TY - JOUR PY - 2020// TI - Sex-dependent grades of haematopoietic modulation in patients with major depressive episodes are associated with suicide attempts JO - European Neuropsychopharmacology A1 - Martínez-Botía, Patricia A1 - Velasco, Ángela A1 - Rolle, Valeria A1 - Jimenez-Trevino, Luis A1 - de la Fuente-Tomás, Lorena A1 - Bernardo, Ángel A1 - Arias, Tamara A1 - Muñoz-Turrillas, María Del Carmen A1 - García-Alvarez, Leticia A1 - González-Blanco, Leticia A1 - Rodríguez-Revuelta, Julia A1 - García-Portilla, María Paz A1 - Courtet, Philippe A1 - Bobes, Julio A1 - Gutierrez, Laura A1 - Sáiz, Pilar Alejandra SP - ePub EP - ePub VL - ePub IS - ePub N2 - Suicide is the leading cause of non-natural death worldwide, and major depressive disorder (MDD) is the mood disorder with the highest prevalence among individuals with suicidal behaviour (SB). The role of inflammation and immunomodulation in mood disorders has raised interest in recent years, as inflammation biomarkers have been reported to be increased in mood disorder patients, suggesting a role of inflammation in their pathogenesis. The influence of inflammation on the haematopoietic production is well known; however, a comprehensive study of the haematopoietic production in patients with major depressive episodes (MDE) is lacking. We examined global haematopoietic parameters from complete blood counts (CBC) of patients with MDE, in search of prognostic patterns. MDE patients presented differences in several CBC parameters, differences that were clearly pronounced and/or significant in concurrence with suicide attempts (SA). Red and white blood cell lineage parameters were affected, suggesting general haematopoietic modulation or imbalance. We observed distinct haematological parameter changes in women versus men, with men presenting milder alterations than women. Interestingly, we found that the List of Threatening Experiences (LTE) score, but not the Childhood Trauma Questionnaire (CTQ), was associated with the haematopoietic alterations observed exclusively in women and, more importantly, served as a parameter to stratify female MDE patients based on concurrence or non-concurrence with SA. In conclusion, grades of haematopoietic modulation in MDE patients are associated with absence or presence of SA. Haematopoietic manifestations differ between men and women and, in the latter, are markedly influenced by late, and not early, traumatic events.
Language: en
LA - en SN - 0924-977X UR - http://dx.doi.org/10.1016/j.euroneuro.2020.06.006 ID - ref1 ER -