1. Alterations in plasma kynurenine pathway metabolites in children and adolescents with bipolar disorder and unaffected offspring of bipolar parents: A preliminary study
- Author
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Sherin Kurian, Deborah Benevenuto, Giselli Scaini, Gabriel Rodrigo Fries, Johanna Saxena, Ramandeep Kahlon, Samira S. Valvassori, João Quevedo, Cristian Patrick Zeni, Kirti Saxena, Jair C. Soares, and Iram Kazimi
- Subjects
Adult ,Parents ,medicine.medical_specialty ,Bipolar Disorder ,Kynurenine pathway ,Adolescent ,Offspring ,Metabolite ,Kynurenic Acid ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Kynurenic acid ,Internal medicine ,Humans ,Medicine ,Bipolar disorder ,Child ,Kynurenine ,Biological Psychiatry ,Depression (differential diagnoses) ,business.industry ,Tryptophan ,medicine.disease ,030227 psychiatry ,Psychiatry and Mental health ,Endocrinology ,chemistry ,medicine.symptom ,business ,Mania ,030217 neurology & neurosurgery - Abstract
Background There has been growing scientific evidence in recent years that bipolar disorder (BD) is associated with alterations in the kynurenine (KYN) pathway. However, many of these studies have been limited by their focus on adults. Thus, this preliminary study investigated differences in the peripheral levels of KYN metabolites in children and adolescents with BD, unaffected offspring of parents with BD, and healthy controls (HCs). Methods Plasma samples were collected from 49 youths with BD, 19 bipolar offspring, and 31 HCs. Tryptophan (TRP), KYN, and kynurenic acid (KYNA) were separated using electrospray ionization. Results One-Way ANCOVA after controlling for age, gender, race, BMI-for-age, and smoking status showed that BD had lower levels of KYN, while unaffected high-risk offspring subjects had lower levels of TRP, KYN, and KYNA when compared to HCs. Moreover, we found that KYN, KYN/TRP, and KYNA/KYN levels predicted the severity of depressive symptoms, while the YMRS score was not associated with any metabolite. Conclusions In summary, this preliminary study has shown that KYN metabolites are decreased in both affected and unaffected subjects, strengthening the idea that the KYN pathway might underlie the familial risk of BD shown by high-risk offspring individuals. However, longitudinal studies are needed to examine whether the alterations observed in this study represent early markers of risk for later developing BD.
- Published
- 2020