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Baranyi, A; Meinitzer, A; Putz-Bankuti, C; Stauber, R; Kapfhammer, HP; Rothenhäusler, HB.
Asymmetric dimethylarginine responses during interferon-α-induced depression in patients with chronic hepatitis C infection.
Psychosom Med. 2014; 76(3):197-207
Doi: 10.1097/PSY.0000000000000042
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
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Baranyi Andreas
- Co-Autor*innen der Med Uni Graz
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Kapfhammer Hans-Peter
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Meinitzer Andreas
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Putz-Bankuti Csilla
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Rothenhäusler Hans-Bernd
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Stauber Rudolf
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- Abstract:
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The aim of this study was to examine the association of depressive symptoms with asymmetric dimethylarginine (ADMA) and symmetric dimethylarginine (SDMA). Patients with chronic hepatitis C infection were examined during interferon-α (IFN-α) treatment, which is often associated with treatment-induced depression. The associations between IFN-α-induced depressive symptoms with ADMA and SDMA levels were prospectively investigated until 3 months after treatment.
Psychiatric and biological assessments were obtained at six different time points: before, during (at 1, 3, 6, and 9 months), and after the end of IFN-α treatment.
During IFN-α treatment, 22 (53.7%) patients fulfilled the criteria for a treatment-related depressive disorder at least once during treatment. The increase in ADMA levels from baseline (depression group: 0.63 [0.08] μM, no depression group: 0.69 [0.08] μM) in response to IFN-α treatment was considerably higher in patients with IFN-α treatment-induced depressive episodes compared with patients without treatment-induced depressive episodes (3 months after the start of treatment: depression group: 0.72 [0.08] μM, no depression group: 0.72 [0.11] μM; ADMA: repeated-measure design analysis of variance [time × depression]: F(5,151) = 2.446, p = .036). The increase in SDMA was not associated with treatment-induced depression.
Depression in response to IFN-α treatment is associated with elevated ADMA levels. These findings are relevant to nitric oxide-related biological pathways linking depression to increased cardiovascular disease risk. Future studies are needed to clarify the role of serotonin in these pathways and may lead to preventative treatment strategies.
- Find related publications in this database (using NLM MeSH Indexing)
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Adult -
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Analysis of Variance -
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Antiviral Agents - adverse effects Antiviral Agents - therapeutic use
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Arginine - analogs & derivatives Arginine - metabolism
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Cardiovascular Diseases - epidemiology Cardiovascular Diseases - metabolism
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Chromatography, Liquid -
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Depression - chemically induced Depression - epidemiology Depression - metabolism
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Depressive Disorder - chemically induced Depressive Disorder - epidemiology Depressive Disorder - metabolism
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Drug Therapy, Combination -
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Female -
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Hepatitis C, Chronic - drug therapy Hepatitis C, Chronic - metabolism Hepatitis C, Chronic - psychology
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Humans -
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Interferon-alpha - adverse effects Interferon-alpha - therapeutic use
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Male -
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Nitric Oxide Synthase - antagonists & inhibitors
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Prospective Studies -
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Psychiatric Status Rating Scales - statistics & numerical data
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Regression Analysis -
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Ribavirin - therapeutic use
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Risk Factors -
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Time Factors -
- Find related publications in this database (Keywords)
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hepatitis C
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IFN-alpha
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depression
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asymmetric dimethylarginine
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symmetric dimethylarginine
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cardiovascular risk