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Study M337

Study name

Brennan BP 2017

Title

Acute change in anterior cingulate cortex GABA, but not glutamine/glutamate, mediates antidepressant response to citalopram

Overall design

Using proton magnetic resonance spectroscopy (1H-MRS) this study examined longitudinally the effects of citalopram on glutamine/glutamate ratios and GABA levels in the pregenual anterior cingulate cortex (pgACC) of individuals with major depressive disorder (MDD). 1H-MRS scans were acquired at baseline and at days 3, 7, and 42 of citalopram treatment in unmedicated individuals with MDD (depression group, n = 19). Age- and sex-matched non-depressed comparison individuals (control group, n = 10) were scanned once. The association between 1) baseline metabolites and 2) change in metabolites from baseline to each time point and clinical response (change in Montgomery-Asberg Depression Rating Scale (MADRS) score from baseline to day 42) was assessed by longitudinal regression analysis using generalized estimating equations. Metabolite quantification was reported relative to total creatine as the reference peak.

Study Type

Type1;

Type2;

Data available

Unavailable

Organism

Human;

Categories of depression

Depressive disorder; Depression; Depression;

Criteria for depression

DSM-IV diagnosed MDD, HAMD-21 >= 18

Sample size

29

Tissue

Central; Brain; Pregenual anterior cingulate cortex;

Platform

MRS; MRS: 3 T Siemens Trio platform (Siemens Medical Solutions USA Inc., Malvern, PA);

PMID

28892734

DOI

10.1016/j.pscychresns.2017.08.009

Citation

Brennan BP, Admon R, Perriello C, et al. Acute change in anterior cingulate cortex GABA, but not glutamine/glutamate, mediates antidepressant response to citalopram. Psychiatry Res 2017;269:9-16.

Metabolite

GABA/(Creatine and Phosphocreatine) ratio;