PMID- 25189990 OWN - NLM STAT- MEDLINE DCOM- 20150424 LR - 20181202 IS - 1573-2517 (Electronic) IS - 0165-0327 (Linking) VI - 169 DP - 2014 Dec TI - Thyroid stimulating hormone and serum, plasma, and platelet brain-derived neurotrophic factor during a 3-month follow-up in patients with major depressive disorder. PG - 112-7 LID - S0165-0327(14)00485-6 [pii] LID - 10.1016/j.jad.2014.08.009 [doi] AB - BACKGROUND: Thyroid dysfunction and elevated thyroid stimulating hormone (TSH) are common in patients with depression. TSH might exert its function in the brain through blood levels of brain-derived neurotrophic factor (BDNF). BDNF decreases during depressed states and normalize after treatment. The gap is that the association between TSH and BDNF in patients with major depressive disorder (MDD) is unknown. METHODS: We studied 105 subjects >/=18 years of age with MDD and measured serum, plasma, and platelet BDNF at baseline, 1 month and 3 months during antidepressant treatment. Other baseline measurements included hypothalamic-pituitary-thyroid axis hormones such as TSH, triiodothyronine (T3) and thyroxine (T4); hypothalamic-pituitary-adrenal (HPA) axis hormones and hypothalamic-pituitary-gonadal (HPG) axis hormones and prolactin. RESULTS: Linear mixed model effect analyses revealed that baseline TSH level was negatively associated with changes of serum BDNF from baseline to 3 months (F=7.58, p=0.007) after adjusting for age, sex, and body mass index, but was not associated with plasma and platelet BDNF. In contrast, T3 and T4, HPA axis hormones, HPG axis hormones, and prolactin were not associated with serum, plasma, or platelet BDNF levels. Patients in the highest quartile of TSH showed significantly lower serum BDNF than in the other quartiles (F=4.54, p=0.038), but no significant differences were found based on T3 and T4 levels. LIMITATIONS: TSH was only measured at baseline. CONCLUSIONS: Higher TSH is associated with lower baseline and reduced the increase of serum BDNF levels during antidepressant treatment in patients with MDD. CI - Copyright (c) 2014 Elsevier B.V. All rights reserved. FAU - Baek, Ji Hyun AU - Baek JH AD - Department of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea; Bipolar Clinic and Research Program, Massachusetts General Hospital, Harvard Medical School, Boston, USA. FAU - Kang, Eun-Suk AU - Kang ES AD - Department of Laboratory Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. FAU - Fava, Maurizio AU - Fava M AD - Depression Clinical and Research Program, Massachusetts General Hospital, Harvard Medical School, Boston, USA. FAU - Mischoulon, David AU - Mischoulon D AD - Depression Clinical and Research Program, Massachusetts General Hospital, Harvard Medical School, Boston, USA. FAU - Nierenberg, Andrew A AU - Nierenberg AA AD - Depression Clinical and Research Program, Massachusetts General Hospital, Harvard Medical School, Boston, USA; Bipolar Clinic and Research Program, Massachusetts General Hospital, Harvard Medical School, Boston, USA. FAU - Lee, Dongsoo AU - Lee D AD - Department of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. FAU - Heo, Jung-Yoon AU - Heo JY AD - Department of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. FAU - Jeon, Hong Jin AU - Jeon HJ AD - Department of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea; Samsung Advanced Institute for Health Sciences & Technology (SAIHST), Seoul, Republic of Korea; Bipolar Clinic and Research Program, Massachusetts General Hospital, Harvard Medical School, Boston, USA. Electronic address: jeonhj@skku.edu. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140817 PL - Netherlands TA - J Affect Disord JT - Journal of affective disorders JID - 7906073 RN - 0 (Antidepressive Agents) RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 06LU7C9H1V (Triiodothyronine) RN - 9002-71-5 (Thyrotropin) RN - Q51BO43MG4 (Thyroxine) SB - IM MH - Adult MH - Antidepressive Agents/therapeutic use MH - Biomarkers/blood MH - Blood Platelets/metabolism MH - Brain-Derived Neurotrophic Factor/*blood MH - Depressive Disorder, Major/*blood/drug therapy MH - Female MH - Follow-Up Studies MH - Humans MH - Hypothalamo-Hypophyseal System/physiopathology MH - Male MH - Middle Aged MH - Pituitary-Adrenal System/physiopathology MH - Thyrotropin/*blood MH - Thyroxine/blood MH - Treatment Outcome MH - Triiodothyronine/blood OTO - NOTNLM OT - BDNF OT - Major depressive disorder OT - Thyroid hormone OT - Thyroid-stimulating hormone EDAT- 2014/09/06 06:00 MHDA- 2015/04/25 06:00 CRDT- 2014/09/06 06:00 PHST- 2014/03/11 00:00 [received] PHST- 2014/07/24 00:00 [revised] PHST- 2014/08/07 00:00 [accepted] PHST- 2014/09/06 06:00 [entrez] PHST- 2014/09/06 06:00 [pubmed] PHST- 2015/04/25 06:00 [medline] AID - S0165-0327(14)00485-6 [pii] AID - 10.1016/j.jad.2014.08.009 [doi] PST - ppublish SO - J Affect Disord. 2014 Dec;169:112-7. doi: 10.1016/j.jad.2014.08.009. Epub 2014 Aug 17.