Meta-analysis of molecular imaging of serotonin transporters in major depression
Gryglewski G, Lanzenberger R, Kranz GS, Cumming P (2014)
Publication Type: Journal article
Publication year: 2014
Journal
Publisher: Nature Publishing Group: Open Access Hybrid Model Option B
Book Volume: 34
Pages Range: 1096-103
Journal Issue: 7
Abstract
The success of serotonin-selective reuptake inhibitors has lent support to the monoamine theory of major depressive disorder (MDD). This issue has been addressed in a number of molecular imaging studies by positron emission tomography or single-photon emission computed tomography of serotonin reuptake sites (5-HTT) in the brain of patients with MDD, with strikingly disparate conclusions. Our meta-analysis of the 18 such studies, totaling 364 MDD patients free from significant comorbidities or medication and 372 control subjects, revealed reductions in midbrain 5-HTT (Hedges' g=-0.49; 95% CI: (-0.84, -0.14)) and amygdala (Hedges' g=-0.50; 95% CI: (-0.78, -0.22)), which no individual study possessed sufficient power to detect. Only small effect sizes were found in other regions with high binding (thalamus: g=-0.24, striatum: g=-0.32, and brainstem g=-0.22), and no difference in the frontal or cingulate cortex. Age emerged as an important moderator of 5-HTT availability in MDD, with more severe reductions in striatal 5-HTT evident with greater age of the study populations (P<0.01). There was a strong relationship between severity of depression and 5-HTT reductions in the amygdala (P=0.01). Thus, molecular imaging findings indeed reveal widespread reductions of ~10% in 5-HTT availability in MDD, which may predict altered spatial-temporal dynamics of serotonergic neurotransmission.
Involved external institutions
Austria (AT)How to cite
APA:
Gryglewski, G., Lanzenberger, R., Kranz, G.S., & Cumming, P. (2014). Meta-analysis of molecular imaging of serotonin transporters in major depression. Journal of Cerebral Blood Flow and Metabolism, 34(7), 1096-103. https://doi.org/10.1038/jcbfm.2014.82
MLA:
Gryglewski, Gregor, et al. "Meta-analysis of molecular imaging of serotonin transporters in major depression." Journal of Cerebral Blood Flow and Metabolism 34.7 (2014): 1096-103.
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