PMID- 12842310 OWN - NLM STAT- MEDLINE DCOM- 20030822 LR - 20220408 IS - 0006-3223 (Print) IS - 0006-3223 (Linking) VI - 54 IP - 1 DP - 2003 Jul 1 TI - Alterations of serum levels of brain-derived neurotrophic factor (BDNF) in depressed patients with or without antidepressants. PG - 70-5 AB - BACKGROUND: Because researchers have reported that antidepressants increase the expression of brain-derived neurotrophic factor (BDNF) in the rat hippocampus, we investigated whether serum BDNF levels may be used as a putative biological marker for major depressive disorders (MDD). METHODS: We measured serum BDNF in the following three groups: antidepressant-naive patients with MDD (n = 16), antidepressant-treated patients with MDD (n = 17), and normal control subjects (n = 50). Patients were evaluated using the Hamilton Rating Scale for Depression (HAM-D). Serum BDNF was assayed with the sandwich ELISA method. RESULTS: We found that serum BDNF was significantly lower in the antidepressant-naive group (mean, 17.6 ng/mL; SD, 9.6) than in the treated (mean, 30.6 ng/mL; SD, 12.3; p =.001) or in the control group (mean, 27.7 ng/mL; SD, 11.4; p =.002). There was a significant negative correlation (r = -.350, z = -2.003, p =.045) between serum BDNF and HAM-D scores in all patients. In a preliminary examination, reduced BDNF values of three drug-naive patients recovered to basal levels after antidepressant treatment. CONCLUSIONS: Our study suggests that low BDNF levels may play a pivotal role in the pathophysiology of MDD and that antidepressants may increase BDNF in depressed patients. FAU - Shimizu, Eiji AU - Shimizu E AD - Department of Psychiatry, Graduate School of Medicine, Chiba University, Chiba, Japan. FAU - Hashimoto, Kenji AU - Hashimoto K FAU - Okamura, Naoe AU - Okamura N FAU - Koike, Kaori AU - Koike K FAU - Komatsu, Naoya AU - Komatsu N FAU - Kumakiri, Chikara AU - Kumakiri C FAU - Nakazato, Michiko AU - Nakazato M FAU - Watanabe, Hiroyuki AU - Watanabe H FAU - Shinoda, Naoyuki AU - Shinoda N FAU - Okada, Sin-ichi AU - Okada S FAU - Iyo, Masaomi AU - Iyo M LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Biol Psychiatry JT - Biological psychiatry JID - 0213264 RN - 0 (Antidepressive Agents) RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) SB - IM MH - Adult MH - Aged MH - Antidepressive Agents/pharmacology/*therapeutic use MH - Biomarkers/blood MH - Brain-Derived Neurotrophic Factor/*blood/drug effects MH - Case-Control Studies MH - Depressive Disorder, Major/*blood/*drug therapy MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Male MH - Middle Aged EDAT- 2003/07/05 05:00 MHDA- 2003/08/23 05:00 CRDT- 2003/07/05 05:00 PHST- 2003/07/05 05:00 [pubmed] PHST- 2003/08/23 05:00 [medline] PHST- 2003/07/05 05:00 [entrez] AID - S0006322303001811 [pii] AID - 10.1016/s0006-3223(03)00181-1 [doi] PST - ppublish SO - Biol Psychiatry. 2003 Jul 1;54(1):70-5. doi: 10.1016/s0006-3223(03)00181-1.