PMID- 29334322 OWN - NLM STAT- MEDLINE DCOM- 20200804 LR - 20200804 IS - 1814-1412 (Electronic) IS - 1562-2975 (Linking) VI - 20 IP - 7 DP - 2019 Sep TI - Plasma brain-derived neurotrophic factor (pBDNF) and executive dysfunctions in patients with major depressive disorder. PG - 519-530 LID - 10.1080/15622975.2018.1425478 [doi] AB - Objectives: Executive dysfunctions are frequently seen in patients with major depressive disorder (MDD) and normalise in many cases during effective antidepressant therapy. This study investigated whether a normalisation of executive dysfunctions during antidepressant treatment correlates with or can be predicted by clinical parameters or levels of brain-derived neurotrophic factor (BDNF).Methods: In 110 MDD patients with executive dysfunctions (percentile <16), executive functions and plasma BDNF levels were analysed at baseline, and days 14 and 56 of an antidepressant treatment. BDNF exon IV and P11 methylation status was studied at baseline.Results: Eighty patients (73%) experienced a normalisation of executive dysfunctions, while 30 (27%) suffered from persistent dysfunctions until day 56. Patients with persistent dysfunctions had significantly higher HAMD scores at days 14 and 56, and lower plasma BDNF levels at each time point than patients with a normalisation of dysfunctions (F(1)= 10.18; P = 0.002). This was seen for verbal fluency, but not processing speed. BDNF exon IV and p11 promoter methylation was not associated with test performance.Conclusions: Our results corroborate a concomitant amelioration of executive dysfunctions with successful antidepressant therapy and support a role of BDNF in the neural mechanisms underlying the normalisation of executive dysfunctions in MDD.ClinicalTrials.gov number: NCT00974155; EudraCT: 2008-008280-96. FAU - Wagner, Stefanie AU - Wagner S AD - Department of Psychiatry and Psychotherapy, University Medical Centre, Mainz, Germany. FAU - Kayser, Sarah AU - Kayser S AD - Department of Psychiatry and Psychotherapy, University Medical Centre, Mainz, Germany. FAU - Engelmann, Jan AU - Engelmann J AD - Department of Psychiatry and Psychotherapy, University Medical Centre, Mainz, Germany. FAU - Schlicht, Konrad F AU - Schlicht KF AD - Department of Psychiatry and Psychotherapy, University Medical Centre, Mainz, Germany. FAU - Dreimuller, Nadine AU - Dreimuller N AD - Department of Psychiatry and Psychotherapy, University Medical Centre, Mainz, Germany. FAU - Tuscher, Oliver AU - Tuscher O AD - Department of Psychiatry and Psychotherapy, University Medical Centre, Mainz, Germany. FAU - Muller-Dahlhaus, Florian AU - Muller-Dahlhaus F AD - Department of Psychiatry and Psychotherapy, University Medical Centre, Mainz, Germany. FAU - Braus, Dieter F AU - Braus DF AD - Department of Psychiatry and Psychotherapy, HELIOS Dr. Horst-Schmidt-Kliniken, Wiesbaden, Germany. FAU - Tadic, Andre AU - Tadic A AD - Department of Psychiatry and Psychotherapy, University Medical Centre, Mainz, Germany. AD - Department of Psychiatry, Psychosomatics and Psychotherapy, Agaplesion Elisabethenstift, Darmstadt, Germany. FAU - Neyazi, Alexandra AU - Neyazi A AD - Molecular Neuroscience Laboratory, Department of Psychiatry, Social psychiatry and Psychotherapy, Hannover Medical School (MHH), Hannover, Germany. FAU - Frieling, Helge AU - Frieling H AD - Molecular Neuroscience Laboratory, Department of Psychiatry, Social psychiatry and Psychotherapy, Hannover Medical School (MHH), Hannover, Germany. FAU - Lieb, Klaus AU - Lieb K AD - Department of Psychiatry and Psychotherapy, University Medical Centre, Mainz, Germany. LA - eng SI - ClinicalTrials.gov/NCT00974155 SI - EudraCT/2008-008280-96 PT - Clinical Trial, Phase IV PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20180202 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 (Antidepressive Agents) RN - 0 (Brain-Derived Neurotrophic Factor) SB - IM MH - Adult MH - Antidepressive Agents/blood/*therapeutic use MH - Brain-Derived Neurotrophic Factor/*blood/*genetics MH - Depressive Disorder, Major/*blood/*drug therapy MH - *Executive Function MH - Female MH - Germany MH - Humans MH - Male MH - Middle Aged MH - Predictive Value of Tests MH - Promoter Regions, Genetic MH - Psychiatric Status Rating Scales MH - Time Factors OTO - NOTNLM OT - BDNF exon IV and p11 promoter methylation OT - Major depressive disorder OT - antidepressant therapy OT - brain-derived neurotrophic factor OT - executive function EDAT- 2018/01/16 06:00 MHDA- 2020/08/05 06:00 CRDT- 2018/01/16 06:00 PHST- 2018/01/16 06:00 [pubmed] PHST- 2020/08/05 06:00 [medline] PHST- 2018/01/16 06:00 [entrez] AID - 10.1080/15622975.2018.1425478 [doi] PST - ppublish SO - World J Biol Psychiatry. 2019 Sep;20(7):519-530. doi: 10.1080/15622975.2018.1425478. Epub 2018 Feb 2.