PMID- 18311687 OWN - NLM STAT- MEDLINE DCOM- 20080513 LR - 20131121 IS - 0176-3679 (Print) IS - 0176-3679 (Linking) VI - 41 IP - 2 DP - 2008 Mar TI - Serum concentrations of nerve growth factor and brain-derived neurotrophic factor in depressed patients before and after antidepressant treatment. PG - 66-71 LID - 10.1055/s-2007-1004594 [doi] AB - INTRODUCTION: Stress, glucocorticoids and anti-depressant treatment have been found to modulate the expression of brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF). Recent research suggests that serum BDNF concentration is reduced in depression and that successful antidepressant treatment leads to an increase in serum BDNF concentration. METHODS: We studied depressed patients receiving a standardized antidepressant treatment with either 150 mg amitriptyline (n=20) or 40 mg paroxetine (n=20) for 36 days in a prospective design. Changes in the concentrations of serum neurotrophins and salivary cortisol in response to antidepressant treatment were assessed. RESULTS: Independent of clinical efficacy there was a significant 'treatment' by 'medication' interaction effect on BDNF serum concentrations that indicated a decline of BDNF by 12% in paroxetine-treated patients while there was an increase by 13% in amitriptyline-treated patients. Neither antidepressant altered NGF concentrations. The changes in cortisol and neurotrophin concentrations were not related. DISCUSSION: Changes in BDNF serum concentrations as a result of antidepressant therapy depend on the antidepressant instead of being a general characteristic of response to antidepressant treatment. FAU - Hellweg, R AU - Hellweg R AD - Central Institute of Mental Health, Mannheim, Germany. rainer.hellweg@charite.de FAU - Ziegenhorn, A AU - Ziegenhorn A FAU - Heuser, I AU - Heuser I FAU - Deuschle, M AU - Deuschle M LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - Germany TA - Pharmacopsychiatry JT - Pharmacopsychiatry JID - 8402938 RN - 0 (Antidepressive Agents) RN - 0 (Antidepressive Agents, Second-Generation) RN - 0 (Antidepressive Agents, Tricyclic) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 1806D8D52K (Amitriptyline) RN - 41VRH5220H (Paroxetine) RN - 9061-61-4 (Nerve Growth Factor) RN - WI4X0X7BPJ (Hydrocortisone) SB - IM MH - Adult MH - Amitriptyline/therapeutic use MH - Antidepressive Agents/*therapeutic use MH - Antidepressive Agents, Second-Generation/therapeutic use MH - Antidepressive Agents, Tricyclic/therapeutic use MH - Brain-Derived Neurotrophic Factor/*blood MH - Depressive Disorder/*blood/*drug therapy/psychology MH - Double-Blind Method MH - Female MH - Humans MH - Hydrocortisone/metabolism MH - Male MH - Middle Aged MH - Nerve Growth Factor/*blood MH - Paroxetine/therapeutic use MH - Psychiatric Status Rating Scales MH - Saliva/metabolism EDAT- 2008/03/04 09:00 MHDA- 2008/05/14 09:00 CRDT- 2008/03/04 09:00 PHST- 2008/03/04 09:00 [pubmed] PHST- 2008/05/14 09:00 [medline] PHST- 2008/03/04 09:00 [entrez] AID - 10.1055/s-2007-1004594 [doi] PST - ppublish SO - Pharmacopsychiatry. 2008 Mar;41(2):66-71. doi: 10.1055/s-2007-1004594.