期刊论文详细信息
BMC Psychiatry
Plasma brain-derived neurotrophic factor levels, learning capacity and cognition in patients with first episode psychosis
Ana González-Pinto2  Flávio Kapczinski3  Patricia Vega2  Sara Barbeito2  Iris de la Rosa2  Aitor Palomino1  Fernando Mosquera2  Laura Stertz3  Carlos Matute1  Sonia Ruiz de Azua2 
[1] CIBERNED. Neuroscience Department and Achucarro Basque Center for Neuroscience, University of the Basque 514 Country, 48940, Vizcaya, Spain;CIBERSAM (Biomedical Research Center in Mental Health Net), University Hospital of Alava, University of the Basque Country, 29 Olaguibel St, 01004, Vitoria, Spain;Bipolar Disorders Program & INCT Translational Medicine, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, 2350 Ramiro Barcelos St, 90035-003, Porto Alegre, Brazil
关键词: Cognition;    Schizophrenia;    Brain-derived neurotrophic factor;    Psychotic disorder;   
Others  :  1124166
DOI  :  10.1186/1471-244X-13-27
 received in 2012-10-31, accepted in 2013-01-14,  发布年份 2013
PDF
【 摘 要 】

Background

Cognitive impairments are seen in first psychotic episode (FEP) patients. The neurobiological underpinnings that might underlie these changes remain unknown. The aim of this study is to investigate whether Brain Derived Neurotrophic Factor (BDNF) levels are associated with cognitive impairment in FEP patients compared with healthy controls.

Methods

45 FEP patients and 45 healthy controls matched by age, gender and educational level were selected from the Basque Country area of Spain. Plasma BDNF levels were assessed in healthy controls and in patients. A battery of cognitive tests was applied to both groups, with the patients being assessed at 6 months after the acute episode and only in those with a clinical response to treatment.

Results

Plasma BDNF levels were altered in patients compared with the control group. In FEP patients, we observed a positive association between BDNF levels at six months and five cognitive domains (learning ability, immediate and delayed memory, abstract thinking and processing speed) which persisted after controlling for medications prescribed, drug use, intelligence quotient (IQ) and negative symptoms. In the healthy control group, BDNF levels were not associated with cognitive test scores.

Conclusion

Our results suggest that BDNF is associated with the cognitive impairment seen after a FEP. Further investigations of the role of this neurotrophin in the symptoms associated with psychosis onset are warranted.

【 授权许可】

   
2013 Ruiz de Azua et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150216062726749.pdf 211KB PDF download
【 参考文献 】
  • [1]Altshuler LL, Ventura J, van Gorp WG, Green MF, Theberge DC, Mintz J: Neurocognitive function in clinically stable men with bipolar I disorder or schizophrenia and normal control subjects. Biol Psychiatry 2004, 56(8):560-569.
  • [2]Bilder RM, Goldman RS, Robinson D, Reiter G, Bell L, Bates JA, Pappadopulos E, Willson DF, Alvir JM, Woerner MG, Geisler S, Kane JM, Lieberman JA: Neuropsychology of first-episode schizophrenia: initial characterization and clinical correlates. Am J Psychiatry 2000, 157(4):549-559.
  • [3]Martinez-Aran A, Vieta E, Colom F, Reinares M, Benabarre A, Torrent C, Goikolea JM, Corbella B, Sánchez-Moreno J, Salamero M: Neuropsychological performance in depressed and euthymic bipolar patients. Neuropsychobiology 2002, 46(Suppl 1):16-21.
  • [4]Bocchio-Chiavetto L, Bagnardi V, Zanardini R, Molteni R, Nielsen MG, Placentino A, Giovannini C, Rillosi L, Ventriglia M, Riva MA, Gennarelli M: Serum and plasma BDNF levels in major depression: a replication study and meta-analyses. World J Biol Psychiatry 2010, 11(6):763-773.
  • [5]Forlenza OV, Diniz BS, Teixeira AL, Ojopi EB, Talib LL, Mendonça VA, Izzo G, Gattaz WF: Effect of brain-derived neurotrophic factor Val66Met polymorphism and serum levels on the progression of mild cognitive impairment. World J Biol Psychiatry 2010, 11(6):774-780.
  • [6]Kapczinski F, Frey BN, Kauer-Sant'Anna M, Grassi-Oliveira R: Brain-derived neurotrophic factor and neuroplasticity in bipolar disorder. Expert Rev Neurother 2008, 8(7):1101-1113.
  • [7]Rizos EN, Papadopoulou A, Laskos E, Michalopoulou PG, Kastania A, Vasilopouslos D, Katsafouros K, Lykouras L: Reduced serum BDNF levels in patients with chronic schizophrenic disorder in relapse, who were treated with typical or atypical antipsychotics. World J Biol Psychiatry 2010, 11(2 Pt 2):251-255.
  • [8]Rizos EN, Papathanasiou M, Michalopoulou PG, Mazioti A, Douzenis A, Kastania A, Nikolaidou P, Laskos E, Vasilopoulou K, Lykouras L: Association of serum BDNF levels with hippocampal volumes in first psychotic episode drug-naive schizophrenic patients. Schizophr Res 2011, 2–3(129):201-204.
  • [9]Ho BC, Andreasend NC, Dawson JD, Wassink TH: Association between brain-derived neurotrophic factor Val66Met gene polymorphism and progressive brain volume changes in schizophrenia. Am JPsychiatry 2007, 164(12):1890-1899.
  • [10]Ho BC, Milev P, O'Leary DS, Librant A, Andreasen NC, Wassink TH: Cognitive and magnetic resonance imaging brain morphometric correlates of brain-derived neurotrophic factor Val66Met gene polymorphism in patients with schizophrenia and healthy volunteers. Arch Gen Psychiatry 2006, 63(7):731-740.
  • [11]Egan MF, Kojima M, Callicott JH, Goldberg TE, Kolachana BS, Bertolino A, Zaitsev E, Gold B, Goldman D, Dean M, Lu B, Weinberger DR: The BDNF val66met polymorphism affects activity-dependent secretion of BDNF and human memory and hippocampal function. Cell 2003, 112(2):257-269.
  • [12]Zhang XY, Chen DC, Xiu MH, Haile CN, Luo X, Xu K, Zhang HP, Zuo L, Zhang Z, Zhang X, Kosten TA, Kosten TR: Cognitive and serum BDNF correlates of BDNF Val66Met gene polymorphism in patients with schizophrenia and normal controls. Hum Genet 2012, 131(7):1187-1195.
  • [13]Rybakowski JK, Borkowska A, Skibinska M, Hauser J: Illness-specific association of val66met BDNF polymorphism with performance on Wisconsin Card Sorting Test in bipolar mood disorder. Mol Psychiatry 2006, 11(2):122-124.
  • [14]Rossato JI, Bevilaqua LR, Izquierdo I, Medina JH, Cammarota M: Dopamine controls persistence of long-term memory storage. Science 2009, 325(5943):1017-1020.
  • [15]González-Pinto A, Mosquera M, Palomino A, Alberich S, Gutierrez A, Haidar K: Increase in Brain-derived Neurotrophic Factor in first-episode psychotic patients after treatment with atypical antipsychotics. Int Clin Psychopharmacol 2010, 25(4):241-245.
  • [16]Yoshimura R, Saito K, Terada T, Yunoue N, Umene-Nakano W, Hirata S, Saitoh K, Tanaka Y, Nakamura J: Aripiprazole altered plasma levels of brain-derived neurotrophic factor and catecholamine metabolites in first-episode untreated Japanese schizophrenia patients. Hum Psychopharmacol 2012, 27(1):33-38.
  • [17]Rybakowski JK, Suwalska A: Excellent lithium responders have normal cognitive functions and plasma BDNF levels. Int J Neuropsychopharmacol 2010, 13(5):617-622.
  • [18]Buckley PF, Pillai A, Howell KR: Brain-derived neurotrophic factor: findings in schizophrenia. Curr Opin Psychiatry 2011, 24(2):122-127.
  • [19]Jindal RD, Pillai AK, Mahadik SP, Eklund K, Montrose DM, Keshavan MS: Decreased BDNF in patients with antipsychotic naive first episode schizophrenia. Schizophr Res 2010, 119(1–3):47-51.
  • [20]Palomino A, Vallejo-Illarramendi A, Gonzalez-Pinto A, Aldama A, Gonzalez-Gomez C, Mosquera F, Gonzalez-Garcia G, Matute C: Decreased levels of plasma BDNF in first-episode schizophrenia and bipolar disorder patients. Schizophr Res 2006, 86(1–3):321-322.
  • [21]Sen S, Duman R, Sanacora G: Serum brain-derived neurotrophic factor, depression, and antidepressant medications: meta-analyses and implications. Biol Psychiatry 2008, 64(6):527-532.
  • [22]Karege F, Schwald M, Cisse M: Postnatal developmental profile of brain-derived neurotrophic factor in rat brain and platelets. Neurosci Lett 2002, 328(3):261-264.
  • [23]American Psychiatric Association: DSM-IV. Diagnostic and Statistical Manual of Mental Disorders. Washington, D.C: A.P.A. edn; 1994.
  • [24]First MB, Spitzer RL, Gibbon M, Williams JB: Entrevista clínica estructurada para los trastornos de eje I del DSM-IV (versión clínica) SCID-I. Barcelona: Masson; 1999.
  • [25]Kay SR, Fiszbein A, Opler LA: The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophr Bull 1987, 13:261-276.
  • [26]Hamilton M: A rating scale for depression. J Neurol Neurosurg Psychiatry 1960, 23:56-62.
  • [27]McLellan AT, Kushner H, Metzger D, Peters R, Smith I, Grissom G, Pettinati H, Argeriou M: The Fifth Edition of the Addiction Severity Index. J Subst Abuse Treat 1992, 9(3):199-213.
  • [28]Gonzalez-Pinto A, Alberich S, Barbeito S, Gutierrez M, Vega P, Ibáñez B, Haidar MK, Vieta E, Arango C: Cannabis and first-episode psychosis: different long-term outcomes depending on continued or discontinued use. Schizophr Res 2011, 37(3):631-639.
  • [29]Weschsler D: Weschler Memory Scale (WMS-III). San Antonio TX: The psychological Corporation; 1997.
  • [30]Spreen O, Strauss EA: Comprendium of Neuropsychological Test: Administration, Norms and Commentary. New York: Oxford University Press; 1998.
  • [31]Weschsler D: Weschler Adult Intelligence Scale (WAIS-III). San Antonio, TX: The Psychological Corporation; 1997.
  • [32]Golden CJ: Stoop Color and Word Test: A Manual for Clinical and Experimental Uses. Wood Dale III: Stoelting Co.; 1978.
  • [33]Heaton RK: The Wisconsin Card Sorting Test. Odessa, F.L.: Psychological Assessment Resources; 1981.
  • [34]Zhang XY, Liang J, Chen DC, Xiu MH, Yang FD, Kosten TA, Kosten TR: Low BDNF is associated with cognitive impairment in chornic patients with schixophrenia. Psychopharmacology 2012, 222(2):277-284.
  • [35]Barnett JH, Salmond CH, Jones PB, Sahakian BJ: Cognitive reserve in neuropsychiatry. Psychol Med 2006, 36(8):1053-1064.
  • [36]Zammit S, Allebeck P, David AS, Dalman C, Hemmingsson T, Lundberg I, Lewis G: A longitudinal study of premorbid IQ Score and risk of developing schizophrenia, bipolar disorder, severe depression, and other nonaffective psychoses. Arch Gen Psychiatry 2004, 61(4):354-360.
  • [37]Koenen KC, Moffitt TE, Roberts AL, Martin LT, Kubzansky L, Harrington H, Poulton R, Caspi A: Childhood IQ and adult mental disorders: a test of the cognitive reserve hypothesis. Am J Psychiatry 2009, 166(1):50-57.
  • [38]Vinogradov S, Fisher M, Holland C, Shelly W, Wolkowitz O, Mellon SH: Is serum brain-derived neurotrophic factor a biomarker for cognitive enhancement in schizophrenia? Biol Psychiatry 2009, 66(6):549-553.
  • [39]Leyhe T, Eschweiler GW, Stransky E, Gasser T, Annas P, Basun H, Laske C: Increase of BDNF serum concentration in lithium treated patients with early Alzheimer's disease. J Alzheimers Dis 2009, 16(3):649-656.
  • [40]Vaynman S, Ying Z, Gomez-Pinilla F: Hippocampal BDNF mediates the efficacy of exercise on synaptic plasticity and cognition. Eur J Neurosci 2004, 20(10):2580-2590.
  • [41]Buckley PF, Pillai A, Evans D, Stirewalt E, Mahadik S: Brain derived neurotropic factor in first-episode psychosis. Schizophr Res 2007, 91(1–3):1-5.
  • [42]Molendijk ML, Bus BA, Spinhoven P, Penninx BW, Kenis G, Prickaerts J, Voshaar RO, Elzinga BM: Serum levels of brain-derived neurotrophic factor in major depressive disorder: state-trait issues, clinical features and pharmacological treatment. Mol Psychiatry 2011, 16(11):1088-1095.
  • [43]Hawkins KA, Keefe RS, Christensen BK, Addington J, Woods SW, Callahan J, Zipursky RB, Perkins DO, Tohen M, Breier A, et al.: Neuropsychological course in the prodrome and first episode of psychosis: findings from the PRIME North America Double Blind Treatment Study. Schizophr Res 2008, 105(1–3):1-9.
  • [44]Leeson VC, Barnes TR, Hutton SB, Ron MA, Joyce EM: IQ as a predictor of functional outcome in schizophrenia: a longitudinal, four-year study of first-episode psychosis. Schizophr Res 2009, 107(1):55-60.
  • [45]Parellada M, Boada L, Fraguas D, Reig S, Castro-Fornieles J, Moreno D, Gonzalez-Pinto A, Otero S, Rapado-Castro M, Graell M, Baeza I, Arango C: Trait and state attributes of insight in first episodes of early-onset schizophrenia and other psychoses: a 2-year longitudinal study. Schizophr Bull 2011, 37(1):38-51.
  • [46]Bora E, Yucel M, Pantelis C: Cognitive functioning in schizophrenia, schizoaffective disorder and affective psychoses: a meta-analytic study. Br J Psychiatry 2009, 195(6):475-482.
  • [47]Martínez-Cengotitabengoa M, Mac-Dowell K, Leza JC, Micó JA, Fernandez M, Echevarria E, Sanjuan J, Elorza J, González- Pinto A: Cognitive impairment is related to oxidative stress and chimokine levels in first psychotic episodes. Schizophr Res 2012, 137(1–3):66-72.
  文献评价指标  
  下载次数:21次 浏览次数:102次