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      Salivary apelin hormone response and dysfunctional attitudes in adolescents in Türkiye: a relational screening model

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          Abstract

          Background

          Adolescence is the period in which physical and emotional changes occur through hormones, the individual acquires gender characteristics and prepares for the adult role psychologically and physically. Dysfunctional attitudes are beliefs and attitudes that can lead to depression by causing negative thoughts about oneself, others, and the future.Dysfunctional attitudes negatively affect children’s mental health. Hormones have a significant impact on human behavior and cognitive functions. However, little is known about the role and influence of hormones on dysfunctional attitudes. Apelin is a hormone responsible for controlling emotions by regulating emotional behavior. The level of dysfunctional attitudes is one of the important issues in nursing practice in terms of protecting and improving children’s mental health. However, little is known about the role and impact of hormones on dysfunctional attitudes.This study aimed to examine adolescents’ dysfunctional attitudes and salivary apelin hormone levels in terms of sociodemographic variables.

          Methods

          The study was conducted in a relational screening model with 151 adolescents aged 9–14 years who were reported to be clinically healthy in Türkiye. Apelin hormone levels were analyzed by ELISA technique in the saliva samples of the participants. In the evaluation of dysfunctional attitudes, the relationship between the score obtained from the dysfunctional attitude scale and salivary hormone levels was evaluated.

          Results

          In the study, a negative, strong and statistically significant correlation was found between the average salivary apelin hormone level and dysfunctional attitudes of adolescents ( p =.000). Mean salivary hormone levels of apelin in adolescent girls and boys were 0.696 (SD 0.052) ng/ml, respectively; while 0.671 (SD 0.047) ng/ml was determined ( p =.002), dysfunctional attitudes scale scores were 52.95 (SD 14.43); it was determined as 59.04 (SD 14.22) ( p =.006). On the other hand, the highest average salivary apelin hormone level ( p =.038). and the lowest level of dysfunctional attitudes were determined in adolescent girls aged 13–14 years ( p =.028).

          Conclusions

          In our study, we found that while the salivary apelin hormone levels of adolescents decreased, their dysfunctional attitudes increased. We found that adolescents’ dysfunctional attitudes decreased with age. In contrast, apelin hormone levels increased with age.

          Highlights

          Our study revealed the relationship between the hormone apelin and dysfunctional attitudes in adolescents.

          The level of dysfunctional attitudes that play a role in the development of depression is lower in female adolescents than in male adolescents.

          Apelin level recommended to be used in the treatment of depression is higher in female adolescents than male adolescents.

          Apelin levels increase with age in adolescents, and dysfunctional attitude levels decrease.

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          Most cited references29

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          The apelin receptor APJ: journey from an orphan to a multifaceted regulator of homeostasis.

          The apelin receptor (APJ; gene symbol APLNR) is a member of the G protein-coupled receptor gene family. Neural gene expression patterns of APJ, and its cognate ligand apelin, in the brain implicate the apelinergic system in the regulation of a number of physiological processes. APJ and apelin are highly expressed in the hypothalamo-neurohypophysial system, which regulates fluid homeostasis, in the hypothalamic-pituitary-adrenal axis, which controls the neuroendocrine response to stress, and in the forebrain and lower brainstem regions, which are involved in cardiovascular function. Recently, apelin, synthesised and secreted by adipocytes, has been described as a beneficial adipokine related to obesity, and there is growing awareness of a potential role for apelin and APJ in glucose and energy metabolism. In this review we provide a comprehensive overview of the structure, expression pattern and regulation of apelin and its receptor, as well as the main second messengers and signalling proteins activated by apelin. We also highlight the physiological and pathological roles that support this system as a novel therapeutic target for pharmacological intervention in treating conditions related to altered water balance, stress-induced disorders such as anxiety and depression, and cardiovascular and metabolic disorders.
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            Molecular properties of apelin: tissue distribution and receptor binding.

            We analyzed the tissue distribution of apelin mRNA in rats by a quantitative reverse transcription-polymerase chain reaction and that of immunoreactive apelin (ir-apelin) by an enzyme immunoassay (EIA) using a monoclonal antibody. The expression levels of apelin mRNA and ir-apelin seemed to be consistent among tissues: they were highly expressed in the lung and mammary gland. By the combination of gel filtration and EIA, we found that the molecular forms of apelin differ among respective tissues: apelin molecules with sizes close to apelin-36 (long forms) were major components in the lung, testis, and uterus, but both long and short (whose sizes were close to [
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              The role of mTOR in depression and antidepressant responses.

              The aim of this study was to characterize the mTOR signaling cascade in depression and the actions that antidepressant drugs have on this pathway. Herein, a literature review was performed by verification and comparison of textbooks and journal articles that describe the characterization of the mTOR signaling cascade and its relationship to depression and antidepressant drugs, especially ketamine. Postmortem studies have shown robust deficits in the mammalian target of rapamycin (mTOR) signaling in the prefrontal cortex of subjects diagnosed with major depressive disorder. However, besides the mTOR signaling pathway having an antidepressant response to various drugs, this seems to be more associated with antidepressant N-methyl-d-aspartate (NMDA) receptor antagonists, such as ketamine. The characterization of the mTOR signaling pathway in depression and its action in response to antidepressants show great potential for the identification of new therapeutic targets for the development of antidepressant drugs.
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                Author and article information

                Contributors
                kirbas1972@hotmail.com
                Journal
                BMC Psychol
                BMC Psychol
                BMC Psychology
                BioMed Central (London )
                2050-7283
                9 February 2024
                9 February 2024
                2024
                : 12
                : 64
                Affiliations
                [1 ]Faculty of Health Sciences, Department of Nursing, Bayburt University, ( https://ror.org/050ed7z50) Bayburt, Türkiye
                [2 ]Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Bayburt University, ( https://ror.org/050ed7z50) Bayburt, Türkiye
                [3 ]Faculty of Health Sciences, Department of Midwifery Bayburt, Bayburt University, ( https://ror.org/050ed7z50) Bayburt, Türkiye
                Author information
                http://orcid.org/0000-0003-4030-5442
                http://orcid.org/0000-0002-2335-9089
                http://orcid.org/0000-0002-3435-7118
                Article
                1551
                10.1186/s40359-024-01551-w
                10854078
                38336859
                8de671be-cbc9-4482-ab5a-b2e65924162b
                © The Author(s) 2024

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 6 December 2023
                : 22 January 2024
                Categories
                Research
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                © BioMed Central Ltd., part of Springer Nature 2024

                dysfunctional attitudes,adolescent,apelin,nursing,pediatrics nursing

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