Essential elements in depression and anxiety. Part I

Pharmacological Reports - Tập 66 - Trang 534-544 - 2014
Katarzyna Młyniec1,2, Claire Linzi Davies3, Irene Gómez de Agüero Sánchez4, Karolina Pytka5, Bogusława Budziszewska1,2, Gabriel Nowak2,6
1Department of Biochemical Toxicology, Jagiellonian University Collegium Medicum, Kraków, Poland
2Polish Academy of Sciences, Institute of Pharmacology, Kraków, Poland
3Neurobiology Division, The Roslin Institute & Royal (Dick) School of Veterinary Studies University of Edinburgh, UK
4Department of Pharmaceutical Technology, University of Madrid, Madrid, Spain
5Department of Pharmacodynamics, Jagiellonian University, Medical College, Kraków, Poland
6Department of Pharmacobiology, Jagiellonian University Medical College, Kraków, Poland

Tóm tắt

Essential elements are very important for the proper functioning of the human body. They are required for fundamental life processes such as cell division and differentiation and protein synthesis. Thus a deficiency of these essential elements is associated with an enormous health risk that can ultimately lead to death. In recent years, studies have provided valuable information on the involvement of essential elements in psychiatric disorders, in particular depression and anxiety. There is strong evidence indicating that deficiency of essential elements can lead to the development of depressive and/or anxiogenic behaviour and supplementation can enhance therapeutic effect of antidepressants and anxiolytics. This review presents the most important results from preclinical and clinical studies showing involvement of essential elements such as zinc, magnesium, lithium, iron, calcium and chromium in depression and anxiety. From these studies it is evident that different types of depression and anxiety respond to treatment at different receptors indicating that the underlying mechanisms are slightly different. Furthermore, administration of low dose antidepressants supplemented with an element is effective and can reduce unwanted side effects in different types of depression/anxiety.

Tài liệu tham khảo

Maes M, D’Haese PC, Scharpé S, D’Hondt P, Cosyns P, De Broe ME. Hypozincemia in depression. J Affect Disord 1994;31(2):135–40.

Frederickson CJ, Suh SW, Silva D, Frederickson CJ, Thompson RB. Zinc and health: current status and future directions importance of zinc in the central nervous system: the zinc-containing neuron. J Nutr 2000;130(5S Suppl):1471–83.

Poleszak E, Wlaź P, Wróbel A, Dybała M, Sowa M, Fidecka S, et al. Activation of the NMDA/glutamate receptor complex antagonizes the NMDA antagonistinduced antidepressant-like effects in the forced swim test. Pharmacol Rep 2007;59(5):595–600.

Cairncross KD, Cox B, Kerwin R, Forster C, Wren AF. Behavioural changes induced by olfactory bulb ablation and intrabulbar injection of 5,6-DHT: susceptibility to psychotropic drugs [proceedings]. Br J Pharmacol 1978;62(3):400P–1P.

Saris NE, Mervaala E, Karppanen H, Khawaja JA, Lewenstam A. Magnesium. An update on physiological, clinical and analytical aspects. Clin Chim Acta 2000;294(1–2):1–26.

Sansone ME, Ziegler DK. Lithium toxicity: a review of neurologic complications. Clin Neuropharmacol 1985;8(3):242–8.

Crossley NA, Bauer M. Acceleration and augmentation of antidepressants with lithium for depressive disorders: two meta-analyses of randomized, placebo-controlled trials. J Clin Psychiatry 2007;68(6):935–40.

Bloch M, Schwartzman Y, Bonne O, Lerer B. Concurrent treatment of nonresistant major depression with desipramine and lithium: a double-blind. Placebo-controlled study. J Clin Psychopharmacol 1997;17(1):44–8.

Hunt JR, Penland JG. Iron status and depression in premenopausal women: an MMPI study. Minnesota Multiphasic Personality Inventory. Behav Med 1999;25(2):62–8.

Konijn AM, Hershko C. Ferritin synthesis in inflammation. I. Pathogenesis of impaired iron release. Br J Haematol 1977;37(1):7–16.

Anderson RA, Bryden NA, Polansky MM. Dietary chromium intake. Freely chosen diets, institutional diet, and individual foods. Biol Trace Elem Res 1992;32:117–21.