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Erschienen in: European Archives of Psychiatry and Clinical Neuroscience 5/2008

01.08.2008 | ORIGINAL PAPER

Investigation of serum high-sensitive C-reactive protein levels across all mood states in bipolar disorder

verfasst von: Ângelo B. Cunha, Ana C. Andreazza, Fabiano A. Gomes, Benicio N. Frey, Leonardo E. da Silveira, Carlos A. Gonçalves, Flávio Kapczinski

Erschienen in: European Archives of Psychiatry and Clinical Neuroscience | Ausgabe 5/2008

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Abstract

There has been an increasing interest in the role of the immune and inflammatory systems in mood disorders. Mood episodes are associated with changes in acute phase proteins such as high-sensitivity C-reactive protein (hsCRP). The present study investigated serum hsCRP in manic, depressed, and euthymic BD patients as compared to matched healthy controls. Serum hsCRP was assessed using an ultrasensitive assay of particle-enhanced immunoturbidimetric latex agglutination. Serum hsCRP levels were increased in manic BD patients, as compared to euthymic, depressed patients and healthy controls (P < 0.001). These findings add to the notion that changes in the inflammatory system take place during acute episodes of mania.
Literatur
1.
Zurück zum Zitat Andreazza AC, Cassini C, Rosa AR, Leite MC, de Almeida LM, Nardin P, Cunha AB, Cereser KM, Santin A, Gottfried C, Salvador M, Kapczinski F, Gonçalves CA (2007) Serum S100B and antioxidant enzymes in bipolar patients. J Psychiatry Res 41:523–529CrossRef Andreazza AC, Cassini C, Rosa AR, Leite MC, de Almeida LM, Nardin P, Cunha AB, Cereser KM, Santin A, Gottfried C, Salvador M, Kapczinski F, Gonçalves CA (2007) Serum S100B and antioxidant enzymes in bipolar patients. J Psychiatry Res 41:523–529CrossRef
2.
Zurück zum Zitat Arcoleo F, Milano S, D’Agostino P, Misiano G, Cappelletti S, Gromo G, Marcucci F, Leoni F, Cillari E (1997) Effect of partially modified retro-inverso analogues derived from C-reactive protein on the induction of nitric oxide synthesis in peritoneal macrophages. Br J Pharmacol 120:1383–1389PubMedCrossRef Arcoleo F, Milano S, D’Agostino P, Misiano G, Cappelletti S, Gromo G, Marcucci F, Leoni F, Cillari E (1997) Effect of partially modified retro-inverso analogues derived from C-reactive protein on the induction of nitric oxide synthesis in peritoneal macrophages. Br J Pharmacol 120:1383–1389PubMedCrossRef
3.
Zurück zum Zitat Baptista T, Davila A, El Fakih Y, Uzcategui E, Rangel NN, Olivares Y, Galeazzi T, Vargas D, Pena R, Marquina D, Villarroel V, Teneud L, Beaulieu S (2007) Similar frequency of abnormal correlation between serum leptin levels and BMI before and after olanzapine treatment in schizophrenia. Int Clin Psychopharmacol 22:205–211PubMedCrossRef Baptista T, Davila A, El Fakih Y, Uzcategui E, Rangel NN, Olivares Y, Galeazzi T, Vargas D, Pena R, Marquina D, Villarroel V, Teneud L, Beaulieu S (2007) Similar frequency of abnormal correlation between serum leptin levels and BMI before and after olanzapine treatment in schizophrenia. Int Clin Psychopharmacol 22:205–211PubMedCrossRef
5.
Zurück zum Zitat Carlson NG, Wieggel WA, Chen J, Bacchi A, Rogers SW, Gahring LC (1999) Inflammatory cytokines IL-1 alpha, IL-1 beta, IL-6, and TNF-alpha impart neuroprotection to an excitotoxin through distinct pathways. J Immunol 163:3963–3968PubMed Carlson NG, Wieggel WA, Chen J, Bacchi A, Rogers SW, Gahring LC (1999) Inflammatory cytokines IL-1 alpha, IL-1 beta, IL-6, and TNF-alpha impart neuroprotection to an excitotoxin through distinct pathways. J Immunol 163:3963–3968PubMed
6.
Zurück zum Zitat Cunha AB, Frey BN, Andreazza AC, Goi JD, Rosa AR, Goncalves CA, Santin A, Kapczinski F (2006) Serum brain-derived neurotrophic factor is decreased in bipolar disorder during depressive and manic episodes. Neurosci Lett 398: 215–219PubMedCrossRef Cunha AB, Frey BN, Andreazza AC, Goi JD, Rosa AR, Goncalves CA, Santin A, Kapczinski F (2006) Serum brain-derived neurotrophic factor is decreased in bipolar disorder during depressive and manic episodes. Neurosci Lett 398: 215–219PubMedCrossRef
7.
Zurück zum Zitat Ferranti SD de, Rifai N (2007) C-reactive protein: a nontraditional serum marker of cardiovascular risk. Cardiovasc Pathol 16:14–21PubMedCrossRef Ferranti SD de, Rifai N (2007) C-reactive protein: a nontraditional serum marker of cardiovascular risk. Cardiovasc Pathol 16:14–21PubMedCrossRef
8.
Zurück zum Zitat Dickerson F, Stallings C, Origoni A, Boronow J, Yolken R (2007) Elevated serum levels of C-reactive protein are associated with mania symptoms in outpatients with bipolar disorder. Prog Neuropsychopharmacol Biol Psychiatry 31:952–955PubMedCrossRef Dickerson F, Stallings C, Origoni A, Boronow J, Yolken R (2007) Elevated serum levels of C-reactive protein are associated with mania symptoms in outpatients with bipolar disorder. Prog Neuropsychopharmacol Biol Psychiatry 31:952–955PubMedCrossRef
9.
Zurück zum Zitat Dohi Y, Takase H, Sato K, Ueda R (2007) Association among C-reactive protein, oxidative stress, and traditional risk factors in healthy Japanese subjects. Int J Cardiol 115:63–66PubMedCrossRef Dohi Y, Takase H, Sato K, Ueda R (2007) Association among C-reactive protein, oxidative stress, and traditional risk factors in healthy Japanese subjects. Int J Cardiol 115:63–66PubMedCrossRef
10.
Zurück zum Zitat Eda S, Kaufmann J, Roos W, Pohl S (1998) Development of a new microparticle-enhanced turbidimetric assay for C-reactive protein with superior features in analytical sensitivity and dynamic range. J Clin Lab Anal 12:137–144PubMedCrossRef Eda S, Kaufmann J, Roos W, Pohl S (1998) Development of a new microparticle-enhanced turbidimetric assay for C-reactive protein with superior features in analytical sensitivity and dynamic range. J Clin Lab Anal 12:137–144PubMedCrossRef
11.
Zurück zum Zitat First MB, Spitzer RL, Gibbon M, Williams JB (1998) Structured clinical interview for DSM-IV (SCID-I). Biomedics Research Department, New York First MB, Spitzer RL, Gibbon M, Williams JB (1998) Structured clinical interview for DSM-IV (SCID-I). Biomedics Research Department, New York
12.
Zurück zum Zitat Ford DE, Erlinger TP (2004) Depression and C-reactive protein in US adults: data from the Third National Health and Nutrition Examination Survey. Arch Intern Med 164:1010–1014PubMedCrossRef Ford DE, Erlinger TP (2004) Depression and C-reactive protein in US adults: data from the Third National Health and Nutrition Examination Survey. Arch Intern Med 164:1010–1014PubMedCrossRef
13.
Zurück zum Zitat Frey BN, Andreazza AC, Kunz M, Gomes FA, Quevedo J, Salvador M, Goncalves CA, Kapczinski F (2007) Increased oxidative stress and DNA damage in bipolar disorder: a twin-case report. Progr Neuropsychopharmacol Biol Psychiatry 31:283–285CrossRef Frey BN, Andreazza AC, Kunz M, Gomes FA, Quevedo J, Salvador M, Goncalves CA, Kapczinski F (2007) Increased oxidative stress and DNA damage in bipolar disorder: a twin-case report. Progr Neuropsychopharmacol Biol Psychiatry 31:283–285CrossRef
14.
Zurück zum Zitat Hamilton M (1960) A rating scale for depression. J Neurol Neurosurg Psychiatry 23:56–62PubMed Hamilton M (1960) A rating scale for depression. J Neurol Neurosurg Psychiatry 23:56–62PubMed
15.
Zurück zum Zitat Hohlfeld R (2007) Does inflammation stimulate remyelination? J Neurol 254(Suppl 1):I47–I54CrossRef Hohlfeld R (2007) Does inflammation stimulate remyelination? J Neurol 254(Suppl 1):I47–I54CrossRef
16.
Zurück zum Zitat Hornig M, Goodman DB, Kamoun M, Amsterdam JD (1998) Positive and negative acute phase proteins in affective subtypes. J Affect Disord 49:9–18PubMedCrossRef Hornig M, Goodman DB, Kamoun M, Amsterdam JD (1998) Positive and negative acute phase proteins in affective subtypes. J Affect Disord 49:9–18PubMedCrossRef
17.
Zurück zum Zitat Huang TL, Lin FC (2007) High-sensitivity C-reactive protein levels in patients with major depressive disorder and bipolar mania. Progr Neuropsychopharmacol Biol Psychiatry 31:370–372CrossRef Huang TL, Lin FC (2007) High-sensitivity C-reactive protein levels in patients with major depressive disorder and bipolar mania. Progr Neuropsychopharmacol Biol Psychiatry 31:370–372CrossRef
18.
Zurück zum Zitat Ikeda U, Maeda Y, Yamamoto K, Shimada K (2002) C-reactive protein augments inducible nitric oxide synthase expression in cytokine-stimulated cardiac myocytes. Cardiovasc Res 56:86–92PubMedCrossRef Ikeda U, Maeda Y, Yamamoto K, Shimada K (2002) C-reactive protein augments inducible nitric oxide synthase expression in cytokine-stimulated cardiac myocytes. Cardiovasc Res 56:86–92PubMedCrossRef
19.
Zurück zum Zitat Kim SH, Smith CJ, Van Eldik LJ (2004) Importance of MAPK pathways for microglial pro-inflammatory cytokine IL-1 beta production. Neurobiol Aging 25:431–439PubMedCrossRef Kim SH, Smith CJ, Van Eldik LJ (2004) Importance of MAPK pathways for microglial pro-inflammatory cytokine IL-1 beta production. Neurobiol Aging 25:431–439PubMedCrossRef
20.
Zurück zum Zitat Kim YK, Jung HG, Myint AM, Kim H, Park SH (2007) Imbalance between pro-inflammatory and anti-inflammatory cytokines in bipolar disorder. J. Affect Disord (in press) Kim YK, Jung HG, Myint AM, Kim H, Park SH (2007) Imbalance between pro-inflammatory and anti-inflammatory cytokines in bipolar disorder. J. Affect Disord (in press)
21.
Zurück zum Zitat Kuo HK, Yen CJ, Chang CH, Kuo CK, Chen JH, Sorond F (2005) Relation of C-reactive protein to stroke, cognitive disorders, and depression in the general population: systematic review and meta-analysis. Lancet Neurol 4:371–380PubMedCrossRef Kuo HK, Yen CJ, Chang CH, Kuo CK, Chen JH, Sorond F (2005) Relation of C-reactive protein to stroke, cognitive disorders, and depression in the general population: systematic review and meta-analysis. Lancet Neurol 4:371–380PubMedCrossRef
22.
23.
Zurück zum Zitat Legros S, Mendlewicz J, Wybran J (1985) Immunoglobulins, autoantibodies, other serum protein fractions in psychiatric disorders. Eur Arch Psychiatry Neurol Sci 235:9–11PubMedCrossRef Legros S, Mendlewicz J, Wybran J (1985) Immunoglobulins, autoantibodies, other serum protein fractions in psychiatric disorders. Eur Arch Psychiatry Neurol Sci 235:9–11PubMedCrossRef
24.
Zurück zum Zitat Machado-Vieira R, Lara DR, Portela LV, Goncalves CA, Soares JC, Kapczinski F, Souza DO (2002) Elevated serum S100B protein in drug-free bipolar patients during first manic episode: a pilot study. Eur Neuropsychopharmacol 12:269–272PubMedCrossRef Machado-Vieira R, Lara DR, Portela LV, Goncalves CA, Soares JC, Kapczinski F, Souza DO (2002) Elevated serum S100B protein in drug-free bipolar patients during first manic episode: a pilot study. Eur Neuropsychopharmacol 12:269–272PubMedCrossRef
25.
Zurück zum Zitat Newcomer JW (2006) Medical risk in patients with bipolar disorder and schizophrenia. J Clin Psychiatry 67(Suppl 9):25–30PubMed Newcomer JW (2006) Medical risk in patients with bipolar disorder and schizophrenia. J Clin Psychiatry 67(Suppl 9):25–30PubMed
26.
Zurück zum Zitat O’Brien SM, Scott LV, Dinan TG (2006) Antidepressant therapy and C-reactive protein levels. Br J Psychiatry 188:449–452PubMedCrossRef O’Brien SM, Scott LV, Dinan TG (2006) Antidepressant therapy and C-reactive protein levels. Br J Psychiatry 188:449–452PubMedCrossRef
27.
Zurück zum Zitat O’Brien SM, Scully P, Scott LV, Dinan TG (2006) Cytokine profiles in bipolar affective disorder: focus on acutely ill patients. J Affect Disord 90:263–267PubMedCrossRef O’Brien SM, Scully P, Scott LV, Dinan TG (2006) Cytokine profiles in bipolar affective disorder: focus on acutely ill patients. J Affect Disord 90:263–267PubMedCrossRef
28.
Zurück zum Zitat Ortiz-Dominguez A, Hernandez ME, Berlanga C, Gutierrez-Mora D, Moreno J, Heinze G, Pavon L (2007) Immune variations in bipolar disorder: phasic differences. Bipolar Disord 9:596–602PubMedCrossRef Ortiz-Dominguez A, Hernandez ME, Berlanga C, Gutierrez-Mora D, Moreno J, Heinze G, Pavon L (2007) Immune variations in bipolar disorder: phasic differences. Bipolar Disord 9:596–602PubMedCrossRef
29.
Zurück zum Zitat Ozcan ME, Gulec M, Ozerol E, Polat R, Akyol O (2004) Antioxidant enzyme activities and oxidative stress in affective disorders. Int Clin Psychopharmacol 19:89–95PubMedCrossRef Ozcan ME, Gulec M, Ozerol E, Polat R, Akyol O (2004) Antioxidant enzyme activities and oxidative stress in affective disorders. Int Clin Psychopharmacol 19:89–95PubMedCrossRef
30.
Zurück zum Zitat Ranjekar PK, Hinge A, Hegde MV, Ghate M, Kale A, Sitasawad S, Wagh UV, Debsikdar VB, Mahadik SP (2003) Decreased antioxidant enzymes and membrane essential polyunsaturated fatty acids in schizophrenic and bipolar mood disorder patients. Psychiatry Res 121:109–122PubMedCrossRef Ranjekar PK, Hinge A, Hegde MV, Ghate M, Kale A, Sitasawad S, Wagh UV, Debsikdar VB, Mahadik SP (2003) Decreased antioxidant enzymes and membrane essential polyunsaturated fatty acids in schizophrenic and bipolar mood disorder patients. Psychiatry Res 121:109–122PubMedCrossRef
31.
Zurück zum Zitat Ratnam S, Mookerjea S (1998) The regulation of superoxide generation and nitric oxide synthesis by C-reactive protein. Immunology 94:560–568PubMedCrossRef Ratnam S, Mookerjea S (1998) The regulation of superoxide generation and nitric oxide synthesis by C-reactive protein. Immunology 94:560–568PubMedCrossRef
32.
Zurück zum Zitat Rosa AR, Frey BN, Andreazza AC, Cereser KM, Cunha AB, Quevedo J, Santin A, Gottfried C, Goncalves CA, Vieta E, Kapczinski F (2006) Increased serum glial cell line-derived neurotrophic factor immunocontent during manic and depressive episodes in individuals with bipolar disorder. Neurosci Lett 407:146–150PubMedCrossRef Rosa AR, Frey BN, Andreazza AC, Cereser KM, Cunha AB, Quevedo J, Santin A, Gottfried C, Goncalves CA, Vieta E, Kapczinski F (2006) Increased serum glial cell line-derived neurotrophic factor immunocontent during manic and depressive episodes in individuals with bipolar disorder. Neurosci Lett 407:146–150PubMedCrossRef
33.
Zurück zum Zitat Savas HA, Gergerlioglu HS, Armutcu F, Herken H, Yilmaz HR, Kocoglu E, Selek S, Tutkun H, Zoroglu SS, Akyol O (2006) Elevated serum nitric oxide and superoxide dismutase in euthymic bipolar patients: impact of past episodes. World J Biol Psychiatry 7:51–55PubMedCrossRef Savas HA, Gergerlioglu HS, Armutcu F, Herken H, Yilmaz HR, Kocoglu E, Selek S, Tutkun H, Zoroglu SS, Akyol O (2006) Elevated serum nitric oxide and superoxide dismutase in euthymic bipolar patients: impact of past episodes. World J Biol Psychiatry 7:51–55PubMedCrossRef
34.
Zurück zum Zitat Schmidt R, Schmidt H, Curb JD, Masaki K, White LR, Launer LJ (2002) Early inflammation and dementia: a 25-year follow-up of the Honolulu Asia Aging Study. Ann Neurol 52:168–174PubMedCrossRef Schmidt R, Schmidt H, Curb JD, Masaki K, White LR, Launer LJ (2002) Early inflammation and dementia: a 25-year follow-up of the Honolulu Asia Aging Study. Ann Neurol 52:168–174PubMedCrossRef
35.
Zurück zum Zitat Sen J, Belli A (2007) S100B in neuropathologic states: the CRP of the brain? J Neurosci Res 85:1373–1380PubMedCrossRef Sen J, Belli A (2007) S100B in neuropathologic states: the CRP of the brain? J Neurosci Res 85:1373–1380PubMedCrossRef
36.
Zurück zum Zitat Sluzewska A, Sobieska M, Rybakowski JK (1997) Changes in acute-phase proteins during lithium potentiation of antidepressants in refractory depression. Neuropsychobiology 35:123– 127PubMedCrossRef Sluzewska A, Sobieska M, Rybakowski JK (1997) Changes in acute-phase proteins during lithium potentiation of antidepressants in refractory depression. Neuropsychobiology 35:123– 127PubMedCrossRef
37.
Zurück zum Zitat Suarez EC (2004) C-reactive protein is associated with psychological risk factors of cardiovascular disease in apparently healthy adults. Psychosom Med 66:684–691PubMedCrossRef Suarez EC (2004) C-reactive protein is associated with psychological risk factors of cardiovascular disease in apparently healthy adults. Psychosom Med 66:684–691PubMedCrossRef
38.
Zurück zum Zitat Sugano Y, Anzai T, Yoshikawa T, Satoh T, Iwanaga S, Hayashi T, Maekawa Y, Shimizu H, Yozu R, Ogawa S (2005) Serum C-reactive protein elevation predicts poor clinical outcome in patients with distal type acute aortic dissection: association with the occurrence of oxygenation impairment. Int J Cardiol 102:39–45PubMedCrossRef Sugano Y, Anzai T, Yoshikawa T, Satoh T, Iwanaga S, Hayashi T, Maekawa Y, Shimizu H, Yozu R, Ogawa S (2005) Serum C-reactive protein elevation predicts poor clinical outcome in patients with distal type acute aortic dissection: association with the occurrence of oxygenation impairment. Int J Cardiol 102:39–45PubMedCrossRef
39.
Zurück zum Zitat Tuglu C, Kara SH, Caliyurt O, Vardar E, Abay E (2003) Increased serum tumor necrosis factor-alpha levels and treatment response in major depressive disorder. Psychopharmacology (Berl) 170:429–433CrossRef Tuglu C, Kara SH, Caliyurt O, Vardar E, Abay E (2003) Increased serum tumor necrosis factor-alpha levels and treatment response in major depressive disorder. Psychopharmacology (Berl) 170:429–433CrossRef
40.
Zurück zum Zitat Wadee AA, Kuschke RH, Wood LA, Berk M, Ichim L, Maes M (2002) Serological observations in patients suffering from acute manic episodes. Hum Psychopharmacol 17:175–179PubMedCrossRef Wadee AA, Kuschke RH, Wood LA, Berk M, Ichim L, Maes M (2002) Serological observations in patients suffering from acute manic episodes. Hum Psychopharmacol 17:175–179PubMedCrossRef
41.
Zurück zum Zitat Walz JC, Andreazza AC, Frey BN, Cacilhas AA, Cereser KM, Cunha AB, Weyne F, Stertz L, Santin A, Goncalves CA, Kapczinski F (2007) Serum neurotrophin-3 is increased during manic and depressive episodes in bipolar disorder. Neurosci Lett 415:87–89PubMedCrossRef Walz JC, Andreazza AC, Frey BN, Cacilhas AA, Cereser KM, Cunha AB, Weyne F, Stertz L, Santin A, Goncalves CA, Kapczinski F (2007) Serum neurotrophin-3 is increased during manic and depressive episodes in bipolar disorder. Neurosci Lett 415:87–89PubMedCrossRef
42.
Zurück zum Zitat Yasojima K, Schwab C, McGeer EG, McGeer PL (2000) Human neurons generate C-reactive protein and amyloid P: upregulation in Alzheimer’s disease. Brain Res 887:80–89PubMedCrossRef Yasojima K, Schwab C, McGeer EG, McGeer PL (2000) Human neurons generate C-reactive protein and amyloid P: upregulation in Alzheimer’s disease. Brain Res 887:80–89PubMedCrossRef
43.
Zurück zum Zitat Young RC, Biggs JT, Ziegler VE, Meyer DA (1978) A rating scale for mania: reliability, validity and sensitivity. Br J Psychiatry 133:429–435PubMedCrossRef Young RC, Biggs JT, Ziegler VE, Meyer DA (1978) A rating scale for mania: reliability, validity and sensitivity. Br J Psychiatry 133:429–435PubMedCrossRef
44.
Zurück zum Zitat Zarate CA Jr, Tohen M, Land M, Cavanagh S (2000) Functional impairment and cognition in bipolar disorder. Psychiatr Q 71:309–329PubMedCrossRef Zarate CA Jr, Tohen M, Land M, Cavanagh S (2000) Functional impairment and cognition in bipolar disorder. Psychiatr Q 71:309–329PubMedCrossRef
Metadaten
Titel
Investigation of serum high-sensitive C-reactive protein levels across all mood states in bipolar disorder
verfasst von
Ângelo B. Cunha
Ana C. Andreazza
Fabiano A. Gomes
Benicio N. Frey
Leonardo E. da Silveira
Carlos A. Gonçalves
Flávio Kapczinski
Publikationsdatum
01.08.2008
Verlag
D. Steinkopff-Verlag
Erschienen in
European Archives of Psychiatry and Clinical Neuroscience / Ausgabe 5/2008
Print ISSN: 0940-1334
Elektronische ISSN: 1433-8491
DOI
https://doi.org/10.1007/s00406-007-0797-0

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