MK4MDD

Study Report

Reference
CitationKusumakar, 2001 PubMed
Full InfoKusumakar, V., MacMaster, F.P., Gates, L., Sparkes, S.J. and Khan, S.C. (2001) Left medial temporal cytosolic choline in early onset depression. Can J Psychiatry, 46, 959-964.

Study
Hypothesis or Background Previous studies have linked the choline (Cho) resonance seen in proton magnetic resonance spectroscopy (1H-MRS) to major depressive disorder (MDD). We endeavoured to clarify the possible involvement of cytosolic choline in the amygdala (anterior medial temporal region) of juvenile subjects with MDD.
Sample InformationA total of 11 age- and sex-matched MDD and control pairs aged 14 to 18 years
Method DetailA total of 11 age- and sex-matched MDD and control pairs aged 14 to 18 years participated in long-echo proton magnetic resonance spectroscopic imaging (1H-MRSI) of the amygdala. Compounds available include N-acetyl-aspartate (NAA), creatine-phosphocreatine (Cr) and choline-containing compounds.
Method Keywordsspectrophotometric analysis
ResultSubjects with depression demonstrated lower left amygdala Cho-Cr ratios, compared with control subjects (paired t = 2.624, df 10, P = 0.025). Left amygdala NAA-Cr and right amygdala Cho-Cr and NAA-Cr did not differ significantly between subjects with depression and control subjects. In subjects with depression, simple regression revealed a negative trend between left amygdala Cho-Cr and Beck Depression Inventory (BDI) score (F = 3.509, P = 0.098). Right amygdala NAA-Cr and Cho-Cr did not differ significantly.
ConclusionsCytosolic choline appears to be involved in the pathophysiology of early-onset MDD, likely secondary to corticosteroid-neuroendocrine-driven changes.

Relationships reported by Kusumakar, 2001