MK4MDD

Study Report

Reference
CitationCoupland, 2005 PubMed
Full InfoCoupland, N.J., Ogilvie, C.J., Hegadoren, K.M., Seres, P., Hanstock, C.C. and Allen, P.S. (2005) Decreased prefrontal Myo-inositol in major depressive disorder. Biol Psychiatry, 57, 1526-1534.

Study
Hypothesis or Background Postmortem studies have shown robust prefrontal cortex glial losses and more subtle neuronal changes in major depressive disorder (MDD). Earlier proton magnetic resonance spectroscopy (1H-MRS) studies of the glial marker myo-inositol in MDD were subject to potential confounds. The primary hypothesis of this study was that MDD patients would show reduced prefrontal/anterior cingulate cortex levels of myo-inositol.
Sample InformationThirteen nonmedicated moderate-severe MDD patients and 13 matched control subjects were studied (six male, seven female per group).
Method DetailProton magnetic resonance spectroscopy stimulated echo acquisition mode spectra (3.0 T; echo time=168 msec; mixing time=28 msec; repetition time=3000 msec) were obtained from prefrontal/anterior cingulate cortex. Metabolite data were adjusted for tissue composition.
Method Keywordsspectrophotometric analysis
ResultPatients with MDD showed significantly lower myo-inositol/creatine ratios (.94+/-.23) than control subjects (1.32+/-.37) [F(1,23)=6.9; p=.016].
ConclusionsThese data suggest a reduction of myo-inositol in prefrontal/anterior cingulate cortex in MDD, which could be a consequence of glial loss or altered glial metabolism. Additional in vivo studies of glial markers could add to the understanding of the pathophysiology of MDD.

Relationships reported by Coupland, 2005