PMID- 25264290 OWN - NLM STAT- MEDLINE DCOM- 20151116 LR - 20181202 IS - 1814-1412 (Electronic) IS - 1562-2975 (Linking) VI - 16 IP - 2 DP - 2015 Feb TI - BDNF blood levels after non-invasive brain stimulation interventions in major depressive disorder: a systematic review and meta-analysis. PG - 114-22 LID - 10.3109/15622975.2014.958101 [doi] AB - OBJECTIVES: To evaluate whether the antidepressant effects of novel non-invasive brain stimulation (NIBS) therapies are associated with neurotrophic effects, indexed by peripheral brain-derived neurotrophic factor (BDNF) levels. METHODS: Systematic review and meta-analysis. We included trials published in PubMed/Medline from the first date available to June 2014 measuring BDNF blood levels before and after repetitive transcranial magnetic stimulation or transcranial direct current stimulation in depression. RESULTS: Eight datasets (n = 259) were included. These studies enrolled mostly treatment-resistant depression patients, who received daily stimulation sessions on the left dorsolateral prefrontal cortex. BDNF did not increase after NIBS (Hedges' g = 0.03, 95% CI = -0.21 to 0.27), even when examining each intervention separately. Meta-regressions did not identify the influence of any clinical and demographic predictors on the outcome. Finally, Begg's funnel plot did not suggest publication bias and results were robust according to sensitivity analysis. CONCLUSIONS: Peripheral BDNF levels do not increase after NIBS in depression. Such biomarker might, therefore, not be suitable to index NIBS antidepressant response. Further trials are needed, particularly exploring non-medicated populations, performing subsequent BDNF assessments in a larger timeframe and employing more intensive NIBS treatment protocols. FAU - Brunoni, Andre R AU - Brunoni AR AD - Laboratory of Neuroscience (LIM27), Department and Institute of Psychiatry, University of Sao Paulo , Sao Paulo , Brazil. FAU - Baeken, Chris AU - Baeken C FAU - Machado-Vieira, Rodrigo AU - Machado-Vieira R FAU - Gattaz, Wagner F AU - Gattaz WF FAU - Vanderhasselt, Marie-Anne AU - Vanderhasselt MA LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Review PT - Systematic Review DEP - 20140929 PL - England TA - World J Biol Psychiatry JT - The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry JID - 101120023 RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) SB - IM MH - Adult MH - Biomarkers/blood MH - Brain-Derived Neurotrophic Factor/*blood MH - Depressive Disorder, Major/*therapy MH - Depressive Disorder, Treatment-Resistant/*therapy MH - Female MH - Humans MH - Male MH - Middle Aged MH - Prefrontal Cortex/physiology MH - *Transcranial Direct Current Stimulation MH - *Transcranial Magnetic Stimulation OTO - NOTNLM OT - brain-derived neurotrophic factor OT - major depressive disorder OT - meta-analysis OT - neurotrophic factors OT - non-invasive brain stimulation EDAT- 2014/09/30 06:00 MHDA- 2015/11/17 06:00 CRDT- 2014/09/30 06:00 PHST- 2014/09/30 06:00 [entrez] PHST- 2014/09/30 06:00 [pubmed] PHST- 2015/11/17 06:00 [medline] AID - 10.3109/15622975.2014.958101 [doi] PST - ppublish SO - World J Biol Psychiatry. 2015 Feb;16(2):114-22. doi: 10.3109/15622975.2014.958101. Epub 2014 Sep 29.