Oxidative stress markers in affective disorders
Open accessAbstract
Affective disorders are a medical condition with a complex biological pattern of etiology, involving genetic and epigenetic factors, along with different environmental stressors. Increasing numbers of studies indicate that induction of oxidative and nitrosative stress (O&NS) pathways, which is accompanied by immune-inflammatory response, might play an important role in the pathogenic mechanisms underlying many major psychiatric disorders, including depression and bipolar disorder. Reactive oxygen and nitrogen species have been shown to impair the brain function by modulating activity of principal neurotransmitter (e.g., glutamatergic) systems involved in the neurobiology of depression. Both preclinical and clinical studies revealed that depression is associated with altered levels of oxidative stress markers and typically reduced concentrations of several endogenous antioxidant compounds, such as glutathione, vitamin E, zinc and coenzyme Q10, or enzymes, including glutathione peroxidase, and with an impairment of the total antioxidant status. These oxidative stress parameters can be normalized by successful antidepressant therapy. On the other hand, some antioxidants (zinc, N-acetylcysteine, omega-3 free fatty acids) may exhibit antidepressant properties or enhance standard antidepressant therapy. These observations introduce new potential targets for the development of therapeutic interventions based on antioxidant compounds. The present paper reviews selected animal and human studies providing evidence that oxidative stress is implicated in the pathophysiology and treatment of depression and bipolar disorder.
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Patients with mood disorders have decreased antioxidant capacity and oxidative stress damage.
“As mentioned earlier, patients with mood disorders have decreased antioxidant capacity and oxidative stress damage62.”
From Optimizing multi-domain hematologic biomarkers and clinical features for the differential diagnosis of unipolar depression and bipolar depression (2023) · cites this paper as [62]
IL-13 is elevated in MDD patients.
“Pavón et al. found elevated IL-13 serum levels in MDD patients.”
From Selected biomarkers of depression: what are the effects of cytokines and inflammation (2022) · cites this paper as [14]
GABA has been found to be lowered in plasma and cerebrospinal fluid in patients with depression.
“GABA has been found to be lowered in the plasma and cerebrospinal fluid in patients with depression (Siwek et al. 2013).”
From Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging (2023) · cites this paper as Siwek et al. 2013
In patients with bipolar disorder, levels of thiobarbituric acid reactive substances (TBARS) are elevated.
“Quantitative analysis confirmed that increased levels of thiobarbituric acid reactive substances (TBARS), formed as a byproduct of lipid peroxidation have been shown to be elevated.”
From Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging (2023) · cites this paper as Siwek et al. 2013
In the prefrontal cortex of patients with bipolar disorder, levels of malondialdehyde (MDA), 4-hydroxynonenal (HNE), and 8-iso-PGF2α are elevated.
“In addition, elevated levels of malondialdehyde (MDA), 4-hydroxynonenal (HNE), and 8-iso-PGF2α have been found in the prefrontal cortex (de Souza et al. 2014; Siwek et al. 2013).”
From Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging (2023) · cites this paper as Siwek et al. 2013
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- Authors
- Siwek, M., Sowa-Kućma, M., Dudek, D., Styczeń, K., Szewczyk, B., Kotarska, K., Misztak, P., Pilc, A., Wolak, M., & Nowak, G.
- Affiliations
- Jagiellonian University (PL)
- Maj Institute of Pharmacology (PL)
- Corresponding author
- Siwek, Marcin
- Sowa-Kućma, Magdalena
- ORCID
- Venue
- Pharmacological Reports
- Published
- 2013-11
- Volume
- 65
- Issue
- 6
- Pages
- 1558-1571
- ISSN
- 1734-1140 (ISSN-L)
- OpenAlex
- W2040817682
- Cited by
- 142
- References
- 108
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 17 · 2023: 14 · 2022: 12 · 2021: 12 · 2020: 7 · 2019: 7 · 2018: 8 · 2017: 13 · 2016: 14 · 2015: 19 · 2014: 6 · 2013: 2
- FWCI
- 0.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Pharmacological Reports (publishedVersion)
- PubMed (publishedVersion)
- Jagiellonian University Repository (Jagiellonian University) (submittedVersion, cc-by-nc-nd)
- BOA (University of Milano-Bicocca) (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Health Sciences › Medicine › Biochemistry › Antioxidant Activity and Oxidative Stress
- Keywords
- oxidative stress, nitrosative stress, mood disorders, depression, bipolar disorder, antioxidant biomarkers, glutathione, vitamin E, zinc, coenzyme Q10, glutathione peroxidase, total antioxidant status, reactive oxygen species, reactive nitrogen species, glutamatergic system, immune-inflammatory response, antidepressant treatment, N-acetylcysteine, omega-3 fatty acids, antioxidant therapy
- MeSH terms
- Animals, Antidepressive Agents, Humans, Biomarkers, Oxidative Stress, Mood Disorders
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