Circulating endothelial progenitor cells and depression: a possible novel link between heart and soul

Although depression is known to be an independent risk factor for cardiovascular disorders, the mechanisms behind this connection are not well understood. However, the reduction in the number of endothelial progenitor cells (EPCs) in patients with cardiovascular risk factors has led us to hypothesiz...

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Veröffentlicht in:Molecular psychiatry 2009-05, Vol.14 (5), p.523-531
Hauptverfasser: Dome, P, Teleki, Z, Rihmer, Z, Peter, L, Dobos, J, Kenessey, I, Tovari, J, Timar, J, Paku, S, Kovacs, G, Dome, B
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container_issue 5
container_start_page 523
container_title Molecular psychiatry
container_volume 14
creator Dome, P
Teleki, Z
Rihmer, Z
Peter, L
Dobos, J
Kenessey, I
Tovari, J
Timar, J
Paku, S
Kovacs, G
Dome, B
description Although depression is known to be an independent risk factor for cardiovascular disorders, the mechanisms behind this connection are not well understood. However, the reduction in the number of endothelial progenitor cells (EPCs) in patients with cardiovascular risk factors has led us to hypothesize that depression influences the number of EPCs. EPCs labeled with CD34, CD133 and vascular endothelial growth factor receptor-2 (VEGFR2) antibodies were counted by flow cytometry in the peripheral blood (PB) of 33 patients with a current episode of major depression and of 16 control subjects. Mature (CD34+/VEGFR2+) and immature (CD133+/VEGFR2+) EPC counts were decreased in patients (vs controls; P
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However, the reduction in the number of endothelial progenitor cells (EPCs) in patients with cardiovascular risk factors has led us to hypothesize that depression influences the number of EPCs. EPCs labeled with CD34, CD133 and vascular endothelial growth factor receptor-2 (VEGFR2) antibodies were counted by flow cytometry in the peripheral blood (PB) of 33 patients with a current episode of major depression and of 16 control subjects. Mature (CD34+/VEGFR2+) and immature (CD133+/VEGFR2+) EPC counts were decreased in patients (vs controls; P &lt;0.01 for both comparisons), and there was a significant inverse relationship between EPC levels and the severity of depressive symptoms ( P &lt;0.01 for both EPC phenotypes). Additionally, we assayed the plasma levels of VEGF, C-reactive protein (CRP) and tumor necrosis factor (TNF)-α and observed significantly elevated TNF-α concentrations in patients (vs controls; P &lt;0.05) and, moreover, a significant inverse correlation between TNF-α and EPC levels ( P &lt;0.05). Moreover, by means of a quantitative RT-PCR approach, we measured CD34, CD133 and VEGFR2 mRNA levels of PB samples and found a net trend toward a decrease in all the investigated EPC-specific mRNA levels in patients as compared with controls. However, statistical significance was reached only for VEGFR2 and CD133 levels ( P &lt;0.01 for both markers). 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However, the reduction in the number of endothelial progenitor cells (EPCs) in patients with cardiovascular risk factors has led us to hypothesize that depression influences the number of EPCs. EPCs labeled with CD34, CD133 and vascular endothelial growth factor receptor-2 (VEGFR2) antibodies were counted by flow cytometry in the peripheral blood (PB) of 33 patients with a current episode of major depression and of 16 control subjects. Mature (CD34+/VEGFR2+) and immature (CD133+/VEGFR2+) EPC counts were decreased in patients (vs controls; P &lt;0.01 for both comparisons), and there was a significant inverse relationship between EPC levels and the severity of depressive symptoms ( P &lt;0.01 for both EPC phenotypes). 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However, the reduction in the number of endothelial progenitor cells (EPCs) in patients with cardiovascular risk factors has led us to hypothesize that depression influences the number of EPCs. EPCs labeled with CD34, CD133 and vascular endothelial growth factor receptor-2 (VEGFR2) antibodies were counted by flow cytometry in the peripheral blood (PB) of 33 patients with a current episode of major depression and of 16 control subjects. Mature (CD34+/VEGFR2+) and immature (CD133+/VEGFR2+) EPC counts were decreased in patients (vs controls; P &lt;0.01 for both comparisons), and there was a significant inverse relationship between EPC levels and the severity of depressive symptoms ( P &lt;0.01 for both EPC phenotypes). Additionally, we assayed the plasma levels of VEGF, C-reactive protein (CRP) and tumor necrosis factor (TNF)-α and observed significantly elevated TNF-α concentrations in patients (vs controls; P &lt;0.05) and, moreover, a significant inverse correlation between TNF-α and EPC levels ( P &lt;0.05). Moreover, by means of a quantitative RT-PCR approach, we measured CD34, CD133 and VEGFR2 mRNA levels of PB samples and found a net trend toward a decrease in all the investigated EPC-specific mRNA levels in patients as compared with controls. However, statistical significance was reached only for VEGFR2 and CD133 levels ( P &lt;0.01 for both markers). This is the first paper that demonstrates evidence of decreased numbers of circulating EPCs in patients with a current episode of major depression.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>18180758</pmid><doi>10.1038/sj.mp.4002138</doi><tpages>9</tpages></addata></record>
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subjects AC133 Antigen
Adult
Adult and adolescent clinical studies
Analysis of Variance
Antigens, CD - genetics
Antigens, CD - metabolism
Antigens, CD34 - genetics
Antigens, CD34 - metabolism
Behavioral Sciences
Biological and medical sciences
Biological Psychology
Bone marrow cells
C-reactive protein
C-Reactive Protein - metabolism
Cardiovascular diseases
CD34 antigen
Demographic aspects
Depression
Depression, Mental
Depressive Disorder, Major - blood
Development and progression
Endothelial Cells - metabolism
Endothelial Cells - pathology
Female
Flow cytometry
Flow Cytometry - methods
Glycoproteins - genetics
Glycoproteins - metabolism
Humans
Male
Medical sciences
Medicine
Medicine & Public Health
Mental depression
Middle Aged
Mood disorders
Mortality
mRNA
Neurosciences
original-article
Peptides - genetics
Peptides - metabolism
Peripheral blood
Pharmacotherapy
Phenotypes
Physiological aspects
Plasma levels
Polymerase chain reaction
Progenitor cells
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Risk factors
RNA, Messenger - metabolism
Severity of Illness Index
Statistics as Topic
Stem cells
Stem Cells - metabolism
Stem Cells - pathology
Tumor Necrosis Factor-alpha - blood
Tumor necrosis factor-TNF
Tumor necrosis factor-α
Vascular endothelial growth factor
Vascular Endothelial Growth Factor A - blood
Vascular Endothelial Growth Factor Receptor-2 - genetics
Vascular Endothelial Growth Factor Receptor-2 - metabolism
Vascular endothelial growth factor receptors
title Circulating endothelial progenitor cells and depression: a possible novel link between heart and soul
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