Literature DB >> 12611844

Increased cortical GABA concentrations in depressed patients receiving ECT.

Gerard Sanacora1, Graeme F Mason, Douglas L Rothman, Fahmeed Hyder, James J Ciarcia, Robert B Ostroff, Robert M Berman, John H Krystal.   

Abstract

OBJECTIVE: Reduced gamma-aminobutyric acid (GABA) concentrations have been reported in the plasma, CSF, and cortex of depressed subjects. Of interest is that ECT, one of the most effective treatments for severe refractory depression, produces considerable anticonvulsant effects that may be related to increased GABAergic transmission. The purpose of this study was to determine if cortical GABA concentrations increase following a course of ECT.
METHOD: Occipital cortex GABA concentrations in eight depressed patients were measured by using proton magnetic resonance spectroscopy before and after a course of ECT.
RESULTS: A significant increase in occipital cortex GABA concentrations was seen following ECT treatment of depression.
CONCLUSIONS: Occipital cortex GABA concentrations increase two-fold following ECT. This suggests possible GABAergic involvement in ECT's mechanism of anticonvulsant and antidepressant actions.

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Year:  2003        PMID: 12611844     DOI: 10.1176/appi.ajp.160.3.577

Source DB:  PubMed          Journal:  Am J Psychiatry        ISSN: 0002-953X            Impact factor:   18.112


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