PMID- 19368899 OWN - NLM STAT- MEDLINE DCOM- 20091109 LR - 20240324 IS - 1873-2402 (Electronic) IS - 0006-3223 (Print) IS - 0006-3223 (Linking) VI - 66 IP - 6 DP - 2009 Sep 15 TI - Is serum brain-derived neurotrophic factor a biomarker for cognitive enhancement in schizophrenia? PG - 549-53 LID - 10.1016/j.biopsych.2009.02.017 [doi] AB - BACKGROUND: Brain-derived neurotrophic factor (BDNF) plays a critical role in neurodevelopment and plasticity; decreased BDNF functioning may contribute to the pathogenesis of schizophrenia. However, BDNF levels are not static; in animal experiments, brain BDNF increases during spatial learning, and in clinical depression, successful antidepressant treatment raises serum BDNF. We asked: would neuroplasticity-based cognitive training in schizophrenia result in increased serum BDNF? METHODS: Fifty-six schizophrenia outpatients and 16 matched healthy comparison subjects were assessed on baseline cognitive performance and serum BDNF. Schizophrenia subjects were randomly assigned to either 50 hours (10 weeks) of computerized auditory training or a computer game control condition, followed by reassessment of cognition and serum BDNF. RESULTS: At baseline, schizophrenia participants had significantly lower-than-normal serum BDNF. Schizophrenia subjects who engaged in computerized cognitive training designed to improve auditory processing showed significant cognitive gains and a significant increase in serum BDNF compared with subjects who played computer games. This increase was evident after 2 weeks of training, and after 10 weeks in the active condition, subjects "normalized" their mean serum BDNF levels, whereas the control group showed no change. In the active condition, change in BDNF was significantly associated with improved quality of life. CONCLUSIONS: Serum BDNF levels are significantly increased in clinically stable, chronically ill schizophrenia subjects after neuroplasticity-based cognitive training, but not after computer games. Serum BDNF levels may serve as a peripheral biomarker for the effects of intensive cognitive training and may provide a useful tool for the evaluation of cognitive enhancement methods in schizophrenia. FAU - Vinogradov, Sophia AU - Vinogradov S AD - Department of Psychiatry, School of Medicine, University of California-San Francisco, California 94121, USA. Sophia.vinogradov@ucsf.edu FAU - Fisher, Melissa AU - Fisher M FAU - Holland, Christine AU - Holland C FAU - Shelly, Wendy AU - Shelly W FAU - Wolkowitz, Owen AU - Wolkowitz O FAU - Mellon, Synthia H AU - Mellon SH LA - eng GR - R01 MH068725/MH/NIMH NIH HHS/United States GR - UL1 RR024131/RR/NCRR NIH HHS/United States GR - R01 MH068725-01A1/MH/NIMH NIH HHS/United States PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20090415 PL - United States TA - Biol Psychiatry JT - Biological psychiatry JID - 0213264 RN - 0 (Brain-Derived Neurotrophic Factor) SB - IM MH - Adult MH - Analysis of Variance MH - Brain-Derived Neurotrophic Factor/*blood MH - Case-Control Studies MH - Cognition Disorders/*blood/*rehabilitation MH - Cognitive Behavioral Therapy/*methods MH - Enzyme-Linked Immunosorbent Assay/methods MH - Female MH - Humans MH - Male MH - Middle Aged MH - Neuropsychological Tests MH - Psychiatric Status Rating Scales MH - Quality of Life MH - Schizophrenia/complications MH - *Schizophrenic Psychology MH - Therapy, Computer-Assisted/methods MH - Time Factors PMC - PMC4691262 MID - NIHMS489421 EDAT- 2009/04/17 09:00 MHDA- 2009/11/10 06:00 PMCR- 2015/12/26 CRDT- 2009/04/17 09:00 PHST- 2008/11/04 00:00 [received] PHST- 2009/01/30 00:00 [revised] PHST- 2009/02/22 00:00 [accepted] PHST- 2009/04/17 09:00 [entrez] PHST- 2009/04/17 09:00 [pubmed] PHST- 2009/11/10 06:00 [medline] PHST- 2015/12/26 00:00 [pmc-release] AID - S0006-3223(09)00230-3 [pii] AID - 10.1016/j.biopsych.2009.02.017 [doi] PST - ppublish SO - Biol Psychiatry. 2009 Sep 15;66(6):549-53. doi: 10.1016/j.biopsych.2009.02.017. Epub 2009 Apr 15.