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KMID : 1118520180150020214
Psychiatry Investigation
2018 Volume.15 No. 2 p.214 ~ p.218
Evaluating the Levels of Nesfatin-1 and Ghrelin Hormones in Patients with Moderate and Severe Major Depressive Disorders
Algul Sermin

Ozcelik Oguz
Abstract
Objective: The goal of this study was to evaluate the importance of nesfatin-1, acylated and des-acylated ghrelin, which are known as energy regulatory hormones, in patients with moderate and severe major depression disorders (MDD).

Methods: Thirty patients with a moderate degree of MDD and, 30 with a severe degree of MDD were used as participants in this study. Thirty subjects without depression were enrolled as a control group. The Hamilton Depression Rating Scale was used to classify the patients with MDD. Blood samples were taken after overnight fasting. The plasma nesfatin-1, acylated ghrelin and des-acylated ghrelin levels were measured using a commercially available enzyme-linked immunosorbent assay kit.

Results: The nesfatin-1, the acylated ghrelin and the des-acylated ghrelin levels were found to be significantly higher in severe MDD (3.92¡¾0.4 ng/mL; 88.56¡¾4.1 pg/mL; 962.76¡¾67 pg/mL) as compared to moderate MDD (2.91¡¾0.5 ng/mL; 77.63¡¾4.19 pg/mL; 631.16¡¾35 pg/mL), or the control (1.01¡¾0.3 ng/mL; 58.60¡¾9.00 pg/mL; 543.13¡¾62 pg/mL), respectively.

Conclusion: Although nesfatin-1 and ghrelin are known as adversely affecting the hormones involving the regulation of appetite and food intake, they all increase in depressive patients and are even associated with the severity of the disease. In clinical medicine, the evaluation of the role of nesfatin-1 and ghrelin in endocrine and neu-roendocrine regulation of major metabolic functions is an important key mechanism in solving numerous diseases associated with endocrine and neuroendocrine disturbance. Increased levels of nesfatin-1 and ghrelin may also be important criteria in describing the prognoses of the patients and the effectiveness of the treatments.
KEYWORD
Nesfatin-1, Acylated ghrelin, Des-acylated ghrelin, Major depression disorders
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