Assessment of tryptophan metabolism and signs of depression in individuals with carbohydrate malabsorption.

Abstract:

:This prospective cross-sectional study aimed to investigate the potential association between primary-adult lactose malabsorption, fructose malabsorption, tryptophan (TRP) metabolism and the presence of depressive signs. Overall 251 patients, who were referred for lactase gene C/T-13910 polymorphism genotyping and fructose hydrogen/methane breath testing, were included. All participants filled out the Beck Depression Inventory (BDI II). Serum concentrations of tryptophan (TRP), kynurenine (KYN), kynuric acid (KYNA), and TRP competing amino acids (leucine, isoleucine, valine, phenylalanine, tyrosine) were measured by high-pressure liquid-chromatography. Logistic regression analysis was performed with lactose malabsorption, fructose malabsorption and all potential biomarkers of TRP metabolism to assess the effect on signs of depression, defined as a BDI II score > 13. Primary-adult lactose malabsorption and fructose malabsorption was detected in 65 (25.90%) and 65 (25.90%) patients, respectively. Fructose malabsorption was significantly associated with BDI II score, whereas no such relationship was found for lactose malabsorption. Serum levels of TRP and TRP metabolites were no predictors of depression. The authors suggest to conduct further prospective longitudinal studies in order to get further insight of associations between carbohydrate malabsorption, biomarkers and mood disorders.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Enko D,Wagner H,Kriegshäuser G,Brandmayr W,Halwachs-Baumann G,Schnedl WJ,Zelzer S,Mangge H,Meinitzer A

doi

10.1016/j.psychres.2017.09.049

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

595-599

eissn

0165-1781

issn

1872-7123

pii

S0165-1781(17)30933-2

journal_volume

262

pub_type

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