TY - JOUR PY - 2023// TI - Probing the association between cognition, suicidal behavior and tryptophan metabolism in a sample of individuals living with bipolar disorder: a secondary analysis JO - Brain sciences A1 - Arru, Laura A1 - Guiso, Beatrice A1 - Garzilli, Mario A1 - Congiu, Donatella A1 - Bertazzo, Antonella A1 - Manchia, Mirko A1 - Comai, Stefano A1 - Carpiniello, Bernardo A1 - Pinna, Federica A1 - Corrias, Carolina A1 - Nasini, Sofia A1 - Sut, Stefania A1 - Dall'Acqua, Stefano A1 - Meloni, Anna A1 - Pisanu, Claudia A1 - Squassina, Alessio A1 - Paribello, Pasquale A1 - Somaini, Giulia A1 - Pinna, Ilaria A1 - Iaselli, Maria Novella A1 - Pulcinelli, Vittoria A1 - Suprani, Federico SP - EP - VL - 13 IS - 4 N2 - Background and Objectives: Alterations in hot cognition and in the tryptophan metabolism through serotonin (5-HT) and kynurenine (KYN) pathways have been associated with an increased risk of suicidal behavior. Here, we aim at probing the association between Stroop test performances and tryptophan pathway components in a sample of individuals with bipolar disorder (BD).

MATERIALS AND METHODS: We explored the association between the Emotion Inhibition Subtask (EIS) performances of the Brief Assessment of Cognition for Affective Disorders (BAC-A) and plasmatic levels of 5-hydroxytriptophan (5-HTP), 5-HT, KYN, 3-hydroxykynurenine (3-HK), quinolinic acid (QA), and kynurenic acid (KYNA) among subjects reporting lifetime suicide ideation (LSI) vs. non-LSI and subjects reporting lifetime suicide attempts (LSA) vs. non-LSA.

RESULTS: In a sample of 45 subjects with BD, we found a statistically significant different performance for LSA vs. non-LSA in the color naming (CN) and neutral words (NW) EIS subtasks. There was a significant association between CN performances and plasma 5-HTP levels among LSI and LSA subjects but not among non-LSI or non-LSA.

CONCLUSIONS: In our sample, patients with LSA and LSI presented lower performances on some EIS subtasks compared to non-LSA and non-LSI. Moreover, we found an inverse correlation between plasma 5-HTP concentration and some EIS performances in LSA and LSI but not among non-LSA or non-LSI. This may represent an interesting avenue for future studies probing this complex association.

Language: en

LA - en SN - 2076-3425 UR - http://dx.doi.org/10.3390/brainsci13040693 ID - ref1 ER -