PMID- 29802070 OWN - NLM STAT- MEDLINE DCOM- 20190305 LR - 20190305 IS - 1876-4754 (Electronic) IS - 1876-4754 (Linking) VI - 11 IP - 5 DP - 2018 Sep-Oct TI - BDNF plasma levels and genotype in depression and the response to electroconvulsive therapy. PG - 1123-1131 LID - S1935-861X(18)30158-X [pii] LID - 10.1016/j.brs.2018.05.011 [doi] AB - BACKGROUND: Brain derived neurotrophic factor (BDNF) has been implicated in the pathophysiology of depression and the antidepressant response. Electroconvulsive therapy (ECT) is reported to increase BDNF levels in blood, though only a small number of studies have been conducted to date. OBJECTIVE: Our objectives were to: 1) compare plasma BDNF levels in medicated patients with depression and controls; 2) assess the effect of ECT on plasma BDNF levels in medicated patients with depression; 3) explore the relationship between plasma BDNF levels and the Val66Met (rs6265) BDNF polymorphism; and 4) examine the relationship between plasma BDNF levels and clinical symptoms and outcomes with ECT. METHODS: Plasma BDNF levels were analyzed in samples from 61 medicated patients with a major depressive episode and 50 healthy controls, and in patient samples following a course of ECT. Fifty-two samples from the depressed patient group were genotyped for the Val66Met BDNF polymorphism. RESULTS: There was no difference in plasma BDNF levels between the control and depressed groups, and there was no difference in plasma BDNF levels in patients following treatment with ECT. In line with previous reports, we show that, in medicated patients with depression, Met-carriers had higher plasma BDNF levels than Val-carriers, though genotype was not related to clinical response. We found no association between plasma BDNF levels and depression severity or the clinical response to ECT. CONCLUSIONS: Our results suggest that plasma BDNF does not represent a suitable candidate biomarker for determining the therapeutic response to ECT. CI - Copyright (c) 2018 Elsevier Inc. All rights reserved. FAU - Ryan, Karen M AU - Ryan KM AD - Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin, Ireland; Department of Psychiatry, St. Patrick's University Hospital, Trinity College Dublin, Dublin, Ireland. FAU - Dunne, Ross AU - Dunne R AD - Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin, Ireland; Department of Psychiatry, St. Patrick's University Hospital, Trinity College Dublin, Dublin, Ireland. FAU - McLoughlin, Declan M AU - McLoughlin DM AD - Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin, Ireland; Department of Psychiatry, St. Patrick's University Hospital, Trinity College Dublin, Dublin, Ireland. Electronic address: d.mcloughlin@tcd.ie. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180518 PL - United States TA - Brain Stimul JT - Brain stimulation JID - 101465726 RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) SB - IM MH - Adult MH - Biomarkers/blood MH - Brain-Derived Neurotrophic Factor/*blood/genetics MH - Depressive Disorder, Major/*blood/genetics/therapy MH - *Electroconvulsive Therapy MH - Female MH - Genotype MH - Humans MH - Male MH - Middle Aged MH - *Polymorphism, Single Nucleotide OTO - NOTNLM OT - Antidepressant OT - BDNF OT - Depression OT - Electroconvulsive therapy OT - Plasma OT - rs6265 EDAT- 2018/05/29 06:00 MHDA- 2019/03/06 06:00 CRDT- 2018/05/27 06:00 PHST- 2018/01/19 00:00 [received] PHST- 2018/04/30 00:00 [revised] PHST- 2018/05/15 00:00 [accepted] PHST- 2018/05/29 06:00 [pubmed] PHST- 2019/03/06 06:00 [medline] PHST- 2018/05/27 06:00 [entrez] AID - S1935-861X(18)30158-X [pii] AID - 10.1016/j.brs.2018.05.011 [doi] PST - ppublish SO - Brain Stimul. 2018 Sep-Oct;11(5):1123-1131. doi: 10.1016/j.brs.2018.05.011. Epub 2018 May 18.