PMID- 24067327 OWN - NLM STAT- MEDLINE DCOM- 20141128 LR - 20161020 IS - 1469-5111 (Electronic) IS - 1461-1457 (Linking) VI - 17 IP - 1 DP - 2014 Jan TI - Increase in brain-derived neurotrophic factor expression in early crack cocaine withdrawal. PG - 33-40 LID - 10.1017/S146114571300103X [doi] AB - Recent reports suggest that brain-derived neurotrophic factor (BDNF) could be a biomarker for relapse, drug craving and withdrawal severity. In particular, elevated BDNF levels among former cocaine users have been associated with higher rates of relapse in 90 d. However, no data are available on BDNF levels at baseline and during crack cocaine withdrawal. This study evaluated BDNF among crack cocaine users during inpatient treatment, before and after withdrawal, vs. healthy controls. Clinical correlates with changes in BDNF levels were also assessed. Serum BDNF was evaluated in 49 male crack users on the first and last days of hospitalization and in 97 healthy controls. Serum BDNF was assayed using a sandwich ELISA kit. BDNF levels were significantly lower upon admission when compared to controls, even after adjustment for age, length of inpatient treatment, number of crack rocks used in the last 30 d, years of crack use and interaction between the latter two variables. At discharge, BDNF levels between patients and controls were similar. Number of crack rocks used in the last 30 d and years of crack use were inversely correlated with the outcome. Our findings show that BDNF levels increase during early crack cocaine withdrawal, at an inverse correlation with number of crack rocks used in the last 30 d and years of crack use. FAU - von Diemen, Lisia AU - von Diemen L AD - Center for Drug and Alcohol Research, Hospital de Clinicas de Porto Alegre (HCPA), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil. FAU - Kapczinski, Flavio AU - Kapczinski F FAU - Sordi, Anne Orgle AU - Sordi AO FAU - de Magalhaes Narvaez, Joana Correa AU - de Magalhaes Narvaez JC FAU - Guimaraes, Luciano Santos Pinto AU - Guimaraes LS FAU - Kessler, Felix Henrique Paim AU - Kessler FH FAU - Pfaffenseller, Bianca AU - Pfaffenseller B FAU - de Aguiar, Bianca Wollenhaupt AU - de Aguiar BW FAU - de Moura Gubert, Carolina AU - de Moura Gubert C FAU - Pechansky, Flavio AU - Pechansky F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130926 PL - England TA - Int J Neuropsychopharmacol JT - The international journal of neuropsychopharmacology JID - 9815893 RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Crack Cocaine) SB - IM MH - Adult MH - Biomarkers/blood MH - Brain-Derived Neurotrophic Factor/*blood MH - Case-Control Studies MH - Cocaine-Related Disorders/*blood MH - Crack Cocaine/*adverse effects MH - Hospitalization MH - Humans MH - Male MH - Substance Withdrawal Syndrome/*blood MH - Young Adult EDAT- 2013/09/27 06:00 MHDA- 2014/12/15 06:00 CRDT- 2013/09/27 06:00 PHST- 2013/09/27 06:00 [entrez] PHST- 2013/09/27 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] AID - S146114571300103X [pii] AID - 10.1017/S146114571300103X [doi] PST - ppublish SO - Int J Neuropsychopharmacol. 2014 Jan;17(1):33-40. doi: 10.1017/S146114571300103X. Epub 2013 Sep 26.