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Duloxetine, a Selective Noradrenaline Reuptake Inhibitor, Increased Plasma Levels of 3-Methoxy-4-hydroxyphenylglycol but Not Homovanillic Acid in Patients with Major Depressive Disorder

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초록

Objective: We investigated the effects of duloxetine on the plasma levels of catecholamine metabolites and serum brain-derivedneurotrophic factor (BDNF) in 64 patients with major depressive disorder (MDD). Methods: Major depressive episode was diagnosed using the Structured Clinical Interview for the Diagnostic and StatisticalManual of Mental Disorders-fourth edition (DSM-IV) according to the DSM-IV text revision (DSM-IV-TR) criteria. The severityof depression was evaluated using the 17-item Hamilton Rating Scale for Depression (HAMD-17). Blood sampling and clinicalevaluation were performed on days 0, 28, and 56. Results: Duloxetine treatment for 8 weeks significantly increased the plasma 3-methoxy-4-hydroxyphenylglycol (MHPG) levelsbut not the homovanillic acid (HVA) levels in responders with MDD. Conclusion: These results imply that noradrenaline plays an important role in alleviating depressive symptoms.

Abstract

Objective: We investigated the effects of duloxetine on the plasma levels of catecholamine metabolites and serum brain-derivedneurotrophic factor (BDNF) in 64 patients with major depressive disorder (MDD). Methods: Major depressive episode was diagnosed using the Structured Clinical Interview for the Diagnostic and StatisticalManual of Mental Disorders-fourth edition (DSM-IV) according to the DSM-IV text revision (DSM-IV-TR) criteria. The severityof depression was evaluated using the 17-item Hamilton Rating Scale for Depression (HAMD-17). Blood sampling and clinicalevaluation were performed on days 0, 28, and 56. Results: Duloxetine treatment for 8 weeks significantly increased the plasma 3-methoxy-4-hydroxyphenylglycol (MHPG) levelsbut not the homovanillic acid (HVA) levels in responders with MDD. Conclusion: These results imply that noradrenaline plays an important role in alleviating depressive symptoms.

참고문헌 (8)

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  5. Bocchio-Chiavetto L, "Serum and plasma BDNF levels in major depression: a replication study and metaanalyses", World J Biol Psychiatry, 11, pp.763~773 (2010)
  6. Fernandes BS, "Brain-derived neurotrophic factor as a state-marker of mood episodes in bipolar disorders: a systematic review and meta-regression analysis", J Psychiatr Res, 45, pp.995~1004 (2011)
  7. Katsuki A, "Serum levels of brain-derived neurotrophic factor (BDNF), BDNF gene Val66Met polymorphism, or plasma catecholamine metabolites, and response to mirtazapine in Japanese patients with major depressive disorder (MDD)", CNS Spectr, 17, pp.155~163 (2012)
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