Does tryptophan degradation along the kynurenine pathway mediate the association between pro-inflammatory immune activity and depressive symptoms?

Summary Background Several studies have suggested that induced tryptophan (TRP) degradation through the kynurenine (KYN) pathway by the enzyme indoleamine 2,3-dioxygenase (IDO) is implicated in the relation between depression and inflammation. We investigated the role of tryptophan degradation in th...

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Veröffentlicht in:Psychoneuroendocrinology 2014-07, Vol.45, p.202-210
Hauptverfasser: Quak, Jacqueline, Doornbos, Bennard, Roest, Annelieke M, Duivis, Hester E, Vogelzangs, Nicole, Nolen, Willem A, Penninx, Brenda W.J.H, Kema, Ido P, de Jonge, Peter
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container_issue
container_start_page 202
container_title Psychoneuroendocrinology
container_volume 45
creator Quak, Jacqueline
Doornbos, Bennard
Roest, Annelieke M
Duivis, Hester E
Vogelzangs, Nicole
Nolen, Willem A
Penninx, Brenda W.J.H
Kema, Ido P
de Jonge, Peter
description Summary Background Several studies have suggested that induced tryptophan (TRP) degradation through the kynurenine (KYN) pathway by the enzyme indoleamine 2,3-dioxygenase (IDO) is implicated in the relation between depression and inflammation. We investigated the role of tryptophan degradation in the relationship between inflammatory markers and depressive symptoms in the Netherlands Study of Depression and Anxiety (NESDA) and hypothesized that tryptophan degradation would mediate (part of) this association. Methods 2812 Participants of NESDA were included in this study including 1042 persons with current major depressive disorder (MDD). Assessments of C-reactive protein (CRP), interleukin (IL)-6, tumor-necrosis factor (TNF)-α, KYN and TRP were obtained from fasting blood samples at the baseline assessment. Tryptophan degradation was estimated by calculating the ratio [KYN/TRP]. Depressive symptoms were measured with the Inventory of Depressive Symptomatology. Results Significant associations between inflammation and depressive symptoms were found for CRP and IL-6, for the total group and the subgroup of patients with current MDD. Adjustment for KYN/TRP did not attenuate these associations. There were no significant indirect effects for CRP on depressive symptoms mediated by KYN/TRP for the whole group ( B = −0.032; 95% CI: −0.103 to 0.028) and for the subgroup of patients with current MDD ( B = 0.059; 95% CI: −0.037 to 0.165). Also IL-6 did not indirectly affect depressive symptoms through KYN/TRP in the total group ( B = −0.023; 95% CI: −0.093 to 0.045) and in the MDD subgroup B = 0.052; 95% CI: −0.019 to 0.144). Finally, no significant relation between depressive symptoms and KYN/TRP was found in the whole group ( β = −0.019, p = 0.311) nor in the subgroup with MDD ( β = 0.025, p = 0.424). Conclusions We did not find indications for tryptophan degradation, measured by KYN/TRP, to mediate the relationship between inflammation and depressive symptoms.
doi_str_mv 10.1016/j.psyneuen.2014.03.013
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We investigated the role of tryptophan degradation in the relationship between inflammatory markers and depressive symptoms in the Netherlands Study of Depression and Anxiety (NESDA) and hypothesized that tryptophan degradation would mediate (part of) this association. Methods 2812 Participants of NESDA were included in this study including 1042 persons with current major depressive disorder (MDD). Assessments of C-reactive protein (CRP), interleukin (IL)-6, tumor-necrosis factor (TNF)-α, KYN and TRP were obtained from fasting blood samples at the baseline assessment. Tryptophan degradation was estimated by calculating the ratio [KYN/TRP]. Depressive symptoms were measured with the Inventory of Depressive Symptomatology. Results Significant associations between inflammation and depressive symptoms were found for CRP and IL-6, for the total group and the subgroup of patients with current MDD. Adjustment for KYN/TRP did not attenuate these associations. There were no significant indirect effects for CRP on depressive symptoms mediated by KYN/TRP for the whole group ( B = −0.032; 95% CI: −0.103 to 0.028) and for the subgroup of patients with current MDD ( B = 0.059; 95% CI: −0.037 to 0.165). Also IL-6 did not indirectly affect depressive symptoms through KYN/TRP in the total group ( B = −0.023; 95% CI: −0.093 to 0.045) and in the MDD subgroup B = 0.052; 95% CI: −0.019 to 0.144). Finally, no significant relation between depressive symptoms and KYN/TRP was found in the whole group ( β = −0.019, p = 0.311) nor in the subgroup with MDD ( β = 0.025, p = 0.424). Conclusions We did not find indications for tryptophan degradation, measured by KYN/TRP, to mediate the relationship between inflammation and depressive symptoms.</description><identifier>ISSN: 0306-4530</identifier><identifier>EISSN: 1873-3360</identifier><identifier>DOI: 10.1016/j.psyneuen.2014.03.013</identifier><identifier>PMID: 24845191</identifier><identifier>CODEN: PSYCDE</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Adult and adolescent clinical studies ; Aged ; Behavioral psychophysiology ; Biological and medical sciences ; Case-Control Studies ; Depression ; Depression - immunology ; Depression - metabolism ; Depressive Disorder, Major - immunology ; Depressive Disorder, Major - metabolism ; Depressive symptoms ; Endocrinology &amp; Metabolism ; Female ; Fundamental and applied biological sciences. Psychology ; Hormones and behavior ; Humans ; Immune System - metabolism ; Indoleamine 2,3-dioxygenase ; Inflammation ; Inflammation - immunology ; Inflammation - metabolism ; Inflammation Mediators - metabolism ; Kynurenine ; Kynurenine - metabolism ; Male ; Medical sciences ; Metabolic Networks and Pathways ; Middle Aged ; Miscellaneous ; Mood disorders ; Netherlands ; Proteolysis ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychology. Psychophysiology ; Psychopathology. Psychiatry ; Tryptophan ; Tryptophan - metabolism ; Young Adult</subject><ispartof>Psychoneuroendocrinology, 2014-07, Vol.45, p.202-210</ispartof><rights>Elsevier Ltd</rights><rights>2014 Elsevier Ltd</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2014 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c552t-416838cea86e993355cb01488bf3ade768d5592d190cc0bb543a7b4452ba32273</citedby><cites>FETCH-LOGICAL-c552t-416838cea86e993355cb01488bf3ade768d5592d190cc0bb543a7b4452ba32273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0306453014001097$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=28481526$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24845191$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Quak, Jacqueline</creatorcontrib><creatorcontrib>Doornbos, Bennard</creatorcontrib><creatorcontrib>Roest, Annelieke M</creatorcontrib><creatorcontrib>Duivis, Hester E</creatorcontrib><creatorcontrib>Vogelzangs, Nicole</creatorcontrib><creatorcontrib>Nolen, Willem A</creatorcontrib><creatorcontrib>Penninx, Brenda W.J.H</creatorcontrib><creatorcontrib>Kema, Ido P</creatorcontrib><creatorcontrib>de Jonge, Peter</creatorcontrib><title>Does tryptophan degradation along the kynurenine pathway mediate the association between pro-inflammatory immune activity and depressive symptoms?</title><title>Psychoneuroendocrinology</title><addtitle>Psychoneuroendocrinology</addtitle><description>Summary Background Several studies have suggested that induced tryptophan (TRP) degradation through the kynurenine (KYN) pathway by the enzyme indoleamine 2,3-dioxygenase (IDO) is implicated in the relation between depression and inflammation. We investigated the role of tryptophan degradation in the relationship between inflammatory markers and depressive symptoms in the Netherlands Study of Depression and Anxiety (NESDA) and hypothesized that tryptophan degradation would mediate (part of) this association. Methods 2812 Participants of NESDA were included in this study including 1042 persons with current major depressive disorder (MDD). Assessments of C-reactive protein (CRP), interleukin (IL)-6, tumor-necrosis factor (TNF)-α, KYN and TRP were obtained from fasting blood samples at the baseline assessment. Tryptophan degradation was estimated by calculating the ratio [KYN/TRP]. Depressive symptoms were measured with the Inventory of Depressive Symptomatology. Results Significant associations between inflammation and depressive symptoms were found for CRP and IL-6, for the total group and the subgroup of patients with current MDD. Adjustment for KYN/TRP did not attenuate these associations. There were no significant indirect effects for CRP on depressive symptoms mediated by KYN/TRP for the whole group ( B = −0.032; 95% CI: −0.103 to 0.028) and for the subgroup of patients with current MDD ( B = 0.059; 95% CI: −0.037 to 0.165). Also IL-6 did not indirectly affect depressive symptoms through KYN/TRP in the total group ( B = −0.023; 95% CI: −0.093 to 0.045) and in the MDD subgroup B = 0.052; 95% CI: −0.019 to 0.144). Finally, no significant relation between depressive symptoms and KYN/TRP was found in the whole group ( β = −0.019, p = 0.311) nor in the subgroup with MDD ( β = 0.025, p = 0.424). Conclusions We did not find indications for tryptophan degradation, measured by KYN/TRP, to mediate the relationship between inflammation and depressive symptoms.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Behavioral psychophysiology</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Depression</subject><subject>Depression - immunology</subject><subject>Depression - metabolism</subject><subject>Depressive Disorder, Major - immunology</subject><subject>Depressive Disorder, Major - metabolism</subject><subject>Depressive symptoms</subject><subject>Endocrinology &amp; Metabolism</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Hormones and behavior</subject><subject>Humans</subject><subject>Immune System - metabolism</subject><subject>Indoleamine 2,3-dioxygenase</subject><subject>Inflammation</subject><subject>Inflammation - immunology</subject><subject>Inflammation - metabolism</subject><subject>Inflammation Mediators - metabolism</subject><subject>Kynurenine</subject><subject>Kynurenine - metabolism</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic Networks and Pathways</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Mood disorders</subject><subject>Netherlands</subject><subject>Proteolysis</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. Psychophysiology</subject><subject>Psychopathology. Psychiatry</subject><subject>Tryptophan</subject><subject>Tryptophan - metabolism</subject><subject>Young Adult</subject><issn>0306-4530</issn><issn>1873-3360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNks1u1DAUhSMEokPhFSpvkNgk-H-cDVCVX6kSC2BtOc6djqeJHWxnqrwGT4yHmYLEBlZe-Dv3Hp1zq-qC4IZgIl_umiktHmbwDcWEN5g1mLAH1YqoNasZk_hhtcIMy5oLhs-qJyntMMZSSfq4OqNccUFasqp-vA2QUI7LlMO0NR71cBNNb7ILHpkh-BuUt4BuFz9H8M4Dmkze3pkFjdA7k-HXt0kpWHcUdZDvADyaYqid3wxmHE0OcUFuHOeiNza7vcsLMr4v26YIKbk9oLSMxcOYXj-tHm3MkODZ6T2vvr1_9_XqY339-cOnq8vr2gpBc82JVExZMEpC2zImhO1KEkp1G2Z6WEvVC9HSnrTYWtx1gjOz7jgXtDOM0jU7r14c5xan32dIWY8uWRgG4yHMSRPBuBKEMf4faJlHZatoQeURtTGkFGGjp-hGExdNsD5Up3f6vjp9qE5jpkt1RXhx2jF3JdvfsvuuCvD8BJhkzbCJxluX_nCKq-JDFu7NkYMS3t5B1Mk68Lb0FcFm3Qf3by-v_hphB-dd2XoLC6RdmKMv1WiiE9VYfzkc2uHOCMeY4HbNfgLK99M1</recordid><startdate>20140701</startdate><enddate>20140701</enddate><creator>Quak, Jacqueline</creator><creator>Doornbos, Bennard</creator><creator>Roest, Annelieke M</creator><creator>Duivis, Hester E</creator><creator>Vogelzangs, Nicole</creator><creator>Nolen, Willem A</creator><creator>Penninx, Brenda W.J.H</creator><creator>Kema, Ido P</creator><creator>de Jonge, Peter</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope></search><sort><creationdate>20140701</creationdate><title>Does tryptophan degradation along the kynurenine pathway mediate the association between pro-inflammatory immune activity and depressive symptoms?</title><author>Quak, Jacqueline ; Doornbos, Bennard ; Roest, Annelieke M ; Duivis, Hester E ; Vogelzangs, Nicole ; Nolen, Willem A ; Penninx, Brenda W.J.H ; Kema, Ido P ; de Jonge, Peter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c552t-416838cea86e993355cb01488bf3ade768d5592d190cc0bb543a7b4452ba32273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Behavioral psychophysiology</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Depression</topic><topic>Depression - immunology</topic><topic>Depression - metabolism</topic><topic>Depressive Disorder, Major - immunology</topic><topic>Depressive Disorder, Major - metabolism</topic><topic>Depressive symptoms</topic><topic>Endocrinology &amp; Metabolism</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Hormones and behavior</topic><topic>Humans</topic><topic>Immune System - metabolism</topic><topic>Indoleamine 2,3-dioxygenase</topic><topic>Inflammation</topic><topic>Inflammation - immunology</topic><topic>Inflammation - metabolism</topic><topic>Inflammation Mediators - metabolism</topic><topic>Kynurenine</topic><topic>Kynurenine - metabolism</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolic Networks and Pathways</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Mood disorders</topic><topic>Netherlands</topic><topic>Proteolysis</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. Psychophysiology</topic><topic>Psychopathology. Psychiatry</topic><topic>Tryptophan</topic><topic>Tryptophan - metabolism</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Quak, Jacqueline</creatorcontrib><creatorcontrib>Doornbos, Bennard</creatorcontrib><creatorcontrib>Roest, Annelieke M</creatorcontrib><creatorcontrib>Duivis, Hester E</creatorcontrib><creatorcontrib>Vogelzangs, Nicole</creatorcontrib><creatorcontrib>Nolen, Willem A</creatorcontrib><creatorcontrib>Penninx, Brenda W.J.H</creatorcontrib><creatorcontrib>Kema, Ido P</creatorcontrib><creatorcontrib>de Jonge, Peter</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Psychoneuroendocrinology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Quak, Jacqueline</au><au>Doornbos, Bennard</au><au>Roest, Annelieke M</au><au>Duivis, Hester E</au><au>Vogelzangs, Nicole</au><au>Nolen, Willem A</au><au>Penninx, Brenda W.J.H</au><au>Kema, Ido P</au><au>de Jonge, Peter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does tryptophan degradation along the kynurenine pathway mediate the association between pro-inflammatory immune activity and depressive symptoms?</atitle><jtitle>Psychoneuroendocrinology</jtitle><addtitle>Psychoneuroendocrinology</addtitle><date>2014-07-01</date><risdate>2014</risdate><volume>45</volume><spage>202</spage><epage>210</epage><pages>202-210</pages><issn>0306-4530</issn><eissn>1873-3360</eissn><coden>PSYCDE</coden><abstract>Summary Background Several studies have suggested that induced tryptophan (TRP) degradation through the kynurenine (KYN) pathway by the enzyme indoleamine 2,3-dioxygenase (IDO) is implicated in the relation between depression and inflammation. We investigated the role of tryptophan degradation in the relationship between inflammatory markers and depressive symptoms in the Netherlands Study of Depression and Anxiety (NESDA) and hypothesized that tryptophan degradation would mediate (part of) this association. Methods 2812 Participants of NESDA were included in this study including 1042 persons with current major depressive disorder (MDD). Assessments of C-reactive protein (CRP), interleukin (IL)-6, tumor-necrosis factor (TNF)-α, KYN and TRP were obtained from fasting blood samples at the baseline assessment. Tryptophan degradation was estimated by calculating the ratio [KYN/TRP]. Depressive symptoms were measured with the Inventory of Depressive Symptomatology. Results Significant associations between inflammation and depressive symptoms were found for CRP and IL-6, for the total group and the subgroup of patients with current MDD. Adjustment for KYN/TRP did not attenuate these associations. There were no significant indirect effects for CRP on depressive symptoms mediated by KYN/TRP for the whole group ( B = −0.032; 95% CI: −0.103 to 0.028) and for the subgroup of patients with current MDD ( B = 0.059; 95% CI: −0.037 to 0.165). Also IL-6 did not indirectly affect depressive symptoms through KYN/TRP in the total group ( B = −0.023; 95% CI: −0.093 to 0.045) and in the MDD subgroup B = 0.052; 95% CI: −0.019 to 0.144). Finally, no significant relation between depressive symptoms and KYN/TRP was found in the whole group ( β = −0.019, p = 0.311) nor in the subgroup with MDD ( β = 0.025, p = 0.424). Conclusions We did not find indications for tryptophan degradation, measured by KYN/TRP, to mediate the relationship between inflammation and depressive symptoms.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>24845191</pmid><doi>10.1016/j.psyneuen.2014.03.013</doi><tpages>9</tpages></addata></record>
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subjects Adolescent
Adult
Adult and adolescent clinical studies
Aged
Behavioral psychophysiology
Biological and medical sciences
Case-Control Studies
Depression
Depression - immunology
Depression - metabolism
Depressive Disorder, Major - immunology
Depressive Disorder, Major - metabolism
Depressive symptoms
Endocrinology & Metabolism
Female
Fundamental and applied biological sciences. Psychology
Hormones and behavior
Humans
Immune System - metabolism
Indoleamine 2,3-dioxygenase
Inflammation
Inflammation - immunology
Inflammation - metabolism
Inflammation Mediators - metabolism
Kynurenine
Kynurenine - metabolism
Male
Medical sciences
Metabolic Networks and Pathways
Middle Aged
Miscellaneous
Mood disorders
Netherlands
Proteolysis
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Psychopathology. Psychiatry
Tryptophan
Tryptophan - metabolism
Young Adult
title Does tryptophan degradation along the kynurenine pathway mediate the association between pro-inflammatory immune activity and depressive symptoms?
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