TY - JOUR
T1 - Relationship between immunometabolic status and cognitive performance among major depression disorder patients
AU - Sánchez-Carro, Yolanda
AU - de la Torre-Luque, Alejandro
AU - Portella Moll, Maria Jesús
AU - Leal-Leturia, Itziar
AU - Salvat-Pujol, Neus
AU - Massaneda, Clara
AU - de Arriba-Arnau, Aida
AU - Urretavizcaya, Mikel
AU - Peretó, Mar
AU - Toll, Alba
AU - Martínez-Ruiz, Antonio
AU - Ferreiros-Martinez, Raquel
AU - Álvarez, Pilar
AU - Soria, Virginia
AU - López-García, Pilar
PY - 2022
Y1 - 2022
N2 - Background: Alterations in cognitive performance have been described in patients with major depressive disorder (MDD). However, the specific risk factors of these changes are not yet known. This study aimed to explore whether inmunometabolic parameters are related to cognitive performance in MDD in comparison to healthy controls (HC) Methods: Sample consisted of 84 MDD patients and 78 HC. Both groups were compared on the results of cognitive performance measured with the Cambridge Neuropsychological Test Automated Battery (CANTAB), the presence of metabolic syndrome (MetS) and an inflammatory/oxidative index calculated by a principal component analysis of peripheral biomarkers (tumor necrosis factor, C-reactive protein and 4-hydroxynonenal). A multiple linear regression was carried out, to study the relationship between inmunometabolic variables and the global cognitive performance, being the latter the dependent variable. Results: Significant differences were obtained in the inflammatory/oxidative index between both groups (F= 12.93; p <.001), also in cognitive performance (F= 56.75; p <.001). The inmunometabolic covariate regression model (i.e., condition (HC/MDD), sex, age and medication loading, MetS, inflammatory/oxidative index and the interaction between MetS and inflammatory/oxidative index) was statistically significant (F= 11.24; p <.01) and explained 31% of variance. The condition, being either MDD or HD, (B=˗0.97; p <.001), age (B=˗0.28; p <.001) and the interaction between inflammatory/oxidative index and MetS (B=˗0.38; p =.02) were factors associated to cognitive performance. Limitations: Sample size was relatively small. The cross-sectional design of the study limits the possibilities of analysis. Conclusions: Our results provide evidence on the conjoint influence of metabolic and inflammatory dysregulation on cognitive dysfunction in MDD patients. In this way, our study opens a line of research in immunometabolic agents to deal with cognitive decline associated with MDD.
AB - Background: Alterations in cognitive performance have been described in patients with major depressive disorder (MDD). However, the specific risk factors of these changes are not yet known. This study aimed to explore whether inmunometabolic parameters are related to cognitive performance in MDD in comparison to healthy controls (HC) Methods: Sample consisted of 84 MDD patients and 78 HC. Both groups were compared on the results of cognitive performance measured with the Cambridge Neuropsychological Test Automated Battery (CANTAB), the presence of metabolic syndrome (MetS) and an inflammatory/oxidative index calculated by a principal component analysis of peripheral biomarkers (tumor necrosis factor, C-reactive protein and 4-hydroxynonenal). A multiple linear regression was carried out, to study the relationship between inmunometabolic variables and the global cognitive performance, being the latter the dependent variable. Results: Significant differences were obtained in the inflammatory/oxidative index between both groups (F= 12.93; p <.001), also in cognitive performance (F= 56.75; p <.001). The inmunometabolic covariate regression model (i.e., condition (HC/MDD), sex, age and medication loading, MetS, inflammatory/oxidative index and the interaction between MetS and inflammatory/oxidative index) was statistically significant (F= 11.24; p <.01) and explained 31% of variance. The condition, being either MDD or HD, (B=˗0.97; p <.001), age (B=˗0.28; p <.001) and the interaction between inflammatory/oxidative index and MetS (B=˗0.38; p =.02) were factors associated to cognitive performance. Limitations: Sample size was relatively small. The cross-sectional design of the study limits the possibilities of analysis. Conclusions: Our results provide evidence on the conjoint influence of metabolic and inflammatory dysregulation on cognitive dysfunction in MDD patients. In this way, our study opens a line of research in immunometabolic agents to deal with cognitive decline associated with MDD.
KW - Cognitive performance
KW - Inflammation, oxidative stress
KW - Major depressive disorder
KW - Metabolic Syndrome
U2 - 10.1016/j.psyneuen.2021.105631
DO - 10.1016/j.psyneuen.2021.105631
M3 - Article
C2 - 34929555
SN - 0306-4530
VL - 137
JO - Psychoneuroendocrinology
JF - Psychoneuroendocrinology
ER -