PMID- 27490818 OWN - NLM STAT- MEDLINE DCOM- 20170823 LR - 20220321 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 11 IP - 8 DP - 2016 TI - Branched-Chain Amino Acids as New Biomarkers of Major Depression - A Novel Neurobiology of Mood Disorder. PG - e0160542 LID - 10.1371/journal.pone.0160542 [doi] LID - e0160542 AB - BACKGROUND: The proteinogenic branched-chain amino acids (BCAAs) valine, leucine and isoleucine might play an unrecognised crucial role in the development of depression through their activation of the mammalian target of rapamycin (mTor) pathway. The aim of this research project is to evaluate whether BCAAs are altered in patients with major depression and might thus be appropriate biomarkers for major depression. METHODS: The concentrations of valine, leucine and isoleucine were determined in 71 in-patients with major depression and 48 healthy controls by high-pressure liquid chromatography. Psychiatric and laboratory assessments were obtained at the time of in-patient admittance. RESULTS: The BCAAs are significantly decreased in patients with major depression in comparison with healthy subjects (valine: Mann-Whitney-U: 968.0; p <0.0001, leucine: Mann-Whitney-U: 1246.5; p = 0.013, isoleucine: Mann-Whitney-U: 1252.5; p = 0.014). Furthermore, as shown by Spearman's rank correlation coefficients, there is a significant negative correlation between valine, leucine and isoleucine concentrations and the Hamilton Depression Rating Scale (HAMD-17) as well as Beck Depression Inventory (BDI-II) scores. CONCLUSIONS: Our study results are strong evidence that in patients with major depression, BCAAs might be appropriate biomarkers for depression. Reduced activation of the mammalian target of rapamycin (mTor) due to a reduction of BCAAs might play a crucial unrecognised factor in the etiology of depression and may evoke depressive symptomatology and lower energy metabolism in patients with major depression. In the future, mTor and its up- and downstream signalling partners might be important targets for the development of novel antidepressants. FAU - Baranyi, Andreas AU - Baranyi A AD - Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria. AD - Institute for International Management Practice, ARU Cambridge, Cambridge, UK. FAU - Amouzadeh-Ghadikolai, Omid AU - Amouzadeh-Ghadikolai O AD - Hospital of the Brothers of St. John of God, Graz, Austria. FAU - von Lewinski, Dirk AU - von Lewinski D AD - Division of Cardiology, Department of Internal Medicine, Medical University of Graz, Graz, Austria. FAU - Rothenhausler, Hans-Bernd AU - Rothenhausler HB AD - Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria. FAU - Theokas, Simon AU - Theokas S AD - Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria. FAU - Robier, Christoph AU - Robier C AD - Hospital of the Brothers of St. John of God, Graz, Austria. AD - Clinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria. FAU - Mangge, Harald AU - Mangge H AD - Clinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria. FAU - Reicht, Gerhard AU - Reicht G AD - Hospital of the Brothers of St. John of God, Graz, Austria. FAU - Hlade, Peter AU - Hlade P AD - Hospital of the Brothers of St. John of God, Graz, Austria. FAU - Meinitzer, Andreas AU - Meinitzer A AD - Clinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria. LA - eng PT - Journal Article DEP - 20160804 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Amino Acids, Branched-Chain) RN - 0 (Biomarkers) RN - 04Y7590D77 (Isoleucine) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - GMW67QNF9C (Leucine) RN - HG18B9YRS7 (Valine) SB - IM MH - Adult MH - Amino Acids, Branched-Chain/*analysis MH - Biomarkers/*analysis MH - Case-Control Studies MH - Chromatography, High Pressure Liquid MH - Depressive Disorder, Major/*diagnosis/metabolism/pathology MH - Down-Regulation MH - Energy Metabolism MH - Female MH - Humans MH - Isoleucine/chemistry/metabolism MH - Leucine/chemistry/metabolism MH - Male MH - Middle Aged MH - Mood Disorders/metabolism/pathology MH - Nervous System/metabolism MH - TOR Serine-Threonine Kinases/metabolism MH - Valine/chemistry/metabolism PMC - PMC4973973 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2016/08/05 06:00 MHDA- 2017/08/24 06:00 PMCR- 2016/08/04 CRDT- 2016/08/05 06:00 PHST- 2016/04/27 00:00 [received] PHST- 2016/07/21 00:00 [accepted] PHST- 2016/08/05 06:00 [entrez] PHST- 2016/08/05 06:00 [pubmed] PHST- 2017/08/24 06:00 [medline] PHST- 2016/08/04 00:00 [pmc-release] AID - PONE-D-16-15750 [pii] AID - 10.1371/journal.pone.0160542 [doi] PST - epublish SO - PLoS One. 2016 Aug 4;11(8):e0160542. doi: 10.1371/journal.pone.0160542. eCollection 2016.