2020
DOI: 10.3389/fpsyt.2020.569612
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Metabolic Profiling in Bipolar Disorder Patients During Depressive Episodes

Abstract: Bipolar disorder (BD) is a common and debilitating mental disorder. Bipolar depression is the main episode of BD. Furthermore, there are no objective biomarkers available for diagnosing the disorder. In this research, a Nuclear Magnetic Resonance (NMR) spectroscopy based on a metabonomics technique was used to analyze serum samples from 37 patients with bipolar depression and 48 healthy control participants to determine potential biomarkers for bipolar depression. In total, seven different metabolites were ide… Show more

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Cited by 13 publications
(10 citation statements)
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“…Changes in these biomarkers obviously confirmed the alteration of amino-acids metabolism, TCA cycle, and glycolysis. When the glucose metabolism is disturbed for supplying energy, other sources are used by tissues [ 24 , 25 , 26 , 27 , 28 ]. For the first time, our results showed an alteration of mannose, C-2 epimer of glucose, which also plays a role in energy generation.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Changes in these biomarkers obviously confirmed the alteration of amino-acids metabolism, TCA cycle, and glycolysis. When the glucose metabolism is disturbed for supplying energy, other sources are used by tissues [ 24 , 25 , 26 , 27 , 28 ]. For the first time, our results showed an alteration of mannose, C-2 epimer of glucose, which also plays a role in energy generation.…”
Section: Discussionmentioning
confidence: 99%
“…Blood and urine samples can be obtained at minimal risk and cost; they are easily accessible and ideal for the identification and determination of new biomarkers [ 18 ]. In the last decade, a panel of potential biomarkers was explored and identified in biological fluids (blood, urine, cerebrospinal fluid) of BD patients applying 1 H-NMR-based metabolomics [ 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 ]. Reported metabolomics studies demonstrated that diverse BD metabolites are connected with their altered biochemical pathways, including mitochondrial/energy metabolism, oxidative stress, amino acid metabolism, and lipid metabolism.…”
Section: Introductionmentioning
confidence: 99%
“…Glucose is the main source of energy, and in our results, D-glucose was decreased in the model group, Frontiers in Cell and Developmental Biology frontiersin.org implying disturbed energy metabolism. Also, energy deficiency leads to the most common depressive symptoms, including decreased activity, physical fatigue, and slowed cognitive function (Ren et al, 2020). Abnormal glucose metabolism in depression is proven to be associated with suicide risk, which may be related to the cytokine-mediated inflammatory process (Koponen et al, 2015).…”
Section: Figurementioning
confidence: 99%
“…BD biomarkers in blood, serum, urine, and plasma have been probed using proton nuclear magnetic resonance ( 1 H NMR)(16-18), gas chromatography-mass spectrometry (19), and in vivo brain imaging experiments (20,21). Signi cant metabolic markers, such as α-hydroxybutyrate, choline, and isobutyrate, among others, can differentiate patients with BD from healthy individuals (22)(23)(24)(25) . However, little information on the biomarkers associated with NSSI is available.…”
Section: Introductionmentioning
confidence: 99%