PMID- 29727764 OWN - NLM STAT- MEDLINE DCOM- 20181127 LR - 20181127 IS - 1873-7714 (Electronic) IS - 0163-8343 (Linking) VI - 53 DP - 2018 Jul-Aug TI - Association of brain-derived neurotrophic factor and interleukin-6 serum levels with depressive and anxiety symptoms in hemodialysis patients. PG - 25-31 LID - S0163-8343(17)30531-5 [pii] LID - 10.1016/j.genhosppsych.2018.04.003 [doi] AB - OBJECTIVE: This study assessed the possible association of serum brain-derived neurotrophic factor (BDNF) and interleukin-6 (IL-6) with depressive and anxiety symptoms in hemodialysis (HD) patients. METHOD: An analytical cross-sectional study was conducted over 274 HD patients from March to October 2017. The Hospital Anxiety and Depression Scale (HADS) was utilized to evaluate depressive (HADS-D) and anxiety (HADS-A) symptoms. The HADS-D/A is a self-report instrument that has a maximum score of 21. Serum BDNF and IL-6 were measured using enzyme-linked immunosorbant assay (ELISA). RESULTS: Serum IL-6 was significantly higher in patients with depressive symptoms compared to normal (20.47 +/- 4.27 pg/mL for HADS-D >/=11 versus 9.26 +/- 1.59 pg/mL for HADS-D <7, p = 0.014). Multivariable regression analysis revealed that IL-6, education level, hypertension, and dialysis duration were significant predictors of HADS-D. Also, gender, education level, hypertension, and the number of dialysis sessions/week were significant predictors of HADS-A. Significant positive correlation was shown between HADS-D and IL-6 (r = 0.1729, p = 0.004). CONCLUSION: Collectively, HD patients with depressive symptoms showed higher levels of IL-6, supporting previous findings that the circulating inflammatory mediator IL-6 can be used as a biomarker for prediction of depressive symptoms in HD patients. Further longitudinal or interventional studies are needed to further validate this association. CI - Copyright (c) 2018 Elsevier Inc. All rights reserved. FAU - Alshogran, Osama Y AU - Alshogran OY AD - Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan. Electronic address: oyalshogran@just.edu.jo. FAU - Khalil, Amani A AU - Khalil AA AD - Department of Clinical Nursing, Faculty of Nursing, The University of Jordan, Amman, Jordan. FAU - Oweis, Ashraf O AU - Oweis AO AD - Department of Internal Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan. FAU - Altawalbeh, Shoroq M AU - Altawalbeh SM AD - Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan. FAU - Alqudah, Mohammad A Y AU - Alqudah MAY AD - Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180424 PL - United States TA - Gen Hosp Psychiatry JT - General hospital psychiatry JID - 7905527 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (IL6 protein, human) RN - 0 (Interleukin-6) RN - 7171WSG8A2 (BDNF protein, human) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Anxiety/*blood MH - Brain-Derived Neurotrophic Factor/*blood MH - Cross-Sectional Studies MH - Depression/*blood MH - Female MH - Humans MH - Interleukin-6/*blood MH - Male MH - Middle Aged MH - *Renal Dialysis MH - Renal Insufficiency, Chronic/*blood/therapy MH - Young Adult OTO - NOTNLM OT - Anxiety OT - Brain-derived neurotrophic factor OT - Depression OT - Hemodialysis OT - Interleukin-6 EDAT- 2018/05/05 06:00 MHDA- 2018/11/28 06:00 CRDT- 2018/05/05 06:00 PHST- 2017/11/20 00:00 [received] PHST- 2018/04/14 00:00 [revised] PHST- 2018/04/22 00:00 [accepted] PHST- 2018/05/05 06:00 [pubmed] PHST- 2018/11/28 06:00 [medline] PHST- 2018/05/05 06:00 [entrez] AID - S0163-8343(17)30531-5 [pii] AID - 10.1016/j.genhosppsych.2018.04.003 [doi] PST - ppublish SO - Gen Hosp Psychiatry. 2018 Jul-Aug;53:25-31. doi: 10.1016/j.genhosppsych.2018.04.003. Epub 2018 Apr 24.