Literature DB >> 20022640

Pituitary volume in patients with bipolar disorder and their first-degree relatives.

Tsutomu Takahashi1, Mark Walterfang, Stephen J Wood, Matthew J Kempton, Jigar Jogia, Valentina Lorenzetti, Bridget Soulsby, Michio Suzuki, Dennis Velakoulis, Christos Pantelis, Sophia Frangou.   

Abstract

BACKGROUND: Hypothalamic-pituitary-adrenal (HPA) axis dysregulation has been reported in bipolar disorder (BD), but previous magnetic resonance imaging (MRI) studies of pituitary gland volume in BD have yielded inconsistent findings. In addition, the contribution of genetic factors to the pituitary changes in BD remains largely unknown.
METHOD: We used MRI to investigate the pituitary volume in 29 remitted patients with BD, 49 of their first-degree relatives (of whom 15 had a diagnosis of Major Depressive Disorder), and 52 age- and gender-matched healthy controls.
RESULTS: BD patients had a significantly larger pituitary volume compared with their relatives and healthy controls. Pituitary volume did not differ between controls and healthy relatives or relatives diagnosed with major depression. LIMITATIONS: Direct measures of HPA function (i.e., hormonal levels) were not available.
CONCLUSIONS: These findings suggest that enlarged pituitary volume is associated with disease expression but not genetic susceptibility to BD. Copyright 2009 Elsevier B.V. All rights reserved.

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Year:  2009        PMID: 20022640     DOI: 10.1016/j.jad.2009.12.002

Source DB:  PubMed          Journal:  J Affect Disord        ISSN: 0165-0327            Impact factor:   4.839


  11 in total

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