The role of pterins and related factors in the biology of early postpartum depression
Author: Abou Saleh MT, Ghubash R, Karim L, Krymski M, Anderson DN.
Source:
European neuropsychopharmacology: the journal of the European College of Neuropsychopharmacology, 9(4), 295.
Plasma tryptophan and other putative amino acids, cortisol, folate and vitamin
B12 and urinary biopterin (B) and neopterins (N) were measured in three groups of
women: 62 women in the early postpartum period, 23 pregnant and 38 non-gravid
controls. Sixty-two postpartum women were screened for depression by the
Edinburgh postnatal depression scale (EPDS) on day 7 after delivery. Postpartum
women had significantly lower tryptophan, vitamin B12 and significantly greater
levels of cortisol, folate, neopterins and biopterins than controls. Comparisons
between women who were classified on the EPDS as cases and non-cases revealed
only a statistically significant difference for lower N:B (P<0.01) and lower
folate (P<0.01) ratio in cases than non-cases. Multiple regression analysis
showed a significant contribution for low tryptophan to increased EPDS which also
showed significant correlations with low methionine, low tyrosine, low N:B ratio
and high vitamin B12.