PMID- 18511076 OWN - NLM STAT- MEDLINE DCOM- 20090319 LR - 20220408 IS - 0022-3956 (Print) IS - 1879-1379 (Electronic) IS - 0022-3956 (Linking) VI - 43 IP - 3 DP - 2009 Jan TI - Changes in BDNF serum levels in patients with major depression disorder (MDD) after 6 months treatment with sertraline, escitalopram, or venlafaxine. PG - 247-54 LID - 10.1016/j.jpsychires.2008.03.014 [doi] AB - Recent studies have implicated brain-derived neurotrophic factor (BDNF) in the pathophysiology of depression and the activity of antidepressant drugs. Serum BDNF levels are lower in depressed patients, and increase in response to antidepressant medication. However, how BDNF responds to different classes of antidepressant drugs is unknown. We assessed serum BDNF levels in 21 patients with major depressive episode treated with sertraline, escitalopram, or venlafaxine and 20 healthy controls. Serum samples were collected between 10 a.m. and 12 p.m. at baseline, 5 weeks, and 6 months of treatment. BDNF levels were measured via immunoassay. The severity of symptoms and response to treatment were assessed by the Hamilton rating scales for depression (HRSD). Baseline serum BDNF levels were significantly lower in depressed patients compared to controls. Sertraline increased BDNF levels after 5 weeks and 6 months of treatment. Venlafaxine increased BDNF levels only after 6 months. Escitalopram did not affect BDNF levels at either time point. A significant negative association was found between percentage increase in BDNF levels and percentage decreased in HRSD scores after 6 months of treatment. In conclusion, these results suggest that different antidepressant drugs have variable effects on serum BDNF levels. This is true even though the three different drugs were equally effective in relieving symptoms of depression and anxiety. FAU - Matrisciano, Francesco AU - Matrisciano F AD - Department of Psychiatry and Psychological Medicine, University of Rome "La Sapienza" "Sant'Andrea" Hospital, Via di Grottarossa, 1035/1039, 00189 Rome, Italy. FAU - Bonaccorso, Stefania AU - Bonaccorso S FAU - Ricciardi, Angelo AU - Ricciardi A FAU - Scaccianoce, Sergio AU - Scaccianoce S FAU - Panaccione, Isabella AU - Panaccione I FAU - Wang, Lily AU - Wang L FAU - Ruberto, Amedo AU - Ruberto A FAU - Tatarelli, Roberto AU - Tatarelli R FAU - Nicoletti, Ferdinando AU - Nicoletti F FAU - Girardi, Paolo AU - Girardi P FAU - Shelton, Richard C AU - Shelton RC LA - eng GR - R01 MH073630/MH/NIMH NIH HHS/United States GR - MH073630/MH/NIMH NIH HHS/United States PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20080603 PL - England TA - J Psychiatr Res JT - Journal of psychiatric research JID - 0376331 RN - 0 (Antidepressive Agents) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Cyclohexanols) RN - 0DHU5B8D6V (Citalopram) RN - 7D7RX5A8MO (Venlafaxine Hydrochloride) RN - QUC7NX6WMB (Sertraline) SB - IM MH - Adult MH - Antidepressive Agents/therapeutic use MH - Brain-Derived Neurotrophic Factor/*blood MH - Citalopram/*therapeutic use MH - Cyclohexanols/*therapeutic use MH - Depressive Disorder, Major/blood/diagnosis/*drug therapy MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Linear Models MH - Male MH - Middle Aged MH - Psychiatric Status Rating Scales MH - Sertraline/*therapeutic use MH - Severity of Illness Index MH - Treatment Outcome MH - Venlafaxine Hydrochloride PMC - PMC3744240 MID - NIHMS91602 EDAT- 2008/05/31 09:00 MHDA- 2009/03/20 09:00 PMCR- 2013/08/15 CRDT- 2008/05/31 09:00 PHST- 2008/01/17 00:00 [received] PHST- 2008/03/17 00:00 [revised] PHST- 2008/03/25 00:00 [accepted] PHST- 2008/05/31 09:00 [pubmed] PHST- 2009/03/20 09:00 [medline] PHST- 2008/05/31 09:00 [entrez] PHST- 2013/08/15 00:00 [pmc-release] AID - S0022-3956(08)00073-3 [pii] AID - 10.1016/j.jpsychires.2008.03.014 [doi] PST - ppublish SO - J Psychiatr Res. 2009 Jan;43(3):247-54. doi: 10.1016/j.jpsychires.2008.03.014. Epub 2008 Jun 3.