Abstract:
:We have previously demonstrated an impairment of intraplatelet L-arginine-nitric oxide-cGMP pathway in major depression (MD) associated to platelet dysfunction. Here, we evaluated arginase pathway and phosphodiesterase 5 (PDE5) expression in platelets, systemic and intraplatelet oxidative status in untreated MD patients, and their effects on platelet aggregation. Blood samples were collected from 22 treatment naive MD patients (31 ± 2 yr) and 27 healthy subjects (33 ± 2 yr). MD patients presented with an activation of platelet arginase II, which competes with L-arginine for the production of nitric oxide (NO). An increase in protein carbonylation, overexpression of NADPH oxidase and PDE5, an enzyme that inactivates cGMP, was observed in platelets from MD patients compared to controls. In this context, platelet hyperaggregability was found in MD patients. On the other hand, antioxidant enzymes catalase, glutathione peroxidase and superoxide dismutase activities in serum and in platelets did not differ between groups. The increased activation of intraplatelet arginase and platelet aggregability, in addition to an overexpression of PDE5 and oxidative stress may contribute to alterations in L-arginine-NO-cGMP pathway and in platelet function, and consequently to the increased thrombotic risk in MD.
journal_name
J Psychiatr Resjournal_title
Journal of psychiatric researchauthors
Ormonde do Carmo MB,Mendes-Ribeiro AC,Matsuura C,Pinto VL,Mury WV,Pinto NO,Moss MB,Ferraz MR,Brunini TMdoi
10.1016/j.jpsychires.2014.12.009subject
Has Abstractpub_date
2015-02-01 00:00:00pages
19-24eissn
0022-3956issn
1879-1379pii
S0022-3956(14)00350-1journal_volume
61pub_type
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