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    Changes in arginine metabolism in advanced Alzheimer?s patients: Experimental and theoretical analyses
    (Elsevier, 2023) Saria, Ismail; Ersan, Serpil; Ozmen, Esma; Ayan, Durmus; Ersan, Erdal; Berisha, Avni; Kayae, Savas
    Limited data obtained in studies conducted in recent years suggest that changes in arginine metabolism may be associated with the pathogenesis of Alzheimer's disease (AD). However, the underlying mecha-nisms of this pathway's effects on the disease are not clear and there are conflicting data. Therefore, in this study, we aimed to determine the levels of L-arginine and its important metabolites and enzymes involved in the pathway in advanced AD patients to examine the change in L-arginine metabolism as inclusively as possible.Serum and plasma samples were obtained from 51 patients diagnosed with advanced AD and 30 volunteer controls. Arginase, Ornithine Decarboxylase (ODC), Arginine Decarboxylase (ADC), and Agmati-nase levels in serum samples were determined by enzyme-linked immunosorbent assay (ELISA) and, L- arginine, Ornithine and nitric oxide (NO) levels were determined by colorimetric method. Agmatine levels were measured by high-performance liquid chromatography in the plasma samples of the study groups. Furthermore, in silico molecular docking studies were performed to get preliminary knowledge about the binding interactions of the agmatine with various targets such as AChE, butyrylcholinesterase (BuChE), BACE-1 and tau protein kinase 1 which play an important role in AD pathogenesis.Agmatine and L-arginine levels were found to be significantly lower in the patient group than in the control group. Milder but not statistically significant reductions were observed in all other param-eters we measured involved in L-arginine metabolism. Furthermore, NO levels were found to be sig-nificantly lower in men with advanced AD patients than in control men. It has been analyzed that agmatine ligand interacts effectively with the studied proteins which play an important role in AD pathogenesis; these interactions were significant and, based on the docking score, occurred in the fol-lowing order: butyrylcholinesterase (PDB id: 1P0I) > Human acetylcholinesterase > Human tau-protein kinase I.In conclusion, in advanced AD patients, the activity of the L-arginine pathway decreased in gen-eral, especially agmatine formation, and this may be due to the decrease in L-arginine levels. Therefore, arginine de novo synthesis may be decreased in advanced AD patients. Furthermore, according to the MolDock binding score, agmatine ligand has a high binding affinity for proteins involved in AD manage-ment and/or pathogenesis. Therefore, agmatine may play a role in the pathogenesis of AD by inhibit-ing the activity of these proteins. However, additional comprehensive studies are needed to clarify these thoughts.(c) 2023 Elsevier B.V. All rights reserved.
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    The effect of hypnotherapy on depression and anxiety levels in obesity patients
    (Klinik Psikiyatri Dergisi, 2020) Ersan, Erdal
    Objective: The purpose of the present study was to investigate the effect of hypnotherapy on depression and anxiety levels of obese patients who were admitted to hypnotherapy sessions for healthy and balanced diet. Method: The study sample consisted of 60 individuals who presented to the Psychiatry Polyclinic of Numune Hospital, who volunteered to participate in the study, whose Body Mass Index was 30 and above and who completed 10-week hypnotherapy session. Firstly, the participants' body mass indexes were determined after their personal information forms were filled in. Before the hypnotherapy sessions were started, the Beck Depression Inventory and Beck Anxiety Inventory were administered to each participant. After that, hypnotherapy sessions were performed for 10 weeks, one session per week. At the end of a 10-week hypnotherapy session, the participants' Body Mass Indexes were determined again, and the Beck Depression Inventory and Beck Anxiety Inventory were re-administered. Then the effectiveness of hypnotherapy was evaluated by comparing the pre- and post-therapy Body Mass Indexes, and the scores obtained from the Beck Depression Inventory and Beck Anxiety Inventory. Results: The comparison of the pre- and post-therapy Body Mass Indexes, and the scores obtained from the Beck Depression Inventory and Beck Anxiety Inventory demonstrated significant differences (p<0.001). There was a significant positive correlation between the scores obtained from the Beck Depression Inventory and those obtained from Beck Anxiety Inventory (p <0.001). Discussion: The present study demonstrated that the use of hypnotherapy in the treatment of obesity was effective in reducing depression and anxiety levels of obese patients. It is recommended that future studies should be performed to investigate the long-term effects of the hypnotherapy and consist of larger samples including a control group.