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Fioranelli M, Roccia MG, Przybylek B, Garo ML. The Role of Brain-Derived Neurotrophic Factor (BDNF) in Depression and Cardiovascular Disease: A Systematic Review. Life (Basel) 2023; 13:1967. [PMID: 37895349 PMCID: PMC10608007 DOI: 10.3390/life13101967] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 09/09/2023] [Accepted: 09/26/2023] [Indexed: 10/29/2023] Open
Abstract
BACKGROUND Several studies have been conducted to prove the bidirectional relationship between cardiovascular disease (CVD) and depression. These two major illnesses share several common risk factors such that the development of either condition may increase the risk of the occurrence of the other. Brain-derived neurotrophic factor (BDNF) has been suggested as a reliable biomarker for depression and a strong predictor of CVD because it plays an important role in neuron survival and growth, serves as a neurotransmitter modulator, and promotes neuronal plasticity. The aim of this systematic review was to examine the bidirectional relationship between CVD and depression, focusing on the potential role of low serum BDNF levels in the development of either disease in the presence of the other. METHODS A systematic search strategy was developed using PRISMA guidelines. RESULTS Six studies (comprising 1251 patients) were identified, all of which examined the association between CVD and depression. CONCLUSIONS It was found that there may be a strong association between low serum BDNF levels and the risk of post-stroke depression. However, the studies on the role of altered serum BDNF levels and other types of CVD are few. Therefore, the inverse association between depression and CVD cannot be proven.
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Affiliation(s)
- Massimo Fioranelli
- Department of Human Sciences, Guglielmo Marconi University, Via Plinio 44, 00193 Rome, Italy; (M.F.); (M.G.R.)
| | - Maria Grazia Roccia
- Department of Human Sciences, Guglielmo Marconi University, Via Plinio 44, 00193 Rome, Italy; (M.F.); (M.G.R.)
| | - Bianca Przybylek
- Istituto Terapie Sistemiche Integrate, Casa di Cura Villa del Rosario, Via Flaminia 449, 00181 Rome, Italy;
| | - Maria Luisa Garo
- Istituto Terapie Sistemiche Integrate, Casa di Cura Sanatrix, Via di Trasone, 6, 00199 Rome, Italy
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Panaioli E, Birritella L, Graziani F, Lillo R, Grandinetti M, Di Molfetta A, Przybylek B, Lombardo A, Lanza GA, Secinaro A, Perri G, Amodeo A, Massetti M, Crea F, Delogu AB. Right ventricle-pulmonary artery coupling in repaired tetralogy of Fallot with pulmonary regurgitation: Clinical implications. Arch Cardiovasc Dis 2022; 115:67-77. [DOI: 10.1016/j.acvd.2021.12.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2021] [Revised: 12/15/2021] [Accepted: 12/23/2021] [Indexed: 11/29/2022]
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Przybylek B, Boethig D, Neumann A, Borchert-Moerlins B, Daemen K, Keil J, Haverich A, Falk C, Bara C. Novel Cytokine Score and Cardiac Allograft Vasculopathy. Am J Cardiol 2019; 123:1114-1119. [PMID: 30660351 DOI: 10.1016/j.amjcard.2018.12.034] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2018] [Revised: 12/20/2018] [Accepted: 12/26/2018] [Indexed: 01/05/2023]
Abstract
To date, there are no established noninvasive biomarkers available for prediction of cardiac allograft vasculopathy (CAV) after orthotopic heart transplantation (OHT). Inflammatory processes are supposed to play a central role in the pathogenesis of CAV. Recent studies have suggested that immune mediators could serve as biomarkers for cardiovascular diseases. We hypothesized particular cytokines or a combination thereof may serve as noninvasive biomarkers for CAV. Plasma cytokines were screened from 27 patients with CAV and 27 patients without CAV after OHT. The concentrations of interleukins-4, -6, -10, -21, -23, -31, -33, interferon gamma, tumor necrosis factor alpha, and the soluble activation marker CD40 ligand were determined using Luminex-based multiplex analyses. Although concentrations of all cytokines except interferon gamma were on average higher in the CAV group, there were no significant differences between the groups for any 1 cytokine. Using a binary logistic regression model, we were able to develop a probability score for detecting patients at elevated risk for advanced CAV with a sensitivity of 92.31% and a specificity of 60.71% (receiver-operating characteristic area under the curve 0.799 ± 0.06; p<0.0001). In conclusion, analyzing the concentration of specific inflammatory cytokines could be meaningfully included in evaluation of CAV after OHT.
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Affiliation(s)
- Bianca Przybylek
- Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School (MHH), Hannover, Germany
| | - Dietmar Boethig
- Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School (MHH), Hannover, Germany
| | - Anneke Neumann
- Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School (MHH), Hannover, Germany
| | - Bianca Borchert-Moerlins
- Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School (MHH), Hannover, Germany
| | - Kerstin Daemen
- Hannover Medical School (MHH), Institute of Transplant Immunology Integrated Research and Treatment Center Transplantation, Hannover, Germany
| | - Jana Keil
- Hannover Medical School (MHH), Institute of Transplant Immunology Integrated Research and Treatment Center Transplantation, Hannover, Germany
| | - Axel Haverich
- Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School (MHH), Hannover, Germany
| | - Christine Falk
- Hannover Medical School (MHH), Institute of Transplant Immunology Integrated Research and Treatment Center Transplantation, Hannover, Germany; German Centre for Infection Research (DZIF, TTU-IICH), Hannover, Germany
| | - Christoph Bara
- Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School (MHH), Hannover, Germany.
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Brzęk A, Strauss M, Przybylek B, Dworrak T, Dworrak B, Leischik R. How does the activity level of the parents influence their children's activity? The contemporary life in a world ruled by electronic devices. Arch Med Sci 2018; 14:190-198. [PMID: 29379550 PMCID: PMC5778431 DOI: 10.5114/aoms.2018.72242] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2016] [Accepted: 11/22/2016] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION Apart from many positive changes associated with technical civilization, there are also - from the health point of view - some threats. The reduction in the level of physical activity is one of them. The aim of the study was to investigate whether there are any relationships between children's physical activity and behaviors, and to assess the impact of the adults' activity on their children's habits. MATERIAL AND METHODS The study involved a group of 340 children aged 7-12 years (mean age: 9.81 ±1.7) and their parents. In order to evaluate children's physical activity and the amount of time that they spend with electronic devices, an original questionnaire and the IPAQ questionnaire were used. RESULTS Children usually use electronic devices between 2 and 7 days per week (mean: 4.74 ±0.86), regardless of sex (p > 0.09) and spend between 5 and 1620 min per week (mean: 459.46 ±308.1) with their mobile phone, tablet, PCs and TVs. 67.92% of boys and 69.61% of girls lead an active lifestyle. The children's activity level depends on their parents' level of activity (p < 0.000001). Parents of semi-active children lead a lifestyle with a moderate level of physical activity. CONCLUSIONS The level of physical activity in younger children depends on the children's relationship with their parents and their level of activity. Children spend a lot of free time with their electronic devices. It is necessary to develop and implement activities intended to raise awareness of children and their families about the effects of hypokinesis.
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Affiliation(s)
- Anna Brzęk
- Department of Kinesiology, Chair of Physiotherapy, School of Health Sciences, Medical University of Silesia, Katowice, Poland
| | - Markus Strauss
- Faculty of Health, School of Medicine, University Witten/Herdecke, Germany
| | - Bianca Przybylek
- Faculty of Health, School of Medicine, University Witten/Herdecke, Germany
| | - Tarja Dworrak
- Department of Biology and Environmental Sciences, Carl von Ossietzky University, Oldenburg, Germany
| | - Birgit Dworrak
- Faculty of Health, School of Medicine, University Witten/Herdecke, Germany
| | - Roman Leischik
- Faculty of Health, School of Medicine, University Witten/Herdecke, Germany
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Bara C, Przybylek B, Neumann A, Haverich A, Falk C. Immune Mediators IL-10 and TNF-alpha as a Potential Diagnostic Tool for Detection of Developed Cardiac Allograft Vasculopathy. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Strauß M, Foshag P, Przybylek B, Horlitz M, Lucia A, Sanchis-Gomar F, Leischik R. Occupation and metabolic syndrome: is there correlation? A cross sectional study in different work activity occupations of German firefighters and office workers. Diabetol Metab Syndr 2016; 8:57. [PMID: 27555885 PMCID: PMC4994412 DOI: 10.1186/s13098-016-0174-0] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2016] [Accepted: 08/01/2016] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND The treatment and prevention of the metabolic syndrome (MetS) is currently one of the major challenges in medicine. The impact of working conditions on metabolic risk has not been adequately studied. Our objective was to compare the prevalence of MetS and metabolic risk in two extremely different occupational groups: firefighters and office workers. METHODS A total of 143 male subjects (97 firefighters and 46 office workers) from Germany participated in the study. Anthropometric characteristics, metabolic risk parameters as well as laboratory parameters were collected. MetS was diagnosed according to criteria of the International Diabetes Federation. RESULTS Sedentary occupation showed a significant tendency towards obesity. Abdominal waist circumference was significantly greater in office workers than in firefighters [5.08 CI (1.44-8.71), p = 0.007]. Concerning metabolic risk factors, abnormal HDL, triglycerides, BMI, blood pressure and waist circumference values were more frequently found in office workers than in firefighters. The MetS was detected in almost 33 % of office workers as compared with only 14 % in firefighters (p = 0.015). Regarding MetS in an international comparison, the prevalence of MetS in German office workers was high and in firefighters it was extremely low. CONCLUSIONS Sedentary occupation as an office worker is associated with a high risk of MetS. Both groups need to be made aware of the metabolic risks, and health promoting concepts such as corporate sports activities or education in healthy nutrition need to be implemented to counteract the development of the MetS and cardiovascular risk factors.
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Affiliation(s)
- Markus Strauß
- Department of Cardiology, Sector preventive medicine, health promotion, Faculty of Health, School of Medicine, University Witten/Herdecke, Elberfelderstr. 1, 58095 Hagen, Germany
| | - Peter Foshag
- Department of Cardiology, Sector preventive medicine, health promotion, Faculty of Health, School of Medicine, University Witten/Herdecke, Elberfelderstr. 1, 58095 Hagen, Germany
| | - Bianca Przybylek
- Department of Cardiology, Sector preventive medicine, health promotion, Faculty of Health, School of Medicine, University Witten/Herdecke, Elberfelderstr. 1, 58095 Hagen, Germany
| | - Marc Horlitz
- Department of Cardiology, Faculty of Health, School of Medicine, University Witten/Herdecke, Urbacher Weg 19, 51149 Cologne, Germany
| | - Alejandro Lucia
- Research Institute of the Hospital 12 de Octubre (“i+12”), Madrid, Spain
- European University of Madrid, Madrid, Spain
| | | | - Roman Leischik
- Department of Cardiology, Sector preventive medicine, health promotion, Faculty of Health, School of Medicine, University Witten/Herdecke, Elberfelderstr. 1, 58095 Hagen, Germany
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Bara C, Neumann A, Kleeberger J, Przybylek B, Benecke N, Holzmann A, Haverich A, Thum T. MicroRNA 628-5p as a Novel Biomarker for Cardiac Allograft Vasculopathy (CAV). Transplantation 2014. [DOI: 10.1097/00007890-201407151-03086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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