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Introduction
Depression is a common and severe mental disorder, which can
cause a considerable degree of disability to the individual and society.
1
The molecular mechanisms of depression are poorly understood
even though many studies have been attempted. Moreover, there are
currently no distinctive biological markers to aid in the diagnosis and
treatment of depression.
2
The diagnosis, evaluation of medication
effects, and prediction of relapse are carried out completely by clinical
judgments based on the phenomenology of the disease.
1
The frst step
requires identifying the molecular pathway for depression. Genomic
approaches have attempted to fnd the underlying molecular pathways,
but have not successfully identifed the major genes for depression.
3
This may be because there are multiple genes working together or
interacting with the environment in a very complex way.
1–3
Although this genomic information is important, it does not
account for the important environmental infuences on illness onset,
and the presence of a gene does not necessarily refect functioning
protein expression in vivo.
4
Many studies indicate that the proteins
acts as biomarkers play role in the diagnosis of depression. Serum
brain-derived neurotrophic factor (BDNF) would be the most
studied protein.
5,6
A recent meta-analyses on 179 association studies
concluded that serum BDNF concentrations were lower in untreated
depressed patients than healthy control and antidepressant treated
patients.
7
. However, one or two protein biomarkers are insuffcient to
diagnose MDD because proteins usually function in several networks
rather than alone. The study of the total set of expressed proteins by a
cell, tissue or organism at a given time under a determined condition.
8
Proteomics is basically the study of expression of the protein that is
present in any individual that play particular role in the maintenance
of the body functions. Proteomics play a vital role in the diagnoses
of the alternation in the genetic makeup of the organism that exist in
case of the particular disease state.
9
Dynamic proteomic research used
fuorescence difference gel electrophoresis, found 42 changed proteins
in the liver of chronic restraint stressed rats and validated 3 proteins
to suggest how functional proteins act on metabolites to produce
energy and process materials. More evidences have shown that stress
may have an effect on liver .Proteomic techniques based on Isobaric
Tags for Relative and Absolute Quantifcation [ITRAQ], labeling and
liquid chromatography-mass spectrometry [LC-MS] provide a high-
throughput approach to analyze differentially expressed proteins in
various physiological and pathological states.
9
Therefore, it is necessary to identify a set of proteins as a biomarker,
and proteomics is the most powerful tool to develop a novel biomarker
set. Proteomics has diagnostic advantages over genomics because it
can refect post-translational events. The study of total set of proteins
expressed by the organism is referred as proteomics which includes
gene to gene, gene-environmental interaction and post-translational
modifcations as well. Proteomics provides the basic information to
study the expression of sets of genes that have different infuence on
the mood variation. In this review, we mentioned some biomarkers
that play role in the identifcation of the depression by analyzing the
proteomics in the patients which indicates the variation in the original
genetic sequence of the proteins led to the depression.
Biomarkers
Biomarkers are the substances that play role in the identifcation of
the presence and absence of the disease condition, predict treatment
responses. These biomarkers act as a marker to mark the alternation
in the original sequence of the gene and distinguish the abnormal
disease condition from the healthy normal condition. Bio markers
are basically the substance that interact the biological system with
the hazardious thing which may be chemical, environmental agent
and biological substances as well.
10
Here some biomarkers are given
below used in depression:
Oligodendrocytes
Oligodendrocytes are the cells present in the brain that play role in
the myelination of axons in the central nerveous system. Destruction
and alternation in the oligodendrocytes results in the malformation of
the myelin sheath that lead to the decrease rate of propagation of the
nerve impulse and leakages at the axonal site that particularly destroy
the signaling mechanism of the nerve impulse. Dysfuntion of the
oligodendrocytes results in the neuronal disorders like schizopherenia
etc. Oligodendrocytes are involved in the shortening of the telomere
and cause loses of some genes which can be a cause of depression.
11
Mylinated nerve fbers are in case of traumatic brain injury are lost
and continue after the post traumatic phase. It cause the damage of
oligodendrocytes and the myelinated sheath that is formed by the
MOJ Proteomics Bioinform. 2017;6(2):230‒234. 230
© 2017 Samad et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which
permits unrestricted use, distribution, and build upon your work non-commercially.
A review on diagnostic proteomics of depression
Volume 6 Issue 2 - 2017
Noreen Samad, Sadia Jabeen, Zainab Javeed,
Nafeesa Jamil, Sadia Bibi, Zaitoon Ghani,
Uzma Amin
Department of Biochemistry, Bahauddin Zakariya University,
Pakistan
Correspondence: Noreen Samad, Assistant Professor,
Department of Biochemistry, Bahauddin Zakariya University,
Multan, Pakistan, Email Noreen.samad@bzu.edu.pk
Received: July 28, 2017 | Published: September 08, 2017
Abstract
Depression is the psychiatric disorder cause when deviation occurs from the standard
proteomic condition in individuals. Pathogenesis and etiology of psychiatric disorders
are still not clear and many signaling pathways are unknown. In that case the gene
provides the primary information about expression of gene and activities of brain. This
review focused on the diagnostic proteomics of depression by means of biomarkers.
Evidences suggested that reduced and elevated levels of these biomarkers involved in
the pathology of depression. These biomarkers could not be used for the diagnostic
purposes but also used for the therapeutics. The aim of this non-systematic review
article is to evaluate and document a potential importance of proteomics in diagnosis
of depression.
Keywords: biomarkers, proteomics, depression, pathology, proteomic, genomic
MOJ Proteomics & Bioinformatics
Review Article
Open Access