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Study M837

Study name

Godfrey KEM 2021

Title

Effect of rTMS on GABA and glutamate levels in treatment-resistant depression: an MR spectroscopy study

Overall design

This study used proton magnetic resonance spectroscopy (H1-MRS) to investigate the effect of repetitive transcranial magnetic stimulation (rTMS) on levels of gamma-aminobutyric acid (GABA) and combined glutamate/glutamine measure (Glx). Treatment-resistant, currently depressed individuals participated in a naturalistic open-label study with rTMS treatment administered at 10 Hz and 120% of resting motor threshold to the left dorsolateral prefrontal cortex (DLPFC) for 20 sessions. H1 MRS measures were collected at baseline and after four weeks of daily treatment. GABA and Glx were measured from both the left DLPFC and a control region (right motor cortex). Twenty-seven participants completed the study and were included in the analysis. Metabolite quantification was reported relative to brain water concentration.

Study Type

Type2;

Data available

Unavailable

Organism

Human;

Categories of depression

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

Criteria for depression

Primary diagnosis of unipolar MDD, MADRS >= 20

Sample size

27

Tissue

Central; Brain; Dorsolateral prefrontal cortex;

Central; Brain; Motor cortex;

Platform

MRS; MRS: 3 T Siemens Skyra scanner;

PMID

34479176

DOI

10.1016/j.pscychresns.2021.111377

Citation

Godfrey KEM, Muthukumaraswamy SD, Stinear CM, et al. Effect of rTMS on GABA and glutamate levels in treatment-resistant depression: an MR spectroscopy study. Psychiatry Res Neuroimaging. 2021 Nov 30;317:111377.

Metabolite

Glutamate and Glutamine;