PMID- 34093252 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210608 IS - 1664-0640 (Print) IS - 1664-0640 (Electronic) IS - 1664-0640 (Linking) VI - 12 DP - 2021 TI - Development and Internal Validation of a Novel Model to Identify Inflammatory Biomarkers of a Response to Escitalopram in Patients With Major Depressive Disorder. PG - 593710 LID - 10.3389/fpsyt.2021.593710 [doi] LID - 593710 AB - Objective: The aim of our study was to identify immune- and inflammation-related factors with clinical utility to predict the clinical efficacy of treatment for depression. Study Design: This was a follow-up study. Participants who met the entry criteria were administered with escitalopram (5-10 mg/day) as an initial treatment. Self-evaluation and observer valuations were arranged at the end of weeks 0, 4, 8, and 12, with blood samples collected at baseline and during weeks 2 and 12. Multivariable logistic regression analysis was then carried out by incorporating three cytokines selected by the Least Absolute Shrinkage and Selection Operator (LASSO) regression model. Internal validation was estimated using the bootstrap method with 1,000 repetitions. Results: A total of 85 patients with Major Depressive Disorder (MDD), including 62 responders and 23 non-responders, were analyzed. Monocyte chemoattractant protein-1 (MCP-1), vascular cell adhesion molecule-1 (VCAM-1), and lipocalin-2 were selected by the LASSO regression model. The area under the curve (AUC) from the logistic model was 0.811 and was confirmed as 0.7887 following bootstrapping validation. Conclusions: We established and validated a good prediction model to facilitate the individualized prediction of escitalopram treatment for MDD and created a personalized approach to treatment for patients with depression. CI - Copyright (c) 2021 Zhou, Zhou, Sun, Feng, Zhu, Yang and Wang. FAU - Zhou, Jingjing AU - Zhou J AD - The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China. AD - Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China. FAU - Zhou, Jia AU - Zhou J AD - The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China. AD - Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China. FAU - Sun, Zuoli AU - Sun Z AD - The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China. AD - Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China. FAU - Feng, Lei AU - Feng L AD - The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China. AD - Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China. FAU - Zhu, Xuequan AU - Zhu X AD - The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China. AD - Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China. FAU - Yang, Jian AU - Yang J AD - The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China. AD - Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China. FAU - Wang, Gang AU - Wang G AD - The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China. AD - Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China. LA - eng PT - Journal Article DEP - 20210520 PL - Switzerland TA - Front Psychiatry JT - Frontiers in psychiatry JID - 101545006 PMC - PMC8172985 OTO - NOTNLM OT - escitalopram OT - followed up study OT - inflammatory biomarkers OT - major depressive disorder OT - predictive model COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/06/08 06:00 MHDA- 2021/06/08 06:01 PMCR- 2021/05/20 CRDT- 2021/06/07 05:49 PHST- 2020/08/11 00:00 [received] PHST- 2021/04/12 00:00 [accepted] PHST- 2021/06/07 05:49 [entrez] PHST- 2021/06/08 06:00 [pubmed] PHST- 2021/06/08 06:01 [medline] PHST- 2021/05/20 00:00 [pmc-release] AID - 10.3389/fpsyt.2021.593710 [doi] PST - epublish SO - Front Psychiatry. 2021 May 20;12:593710. doi: 10.3389/fpsyt.2021.593710. eCollection 2021.