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Brain GABA levels in patients with bipolar disorder
Authors:Rebecca E. Kaufman  Michael J. Ostacher  Elizabeth H. Marks  Naomi M. Simon  Gary S. Sachs  J. Eric Jensen  Perry F. Renshaw  Mark H. Pollack
Affiliation:1. Massachusetts General Hospital Department of Psychiatry, Boston, MA, 02114, United States;2. McLean Hospital Department of Psychiatry, Belmont, MA 02478, United States
Abstract:

Purpose

A growing body of research supports an important role for GABA in the pathophysiology of bipolar and other mood disorders. The purpose of the current study was to directly examine brain GABA levels in a clinical sample of bipolar patients.

General methods

We used magnetic resonance spectroscopy (MRS) to examine whole brain and regional GABA, glutamate and glutamine in 13 patients with bipolar disorder compared to a matched group of 11 healthy controls.

Findings

There were no significant differences in GABA, glutamate or glutamine between patients and controls.

Conclusions

Further research is needed to better characterize the GABAergic and glutamatergic effects of pharmacotherapy, anxiety comorbidity and clinical state in bipolar disorder.
Keywords:AG, agoraphobia   CSF, cerebrospinal fluid   Cho, choline   Cr, creatine   DSM, Diagnostic and Statistical Manual of Mental Disorders   FOV, field-of-view   GABA, gamma-aminobutyric acid   GAD, glutamic acid decarboxylase or generalized anxiety disorder   Glu, glutamate   GLX, glutamate, glutamine and GABA   GM, gray matter   MADRS, Montgomery Asberg Depression Rating Scale   MINI, Mini International Neuropsychiatric Interview   mpFLASH3D, magnetization-prepared Fast Low-Angle SHot in 3-Dimensions   MRS, magnetic resonance spectroscopy   Myo, Myo-inositol   NAA, N-acetyl-aspartate   NAAG, N-acetyl-aspartyl-glutamate   OCD, obsessive compulsive disorder   PD, panic disorder   PTSD, posttraumatic stress disorder   RF, radiofrequency   ROI, region of interest   SAD, social anxiety disorder   SDS-PAGE, sodium dodecyl sulfate polyacrylamide gel electrophoresis   SUB, sub-cortical structures   TEM, transverse electromagnetic   WM, white matter
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