MK4MDD

Study Report

Reference
CitationShah, 1997 PubMed
Full InfoShah, P.J., Ogilvie, A.D., Goodwin, G.M. and Ebmeier, K.P. (1997) Clinical and psychometric correlates of dopamine D2 binding in depression. Psychol Med, 27, 1247-1256.

Study
Hypothesis or Background Single photon emission tomography (SPET) with the dopamine D2/3 ligand 123I-IBZM gives a semi-quantitative estimate of dopamine binding. In depressed patients, we predicted evidence of reduced function, i.e. increased binding, particularly in more retarded patients.
Sample InformationFifteen depressed patients with major depressive illness (9 males and 6 females) and 15 healthy, age- and sex- matched volunteers. Eight patients were on antidepressant medication (including lithium) only, three were on benzodiazepines only, the remaining four were free of all medication.
Method DetailFifteen depressed patients with major depressive illness and 15 healthy, age- and sex- matched volunteers were examined with a clinical and neuropsychological test battery and high resolution IBZM-SPET. Estimates for specific binding were computed by averaging striatum to whole slice or frontal uptake ratios over 8-10 scans acquired from 70 min after tracer injection.
Method Keywordssingle photon emission computed tomography (SPECT); psychometric method
ResultUsing whole slice as reference, left striatal uptake ratios did not significantly differ for patients from controls. Right ratios were significantly higher in patients than controls (P = 0.03). There were significant correlations between IBZM binding in left and right striatum and measures of reaction time and verbal fluency.
ConclusionsIncreased IBZM binding in striatum probably reflects reduced dopamine function, whether due to reduced release of dopamine, or secondary up-regulation of receptors. The observed abnormalities may be trait or state related, an issue that needs to be addressed with longitudinal study designs. The possible role of medication as a confounding variable requires further exploration.

Relationships reported by Shah, 1997