Cortisol levels are positively correlated with hippocampal N-acetylaspartate

This study examined the relationship of hypothalamic–pituitary–adrenal measures and hippocampal N-acetylaspartate (NAA) in posttraumatic stress disorder (PTSD) patients and control subjects. Eleven patients with combat-related PTSD and 11 control subjects were evaluated with magnetic resonance spect...

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Veröffentlicht in:Biological psychiatry (1969) 2003-11, Vol.54 (10), p.1118-1121
Hauptverfasser: Neylan, Thomas C, Schuff, Norbert, Lenoci, Maryanne, Yehuda, Rachel, Weiner, Michael W, Marmar, Charles R
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container_end_page 1121
container_issue 10
container_start_page 1118
container_title Biological psychiatry (1969)
container_volume 54
creator Neylan, Thomas C
Schuff, Norbert
Lenoci, Maryanne
Yehuda, Rachel
Weiner, Michael W
Marmar, Charles R
description This study examined the relationship of hypothalamic–pituitary–adrenal measures and hippocampal N-acetylaspartate (NAA) in posttraumatic stress disorder (PTSD) patients and control subjects. Eleven patients with combat-related PTSD and 11 control subjects were evaluated with magnetic resonance spectroscopy as well as by morning salivary cortisol samples before and after administration of low-dose dexamethasone (.5 mg). Left hippocampal NAA was strongly associated with both pre-dexamethasone cortisol levels ( n = 22, r = .53, p = .013) and post-dexamethasone cortisol levels ( n = 22, r = .63, p = .002). After accounting for clinical symptom severity and hippocampal volume, cortisol levels accounted for 21.9% of the variance ( F = 5.6, p = .004) in left hippocampal NAA and 12.6% of the variance ( F = 3.2, p = .035) in right hippocampal NAA. This study shows a positive relationship between cortisol levels and hippocampal NAA in subjects without hypercortisolemia. Within the range of values seen in our subjects, cortisol may have a trophic effect on the hippocampus.
doi_str_mv 10.1016/S0006-3223(02)01974-1
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Eleven patients with combat-related PTSD and 11 control subjects were evaluated with magnetic resonance spectroscopy as well as by morning salivary cortisol samples before and after administration of low-dose dexamethasone (.5 mg). Left hippocampal NAA was strongly associated with both pre-dexamethasone cortisol levels ( n = 22, r = .53, p = .013) and post-dexamethasone cortisol levels ( n = 22, r = .63, p = .002). After accounting for clinical symptom severity and hippocampal volume, cortisol levels accounted for 21.9% of the variance ( F = 5.6, p = .004) in left hippocampal NAA and 12.6% of the variance ( F = 3.2, p = .035) in right hippocampal NAA. This study shows a positive relationship between cortisol levels and hippocampal NAA in subjects without hypercortisolemia. 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subjects Adult and adolescent clinical studies
Anxiety disorders. Neuroses
Aspartic Acid - analogs & derivatives
Aspartic Acid - metabolism
Biological and medical sciences
Case-Control Studies
Cerebral Cortex - drug effects
Cerebral Cortex - metabolism
cortisol
Dexamethasone - administration & dosage
Glucocorticoids - administration & dosage
hippocampus
Hippocampus - drug effects
Hippocampus - metabolism
Humans
Hydrocortisone - metabolism
Investigative techniques, diagnostic techniques (general aspects)
Magnetic Resonance Imaging
magnetic resonance spectroscopy
Magnetic Resonance Spectroscopy - methods
Male
Medical sciences
Middle Aged
N-acetylaspartate
Nervous system
Post-traumatic stress disorder
Posttraumatic stress disorder
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Radioimmunoassay - methods
Regression Analysis
Saliva - metabolism
Statistics as Topic
Stress Disorders, Post-Traumatic - metabolism
Veterans
title Cortisol levels are positively correlated with hippocampal N-acetylaspartate
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