@article{ref1,
title="The extrinsic coagulation pathway: a biomarker for suicidal behavior in major depressive disorder",
journal="Scientific reports",
year="2016",
author="Yang, Yongtao and Chen, Jin and Liu, Chengyu and Fang, Liang and Liu, Zhao and Guo, Jing and Cheng, Ke and Zhou, Chanjuan and Zhan, Yuan and Melgiri, Narayan D. and Zhang, Liang and Zhong, Jiaju and Chen, Jianjun and Rao, Chenglong and Xie, Peng",
volume="6",
number="",
pages="e32882-e32882",
abstract="Although an association between major depressive disorder (MDD) and suicide exists, most depressed patients never attempt suicide. An improved understanding of the factors contributing to suicidal risk in MDD can provide direction for suicide predictor development. In MDD suicide attempters (MDD-SA), MDD non-attempters (MDD-NA), and healthy controls (HC) (n = 12 each group), complementary plasma proteomics identified 45 differential proteins mapped to coagulation and inflammation, 25 of which underwent Western blotting. In another cohort including antidepressant-treated patients (n = 49 each group), seven additional extrinsic pathway proteins were selected for ELISA. Two inflammatory proteins and eight coagulatory proteins demonstrated alterations in MDD-SA relative to MDD-NA and HC. Applying a relative mass-action ratio, MDD-SA subjects displayed a higher relative prothrombinase activity than MDD-NA subjects, while healthy controls displayed higher relative prothrombinase activity than both MDD-SA and MDD-NA subjects. Consistent with our human findings, we found that heparin treatment significantly increased forced swimming test (FST) immobility time in rodents. MDD, independent of suicidality, is associated with a proinflammatory state accompanied by a hypothrombotic state. Suicidal behavior in MDD is associated with a more pronounced proinflammatory and prothrombotic phenotype accompanied by extrinsic pathway activation, revealing an extrinsic pathway biomarker that can be applied in predicting and monitoring suicidal risk.<p /> <p>Language: en</p>",
language="en",
issn="2045-2322",
doi="10.1038/srep32882",
url="http://dx.doi.org/10.1038/srep32882"
}