Brain GABA levels in patients with bipolar disorder |
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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 |
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Affiliation: | 1. Massachusetts General Hospital Department of Psychiatry, Boston, MA, 02114, United States;2. McLean Hospital Department of Psychiatry, Belmont, MA 02478, United States |
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Abstract: | PurposeA 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 methodsWe 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.FindingsThere were no significant differences in GABA, glutamate or glutamine between patients and controls.ConclusionsFurther research is needed to better characterize the GABAergic and glutamatergic effects of pharmacotherapy, anxiety comorbidity and clinical state in bipolar disorder. |
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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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