PMID- 35236264 OWN - NLM STAT- MEDLINE DCOM- 20220916 LR - 20230301 IS - 1875-6190 (Electronic) IS - 1570-159X (Print) IS - 1570-159X (Linking) VI - 20 IP - 10 DP - 2022 TI - Prospective Investigation of Glutamate Levels and Percentage Gray Matter in the Medial Prefrontal Cortex in Females at Risk for Postpartum Depression. PG - 1988-2000 LID - 10.2174/1570159X20666220302101115 [doi] AB - BACKGROUND: The substantial female hormone fluctuations associated with pregnancy and postpartum have been linked to a greater risk of developing depressive symptoms, particularly in high-risk women (HRW), i.e. those with histories of mood sensitivity to female hormone fluctuations. We have shown that glutamate (Glu) levels in the medial prefrontal cortex (MPFC) decrease during perimenopause, a period of increased risk of developing a major depressive episode. Our team has also demonstrated that percentage gray matter (%GM), another neural correlate of maternal brain health, decreases in the MPFC during pregnancy. OBJECTIVE: To investigate MPFC Glu levels and %GM from late pregnancy up to 7 weeks postpartum in HRW and healthy pregnant women (HPW). METHODS: Single-voxel spectra were acquired from the MPFC of 41 HPW and 22 HRW using 3- Tesla in vivo proton magnetic resonance spectroscopy at five different time points. RESULTS: We observed a statistically significant interaction between time and group for the metabolite Glu, with Glu levels being lower for HRW during pregnancy and early postpartum (p<0.05). MPFC %GM was initially lower during pregnancy and then significantly increased over time in both groups (p<0.01). CONCLUSION: This investigation suggests that the vulnerability towards PPD is associated with unique fluctuations of MPFC Glu levels during pregnancy and early postpartum period. Our results also suggest that the decline in MPFC %GM associated with pregnancy seems to progressively recover over time. Further investigations are needed to determine the specific role that female hormones play on the physiological changes in %GM during pregnancy and postpartum. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Ghuman, Arjun AU - Ghuman A AD - Department of Psychiatry, University of Alberta, Edmonton, Alberta, Canada. FAU - McEwen, Alyssa AU - McEwen A AD - Department of Psychiatry, University of Alberta, Edmonton, Alberta, Canada. FAU - Tran, Kim Hoang AU - Tran KH AD - Department of Psychiatry, University of Alberta, Edmonton, Alberta, Canada. FAU - Mitchell, Nicholas AU - Mitchell N AD - Department of Psychiatry, University of Alberta, Edmonton, Alberta, Canada. FAU - Hanstock, Chris AU - Hanstock C AD - Department of Biomedical Engineering, University of Alberta, Edmonton, Alberta, Canada. FAU - Seres, Peter AU - Seres P AD - Department of Biomedical Engineering, University of Alberta, Edmonton, Alberta, Canada. FAU - Jhangri, Gian AU - Jhangri G AD - Department of Public Health Sciences, University of Alberta, Edmonton, Alberta, Canada. FAU - Burgess, Denee AU - Burgess D AD - Department of Psychiatry, University of Alberta, Edmonton, Alberta, Canada. FAU - Baker, Glen AU - Baker G AD - Department of Psychiatry, University of Alberta, Edmonton, Alberta, Canada. FAU - Le Melledo, Jean-Michel AU - Le Melledo JM AD - Department of Psychiatry, University of Alberta, Edmonton, Alberta, Canada. LA - eng PT - Journal Article PL - United Arab Emirates TA - Curr Neuropharmacol JT - Current neuropharmacology JID - 101157239 RN - 0 (Hormones) RN - 3KX376GY7L (Glutamic Acid) SB - IM MH - *Depression, Postpartum/metabolism MH - *Depressive Disorder, Major/metabolism MH - Female MH - Glutamic Acid/metabolism MH - Gray Matter/diagnostic imaging/metabolism MH - Hormones/metabolism MH - Humans MH - Prefrontal Cortex/diagnostic imaging/metabolism MH - Pregnancy MH - Prospective Studies PMC - PMC9886796 OTO - NOTNLM OT - Glutamate OT - depression OT - gray matter OT - magnetic resonance spectroscopy OT - postpartum OT - pregnancy EDAT- 2022/03/04 06:00 MHDA- 2022/09/17 06:00 PMCR- 2023/02/28 CRDT- 2022/03/03 05:30 PHST- 2021/12/02 00:00 [received] PHST- 2022/01/19 00:00 [revised] PHST- 2022/02/27 00:00 [accepted] PHST- 2022/03/04 06:00 [pubmed] PHST- 2022/09/17 06:00 [medline] PHST- 2022/03/03 05:30 [entrez] PHST- 2023/02/28 00:00 [pmc-release] AID - CN-EPUB-121232 [pii] AID - CN-20-1988 [pii] AID - 10.2174/1570159X20666220302101115 [doi] PST - ppublish SO - Curr Neuropharmacol. 2022;20(10):1988-2000. doi: 10.2174/1570159X20666220302101115.