PMID- 25258340 OWN - NLM STAT- MEDLINE DCOM- 20150728 LR - 20220330 IS - 1879-1379 (Electronic) IS - 0022-3956 (Linking) VI - 59 DP - 2014 Dec TI - Fast BDNF serum level increase and diurnal BDNF oscillations are associated with therapeutic response after partial sleep deprivation. PG - 1-7 LID - S0022-3956(14)00272-6 [pii] LID - 10.1016/j.jpsychires.2014.09.005 [doi] AB - OBJECTIVE: Preclinical and clinical studies support a role for brain-derived neurotrophic factor (BDNF) in the pathophysiology of stress-related mood disorders. Furthermore, BDNF seems to be linked to antidepressant action. Available pharmacological treatments for depression are characterized by significant limitations with low efficacy and a major delay until treatment response. This demonstrates the urgent need for more efficient and fast-acting antidepressants. Besides ketamine, sleep deprivation (SD) as well as partial sleep deprivation (PSD) are effective and fast-acting antidepressant methods. However, the underlying molecular mechanisms of SD are not well understood; especially possible mechanisms explaining the rapid, but transient antidepressant effect of SD are unknown. METHODS: We evaluated serum BDNF from 28 patients suffering from major depressive disorder (MDD), who were naive to SD therapy at seven different time points within a 32 h time window before (day 0) and after PSD (day 1). PSD-response was assessed by 6-Items of the Hamilton Depression Rating Scale (HDRS) before (day 0) and at follow-up after 2 weeks (FU2). RESULTS: PSD induced a very fast increase in BDNF serum levels at day 1 which parallels clinical findings, since levels increased with decreasing depression scores in all participants. Notably, responders showed a significant diurnal BDNF serum variation not only after PSD but already before PSD treatment, while diurnal profile of serum BDNF from non-responders did not vary. CONCLUSIONS: The elasticity in diurnal serum BDNF variation is associated with favourable treatment response to PSD in patients suffering from MDD. Therefore, a normalized BDNF serum profile which oscillates in a circadian fashion seems to precede, rather than follow a favourable treatment outcome in depressed patients. Furthermore the fast increase of BDNF is comparable to effects seen with ketamine infusion. CI - Copyright (c) 2014 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Giese, Maria AU - Giese M AD - Neurobiology Laboratory for Brain Aging and Mental Health, Psychiatric Clinics of the University of Basel, Basel, Switzerland; Transfacultary Research Platform, Molecular & Cognitive Neuroscience, University of Basel, Basel, Switzerland. FAU - Beck, Johannes AU - Beck J AD - Center for Affective, Stress and Sleep Disorders, Psychiatric Hospital of the University of Basel, Basel, Switzerland. FAU - Brand, Serge AU - Brand S AD - Center for Affective, Stress and Sleep Disorders, Psychiatric Hospital of the University of Basel, Basel, Switzerland. FAU - Muheim, Flavio AU - Muheim F AD - Center for Affective, Stress and Sleep Disorders, Psychiatric Hospital of the University of Basel, Basel, Switzerland. FAU - Hemmeter, Ulrich AU - Hemmeter U AD - Psychiatric Service Center St. Gallen, Wil, Switzerland. FAU - Hatzinger, Martin AU - Hatzinger M AD - Psychiatric Services Solothurn, Department of Adult Psychiatry, Solothurn, Switzerland. FAU - Holsboer-Trachsler, Edith AU - Holsboer-Trachsler E AD - Center for Affective, Stress and Sleep Disorders, Psychiatric Hospital of the University of Basel, Basel, Switzerland. FAU - Eckert, Anne AU - Eckert A AD - Neurobiology Laboratory for Brain Aging and Mental Health, Psychiatric Clinics of the University of Basel, Basel, Switzerland; Transfacultary Research Platform, Molecular & Cognitive Neuroscience, University of Basel, Basel, Switzerland. Electronic address: Anne.Eckert@upkbs.ch. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140916 PL - England TA - J Psychiatr Res JT - Journal of psychiatric research JID - 0376331 RN - 0 (Antidepressive Agents, Tricyclic) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 250PJI13LM (Mianserin) RN - A051Q2099Q (Mirtazapine) SB - IM MH - Adult MH - Aged MH - Analysis of Variance MH - Antidepressive Agents, Tricyclic/therapeutic use MH - Brain-Derived Neurotrophic Factor/*blood MH - Circadian Rhythm/*physiology MH - Depressive Disorder, Major/*blood/*therapy MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Male MH - Mianserin/analogs & derivatives/therapeutic use MH - Middle Aged MH - Mirtazapine MH - Psychiatric Status Rating Scales MH - *Sleep Deprivation MH - Surveys and Questionnaires MH - Time Factors MH - Young Adult OTO - NOTNLM OT - BDNF OT - Depression OT - Sleep deprivation OT - Therapy response EDAT- 2014/09/27 06:00 MHDA- 2015/07/29 06:00 CRDT- 2014/09/27 06:00 PHST- 2014/04/09 00:00 [received] PHST- 2014/09/02 00:00 [revised] PHST- 2014/09/04 00:00 [accepted] PHST- 2014/09/27 06:00 [entrez] PHST- 2014/09/27 06:00 [pubmed] PHST- 2015/07/29 06:00 [medline] AID - S0022-3956(14)00272-6 [pii] AID - 10.1016/j.jpsychires.2014.09.005 [doi] PST - ppublish SO - J Psychiatr Res. 2014 Dec;59:1-7. doi: 10.1016/j.jpsychires.2014.09.005. Epub 2014 Sep 16.