1. Tryptophan-kynurenine metabolism: a link between the gut and brain for depression in inflammatory bowel disease
- Author
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Li Ming Chen, Yan Huang, Di Wang, Huan Gan Wu, Chun Hui Bao, Lu Yi Wu, Yu Wu, Shi Hua Liang, and Hui Rong Liu
- Subjects
medicine.medical_specialty ,Abdominal pain ,Immunology ,Population ,Review ,Disease ,Gastroenterology ,Inflammatory bowel disease ,IDO ,03 medical and health sciences ,Cellular and Molecular Neuroscience ,chemistry.chemical_compound ,0302 clinical medicine ,Internal medicine ,Brain-Gut Axis ,medicine ,The brain-gut axis ,Animals ,Humans ,Indoleamine-Pyrrole 2,3,-Dioxygenase ,education ,RC346-429 ,Kynurenine ,Depression (differential diagnoses) ,Inflammation ,education.field_of_study ,business.industry ,Depression ,General Neuroscience ,Tryptophan ,Quinolinic Acid ,Inflammatory Bowel Diseases ,Prognosis ,medicine.disease ,Ulcerative colitis ,digestive system diseases ,Diarrhea ,Neurology ,chemistry ,Quality of Life ,030211 gastroenterology & hepatology ,Tryptophan-kynurenine metabolic pathway ,Neurology. Diseases of the nervous system ,medicine.symptom ,business ,030217 neurology & neurosurgery ,Signal Transduction ,Quinolinic acid - Abstract
Inflammatory bowel disease (IBD), which mainly includes ulcerative colitis (UC) and Crohn's disease (CD), is a group of chronic bowel diseases that are characterized by abdominal pain, diarrhea, and bloody stools. IBD is strongly associated with depression, and its patients have a higher incidence of depression than the general population. Depression also adversely affects the quality of life and disease prognosis of patients with IBD. The tryptophan-kynurenine metabolic pathway degrades more than 90% of tryptophan (TRP) throughout the body, with indoleamine 2,3-dioxygenase (IDO), the key metabolic enzyme, being activated in the inflammatory environment. A series of metabolites of the pathway are neurologically active, among which kynerunic acid (KYNA) and quinolinic acid (QUIN) are molecules of great interest in recent studies on the mechanisms of inflammation-induced depression. In this review, the relationship between depression in IBD and the tryptophan-kynurenine metabolic pathway is overviewed in the light of recent publications.
- Published
- 2021