PMID- 19786073 OWN - NLM STAT- MEDLINE DCOM- 20100114 LR - 20220310 IS - 1872-7972 (Electronic) IS - 0304-3940 (Linking) VI - 466 IP - 3 DP - 2009 Dec 11 TI - State-dependent decrease in levels of brain-derived neurotrophic factor in bipolar disorder: a meta-analytic study. PG - 139-43 LID - 10.1016/j.neulet.2009.09.044 [doi] AB - Evidence has suggested a role of brain-derived neurotrophic factor (BDNF) in the pathogenesis of bipolar disorder (BD). Recent studies have examined BDNF levels in BD patients, but showed inconsistent results. In current study, meta-analyses by random-effects model were performed to compare blood BDNF levels between BD patients and healthy controls, and examine patients based on different affective status (manic, depressed, or euthymic state). Fifteen studies from 10 citations were included into the analysis. Pooling of results from all studies indicated that, overall, patients with BD had a lower level of BDNF than healthy controls (p=1x10(-4)). But when separating these studies based on different affective status, it showed that the significance existed only when comparing patients in manic (p=0.0008) or depressed (p=0.02) state with controls, but not in euthymic state (p=0.25). In addition, BDNF level was significantly increased after pharmacological treatment of manic state (p=0.01). These findings indicate that BDNF levels are abnormally reduced in manic and depressed states of BD, and the reduced level in manic state increases after treatment. They suggest a role of blood BDNF level as a state-dependent biomarker of bipolar disorder. FAU - Lin, Pao-Yen AU - Lin PY AD - Department of Psychiatry, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, 123 Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung County 833, Taiwan. py1029@adm.cgmh.org.tw LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't DEP - 20090926 PL - Ireland TA - Neurosci Lett JT - Neuroscience letters JID - 7600130 RN - 0 (Brain-Derived Neurotrophic Factor) SB - IM MH - Bipolar Disorder/*blood/drug therapy/*physiopathology MH - Brain-Derived Neurotrophic Factor/*blood MH - Humans EDAT- 2009/09/30 06:00 MHDA- 2010/01/15 06:00 CRDT- 2009/09/30 06:00 PHST- 2009/07/31 00:00 [received] PHST- 2009/09/10 00:00 [revised] PHST- 2009/09/23 00:00 [accepted] PHST- 2009/09/30 06:00 [entrez] PHST- 2009/09/30 06:00 [pubmed] PHST- 2010/01/15 06:00 [medline] AID - S0304-3940(09)01272-5 [pii] AID - 10.1016/j.neulet.2009.09.044 [doi] PST - ppublish SO - Neurosci Lett. 2009 Dec 11;466(3):139-43. doi: 10.1016/j.neulet.2009.09.044. Epub 2009 Sep 26.