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Dysfunction in endocannabinoids, palmitoylethanolamide, and degradation of tryptophan into kynurenine in individuals with depressive symptoms

Stefano Comai, Nicolas Nunez, Tobias Atkin, Maykel F Ghabrash, Rita Zakarian, Allan Fielding, Marie Saint-Laurent, Nancy Low, Garrett Sauber, Eugenio Ragazzi, Cecilia J Hillard, Gabriella Gobbi. BMC Med. 2024 Jan 25;22(1):33.

Observational studyHumans

Design
Observational study
Subjects
82 people: 51 with a depressive disorder and 31 healthy volunteers
Dose used in the study
Not applicable; palmitoylethanolamide was measured in serum, not given
Duration
Not stated in the abstract
What was measured
Depression scales (MADRS, Beck, CGI) and serum levels of AEA, 2-AG, 2-OG, OEA, PEA, tryptophan, kynurenine, the kynurenine to tryptophan ratio and serotonin.

What the authors reported

Kynurenine and the kynurenine to tryptophan ratio were associated with 2-AG, AEA and PEA, and these markers separated people with depressive symptoms from those without. Those with symptoms had higher 2-AG, kynurenine and ratio, and lower tryptophan and serotonin. In asymptomatic people PEA correlated with tryptophan; in symptomatic people this was lost and PEA correlated with AEA, 2-AG and OEA instead.

Limits of this study

A cross-sectional biomarker study of 82 people; it cannot show cause or any effect of taking PEA. The authors declare no competing interests.

Source

PubMed 38273283 · doi:10.1186/s12916-024-03248-8

Entry checked against the abstract on PubMed on 2026-09-22. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.