PMID- 24676990 OWN - NLM STAT- MEDLINE DCOM- 20151012 LR - 20220310 IS - 1432-2072 (Electronic) IS - 0033-3158 (Linking) VI - 231 IP - 20 DP - 2014 Oct TI - Oxidative stress and BDNF as possible markers for the severity of crack cocaine use in early withdrawal. PG - 4031-9 LID - 10.1007/s00213-014-3542-1 [doi] AB - RATIONALE: An important goal of addiction research is to discover neurobiological markers that could predict the severity of addiction and help to determine appropriate treatment. Brain-derived neurotrophic factor (BDNF) and thiobarbituric acid reactive substances (TBARS) are being related to cerebral plasticity and impairment caused by substance abuse. OBJECTIVES: This study aims to evaluate alteration of TBARS and BDNF levels among crack cocaine users during early drug withdrawal and its relationship to severity of drug use. METHODS: Forty-nine adults crack cocaine users were recruited at a public psychiatric hospital with a specialized addiction treatment unit. Blood sample was collected at intake and discharge for the analysis of TBARS and BDNF measures. Information about drug use was assessed by the Addiction Severity Index 6th Version (ASI-6). Detailed information about crack cocaine use was obtained through the "Profile of the crack cocaine user." Severity of crack use was estimated using information from age of first crack use, years of crack use, and crack rocks used in the previous 30 days. RESULTS: There is a positive correlation between TBARS levels and severity of crack cocaine use (R = 0.304, p = 0.04) and a negative correlation between BDNF and severity of crack cocaine use (R = -0.359, p = 0.01) at discharge. Also, we found an inverse correlation between TBARS and BDNF levels (R = -0.294, p = 0.004) at discharge. CONCLUSIONS: Our findings suggest that BDNF and TBARS could be possible markers for the severity of drug use. Further studies may show how those markers could be related to staging, prognosis, and treatment in crack cocaine dependence. FAU - Sordi, Anne Orgle AU - Sordi AO AD - Center for Drug and Alcohol Research, Hospital de Clinicas de Porto Alegre (HCPA), Universidade Federal do Rio Grande do Sul (UFRGS), Rua Prof. Alvaro Alvim, 400, Porto Alegre, RS, CEP 90420-020, Brazil, annesordi@yahoo.com.br. FAU - Pechansky, Flavio AU - Pechansky F FAU - Kessler, Felix Henrique Paim AU - Kessler FH FAU - Kapczinski, Flavio AU - Kapczinski F FAU - Pfaffenseller, Bianca AU - Pfaffenseller B FAU - Gubert, Carolina AU - Gubert C FAU - de Aguiar, Bianca Wollenhaupt AU - de Aguiar BW FAU - de Magalhaes Narvaez, Joana Correa AU - de Magalhaes Narvaez JC FAU - Ornell, Felipe AU - Ornell F FAU - von Diemen, Lisia AU - von Diemen L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140328 PL - Germany TA - Psychopharmacology (Berl) JT - Psychopharmacology JID - 7608025 RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Crack Cocaine) RN - 0 (Thiobarbituric Acid Reactive Substances) SB - IM MH - Adult MH - Biomarkers/blood MH - Brain-Derived Neurotrophic Factor/*blood MH - Cocaine-Related Disorders/diagnosis/*metabolism/psychology MH - *Crack Cocaine MH - Humans MH - Male MH - Oxidative Stress/*physiology MH - Severity of Illness Index MH - Substance Withdrawal Syndrome/*metabolism/psychology MH - Thiobarbituric Acid Reactive Substances/metabolism MH - Young Adult EDAT- 2014/03/29 06:00 MHDA- 2015/10/13 06:00 CRDT- 2014/03/29 06:00 PHST- 2014/02/13 00:00 [received] PHST- 2014/03/10 00:00 [accepted] PHST- 2014/03/29 06:00 [entrez] PHST- 2014/03/29 06:00 [pubmed] PHST- 2015/10/13 06:00 [medline] AID - 10.1007/s00213-014-3542-1 [doi] PST - ppublish SO - Psychopharmacology (Berl). 2014 Oct;231(20):4031-9. doi: 10.1007/s00213-014-3542-1. Epub 2014 Mar 28.