Abnormal glucose tolerance, white blood cell count, and telomere length in newly diagnosed, antidepressant-naïve patients with depression

► First article describing senescence, metabolic and immune abnormalities in naïve patients with depression suggesting an accelerated aging state. Chronic mood disorders have been associated with a shortened telomere, a marker of increased mortality rate and aging, and impaired cellular immunity. Ho...

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Veröffentlicht in:Brain, behavior, and immunity behavior, and immunity, 2013-02, Vol.28, p.49-53
Hauptverfasser: Garcia-Rizo, Clemente, Fernandez-Egea, Emilio, Miller, Brian J, Oliveira, Cristina, Justicia, Azucena, Griffith, Jeffrey K, Heaphy, Christopher M, Bernardo, Miguel, Kirkpatrick, Brian
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container_end_page 53
container_issue
container_start_page 49
container_title Brain, behavior, and immunity
container_volume 28
creator Garcia-Rizo, Clemente
Fernandez-Egea, Emilio
Miller, Brian J
Oliveira, Cristina
Justicia, Azucena
Griffith, Jeffrey K
Heaphy, Christopher M
Bernardo, Miguel
Kirkpatrick, Brian
description ► First article describing senescence, metabolic and immune abnormalities in naïve patients with depression suggesting an accelerated aging state. Chronic mood disorders have been associated with a shortened telomere, a marker of increased mortality rate and aging, and impaired cellular immunity. However, treatment may confound these relationships. We examined the relationship of glucose tolerance, white blood cell count and telomere length to depression in newly diagnosed, antidepressant-naïve patients. Subjects with major depression (n=15), and matched healthy control subjects (n=70) underwent a two-hour oral glucose tolerance test and evaluation of blood cell count and telomere content. The depression group had significantly higher two-hour glucose concentrations and a lower lymphocyte count than control subjects (respective means [SD] for two-hour glucose were 125.0mg/dL [67.9] vs 84.6 [25.6] (p
doi_str_mv 10.1016/j.bbi.2012.11.009
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Chronic mood disorders have been associated with a shortened telomere, a marker of increased mortality rate and aging, and impaired cellular immunity. However, treatment may confound these relationships. We examined the relationship of glucose tolerance, white blood cell count and telomere length to depression in newly diagnosed, antidepressant-naïve patients. Subjects with major depression (n=15), and matched healthy control subjects (n=70) underwent a two-hour oral glucose tolerance test and evaluation of blood cell count and telomere content. The depression group had significantly higher two-hour glucose concentrations and a lower lymphocyte count than control subjects (respective means [SD] for two-hour glucose were 125.0mg/dL [67.9] vs 84.6 [25.6] (p&lt;.001); for lymphocyte count 2.1×109/L [0.6] vs 2.5×109/L [0.7] p=.028). Telomere content was significantly shortened in the depression group (87.9 [7.6]) compared to control subjects (101.0 [14.3]; p&lt;0.01). Abnormal glucose tolerance, lymphopenia and a shortened telomere are present early in the course of depression independently of the confounding effect of antidepressant treatment, supporting the concept of major depression as an accelerated aging disease.</description><identifier>ISSN: 0889-1591</identifier><identifier>EISSN: 1090-2139</identifier><identifier>DOI: 10.1016/j.bbi.2012.11.009</identifier><identifier>PMID: 23207109</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Accelerated aging ; Adult ; Allergy and Immunology ; Blood Glucose - analysis ; Case-Control Studies ; Depressive Disorder, Major - immunology ; Depressive Disorder, Major - physiopathology ; Diabetes mellitus ; Drug-naïve ; Female ; Glucose tolerance ; Glucose Tolerance Test ; Humans ; Immunosenescence ; Interview, Psychological ; Leukocyte Count ; Lymphocyte Count ; Lymphopenia ; Major depressive disorder ; Male ; Psychiatric Status Rating Scales ; Psychiatry ; Telomere ; Telomere Shortening - physiology</subject><ispartof>Brain, behavior, and immunity, 2013-02, Vol.28, p.49-53</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>Copyright © 2012 Elsevier Inc. 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All rights reserved. 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c539t-dc065b5c5e5bbdb6f0d14f08923983073bfcdfe8ecd48da084a27c056fb26c433</citedby><cites>FETCH-LOGICAL-c539t-dc065b5c5e5bbdb6f0d14f08923983073bfcdfe8ecd48da084a27c056fb26c433</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0889159112004953$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23207109$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Garcia-Rizo, Clemente</creatorcontrib><creatorcontrib>Fernandez-Egea, Emilio</creatorcontrib><creatorcontrib>Miller, Brian J</creatorcontrib><creatorcontrib>Oliveira, Cristina</creatorcontrib><creatorcontrib>Justicia, Azucena</creatorcontrib><creatorcontrib>Griffith, Jeffrey K</creatorcontrib><creatorcontrib>Heaphy, Christopher M</creatorcontrib><creatorcontrib>Bernardo, Miguel</creatorcontrib><creatorcontrib>Kirkpatrick, Brian</creatorcontrib><title>Abnormal glucose tolerance, white blood cell count, and telomere length in newly diagnosed, antidepressant-naïve patients with depression</title><title>Brain, behavior, and immunity</title><addtitle>Brain Behav Immun</addtitle><description>► First article describing senescence, metabolic and immune abnormalities in naïve patients with depression suggesting an accelerated aging state. Chronic mood disorders have been associated with a shortened telomere, a marker of increased mortality rate and aging, and impaired cellular immunity. However, treatment may confound these relationships. We examined the relationship of glucose tolerance, white blood cell count and telomere length to depression in newly diagnosed, antidepressant-naïve patients. Subjects with major depression (n=15), and matched healthy control subjects (n=70) underwent a two-hour oral glucose tolerance test and evaluation of blood cell count and telomere content. The depression group had significantly higher two-hour glucose concentrations and a lower lymphocyte count than control subjects (respective means [SD] for two-hour glucose were 125.0mg/dL [67.9] vs 84.6 [25.6] (p&lt;.001); for lymphocyte count 2.1×109/L [0.6] vs 2.5×109/L [0.7] p=.028). Telomere content was significantly shortened in the depression group (87.9 [7.6]) compared to control subjects (101.0 [14.3]; p&lt;0.01). Abnormal glucose tolerance, lymphopenia and a shortened telomere are present early in the course of depression independently of the confounding effect of antidepressant treatment, supporting the concept of major depression as an accelerated aging disease.</description><subject>Accelerated aging</subject><subject>Adult</subject><subject>Allergy and Immunology</subject><subject>Blood Glucose - analysis</subject><subject>Case-Control Studies</subject><subject>Depressive Disorder, Major - immunology</subject><subject>Depressive Disorder, Major - physiopathology</subject><subject>Diabetes mellitus</subject><subject>Drug-naïve</subject><subject>Female</subject><subject>Glucose tolerance</subject><subject>Glucose Tolerance Test</subject><subject>Humans</subject><subject>Immunosenescence</subject><subject>Interview, Psychological</subject><subject>Leukocyte Count</subject><subject>Lymphocyte Count</subject><subject>Lymphopenia</subject><subject>Major depressive disorder</subject><subject>Male</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychiatry</subject><subject>Telomere</subject><subject>Telomere Shortening - physiology</subject><issn>0889-1591</issn><issn>1090-2139</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNksFuEzEQhlcIREPhAbggHzl0w9heZ3eFVKmqKCBV4gCcLa89mzg4drB3E-UV-jI8RF8MrxIq4IA42dJ8_6-Z-acoXlKYU6CLN-t519k5A8rmlM4B2kfFjEILJaO8fVzMoGnakoqWnhXPUloDgOC0eVqcMc6gzuSsuLvqfIgb5cjSjTokJENwGJXXeEH2Kzsg6VwIhmh0jugw-uGCKG_IgC5sMCJx6JfDilhPPO7dgRirlj4bmYkbrMFtxJTyt_Tq_scOyVYNFv2QyN5m3alug39ePOmVS_ji9J4XX2_efbn-UN5-ev_x-uq21IK3Q2k0LEQntEDRdaZb9GBo1UPTMt42HGre9dr02KA2VWMUNJVitQax6Du20BXn58Xl0Xc7dhs0OvcSlZPbaDcqHmRQVv5Z8XYll2EnuWhqyiaD1yeDGL6PmAa5sWnaj_IYxiQpq7kAWlfsf9AMN5WoMkqPqI4hpYj9Q0cU5BS3XMsct5zilpTKHHfWvPp9lAfFr3wz8PYIYF7ozmKUSeflazQ2oh6kCfaf9pd_qbWz3mrlvuEB0zqM0eekJJWJSZCfp3ubzo0ygKoVnP8Efv3Ueg</recordid><startdate>20130201</startdate><enddate>20130201</enddate><creator>Garcia-Rizo, Clemente</creator><creator>Fernandez-Egea, Emilio</creator><creator>Miller, Brian J</creator><creator>Oliveira, Cristina</creator><creator>Justicia, Azucena</creator><creator>Griffith, Jeffrey K</creator><creator>Heaphy, Christopher M</creator><creator>Bernardo, Miguel</creator><creator>Kirkpatrick, Brian</creator><general>Elsevier Inc</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>7QG</scope><scope>7T5</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130201</creationdate><title>Abnormal glucose tolerance, white blood cell count, and telomere length in newly diagnosed, antidepressant-naïve patients with depression</title><author>Garcia-Rizo, Clemente ; 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Chronic mood disorders have been associated with a shortened telomere, a marker of increased mortality rate and aging, and impaired cellular immunity. However, treatment may confound these relationships. We examined the relationship of glucose tolerance, white blood cell count and telomere length to depression in newly diagnosed, antidepressant-naïve patients. Subjects with major depression (n=15), and matched healthy control subjects (n=70) underwent a two-hour oral glucose tolerance test and evaluation of blood cell count and telomere content. The depression group had significantly higher two-hour glucose concentrations and a lower lymphocyte count than control subjects (respective means [SD] for two-hour glucose were 125.0mg/dL [67.9] vs 84.6 [25.6] (p&lt;.001); for lymphocyte count 2.1×109/L [0.6] vs 2.5×109/L [0.7] p=.028). Telomere content was significantly shortened in the depression group (87.9 [7.6]) compared to control subjects (101.0 [14.3]; p&lt;0.01). Abnormal glucose tolerance, lymphopenia and a shortened telomere are present early in the course of depression independently of the confounding effect of antidepressant treatment, supporting the concept of major depression as an accelerated aging disease.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>23207109</pmid><doi>10.1016/j.bbi.2012.11.009</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Accelerated aging
Adult
Allergy and Immunology
Blood Glucose - analysis
Case-Control Studies
Depressive Disorder, Major - immunology
Depressive Disorder, Major - physiopathology
Diabetes mellitus
Drug-naïve
Female
Glucose tolerance
Glucose Tolerance Test
Humans
Immunosenescence
Interview, Psychological
Leukocyte Count
Lymphocyte Count
Lymphopenia
Major depressive disorder
Male
Psychiatric Status Rating Scales
Psychiatry
Telomere
Telomere Shortening - physiology
title Abnormal glucose tolerance, white blood cell count, and telomere length in newly diagnosed, antidepressant-naïve patients with depression
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