BDNF plasma levels variations in major depressed patients receiving duloxetine

It has been frequently reported that brain-derived neurotrophic factor (BDNF) plays an important role in the pathophysiology of major depressive disorder (MDD). Objective of the study was to investigate BDNF levels variations in MDD patients during antidepressant treatment with duloxetine. 30 MDD pa...

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Veröffentlicht in:Neurological sciences 2015-05, Vol.36 (5), p.729-734
Hauptverfasser: Fornaro, Michele, Escelsior, Andrea, Rocchi, Giulio, Conio, Benedetta, Magioncalda, Paola, Marozzi, Valentina, Presta, Andrea, Sterlini, Bruno, Contini, Paola, Amore, Mario, Fornaro, Pantaleo, Martino, Matteo
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container_end_page 734
container_issue 5
container_start_page 729
container_title Neurological sciences
container_volume 36
creator Fornaro, Michele
Escelsior, Andrea
Rocchi, Giulio
Conio, Benedetta
Magioncalda, Paola
Marozzi, Valentina
Presta, Andrea
Sterlini, Bruno
Contini, Paola
Amore, Mario
Fornaro, Pantaleo
Martino, Matteo
description It has been frequently reported that brain-derived neurotrophic factor (BDNF) plays an important role in the pathophysiology of major depressive disorder (MDD). Objective of the study was to investigate BDNF levels variations in MDD patients during antidepressant treatment with duloxetine. 30 MDD patients and 32 healthy controls were assessed using Hamilton Depression Scale (HAM-D) and monitored for BDNF plasma levels at baseline, week 6 and week 12 of duloxetine treatment (60 mg/day) and at baseline, respectively. According to early clinical response to duloxetine (defined at week 6 by reduction >50 % of baseline HAM-D score), MDD patients were distinguished in early responders (ER) and early non-responders (ENR), who reached clinical response at week 12. Laboratory analysis showed significant lower baseline BDNF levels among patients compared to controls. During duloxetine treatment, in ENR BDNF levels increased, reaching values not significantly different compared to controls, while in ER BDNF levels remained nearly unchanged. Lower baseline BDNF levels observed in patients possibly confirm an impairment of the NEI stress-adaptation system and neuroplasticity in depression, while BDNF increase and normalization observed only in ENR might suggest differential neurobiological backgrounds in ER vs. ENR within the depressive syndrome.
doi_str_mv 10.1007/s10072-014-2027-7
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subjects Adolescent
Adult
Aged
Antidepressive Agents - therapeutic use
Brain-Derived Neurotrophic Factor - blood
Depressive Disorder, Major - blood
Depressive Disorder, Major - drug therapy
Duloxetine Hydrochloride - therapeutic use
Female
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Neurology
Neuroradiology
Neurosciences
Neurosurgery
Original Article
Outpatients
Psychiatric Status Rating Scales
Psychiatry
Time Factors
Young Adult
title BDNF plasma levels variations in major depressed patients receiving duloxetine
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