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Study M597

Study name

Clark DL 2020

Title

Rostral anterior cingulate glutamate predicts response to subcallosal deep brain stimulation for resistant depression

Overall design

The aim of this study was to investigate if rostral anterior cingulate (rACC) glutamate/glutamine concentration could serve as a potential biomarker of response for deep brain stimulation (DBS) treatment in treatment-resistant depression (TRD). Sixteen adults with TRD (major depression, n = 14; bipolar depression; n = 2). Glutamate and glutamine concentrations at baseline in the rACC were examined in relation to clinical outcomes at six months. Response was defined as a 50% reduction in HDRS from baseline to 6 months, and 6 were classified as responders (responder group) and 10 as non-responders (non-responder group). LCModel was used to calculate absolute metabolite concentrations (mmol/kg ww) for glutamate and glutamine.

Study Type

Type4;

Data available

Unavailable

Organism

Human;

Categories of depression

Depressive disorder; Treatment-resistant depression; Treatment-resistant depression;

Criteria for depression

DSM-IV diagnosed MDD

Sample size

16

Tissue

Central; Brain; Rostral anterior cingulate;

Platform

MRS; MRS: 3T General Electric Discovery 750;

PMID

32056951

DOI

10.1016/j.jad.2020.01.058

Citation

Clark DL, MacMaster FP, Brown EC, et al. Rostral anterior cingulate glutamate predicts response to subcallosal deep brain stimulation for resistant depression. J Affect Disord. 2020;266:90-94.

Metabolite

L-Glutamic acid;