PMID- 24663244 OWN - NLM STAT- MEDLINE DCOM- 20150115 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 3 DP - 2014 TI - Serum BDNF levels in relation to illness severity, suicide attempts, and central serotonin activity in patients with major depressive disorder: a pilot study. PG - e91061 LID - 10.1371/journal.pone.0091061 [doi] LID - e91061 AB - The aim of this study was to test the hypothesis that serum levels of brain-derived neurotrophic factor (BDNF) are correlated with the loudness dependence of auditory evoked potentials (LDAEP). The question of whether there is a difference in BDNF levels between depressive patients according to their illness severity, history of suicide attempts, and central serotonin activity was also addressed. A sample of 51 patients who met the criteria for major depressive disorder following diagnosis using axis I of the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders - text revision comprised the study subjects. The patients were stratified into two subgroups based on their illness severity, history of suicide attempts, and their LDAEP values. The LDAEP was evaluated by measuring the auditory event-related potentials, and serum BDNF was measured using blood sampling before beginning medication with serotonergic agents. There was no difference in serum BDNF levels between the two patient subgroups. The subgroup with moderate-to-severe depression (n = 16) was reanalyzed after stratifying it into two subgroups according to LDAEP and BDNF values (dichotomized at the medians into low and high). The high-LDAEP subgroup had higher serum BDNF levels and total Barratt Impulsiveness Scale score than the low-LDAEP subgroup (p = 0.03 and 0.036, respectively). Serum BDNF levels were positively correlated with LDAEP and total Beck Hopelessness Scale (BHS) score (r = 0.56, p = 0.025, and r = 0.59, p = 0.016, respectively). The high-BDNF subgroup had a higher LDAEP and total BHS score than the low-BDNF subgroup (p = 0.046 and p = 0.011, respectively). This is the first study to demonstrate a relationship between the BDNF level and LDAEP in Asian depressive patients. Intriguingly, the high-BDNF subgroup (divided according to illness severity) exhibited a more severe psychopathology on some psychometric rating scales, a finding that conflicts with previous results. FAU - Park, Young-Min AU - Park YM AD - Department of Psychiatry, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Republic of Korea. FAU - Lee, Bun-Hee AU - Lee BH AD - Department of Psychiatry, Gangnam Eulji Hospital, Eulji University, Seoul, Republic of Korea. FAU - Um, Tae Hyun AU - Um TH AD - Department of Laboratory Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Republic of Korea. FAU - Kim, Sollip AU - Kim S AD - Department of Laboratory Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Republic of Korea. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140324 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 333DO1RDJY (Serotonin) SB - IM MH - Adult MH - Brain-Derived Neurotrophic Factor/*blood MH - Depressive Disorder, Major/*blood/metabolism/*physiopathology MH - Evoked Potentials, Auditory MH - Female MH - Humans MH - Loudness Perception/physiology MH - Male MH - Pilot Projects MH - Psychometrics MH - Serotonin/*metabolism MH - *Suicide, Attempted PMC - PMC3963843 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2014/03/26 06:00 MHDA- 2015/01/16 06:00 PMCR- 2014/03/24 CRDT- 2014/03/26 06:00 PHST- 2013/07/04 00:00 [received] PHST- 2014/02/08 00:00 [accepted] PHST- 2014/03/26 06:00 [entrez] PHST- 2014/03/26 06:00 [pubmed] PHST- 2015/01/16 06:00 [medline] PHST- 2014/03/24 00:00 [pmc-release] AID - PONE-D-13-27541 [pii] AID - 10.1371/journal.pone.0091061 [doi] PST - epublish SO - PLoS One. 2014 Mar 24;9(3):e91061. doi: 10.1371/journal.pone.0091061. eCollection 2014.