PMID- 20864319 OWN - NLM STAT- MEDLINE DCOM- 20110323 LR - 20211020 IS - 0165-1781 (Print) IS - 1872-7123 (Electronic) IS - 0165-1781 (Linking) VI - 184 IP - 2 DP - 2010 Nov 30 TI - Reduced medial prefrontal N-acetyl-aspartate levels in pediatric major depressive disorder: a multi-voxel in vivo(1)H spectroscopy study. PG - 71-6 LID - 10.1016/j.pscychresns.2010.07.008 [doi] AB - There is increasing evidence of a reciprocal fronto-limbic network in the pathogenesis of mood disorders. Prior in vivo proton ((1)H) spectroscopy studies provide evidence of abnormal neurochemical levels in the cingulate and dorsolateral prefrontal cortex (DLPFC) of adult subjects with major depressive disorder (MDD). We examined whether similar abnormalities occur in children and adolescents with MDD. We collected two-dimensional multi-voxel in vivo (1)H spectroscopy data at 1.5 Tesla to quantify levels of N-acetyl-aspartate (NAA), glycerolphosphocholine plus phosphocholine (GPC+PC), and phosphocreatine plus creatine (PCr+Cr) in the DLPFC, medial prefrontal cortex (MPFC), and anterior cingulate (AC) of children and adolescents aged 8-17 years with MDD (n=16) compared with healthy control subjects (n=38). Analysis of covariance with age and gender as covariates was performed. MDD subjects showed significantly lower levels of NAA in the right MPFC and right AC than controls. MDD subjects also had significantly lower levels of GPC+PC in the right AC than control subjects. There were no significant differences in other metabolites in the studied regions. Pediatric patients with MDD exhibit neurochemical alterations in prefrontal cortex regions that are important in the monitoring and regulation of emotional states. CI - Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved. FAU - Olvera, Rene Luis AU - Olvera RL AD - Department of Psychiatry, The University of Texas Health Science Center, San Antonio, TX, USA. olverar@UTHSCSA.edu FAU - Caetano, Sheila C AU - Caetano SC FAU - Stanley, Jeffrey A AU - Stanley JA FAU - Chen, Hua-Hsuan AU - Chen HH FAU - Nicoletti, Mark AU - Nicoletti M FAU - Hatch, John P AU - Hatch JP FAU - Fonseca, Manoela AU - Fonseca M FAU - Pliszka, Steven R AU - Pliszka SR FAU - Soares, Jair C AU - Soares JC LA - eng GR - M01-RR-01346/RR/NCRR NIH HHS/United States GR - K24 RR020571-01A1/RR/NCRR NIH HHS/United States GR - R01 MH069774/MH/NIMH NIH HHS/United States GR - K23 MH068280-01A1/MH/NIMH NIH HHS/United States GR - R01 MH069774-01A2/MH/NIMH NIH HHS/United States GR - K23 MH068280/MH/NIMH NIH HHS/United States GR - RR020571/RR/NCRR NIH HHS/United States GR - MH69774/MH/NIMH NIH HHS/United States GR - M01 RR001346/RR/NCRR NIH HHS/United States GR - K24 RR020571/RR/NCRR NIH HHS/United States GR - K23-MH068280/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - Ireland TA - Psychiatry Res JT - Psychiatry research JID - 7911385 RN - 020IUV4N33 (Phosphocreatine) RN - 107-73-3 (Phosphorylcholine) RN - 30KYC7MIAI (Aspartic Acid) RN - 997-55-7 (N-acetylaspartate) RN - MU72812GK0 (Creatine) SB - IM MH - Adolescent MH - Affect MH - Aspartic Acid/*analogs & derivatives/analysis/metabolism MH - Brain Mapping MH - Child MH - Creatine/analysis/metabolism MH - Depressive Disorder, Major/*metabolism MH - Female MH - Gyrus Cinguli/chemistry/*metabolism MH - Humans MH - Image Processing, Computer-Assisted MH - Magnetic Resonance Spectroscopy/methods MH - Male MH - Phosphocreatine/analysis MH - Phosphorylcholine/analysis/metabolism MH - Prefrontal Cortex/chemistry/*metabolism PMC - PMC2963721 MID - NIHMS227814 EDAT- 2010/09/25 06:00 MHDA- 2011/03/24 06:00 PMCR- 2011/11/30 CRDT- 2010/09/25 06:00 PHST- 2009/07/21 00:00 [received] PHST- 2010/05/10 00:00 [revised] PHST- 2010/07/27 00:00 [accepted] PHST- 2010/09/25 06:00 [entrez] PHST- 2010/09/25 06:00 [pubmed] PHST- 2011/03/24 06:00 [medline] PHST- 2011/11/30 00:00 [pmc-release] AID - S0925-4927(10)00262-3 [pii] AID - 10.1016/j.pscychresns.2010.07.008 [doi] PST - ppublish SO - Psychiatry Res. 2010 Nov 30;184(2):71-6. doi: 10.1016/j.pscychresns.2010.07.008.