PMID- 26364276 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20181113 IS - 1469-5111 (Electronic) IS - 1461-1457 (Print) IS - 1461-1457 (Linking) VI - 19 IP - 3 DP - 2015 Sep 12 TI - S100B Serum Levels Predict Treatment Response in Patients with Melancholic Depression. PG - pyv103 LID - pyv103 [pii] LID - 10.1093/ijnp/pyv103 [doi] AB - BACKGROUND: There is an ongoing search for biomarkers in psychiatry, for example, as diagnostic tools or predictors of treatment response. The neurotrophic factor S100 calcium binding protein B (S100B) has been discussed as a possible predictor of antidepressant response in patients with major depression, but also as a possible biomarker of an acute depressive state. The aim of the present study was to study the association of serum S100B levels with antidepressant treatment response and depression severity in melancholically depressed inpatients. METHODS: After a wash-out period of 1 week, 40 inpatients with melancholic depression were treated with either venlafaxine or imipramine. S100B levels and Hamilton Depression Rating Scale (HAM-D) scores were assessed at baseline, after 7 weeks of treatment, and after 6 months. RESULTS: Patients with high S100B levels at baseline showed a markedly better treatment response defined as relative reduction in HAM-D scores than those with low baseline S100B levels after 7 weeks (P=.002) and 6 months (P=.003). In linear regression models, S100B was a significant predictor for treatment response at both time points. It is of interest to note that nonresponders were detected with a predictive value of 85% and a false negative rate of 7.5%. S100B levels were not associated with depression severity and did not change with clinical improvement. CONCLUSIONS: Low S100B levels predict nonresponse to venlafaxine and imipramine with high precision. Future studies have to show which treatments are effective in patients with low levels of S100B so that this biomarker will help to reduce patients' burden of nonresponding to frequently used antidepressants. CI - (c) The Author 2015. Published by Oxford University Press on behalf of CINP. FAU - Ambree, Oliver AU - Ambree O AD - Department of Psychiatry, University of Munster, Germany (Dr Ambree, Ms Grosse, Dr Alferink, Dr Rothermundt, and Dr Arolt); Department of Psychiatry, Erasmus Medical Center Rotterdam, The Netherlands (Drs Bergink and Birkenhager); Radiology Morphological Solutions, Rotterdam, The Netherlands (Ms Grosse); Department of Immunology, Erasmus Medical Center Rotterdam, The Netherlands (Dr Drexhage); Cluster of Excellence EXC 1003, Cells in Motion, Munster, Germany (Dr Alferink); Department of Psychiatry, St. Rochus-Hospital, Telgte, Oberhausen, Germany (Dr Rothermundt). ambree@uni-muenster.de. FAU - Bergink, Veerle AU - Bergink V AD - Department of Psychiatry, University of Munster, Germany (Dr Ambree, Ms Grosse, Dr Alferink, Dr Rothermundt, and Dr Arolt); Department of Psychiatry, Erasmus Medical Center Rotterdam, The Netherlands (Drs Bergink and Birkenhager); Radiology Morphological Solutions, Rotterdam, The Netherlands (Ms Grosse); Department of Immunology, Erasmus Medical Center Rotterdam, The Netherlands (Dr Drexhage); Cluster of Excellence EXC 1003, Cells in Motion, Munster, Germany (Dr Alferink); Department of Psychiatry, St. Rochus-Hospital, Telgte, Oberhausen, Germany (Dr Rothermundt). FAU - Grosse, Laura AU - Grosse L AD - Department of Psychiatry, University of Munster, Germany (Dr Ambree, Ms Grosse, Dr Alferink, Dr Rothermundt, and Dr Arolt); Department of Psychiatry, Erasmus Medical Center Rotterdam, The Netherlands (Drs Bergink and Birkenhager); Radiology Morphological Solutions, Rotterdam, The Netherlands (Ms Grosse); Department of Immunology, Erasmus Medical Center Rotterdam, The Netherlands (Dr Drexhage); Cluster of Excellence EXC 1003, Cells in Motion, Munster, Germany (Dr Alferink); Department of Psychiatry, St. Rochus-Hospital, Telgte, Oberhausen, Germany (Dr Rothermundt). FAU - Alferink, Judith AU - Alferink J AD - Department of Psychiatry, University of Munster, Germany (Dr Ambree, Ms Grosse, Dr Alferink, Dr Rothermundt, and Dr Arolt); Department of Psychiatry, Erasmus Medical Center Rotterdam, The Netherlands (Drs Bergink and Birkenhager); Radiology Morphological Solutions, Rotterdam, The Netherlands (Ms Grosse); Department of Immunology, Erasmus Medical Center Rotterdam, The Netherlands (Dr Drexhage); Cluster of Excellence EXC 1003, Cells in Motion, Munster, Germany (Dr Alferink); Department of Psychiatry, St. Rochus-Hospital, Telgte, Oberhausen, Germany (Dr Rothermundt). FAU - Drexhage, Hemmo A AU - Drexhage HA AD - Department of Psychiatry, University of Munster, Germany (Dr Ambree, Ms Grosse, Dr Alferink, Dr Rothermundt, and Dr Arolt); Department of Psychiatry, Erasmus Medical Center Rotterdam, The Netherlands (Drs Bergink and Birkenhager); Radiology Morphological Solutions, Rotterdam, The Netherlands (Ms Grosse); Department of Immunology, Erasmus Medical Center Rotterdam, The Netherlands (Dr Drexhage); Cluster of Excellence EXC 1003, Cells in Motion, Munster, Germany (Dr Alferink); Department of Psychiatry, St. Rochus-Hospital, Telgte, Oberhausen, Germany (Dr Rothermundt). FAU - Rothermundt, Matthias AU - Rothermundt M AD - Department of Psychiatry, University of Munster, Germany (Dr Ambree, Ms Grosse, Dr Alferink, Dr Rothermundt, and Dr Arolt); Department of Psychiatry, Erasmus Medical Center Rotterdam, The Netherlands (Drs Bergink and Birkenhager); Radiology Morphological Solutions, Rotterdam, The Netherlands (Ms Grosse); Department of Immunology, Erasmus Medical Center Rotterdam, The Netherlands (Dr Drexhage); Cluster of Excellence EXC 1003, Cells in Motion, Munster, Germany (Dr Alferink); Department of Psychiatry, St. Rochus-Hospital, Telgte, Oberhausen, Germany (Dr Rothermundt). FAU - Arolt, Volker AU - Arolt V AD - Department of Psychiatry, University of Munster, Germany (Dr Ambree, Ms Grosse, Dr Alferink, Dr Rothermundt, and Dr Arolt); Department of Psychiatry, Erasmus Medical Center Rotterdam, The Netherlands (Drs Bergink and Birkenhager); Radiology Morphological Solutions, Rotterdam, The Netherlands (Ms Grosse); Department of Immunology, Erasmus Medical Center Rotterdam, The Netherlands (Dr Drexhage); Cluster of Excellence EXC 1003, Cells in Motion, Munster, Germany (Dr Alferink); Department of Psychiatry, St. Rochus-Hospital, Telgte, Oberhausen, Germany (Dr Rothermundt). FAU - Birkenhager, Tom K AU - Birkenhager TK AD - Department of Psychiatry, University of Munster, Germany (Dr Ambree, Ms Grosse, Dr Alferink, Dr Rothermundt, and Dr Arolt); Department of Psychiatry, Erasmus Medical Center Rotterdam, The Netherlands (Drs Bergink and Birkenhager); Radiology Morphological Solutions, Rotterdam, The Netherlands (Ms Grosse); Department of Immunology, Erasmus Medical Center Rotterdam, The Netherlands (Dr Drexhage); Cluster of Excellence EXC 1003, Cells in Motion, Munster, Germany (Dr Alferink); Department of Psychiatry, St. Rochus-Hospital, Telgte, Oberhausen, Germany (Dr Rothermundt). LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20150912 PL - England TA - Int J Neuropsychopharmacol JT - The international journal of neuropsychopharmacology JID - 9815893 RN - 0 (Antidepressive Agents) RN - 0 (Biomarkers) RN - 0 (S100 Calcium Binding Protein beta Subunit) RN - 0 (S100B protein, human) RN - 7D7RX5A8MO (Venlafaxine Hydrochloride) RN - OGG85SX4E4 (Imipramine) SB - IM MH - Adult MH - Aged MH - Antidepressive Agents/*therapeutic use MH - Biomarkers/blood MH - Blood Chemical Analysis MH - Depressive Disorder/*blood/diagnosis/*drug therapy MH - False Negative Reactions MH - Female MH - Humans MH - Imipramine/*therapeutic use MH - Linear Models MH - Male MH - Middle Aged MH - Prognosis MH - Psychiatric Status Rating Scales MH - S100 Calcium Binding Protein beta Subunit/*blood MH - Severity of Illness Index MH - Time Factors MH - Treatment Outcome MH - Venlafaxine Hydrochloride/*therapeutic use PMC - PMC4815471 OTO - NOTNLM OT - Major depression OT - antidepressant response OT - neurotrophic factor OT - predictive biomarker OT - treatment resistance EDAT- 2015/09/14 06:00 MHDA- 2016/12/15 06:00 PMCR- 2015/09/12 CRDT- 2015/09/14 06:00 PHST- 2015/05/19 00:00 [received] PHST- 2015/09/03 00:00 [accepted] PHST- 2015/09/14 06:00 [entrez] PHST- 2015/09/14 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] PHST- 2015/09/12 00:00 [pmc-release] AID - pyv103 [pii] AID - 10.1093/ijnp/pyv103 [doi] PST - epublish SO - Int J Neuropsychopharmacol. 2015 Sep 12;19(3):pyv103. doi: 10.1093/ijnp/pyv103.