Lower serum insulin-like growth factor 2 level in patients with bipolar disorder is associated with the severity of manic symptoms during manic episodes

Copyright © 2024 Ye, Zhao, Liu, Luo, Xiong, Zhan, Li, Wei, Chen and Yang..

Objective: Accumulating evidence has indicated that neurodevelopmental defects may underlie the pathophysiology of bipolar disorder (BD). Insulin-like growth factors (IGFs) are a family of neurotrophic factors that are essential for the survival and development of neurons. The present study aims to investigate whether IGF-2 signaling is implicated in the pathophysiological processes of BD.

Method: 50 healthy controls and 78 patients with BD, including 23 patients who diagnosed acute depressive episode and 55 patients who diagnosed acute manic episode, were recruited in this study. The 17-item Hamilton Depression Rating Scale (HAMD-17) and the Young Mania Rating Scale (YMRS) were used to assess the severity of the depressive and manic symptoms, respectively. The serum IGF-2 level was determined by an enzyme-linked immunosorbent assay (ELISA). The Kolmogorov-Smirnov and Mann-Whitney U tests were used for between-group comparisons and spearman analysis was used to analyze correlations.

Results: Patients with BD had lower serum IGF-2 levels (66.08 ± 21.22 ng/ml) when compared to healthy controls (88.72 ± 31.55 ng/ml). BD patients were divided into manic episode and depressive episode subgroups. We found that serum IGF-2 levels were reduced in both the mania and depression subgroups (mania: 67.19 ± 21.52 ng/ml, depression: 63.43 ± 20.67 ng/ml; P < 0.001), while no significant difference was observed between two groups (P > 0.05). Spearman correlation analyses revealed that the levels of serum IGF-2 were negatively correlated with the YMRS scores in BD patients (r = -0.522, P < 0.001). Furthermore, IGF-2 was found to be an independent contributor to the severity of symptoms in patients with manic episodes (B = -0.610, t = -5.299, P < 0.001).

Conclusion: Lower serum IGF-2 levels were found in BD patients and correlated with the severity of the manic symptoms in these patients during manic episodes. These results suggest that reduced IGF-2 levels might be involved in the pathophysiology of BD, and serum IGF-2 could be a peripheral biomarker for the evaluation of the severity of manic symptoms in BD patients.

Errataetall:

ErratumIn: Front Psychiatry. 2024 Apr 12;15:1408899. - PMID 38680781

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Frontiers in psychiatry - 15(2024) vom: 29., Seite 1354999

Sprache:

Englisch

Beteiligte Personen:

Ye, Shi-Yi [VerfasserIn]
Zhao, Yin [VerfasserIn]
Liu, Zhao-Bo [VerfasserIn]
Luo, Cui-Pin [VerfasserIn]
Xiong, Jian-Wen [VerfasserIn]
Zhan, Jin-Qiong [VerfasserIn]
Li, Yi-Heng [VerfasserIn]
Wei, Bo [VerfasserIn]
Chen, Chun-Nuan [VerfasserIn]
Yang, Yuan-Jian [VerfasserIn]

Links:

Volltext

Themen:

Bipolar disorder
Insulin-like growth factor-2
Journal Article
Manic symptoms
Serum
Severity

Anmerkungen:

Date Revised 29.04.2024

published: Electronic-eCollection

ErratumIn: Front Psychiatry. 2024 Apr 12;15:1408899. - PMID 38680781

Citation Status PubMed-not-MEDLINE

doi:

10.3389/fpsyt.2024.1354999

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370525272