PMID- 22883353 OWN - NLM STAT- MEDLINE DCOM- 20130813 LR - 20221207 IS - 1092-8529 (Print) IS - 1092-8529 (Linking) VI - 17 IP - 3 DP - 2012 Sep TI - Serum levels of brain-derived neurotrophic factor (BDNF), BDNF gene Val66Met polymorphism, or plasma catecholamine metabolites, and response to mirtazapine in Japanese patients with major depressive disorder (MDD). PG - 155-63 LID - 10.1017/S109285291200051X [doi] AB - OBJECT: We investigated an association between the polymorphism of brain-derived neurotrophic factor (BDNF) gene Val66Met and the response to mirtazapine in Japanese patients with major depressive disorder (MDD). We also examined mirtazapine's effects on the serum BDNF and plasma levels of catecholamine metabolites in these patients. METHODS: Eighty-four patients who met the DSM-IV-TR criteria for MDD were treated with only mirtazapine for 4 weeks. The BDNF Val66Met polymorphism was detected by direct sequencing in the region, and serum BDNF levels and plasma levels of catecholamine metabolites were measured by ELISA and HPLC-ECD, respectively. RESULTS: Mirtazapine treatment for 4 weeks significantly increased serum BDNF levels in the responders, whereas nonresponders showed significant decreases. No association was found between either of the two genotypes (Val/Val vs. Met-carriers) and the response to mirtazapine at T4 or the serum BDNF levels at T0. Mirtazapine did not alter the plasma levels of homovanillic acid (HVA) or 3-methoxy-4-hydroxyphenylglycol (MHPG). Discussion The dynamics of serum BDNF levels, but not plasma levels of HVA and MHPG, reflect the response to mirtazapine treatment; the BDNF Val66Met polymorphism in patients with depression is, however, associated with neither a particular response to mirtazapine treatment nor baseline serum BDNF levels. CONCLUSION: Serum BDNF levels, but not plasma levels of HVA or MHPG, and BDNF Val66Met polymorphism are related to the mirtazapine response in MDD. FAU - Katsuki, Asuka AU - Katsuki A AD - Department of Psychiatry, University of Occupational and Environmental Health, Kitakyushu, Japan. FAU - Yoshimura, Reiji AU - Yoshimura R FAU - Kishi, Taro AU - Kishi T FAU - Hori, Hikaru AU - Hori H FAU - Umene-Nakano, Wakako AU - Umene-Nakano W FAU - Ikenouchi-Sugita, Atsuko AU - Ikenouchi-Sugita A FAU - Hayashi, Kenji AU - Hayashi K FAU - Atake, Kiyokazu AU - Atake K FAU - Iwata, Nakao AU - Iwata N FAU - Nakamura, Jun AU - Nakamura J LA - eng PT - Journal Article DEP - 20120810 PL - United States TA - CNS Spectr JT - CNS spectrums JID - 9702877 RN - 0 (Antidepressive Agents) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Catecholamines) RN - 0 (Ethylene Glycols) RN - 0 (Phenols) RN - 2380-75-8 (4-hydroxyphenethylene glycol) RN - 250PJI13LM (Mianserin) RN - A051Q2099Q (Mirtazapine) RN - AE28F7PNPL (Methionine) RN - HG18B9YRS7 (Valine) RN - X77S6GMS36 (Homovanillic Acid) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antidepressive Agents/*therapeutic use MH - Asian People/genetics MH - Brain-Derived Neurotrophic Factor/*blood/genetics MH - Catecholamines/*blood MH - Chromatography, High Pressure Liquid MH - *Depressive Disorder, Major/blood/drug therapy/genetics MH - Enzyme-Linked Immunosorbent Assay MH - Ethylene Glycols MH - Female MH - Homovanillic Acid/blood MH - Humans MH - Male MH - Methionine/genetics MH - Mianserin/*analogs & derivatives/therapeutic use MH - Middle Aged MH - Mirtazapine MH - Phenols MH - Polymorphism, Genetic/genetics MH - Psychiatric Status Rating Scales MH - Statistics, Nonparametric MH - Valine/genetics MH - Young Adult EDAT- 2012/08/14 06:00 MHDA- 2013/08/14 06:00 CRDT- 2012/08/14 06:00 PHST- 2012/08/14 06:00 [entrez] PHST- 2012/08/14 06:00 [pubmed] PHST- 2013/08/14 06:00 [medline] AID - S109285291200051X [pii] AID - 10.1017/S109285291200051X [doi] PST - ppublish SO - CNS Spectr. 2012 Sep;17(3):155-63. doi: 10.1017/S109285291200051X. Epub 2012 Aug 10.