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Study M861

Study name

Brydges CR 2021

Title

Indoxyl sulfate, a gut microbiome-derived uremic toxin, is associated with psychic anxiety and its functional magnetic resonance imaging-based neurologic signature

Overall design

The aim of this study was to explore whether indoles are associated with symptoms of depression and anxiety. Serum samples (baseline, 12 weeks) were drawn from participants (n = 196) randomized to treatment with cognitive behavioral therapy (CBT), escitalopram, or duloxetine for major depressive disorder (MDD). Treatment was provided for 12 weeks with medication (medication group, duloxetine 30-60 mg/day or escitalopram 10-20 mg/day) or CBT (CBT group, 16 individual 1-h sessions). A total of 196 patients with MDD had metabolomic measures available for analysis at baseline and 124 were available at week 12. The CBT group included 34 patients, and the medication group included 90 patients (n = 44 duloxetine; n = 46 escitalopram). Remitter was defined as HAM-D score no more than 7 at week 12 (remitter group).

Study Type

Type2;

Type4;

Data available

Unavailable

Organism

Human;

Categories of depression

Depressive disorder; Depression; Depression;

Criteria for depression

DSM-IV diagnosed MDD, HAMD-17 >= 15

Sample size

196

Tissue

Peripheral; Blood; Serum;

Platform

MS-based; GC-MS: not reported;

PMID

34697401

DOI

10.1038/s41598-021-99845-1

Citation

Brydges CR, Fiehn O, Mayberg HS, et al. Indoxyl sulfate, a gut microbiome-derived uremic toxin, is associated with psychic anxiety and its functional magnetic resonance imaging-based neurologic signature. Sci Rep. 2021 Oct 25;11(1):21011.

Metabolite

Indole-3-propionic acid;

Indolelactic acid;

Indoleacetic acid/Indole-3-propionic acid ratio;

Indoleacetic acid/Indoxyl sulfate ratio;

Indolelactic acid/Indole-3-propionic acid ratio;

Indole-3-propionic acid/Indoxyl sulfate ratio;