Amygdala substructure volumes and serotonin transporter in first-episode, drug- naïve major depressive disorder: A pilot study

Amygdala and serotonergic system abnormalities have been documented in major depressive disorder (MDD). However, most studies have been conducted on recurrent MDD, and only a few have assessed their interaction. This study aimed to concurrently examine both the amygdala and serotonergic systems and...

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Veröffentlicht in:Journal of psychiatric research 2023-04, Vol.160, p.210-216
Hauptverfasser: Chen, Ching-Wen, Chou, Yuan-Hwa, Liou, Ying-Jay, Yang, Kai-Chun, Hu, Li-Yu, Hsieh, Wen-Chi, Liu, Mu-N
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container_title Journal of psychiatric research
container_volume 160
creator Chen, Ching-Wen
Chou, Yuan-Hwa
Liou, Ying-Jay
Yang, Kai-Chun
Hu, Li-Yu
Hsieh, Wen-Chi
Liu, Mu-N
description Amygdala and serotonergic system abnormalities have been documented in major depressive disorder (MDD). However, most studies have been conducted on recurrent MDD, and only a few have assessed their interaction. This study aimed to concurrently examine both the amygdala and serotonergic systems and their clinical relevance in first-episode, drug-naïve MDD. This study included 27 patients with first-episode, drug-naïve MDD and 27 age- and gender-matched healthy controls (HCs). The amygdala substructure volumes were performed with Freesurfer from a 1.5 T magnetic resonance image. Serotonin transporter (SERT) availability was detected by single-photon emission computed tomography with 123I-ADAM. The Benjamini-Hochberg method was applied to adjust for multiple comparisons. No significant difference was found in the amygdala substructure volume and SERT availability between the two groups, respectively. Within MDD patients, the right medial, cortical nucleus, and centromedial volumes were positively associated with caudate SERT availability, respectively. Moreover, the right lateral nucleus volume in the amygdala was positively correlated with depression severity. However, these significances did not survive correction for multiple testing. There were no significant abnormalities in the amygdala substructure volumes and SERT availability in patients with first-episode, drug-naïve MDD. We did not observe an association between amygdala substructure volume and serotonergic dysregulation and their correlations with depression severity in patients with MDD. A larger sample size is warranted to elucidate the actual correlation. •The MDD group vs. controls showed no significant differences in the amygdala substructure volumes and SERT availability.•Amygdala substructure volumes were not associated with SERT availability in patients with MDD.•Neither amygdala nucleus volume nor SERT availability was associated with depression severity in MDD patients.
doi_str_mv 10.1016/j.jpsychires.2023.02.015
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However, most studies have been conducted on recurrent MDD, and only a few have assessed their interaction. This study aimed to concurrently examine both the amygdala and serotonergic systems and their clinical relevance in first-episode, drug-naïve MDD. This study included 27 patients with first-episode, drug-naïve MDD and 27 age- and gender-matched healthy controls (HCs). The amygdala substructure volumes were performed with Freesurfer from a 1.5 T magnetic resonance image. Serotonin transporter (SERT) availability was detected by single-photon emission computed tomography with 123I-ADAM. The Benjamini-Hochberg method was applied to adjust for multiple comparisons. No significant difference was found in the amygdala substructure volume and SERT availability between the two groups, respectively. Within MDD patients, the right medial, cortical nucleus, and centromedial volumes were positively associated with caudate SERT availability, respectively. 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subjects 123I- ADAM
Amygdala
Amygdala - metabolism
Depressive Disorder, Major
Freesurfer
Humans
Magnetic Resonance Imaging
Major depressive disorder
Pilot Projects
Serotonin Plasma Membrane Transport Proteins - metabolism
Serotonin transporter
Tomography, Emission-Computed, Single-Photon
title Amygdala substructure volumes and serotonin transporter in first-episode, drug- naïve major depressive disorder: A pilot study
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