PMID- 18679038 OWN - NLM STAT- MEDLINE DCOM- 20081230 LR - 20220318 IS - 1423-0224 (Electronic) IS - 0302-282X (Linking) VI - 57 IP - 4 DP - 2008 TI - Plasma brain-derived neurotrophic factor as a peripheral marker for the action mechanism of antidepressants. PG - 194-9 LID - 10.1159/000149817 [doi] AB - Numerous studies have demonstrated that depression is associated with a decreased expression of brain-derived neurotrophic factor (BDNF). BDNF shows antidepressant-like effects in animal models. Therefore, we tested the hypothesis that BDNF might be a peripheral marker for the mechanism of action of antidepressant agents in humans. Thirty-two patients meeting the DSM-IV criteria for major depressive disorder and 50 normal control subjects were recruited for this study. Plasma BDNF levels and Hamilton Depression Rating Scales were measured at baseline and 6 weeks after antidepressant administration. At baseline, the mean plasma BDNF level was lower in the depressive patients (698.1 +/- 537.7 pg/ml) than in the control subjects (830.7 +/- 624.8 pg/ml), although the difference was not statistically significant (p = 0.33). The plasma BDNF levels in depressive patients significantly increased from 698.1 +/- 537.7 to 1,028.9 +/- 744.5 after 6 weeks of antidepressant treatment (p = 0.01). Moreover, plasma BDNF levels were significantly increased after 6 weeks of treatment in the responder group, while there was no statistically significant change in the unresponsive group. These results suggest that the therapeutic response after antidepressant administration might be attributable to the increase in BDNF levels. BDNF may play a critical role in the action mechanism of antidepressant drugs. Further studies with a larger number of subjects are needed to verify these findings. CI - Copyright 2008 S. Karger AG, Basel. FAU - Lee, Hwa-Young AU - Lee HY AD - Department of Psychiatry, College of Medicine, Korea University Anam Hospital, Seoul, Korea. FAU - Kim, Yong-Ku AU - Kim YK LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20080805 PL - Switzerland TA - Neuropsychobiology JT - Neuropsychobiology JID - 7512895 RN - 0 (Antidepressive Agents) RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Cyclohexanols) RN - 0DHU5B8D6V (Citalopram) RN - 41VRH5220H (Paroxetine) RN - 7D7RX5A8MO (Venlafaxine Hydrochloride) SB - IM MH - Adult MH - Antidepressive Agents/blood/*therapeutic use MH - Biomarkers/blood MH - Brain-Derived Neurotrophic Factor/blood/*drug effects MH - Case-Control Studies MH - Chi-Square Distribution MH - Citalopram/blood/therapeutic use MH - Cyclohexanols/blood/therapeutic use MH - Depressive Disorder, Major/*blood/drug therapy MH - Female MH - Humans MH - Male MH - Matched-Pair Analysis MH - Neuropsychological Tests MH - Paroxetine/blood/therapeutic use MH - Reference Values MH - Severity of Illness Index MH - Treatment Outcome MH - Venlafaxine Hydrochloride EDAT- 2008/08/06 09:00 MHDA- 2008/12/31 09:00 CRDT- 2008/08/06 09:00 PHST- 2007/10/19 00:00 [received] PHST- 2008/05/19 00:00 [accepted] PHST- 2008/08/06 09:00 [pubmed] PHST- 2008/12/31 09:00 [medline] PHST- 2008/08/06 09:00 [entrez] AID - 000149817 [pii] AID - 10.1159/000149817 [doi] PST - ppublish SO - Neuropsychobiology. 2008;57(4):194-9. doi: 10.1159/000149817. Epub 2008 Aug 5.