PMID- 22805604 OWN - NLM STAT- MEDLINE DCOM- 20130226 LR - 20240322 IS - 1740-634X (Electronic) IS - 0893-133X (Print) IS - 0893-133X (Linking) VI - 37 IP - 11 DP - 2012 Oct TI - Increased glutamate levels in the medial prefrontal cortex in patients with postpartum depression. PG - 2428-35 LID - 10.1038/npp.2012.101 [doi] AB - The medial prefrontal cortex (MPFC) is a key brain area in depressive symptomatology; specifically, glutamate (Glu) has been reported to play a significant role in major depression (MD) in this area. MPFC Glu levels are sensitive to ovarian hormone fluctuations and pregnancy and the postpartum period are associated with the most substantial physiological alterations of female hormones. It is therefore logical to measure MPFC Glu levels in women with postpartum depression (PPD). Using in vivo magnetic resonance spectroscopy (MRS) at a field strength of 3 T, we acquired single-voxel spectra from the MPFC of 12 women with PPD and 12 healthy controls (HCs) matched for postpartum scan timing. Water-referenced MPFC Glu levels were measured using a MRS technique that allowed us to be specific for Glu with very little glutamine contamination. The concentrations of other water-quantified brain metabolites such as glycerophosphorylcholine plus phosphorylcholine, N-acetylaspartate (NAA), and creatine plus phosphocreatine were measured in the same MR spectra. MPFC Glu levels were higher in women with PPD (7.21+/-1.20) compared to matched HCs (6.04+/-1.21). There were no differences between groups for other brain metabolites measured. These findings suggest an association between Glu dysregulation in the MPFC and PPD. Whether the pathophysiology of PPD differs from the pathophysiology of MD remains to be determined. Further investigations are needed to determine the chronological associations between the occurrence of symptoms of PPD and the onset of changes in MPFC Glu levels. FAU - McEwen, Alyssa M AU - McEwen AM AD - Department of Psychiatry, University of Alberta, Edmonton, AB, Canada. FAU - Burgess, Denee T A AU - Burgess DT FAU - Hanstock, Christopher C AU - Hanstock CC FAU - Seres, Peter AU - Seres P FAU - Khalili, Panteha AU - Khalili P FAU - Newman, Stephen C AU - Newman SC FAU - Baker, Glen B AU - Baker GB FAU - Mitchell, Nicholas D AU - Mitchell ND FAU - Khudabux-Der, Janisse AU - Khudabux-Der J FAU - Allen, Peter S AU - Allen PS FAU - LeMelledo, Jean-Michel AU - LeMelledo JM LA - eng GR - Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120718 PL - England TA - Neuropsychopharmacology JT - Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology JID - 8904907 RN - 107-73-3 (Phosphorylcholine) RN - 30KYC7MIAI (Aspartic Acid) RN - 3KX376GY7L (Glutamic Acid) RN - 60M22SGW66 (Glycerylphosphorylcholine) RN - 997-55-7 (N-acetylaspartate) RN - MU72812GK0 (Creatine) SB - IM MH - Adult MH - Aspartic Acid/analogs & derivatives/metabolism MH - Case-Control Studies MH - Creatine/metabolism MH - Depression, Postpartum/*pathology MH - Female MH - Glutamic Acid/*metabolism MH - Glycerylphosphorylcholine/metabolism MH - Humans MH - Magnetic Resonance Spectroscopy MH - Phosphorylcholine/metabolism MH - Prefrontal Cortex/*metabolism MH - Pregnancy MH - Time Factors MH - Young Adult PMC - PMC3442339 EDAT- 2012/07/19 06:00 MHDA- 2013/02/27 06:00 PMCR- 2013/10/01 CRDT- 2012/07/19 06:00 PHST- 2012/07/19 06:00 [entrez] PHST- 2012/07/19 06:00 [pubmed] PHST- 2013/02/27 06:00 [medline] PHST- 2013/10/01 00:00 [pmc-release] AID - npp2012101 [pii] AID - 10.1038/npp.2012.101 [doi] PST - ppublish SO - Neuropsychopharmacology. 2012 Oct;37(11):2428-35. doi: 10.1038/npp.2012.101. Epub 2012 Jul 18.