Frontiers in Psychiatry (Jun 2023)

Exploring brain glutathione and peripheral blood markers in posttraumatic stress disorder: a combined [1H]MRS and peripheral blood study

  • Sarah E. Watling,
  • Sarah E. Watling,
  • Shawn G. Rhind,
  • Shawn G. Rhind,
  • Jerry Warsh,
  • Jerry Warsh,
  • Jerry Warsh,
  • Jerry Warsh,
  • Jerry Warsh,
  • Duncan Green,
  • Duncan Green,
  • Tina McCluskey,
  • Tina McCluskey,
  • Junchao Tong,
  • Junchao Tong,
  • Junchao Tong,
  • Peter Truong,
  • Sofia Chavez,
  • J. Don Richardson,
  • J. Don Richardson,
  • J. Don Richardson,
  • J. Don Richardson,
  • Stephen J. Kish,
  • Stephen J. Kish,
  • Stephen J. Kish,
  • Stephen J. Kish,
  • Stephen J. Kish,
  • Isabelle Boileau,
  • Isabelle Boileau,
  • Isabelle Boileau,
  • Isabelle Boileau

DOI
https://doi.org/10.3389/fpsyt.2023.1195012
Journal volume & issue
Vol. 14

Abstract

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IntroductionOxidative stress has been implicated in psychiatric disorders, including posttraumatic stress disorder (PTSD). Currently, the status of glutathione (GSH), the brain's most abundant antioxidant, in PTSD remains uncertain. Therefore, the current study investigated brain concentrations of GSH and peripheral concentrations of blood markers in individuals with PTSD vs. Healthy Controls (HC).MethodsGSH spectra was acquired in the anterior cingulate cortex (ACC) and dorsolateral prefrontal cortex (DLPFC) using MEGA-PRESS, a J-difference-editing acquisition method. Peripheral blood samples were analyzed for concentrations of metalloproteinase (MMP)-9, tissue inhibitors of MMP (TIMP)-1,2, and myeloperoxidase (MPO).ResultsThere was no difference in GSH between PTSD and HC in the ACC (n = 30 PTSD, n = 20 HC) or DLPFC (n = 14 PTSD, n = 18 HC). There were no group differences between peripheral blood markers (P > 0.3) except for (non-significantly) lower TIMP-2 in PTSD. Additionally, TIMP-2 and GSH in the ACC were positively related in those with PTSD. Finally, MPO and MMP-9 were negatively associated with duration of PTSD.ConclusionsWe do not report altered GSH concentrations in the ACC or DLPFC in PTSD, however, systemic MMPs and MPO might be implicated in central processes and progression of PTSD. Future research should investigate these relationships in larger sample sizes.

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