PMID- 17459550 OWN - NLM STAT- MEDLINE DCOM- 20070828 LR - 20221207 IS - 0278-5846 (Print) IS - 0278-5846 (Linking) VI - 31 IP - 5 DP - 2007 Jun 30 TI - Effects of paroxetine or milnacipran on serum brain-derived neurotrophic factor in depressed patients. PG - 1034-7 AB - Brain-derived neurotrophic factor (BDNF) is an important member of the neurotrophin family of growth factors, abundant in the brain and periphery. Researchers have reported that serum BDNF levels in drug-free depressed patients are lower than those of healthy controls, and have proposed that these low levels might reflect a failure of neuronal plasticity in depression. In the present study, we investigated the effects of paroxetine, an SSRI, and milnacipran, an SNRI, on serum BDNF levels in depressed patients. Serum levels of BDNF were measured by ELISA before, 4 weeks, and 8 weeks after the start of treatment with antidepressants. Forty-two patients were randomly administered paroxetine (21 cases) or milnacipran (21 cases). A negative correlation was found between serum BDNF levels and baseline Ham-D scores. The response and remission rates for each drug were not significantly different. Serum BDNF levels in responders were significantly increased 2.6- and 1.8-fold 8 weeks after treatment with paroxetine or milnacipran, respectively. These results suggest that both drugs improve the depressive state by increasing BDNF levels. FAU - Yoshimura, Reiji AU - Yoshimura R AD - Department of Psychiatry, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, Fukuoka, Japan. yoshi621@med.uoeh-u.ac.jp FAU - Mitoma, Masae AU - Mitoma M FAU - Sugita, Atsuko AU - Sugita A FAU - Hori, Hikaru AU - Hori H FAU - Okamoto, Tatsuya AU - Okamoto T FAU - Umene, Wakako AU - Umene W FAU - Ueda, Nobuhisa AU - Ueda N FAU - Nakamura, Jun AU - Nakamura J LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20070307 PL - England TA - Prog Neuropsychopharmacol Biol Psychiatry JT - Progress in neuro-psychopharmacology & biological psychiatry JID - 8211617 RN - 0 (Adrenergic Uptake Inhibitors) RN - 0 (Antidepressive Agents, Second-Generation) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Cyclopropanes) RN - 0 (Serotonin Uptake Inhibitors) RN - 41VRH5220H (Paroxetine) RN - G56VK1HF36 (Milnacipran) SB - IM MH - Adrenergic Uptake Inhibitors/adverse effects/*therapeutic use MH - Adult MH - Aged MH - Antidepressive Agents, Second-Generation/adverse effects/*therapeutic use MH - Brain-Derived Neurotrophic Factor/*blood MH - Cyclopropanes/adverse effects/*therapeutic use MH - Depressive Disorder/*blood/*drug therapy/psychology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Milnacipran MH - Paroxetine/adverse effects/*therapeutic use MH - Psychiatric Status Rating Scales MH - Selective Serotonin Reuptake Inhibitors/adverse effects/*therapeutic use EDAT- 2007/04/27 09:00 MHDA- 2007/08/29 09:00 CRDT- 2007/04/27 09:00 PHST- 2006/11/21 00:00 [received] PHST- 2007/01/21 00:00 [revised] PHST- 2007/03/01 00:00 [accepted] PHST- 2007/04/27 09:00 [pubmed] PHST- 2007/08/29 09:00 [medline] PHST- 2007/04/27 09:00 [entrez] AID - S0278-5846(07)00095-4 [pii] AID - 10.1016/j.pnpbp.2007.03.001 [doi] PST - ppublish SO - Prog Neuropsychopharmacol Biol Psychiatry. 2007 Jun 30;31(5):1034-7. doi: 10.1016/j.pnpbp.2007.03.001. Epub 2007 Mar 7.