The role of immune and oxidative pathways in menstrual cycle associated depressive, physio-somatic, breast and anxiety symptoms: Modulation by sex hormones

To examine whether 1) immune and nitro-oxidative stress (IO&NS) biomarkers are associated with premenstrual syndrome (PMS); and 2) changes in IO&NS biomarkers during the menstrual cycle (MC) are associated with PMS symptoms and plasma estradiol and progesterone. This longitudinal study exami...

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Veröffentlicht in:Journal of psychosomatic research 2020-08, Vol.135, p.110158-110158, Article 110158
Hauptverfasser: Roomruangwong, Chutima, Matsumoto, Andressa Keiko, Michelin, Ana Paula, de Oliveira Semeão, Laura, de Lima Pedrão, João Victor, Moreira, Estefania G., Sirivichayakul, Sunee, Carvalho, Andre, Barbosa, Decio S., Maes, Michael
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container_title Journal of psychosomatic research
container_volume 135
creator Roomruangwong, Chutima
Matsumoto, Andressa Keiko
Michelin, Ana Paula
de Oliveira Semeão, Laura
de Lima Pedrão, João Victor
Moreira, Estefania G.
Sirivichayakul, Sunee
Carvalho, Andre
Barbosa, Decio S.
Maes, Michael
description To examine whether 1) immune and nitro-oxidative stress (IO&NS) biomarkers are associated with premenstrual syndrome (PMS); and 2) changes in IO&NS biomarkers during the menstrual cycle (MC) are associated with PMS symptoms and plasma estradiol and progesterone. This longitudinal study examined 41 women who completed the Daily Record of Severity of Problems (DRSP) rating scale during 28 consecutive days and assayed plasma levels of complement C3 and C4, highly sensitive C-reactive protein (hsCRP), haptoglobin (Hp), advanced oxidation protein products (AOPP), lipid hydroperoxides (LOOH), nitric oxide metabolites (NOx), total radical-trapping antioxidant parameter (TRAP), sulfhydryl (-SH) groups and the activity of paraoxonase (PON)1 at days 7 (D7), 14 (D14), 21 (D21) and 28 (D28) of the MC. MC Associated Syndrome (MCAS) was diagnosed when the summed DRSP score during the MC is >0.666 percentile. All biomarkers, except hsCRP, showed significant alterations during the MC. Arylesterase (AREase) was lowered at D28, while LOOH increased at D14 and C4 at D21 in MCAS. Total DRSP scores were predicted by the combined effects of C4 (positively) and AREase and malondialdehyde (MDA) (both inversely associated). Progesterone lowered levels of LOOH, AOPP and C3 and estradiol lowered levels of Hp while both sex hormones increased 4-(chloromethyl)phenyl acetate (CMPA)ase and AREase activities and levels of -SH groups. PMS/MCAS is not accompanied by a peripheral inflammatory response. Lowered MDA and antioxidant defenses and increased C4 may play a role in MC symptoms while sex hormones may have a protective effect against oxidative stress toxicity. •The menstrual cycle is accompanied by changes in nitro-oxidative biomarkers.•Menstrual cycle associated symptoms (MCAS) are associated with oxidative biomarkers.•Malondialdehyde and paraoxonase 1 are inversely associated with MCAS.•MCAS symptoms are positively associated with complement C4.•Sex hormones have a protective effect against oxidative stress toxicity.
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This longitudinal study examined 41 women who completed the Daily Record of Severity of Problems (DRSP) rating scale during 28 consecutive days and assayed plasma levels of complement C3 and C4, highly sensitive C-reactive protein (hsCRP), haptoglobin (Hp), advanced oxidation protein products (AOPP), lipid hydroperoxides (LOOH), nitric oxide metabolites (NOx), total radical-trapping antioxidant parameter (TRAP), sulfhydryl (-SH) groups and the activity of paraoxonase (PON)1 at days 7 (D7), 14 (D14), 21 (D21) and 28 (D28) of the MC. MC Associated Syndrome (MCAS) was diagnosed when the summed DRSP score during the MC is &gt;0.666 percentile. All biomarkers, except hsCRP, showed significant alterations during the MC. Arylesterase (AREase) was lowered at D28, while LOOH increased at D14 and C4 at D21 in MCAS. Total DRSP scores were predicted by the combined effects of C4 (positively) and AREase and malondialdehyde (MDA) (both inversely associated). Progesterone lowered levels of LOOH, AOPP and C3 and estradiol lowered levels of Hp while both sex hormones increased 4-(chloromethyl)phenyl acetate (CMPA)ase and AREase activities and levels of -SH groups. PMS/MCAS is not accompanied by a peripheral inflammatory response. Lowered MDA and antioxidant defenses and increased C4 may play a role in MC symptoms while sex hormones may have a protective effect against oxidative stress toxicity. •The menstrual cycle is accompanied by changes in nitro-oxidative biomarkers.•Menstrual cycle associated symptoms (MCAS) are associated with oxidative biomarkers.•Malondialdehyde and paraoxonase 1 are inversely associated with MCAS.•MCAS symptoms are positively associated with complement C4.•Sex hormones have a protective effect against oxidative stress toxicity.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2020.110158</identifier><identifier>PMID: 32526539</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>17β-Estradiol ; Acetic acid ; Adult ; Antioxidants ; Anxiety ; Anxiety - complications ; Anxiety - metabolism ; Anxiety - physiopathology ; Arylesterase ; Biological markers ; Biomarkers ; Biomarkers - blood ; Breast ; Breast - pathology ; C-reactive protein ; C-Reactive Protein - metabolism ; Complement component C3 ; Complement component C4 ; Depression ; Female ; Gonadal Steroid Hormones - metabolism ; Haptoglobin ; Hormones ; Humans ; Inflammation ; Lipid peroxidation ; Longitudinal Studies ; Malondialdehyde ; Menstrual cycle ; Menstrual Cycle - metabolism ; Menstrual Cycle - physiology ; Menstrual Cycle - psychology ; Menstruation ; Mental depression ; Metabolites ; Middle Aged ; Neuro-immune ; Nitric oxide ; Nitric Oxide - blood ; Oxidative Stress ; Paraoxonase ; Plasma levels ; PMS ; Premenstrual syndrome ; Progesterone ; Sex hormones ; Somatic symptoms ; Toxicity ; Women</subject><ispartof>Journal of psychosomatic research, 2020-08, Vol.135, p.110158-110158, Article 110158</ispartof><rights>2020 Elsevier Inc.</rights><rights>Copyright © 2020 Elsevier Inc. 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This longitudinal study examined 41 women who completed the Daily Record of Severity of Problems (DRSP) rating scale during 28 consecutive days and assayed plasma levels of complement C3 and C4, highly sensitive C-reactive protein (hsCRP), haptoglobin (Hp), advanced oxidation protein products (AOPP), lipid hydroperoxides (LOOH), nitric oxide metabolites (NOx), total radical-trapping antioxidant parameter (TRAP), sulfhydryl (-SH) groups and the activity of paraoxonase (PON)1 at days 7 (D7), 14 (D14), 21 (D21) and 28 (D28) of the MC. MC Associated Syndrome (MCAS) was diagnosed when the summed DRSP score during the MC is &gt;0.666 percentile. All biomarkers, except hsCRP, showed significant alterations during the MC. Arylesterase (AREase) was lowered at D28, while LOOH increased at D14 and C4 at D21 in MCAS. Total DRSP scores were predicted by the combined effects of C4 (positively) and AREase and malondialdehyde (MDA) (both inversely associated). Progesterone lowered levels of LOOH, AOPP and C3 and estradiol lowered levels of Hp while both sex hormones increased 4-(chloromethyl)phenyl acetate (CMPA)ase and AREase activities and levels of -SH groups. PMS/MCAS is not accompanied by a peripheral inflammatory response. Lowered MDA and antioxidant defenses and increased C4 may play a role in MC symptoms while sex hormones may have a protective effect against oxidative stress toxicity. •The menstrual cycle is accompanied by changes in nitro-oxidative biomarkers.•Menstrual cycle associated symptoms (MCAS) are associated with oxidative biomarkers.•Malondialdehyde and paraoxonase 1 are inversely associated with MCAS.•MCAS symptoms are positively associated with complement C4.•Sex hormones have a protective effect against oxidative stress toxicity.</description><subject>17β-Estradiol</subject><subject>Acetic acid</subject><subject>Adult</subject><subject>Antioxidants</subject><subject>Anxiety</subject><subject>Anxiety - complications</subject><subject>Anxiety - metabolism</subject><subject>Anxiety - physiopathology</subject><subject>Arylesterase</subject><subject>Biological markers</subject><subject>Biomarkers</subject><subject>Biomarkers - blood</subject><subject>Breast</subject><subject>Breast - pathology</subject><subject>C-reactive protein</subject><subject>C-Reactive Protein - metabolism</subject><subject>Complement component C3</subject><subject>Complement component C4</subject><subject>Depression</subject><subject>Female</subject><subject>Gonadal Steroid Hormones - metabolism</subject><subject>Haptoglobin</subject><subject>Hormones</subject><subject>Humans</subject><subject>Inflammation</subject><subject>Lipid peroxidation</subject><subject>Longitudinal Studies</subject><subject>Malondialdehyde</subject><subject>Menstrual cycle</subject><subject>Menstrual Cycle - metabolism</subject><subject>Menstrual Cycle - physiology</subject><subject>Menstrual Cycle - psychology</subject><subject>Menstruation</subject><subject>Mental depression</subject><subject>Metabolites</subject><subject>Middle Aged</subject><subject>Neuro-immune</subject><subject>Nitric oxide</subject><subject>Nitric Oxide - blood</subject><subject>Oxidative Stress</subject><subject>Paraoxonase</subject><subject>Plasma levels</subject><subject>PMS</subject><subject>Premenstrual syndrome</subject><subject>Progesterone</subject><subject>Sex hormones</subject><subject>Somatic symptoms</subject><subject>Toxicity</subject><subject>Women</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkc2O1DAQhCMEYoeFV0CWuHDYDLbjSWJusOJPWsRlOVseu6NxFNvB7SyTZ-Fl8TALSFw4WSp9Vd3tqirC6JZR1r4at-OMqznEBLjllBe56Lv-QbVhfSdr1rT0YbWhlPO6kVJeVE8QR0ppK_nucXXR8B1vd43cVD9uD0BSnIDEgTjvlwBEB0vi0Vmd3R2QWefDd70icYF4CJjToidiVlM8GjEapzNYYmEuy2BxXJH5sKKLNUZfIswV2SfQmH_l6nB0kFeCq59z9PiafI52mQoXA9kXHY6knOVjAHxaPRr0hPDs_r2svr5_d3v9sb758uHT9Zub2gjKc90NpmeCC60Nk03XW6Ft3zLgknddKwYtuTW2s4O0ICwrjGGFtY1ouNEdbS6rl-fcOcVvC2BW3qGBadIB4oKKC8alZIL2BX3xDzrGJYWyXaGEkJLz9hTYnymTImKCQc3JeZ1Wxag6FahG9bdAdSpQnQss1uf3A5a9B_vH-LuxArw9A1B-5M5BUmgcBAPWJTBZ2ej-P-UnDy-1KA</recordid><startdate>202008</startdate><enddate>202008</enddate><creator>Roomruangwong, Chutima</creator><creator>Matsumoto, Andressa Keiko</creator><creator>Michelin, Ana Paula</creator><creator>de Oliveira Semeão, Laura</creator><creator>de Lima Pedrão, João Victor</creator><creator>Moreira, Estefania G.</creator><creator>Sirivichayakul, Sunee</creator><creator>Carvalho, Andre</creator><creator>Barbosa, Decio S.</creator><creator>Maes, Michael</creator><general>Elsevier Inc</general><general>Elsevier Science Ltd</general><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>7QJ</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>202008</creationdate><title>The role of immune and oxidative pathways in menstrual cycle associated depressive, physio-somatic, breast and anxiety symptoms: Modulation by sex hormones</title><author>Roomruangwong, Chutima ; Matsumoto, Andressa Keiko ; Michelin, Ana Paula ; de Oliveira Semeão, Laura ; de Lima Pedrão, João Victor ; Moreira, Estefania G. ; Sirivichayakul, Sunee ; Carvalho, Andre ; Barbosa, Decio S. ; Maes, Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-7fc81424aac19378d4ad861e2927764fa92dcd7df9de4d1193c1aacd3432ca703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>17β-Estradiol</topic><topic>Acetic acid</topic><topic>Adult</topic><topic>Antioxidants</topic><topic>Anxiety</topic><topic>Anxiety - complications</topic><topic>Anxiety - metabolism</topic><topic>Anxiety - physiopathology</topic><topic>Arylesterase</topic><topic>Biological markers</topic><topic>Biomarkers</topic><topic>Biomarkers - blood</topic><topic>Breast</topic><topic>Breast - pathology</topic><topic>C-reactive protein</topic><topic>C-Reactive Protein - metabolism</topic><topic>Complement component C3</topic><topic>Complement component C4</topic><topic>Depression</topic><topic>Female</topic><topic>Gonadal Steroid Hormones - metabolism</topic><topic>Haptoglobin</topic><topic>Hormones</topic><topic>Humans</topic><topic>Inflammation</topic><topic>Lipid peroxidation</topic><topic>Longitudinal Studies</topic><topic>Malondialdehyde</topic><topic>Menstrual cycle</topic><topic>Menstrual Cycle - metabolism</topic><topic>Menstrual Cycle - physiology</topic><topic>Menstrual Cycle - psychology</topic><topic>Menstruation</topic><topic>Mental depression</topic><topic>Metabolites</topic><topic>Middle Aged</topic><topic>Neuro-immune</topic><topic>Nitric oxide</topic><topic>Nitric Oxide - blood</topic><topic>Oxidative Stress</topic><topic>Paraoxonase</topic><topic>Plasma levels</topic><topic>PMS</topic><topic>Premenstrual syndrome</topic><topic>Progesterone</topic><topic>Sex hormones</topic><topic>Somatic symptoms</topic><topic>Toxicity</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Roomruangwong, Chutima</creatorcontrib><creatorcontrib>Matsumoto, Andressa Keiko</creatorcontrib><creatorcontrib>Michelin, Ana Paula</creatorcontrib><creatorcontrib>de Oliveira Semeão, Laura</creatorcontrib><creatorcontrib>de Lima Pedrão, João Victor</creatorcontrib><creatorcontrib>Moreira, Estefania G.</creatorcontrib><creatorcontrib>Sirivichayakul, Sunee</creatorcontrib><creatorcontrib>Carvalho, Andre</creatorcontrib><creatorcontrib>Barbosa, Decio S.</creatorcontrib><creatorcontrib>Maes, Michael</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; 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and 2) changes in IO&amp;NS biomarkers during the menstrual cycle (MC) are associated with PMS symptoms and plasma estradiol and progesterone. This longitudinal study examined 41 women who completed the Daily Record of Severity of Problems (DRSP) rating scale during 28 consecutive days and assayed plasma levels of complement C3 and C4, highly sensitive C-reactive protein (hsCRP), haptoglobin (Hp), advanced oxidation protein products (AOPP), lipid hydroperoxides (LOOH), nitric oxide metabolites (NOx), total radical-trapping antioxidant parameter (TRAP), sulfhydryl (-SH) groups and the activity of paraoxonase (PON)1 at days 7 (D7), 14 (D14), 21 (D21) and 28 (D28) of the MC. MC Associated Syndrome (MCAS) was diagnosed when the summed DRSP score during the MC is &gt;0.666 percentile. All biomarkers, except hsCRP, showed significant alterations during the MC. Arylesterase (AREase) was lowered at D28, while LOOH increased at D14 and C4 at D21 in MCAS. Total DRSP scores were predicted by the combined effects of C4 (positively) and AREase and malondialdehyde (MDA) (both inversely associated). Progesterone lowered levels of LOOH, AOPP and C3 and estradiol lowered levels of Hp while both sex hormones increased 4-(chloromethyl)phenyl acetate (CMPA)ase and AREase activities and levels of -SH groups. PMS/MCAS is not accompanied by a peripheral inflammatory response. Lowered MDA and antioxidant defenses and increased C4 may play a role in MC symptoms while sex hormones may have a protective effect against oxidative stress toxicity. •The menstrual cycle is accompanied by changes in nitro-oxidative biomarkers.•Menstrual cycle associated symptoms (MCAS) are associated with oxidative biomarkers.•Malondialdehyde and paraoxonase 1 are inversely associated with MCAS.•MCAS symptoms are positively associated with complement C4.•Sex hormones have a protective effect against oxidative stress toxicity.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>32526539</pmid><doi>10.1016/j.jpsychores.2020.110158</doi><tpages>1</tpages></addata></record>
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subjects 17β-Estradiol
Acetic acid
Adult
Antioxidants
Anxiety
Anxiety - complications
Anxiety - metabolism
Anxiety - physiopathology
Arylesterase
Biological markers
Biomarkers
Biomarkers - blood
Breast
Breast - pathology
C-reactive protein
C-Reactive Protein - metabolism
Complement component C3
Complement component C4
Depression
Female
Gonadal Steroid Hormones - metabolism
Haptoglobin
Hormones
Humans
Inflammation
Lipid peroxidation
Longitudinal Studies
Malondialdehyde
Menstrual cycle
Menstrual Cycle - metabolism
Menstrual Cycle - physiology
Menstrual Cycle - psychology
Menstruation
Mental depression
Metabolites
Middle Aged
Neuro-immune
Nitric oxide
Nitric Oxide - blood
Oxidative Stress
Paraoxonase
Plasma levels
PMS
Premenstrual syndrome
Progesterone
Sex hormones
Somatic symptoms
Toxicity
Women
title The role of immune and oxidative pathways in menstrual cycle associated depressive, physio-somatic, breast and anxiety symptoms: Modulation by sex hormones
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