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Study M149

Study name

Wurfel BE 2017

Title

Serum kynurenic acid is reduced in affective psychosis

Overall design

Major depressive disorder (MDD) is hypothesized to be causally associated with an imbalance in the kynurenine pathway, with an increased metabolism down the 3-hydroxykynurenine (3HK) branch of the pathway leading to increased levels of the neurotoxic metabolite, quinolinic acid (QA), which is a putative Nmethyl-D-aspartate (NMDA) receptor agonist. In this study, the authors presented results that challenge the model of excess KynA production in affective psychosis. A LC-MS-based metabolomics method was applied to the serum of MDD patients and healthy controls. Tryptophan, kynurenine, kynurenic acid, quinolinic acid, and 3-hydroxykynurenine were analyzed. The study included 127 participants from 2 groups: (1) control group (n = 92), and (2) MDD group (n = 35).

Study Type

Type1;

Data available

Unavailable

Organism

Human;

Categories of depression

Depressive disorder; Depression; Depression;

Criteria for depression

DSM-IV diagnosed MDD

Sample size

127

Tissue

Peripheral; Blood; Serum;

Platform

MS-based; LC-MS: high-performance liquid chromatography with tandem mass spectrometry (MS/MS);

PMID

28463241

DOI

10.1038/tp.2017.88

Citation

Wurfel BE, Drevets WC, Bliss SA, et al. Serum kynurenic acid is reduced in affective psychosis. Transl Psychiatry 2017; 7(5):e1115.

Metabolite

Kynurenic acid/Quinolinic acid ratio;