Clinical and Biological Factors Are Associated with Treatment-Resistant Depression.

Major Depressive Disorder (MDD) biochemical markers clinical features treatment-resistant depression (TRD)

Journal

Behavioral sciences (Basel, Switzerland)
ISSN: 2076-328X
Titre abrégé: Behav Sci (Basel)
Pays: Switzerland
ID NLM: 101576826

Informations de publication

Date de publication:
03 Feb 2022
Historique:
received: 13 12 2021
revised: 19 01 2022
accepted: 29 01 2022
entrez: 24 2 2022
pubmed: 25 2 2022
medline: 25 2 2022
Statut: epublish

Résumé

Treatment-resistant depression (TRD) is a debilitating condition associated with unmet clinical needs. Few studies have explored clinical characteristics and serum biomarkers associated with TRD. We investigated whether there were differences in clinical and biochemical variables between patients affected by TRD than those without. We recruited 343 patients (165 males and 178 females) consecutively hospitalized for MDD to the inpatient clinics affiliated to the Fondazione IRCCS Policlinico, Milan, Italy ( TRD versus non-TRD patients resulted to be older ( We identified candidate biomarkers associated with TRD such as bilirubin plasma levels and NLR, to be confirmed by further studies. Moreover, TRD seems to be associated with unfavorable clinical factors such as a predisposition to suicidal behaviors. Future research should replicate these results to provide robust data in support of the identification of new targets of treatment and implementation of prevention strategies for TRD.

Sections du résumé

BACKGROUND BACKGROUND
Treatment-resistant depression (TRD) is a debilitating condition associated with unmet clinical needs. Few studies have explored clinical characteristics and serum biomarkers associated with TRD.
AIMS OBJECTIVE
We investigated whether there were differences in clinical and biochemical variables between patients affected by TRD than those without.
METHODS METHODS
We recruited 343 patients (165 males and 178 females) consecutively hospitalized for MDD to the inpatient clinics affiliated to the Fondazione IRCCS Policlinico, Milan, Italy (
RESULTS RESULTS
TRD versus non-TRD patients resulted to be older (
CONCLUSION CONCLUSIONS
We identified candidate biomarkers associated with TRD such as bilirubin plasma levels and NLR, to be confirmed by further studies. Moreover, TRD seems to be associated with unfavorable clinical factors such as a predisposition to suicidal behaviors. Future research should replicate these results to provide robust data in support of the identification of new targets of treatment and implementation of prevention strategies for TRD.

Identifiants

pubmed: 35200285
pii: bs12020034
doi: 10.3390/bs12020034
pmc: PMC8869369
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Fondazione Cariplo

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Auteurs

Massimiliano Buoli (M)

Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy.

Enrico Capuzzi (E)

Psychiatric Department, Azienda Socio-Sanitaria Territoriale Monza, 20900 Monza, Italy.

Alice Caldiroli (A)

Psychiatric Department, Azienda Socio-Sanitaria Territoriale Monza, 20900 Monza, Italy.

Alessandro Ceresa (A)

Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy.

Cecilia Maria Esposito (CM)

Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy.

Cristina Posio (C)

Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.

Anna Maria Auxilia (AM)

Department of Medicine and Surgery, University of Milano Bicocca, 20900 Monza, Italy.

Martina Capellazzi (M)

Department of Medicine and Surgery, University of Milano Bicocca, 20900 Monza, Italy.

Ilaria Tagliabue (I)

Department of Medicine and Surgery, University of Milano Bicocca, 20900 Monza, Italy.

Teresa Surace (T)

Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy.
Psychiatric Department, Azienda Socio-Sanitaria Territoriale Monza, 20900 Monza, Italy.

Francesca Legnani (F)

Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy.

Luisa Cirella (L)

Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.

Martina Di Paolo (M)

Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy.

Guido Nosari (G)

Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.

Francesco Zanelli Quarantini (F)

Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.

Massimo Clerici (M)

Psychiatric Department, Azienda Socio-Sanitaria Territoriale Monza, 20900 Monza, Italy.
Department of Medicine and Surgery, University of Milano Bicocca, 20900 Monza, Italy.

Fabrizia Colmegna (F)

Psychiatric Department, Azienda Socio-Sanitaria Territoriale Monza, 20900 Monza, Italy.

Antonios Dakanalis (A)

Department of Medicine and Surgery, University of Milano Bicocca, 20900 Monza, Italy.

Classifications MeSH