheng, P
Coghill, D
Yang, L
Hetrick, SE
Jiang, X
Benoliel, JJ
Cipriani, A
Xie, P
author_sort Zhou, X
collection OXFORD
description Major depressive disorder (MDD) in children and adolescents is a recurrent and disabling condition globally but its pathophysiology remains poorly elucidated and there are limited effective treatments available. We performed metabolic profiling of plasma samples based on ultra-high-performance liquid chromatography equipped with quadrupole time-offlight mass spectrometry to explore the potential biomarkers of depression in children and adolescents with MDD. We identified several perturbed pathways, including fatty acid metabolism—particularly the polyunsaturated fatty acids metabolism, and purine metabolism—that were associated with MDD in these young patients. In addition, inosine was shown as a potential independent diagnostic biomarker for MDD, achieving an area under the ROC curve of 0.999 in discriminating drug-naive MDD patients and 0.866 in discriminating drug-treated MDD from healthy controls. Moreover, we found evidence for differences in the pathophysiology of MDD in children and adolescents to that of adult MDD, specifically with tryptophan metabolism. Through metabolomic analysis, we have identified links between a framework of metabolic perturbations and the pathophysiology and diagnostic biomarker of child and adolescent MDD.
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spelling oxford-uuid:26d5716d-88a7-4d10-9690-47ed0dafbb822022-03-26T12:03:30ZPolyunsaturated fatty acids metabolism, purine metabolism and inosine as potential independent diagnostic biomarkers for major depressive disorder in children and adolescentsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:26d5716d-88a7-4d10-9690-47ed0dafbb82Symplectic Elements at OxfordSpringer Nature2018Zhou, XLiu, LLan, XCohen, DZhang, YRavindran, AVYuan, SZheng, PCoghill, DYang, LHetrick, SEJiang, XBenoliel, JJCipriani, AXie, PMajor depressive disorder (MDD) in children and adolescents is a recurrent and disabling condition globally but its pathophysiology remains poorly elucidated and there are limited effective treatments available. We performed metabolic profiling of plasma samples based on ultra-high-performance liquid chromatography equipped with quadrupole time-offlight mass spectrometry to explore the potential biomarkers of depression in children and adolescents with MDD. We identified several perturbed pathways, including fatty acid metabolism—particularly the polyunsaturated fatty acids metabolism, and purine metabolism—that were associated with MDD in these young patients. In addition, inosine was shown as a potential independent diagnostic biomarker for MDD, achieving an area under the ROC curve of 0.999 in discriminating drug-naive MDD patients and 0.866 in discriminating drug-treated MDD from healthy controls. Moreover, we found evidence for differences in the pathophysiology of MDD in children and adolescents to that of adult MDD, specifically with tryptophan metabolism. Through metabolomic analysis, we have identified links between a framework of metabolic perturbations and the pathophysiology and diagnostic biomarker of child and adolescent MDD.
spellingShingle Zhou, X
Liu, L
Lan, X
Cohen, D
Zhang, Y
Ravindran, AV
Yuan, S
Zheng, P
Coghill, D
Yang, L
Hetrick, SE
Jiang, X
Benoliel, JJ
Cipriani, A
Xie, P
Polyunsaturated fatty acids metabolism, purine metabolism and inosine as potential independent diagnostic biomarkers for major depressive disorder in children and adolescents
title Polyunsaturated fatty acids metabolism, purine metabolism and inosine as potential independent diagnostic biomarkers for major depressive disorder in children and adolescents
title_full Polyunsaturated fatty acids metabolism, purine metabolism and inosine as potential independent diagnostic biomarkers for major depressive disorder in children and adolescents
title_fullStr Polyunsaturated fatty acids metabolism, purine metabolism and inosine as potential independent diagnostic biomarkers for major depressive disorder in children and adolescents
title_full_unstemmed Polyunsaturated fatty acids metabolism, purine metabolism and inosine as potential independent diagnostic biomarkers for major depressive disorder in children and adolescents
title_short Polyunsaturated fatty acids metabolism, purine metabolism and inosine as potential independent diagnostic biomarkers for major depressive disorder in children and adolescents
title_sort polyunsaturated fatty acids metabolism purine metabolism and inosine as potential independent diagnostic biomarkers for major depressive disorder in children and adolescents
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