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Holper L, Lan MJ, Brown PJ, Sublette ME, Burke A, Mann JJ. Brain cytochrome-c-oxidase as a marker of mitochondrial function: A pilot study in major depression using NIRS. Depress Anxiety 2019; 36:766-779. [PMID: 31111623 PMCID: PMC6716511 DOI: 10.1002/da.22913] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2018] [Revised: 03/12/2019] [Accepted: 04/22/2019] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND Brain mitochondrial dysfunction is implicated in the pathophysiology of mood disorders. Brain cytochrome-c-oxidase (COX) activity is associated with the mitochondrial function. Near-infrared spectroscopy (NIRS) noninvasively measures oxidized COX (oxCOX) and tissue oxygenation index (TOI) reflecting cerebral blood flow and oxygenation. METHODS oxCOX and TOI were assessed in prefrontal cortex (Fp1/2, Brodmann area 10) in patients in a major depressive episode (N = 13) with major depressive disorder (MDD; N = 7) and bipolar disorder (BD; N = 6) compared with the controls (N = 10). One patient with MDD and all the patients with BD were taking medications. Computational modeling estimated oxCOX and TOI related indices of mitochondrial function and cerebral blood flow, respectively. RESULTS oxCOX was lower in patients than controls (p = .014) correlating inversely with depression severity (r = -.72; p = .006), driven primarily by lower oxCOX in BD compared with the controls. Computationally modeled mitochondrial parameters of the electron transport chain, such as the nicotinamide adenine dinucleotide ratio (NAD+ /NADH; p = .001) and the proton leak rate across the inner mitochondrial membrane (klk2 ; p = .008), were also lower in patients and correlated inversely with depression severity. No such effects were found for TOI. CONCLUSIONS In this pilot study, oxCOX and related mitochondrial parameters assessed by NIRS indicate an abnormal cerebral metabolic state in mood disorders proportional to depression severity, potentially providing a biomarker of antidepressant effect. Because the effect was driven by the medicated BD group, findings need to be evaluated in a larger, medication-free population.
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Affiliation(s)
- L Holper
- Division of Molecular Imaging and Neuropathology, Columbia University and New York State Psychiatric Institute, New York, NY,Department of Psychiatry, Psychotherapy, and Psychosomatics, University Hospital of Psychiatry Zurich, 8032 Zurich, Switzerland
| | - MJ Lan
- Division of Molecular Imaging and Neuropathology, Columbia University and New York State Psychiatric Institute, New York, NY
| | - PJ Brown
- Geriatric Psychiatry, Columbia University College of Physicians and Surgeons and New York State Psychiatric Institute, New York, NY
| | - ME Sublette
- Division of Molecular Imaging and Neuropathology, Columbia University and New York State Psychiatric Institute, New York, NY
| | - A Burke
- Division of Molecular Imaging and Neuropathology, Columbia University and New York State Psychiatric Institute, New York, NY
| | - JJ Mann
- Division of Molecular Imaging and Neuropathology, Columbia University and New York State Psychiatric Institute, New York, NY,Department of Radiology, Columbia University, New York, NY
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Holper L, Ben-Shachar D, Mann JJ. Multivariate meta-analyses of mitochondrial complex I and IV in major depressive disorder, bipolar disorder, schizophrenia, Alzheimer disease, and Parkinson disease. Neuropsychopharmacology 2019; 44:837-849. [PMID: 29855563 PMCID: PMC6461987 DOI: 10.1038/s41386-018-0090-0] [Citation(s) in RCA: 121] [Impact Index Per Article: 24.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2018] [Revised: 04/26/2018] [Accepted: 05/07/2018] [Indexed: 12/17/2022]
Abstract
Complex I (NADH dehydrogenase, NDU) and complex IV (cytochrome-c-oxidase, COX) of the mitochondrial electron transport chain have been implicated in the pathophysiology of major psychiatric disorders, such as major depressive disorder (MDD), bipolar disorder (BD), and schizophrenia (SZ), as well as in neurodegenerative disorders, such as Alzheimer disease (AD) and Parkinson disease (PD). We conducted meta-analyses comparing complex I and IV in each disorder MDD, BD, SZ, AD, and PD, as well as in normal aging. The electronic databases Pubmed, EMBASE, CENTRAL, and Google Scholar, were searched for studies published between 1980 and 2018. Of 2049 screened studies, 125 articles were eligible for the meta-analyses. Complex I and IV were assessed in peripheral blood, muscle biopsy, or postmortem brain at the level of enzyme activity or subunits. Separate meta-analyses of mood disorder studies, MDD and BD, revealed moderate effect sizes for similar abnormality patterns in the expression of complex I with SZ in frontal cortex, cerebellum and striatum, whereas evidence for complex IV alterations was low. By contrast, the neurodegenerative disorders, AD and PD, showed strong effect sizes for shared deficits in complex I and IV, such as in peripheral blood, frontal cortex, cerebellum, and substantia nigra. Beyond the diseased state, there was an age-related robust decline in both complexes I and IV. In summary, the strongest support for a role for complex I and/or IV deficits, is in the pathophysiology of PD and AD, and evidence is less robust for MDD, BD, or SZ.
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Affiliation(s)
- L Holper
- Division of Molecular Imaging and Neuropathology, Columbia University and New York State Psychiatric Institute, New York, NY, USA.
| | - D Ben-Shachar
- Laboratory of Psychobiology, Department of Psychiatry, Rambam Health Care Campus, Rappaport Faculty of Medicine, Technion IIT, Haifa, Israel
| | - J J Mann
- Division of Molecular Imaging and Neuropathology, Columbia University and New York State Psychiatric Institute, New York, NY, USA
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Pavuluri MN, Yang S, Kamineni K, Passarotti AM, Srinivasan G, Harral EM, Sweeney JA, Zhou XJ. Diffusion tensor imaging study of white matter fiber tracts in pediatric bipolar disorder and attention-deficit/hyperactivity disorder. Biol Psychiatry 2009; 65:586-93. [PMID: 19027102 PMCID: PMC2677389 DOI: 10.1016/j.biopsych.2008.10.015] [Citation(s) in RCA: 186] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2008] [Revised: 09/25/2008] [Accepted: 10/15/2008] [Indexed: 10/21/2022]
Abstract
BACKGROUND To investigate microstructure of white matter fiber tracts in pediatric bipolar disorder (PBD) and attention-deficit/hyperactivity disorder (ADHD). METHODS A diffusion tensor imaging (DTI) study was conducted at 3 Tesla on age- and IQ-matched children and adolescents with PBD (n = 13), ADHD (n = 13), and healthy control subjects (HC) (n = 15). Three DTI parameters, fractional anisotropy (FA), apparent diffusion coefficient (ADC), and regional fiber coherence index (r-FCI), were examined in eight fiber tracts: anterior corona radiata (ACR), anterior limb of the internal capsule (ALIC), superior region of the internal capsule (SRI), posterior limb of the internal capsule (PLIC), superior longitudinal fasciculus (SLF), inferior longitudinal fasciculus (ILF), cingulum (CG), and splenium (SP). RESULTS Significantly lower FA was observed in ACR in both PBD and ADHD relative to HC. In addition, FA and r-FCI values were significantly lower in ADHD relative to PBD and HC in both the ALIC and the SRI. Further, ADC was significantly greater in ADHD relative to both the PBD and HC in ACR, ALIC, PLIC, SRI, CG, ILF, and SLF. CONCLUSIONS Decreased FA in ACR implies an impaired fiber density or reduced myelination in both PBD and ADHD in this prefrontal tract. These abnormalities, together with the reduced fiber coherence, extended to corticobulbar tracts in ADHD. Increased ADC across multiple white matter tracts in ADHD indicates extensive cellular abnormalities with less diffusion restriction in ADHD relative to PBD.
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Affiliation(s)
- Mani N. Pavuluri
- Center for Cognitive Medicine, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA, Institute for Juvenile Research, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA, Department of Psychiatry, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA
| | - Shuohui Yang
- Center for MR Research, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA
| | - Kiran Kamineni
- Center for Cognitive Medicine, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA, Institute for Juvenile Research, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA, Department of Psychiatry, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA
| | - Alessandra M. Passarotti
- Center for Cognitive Medicine, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA, Institute for Juvenile Research, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA, Department of Psychiatry, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA
| | - Girish Srinivasan
- Center for MR Research, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA, Department of Bioengineering, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA
| | - Erin M. Harral
- Center for Cognitive Medicine, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA, Institute for Juvenile Research, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA, Department of Psychiatry, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA
| | - John A. Sweeney
- Center for Cognitive Medicine, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA, Department of Psychiatry, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA, Department of Bioengineering, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA
| | - Xiaohong Joe Zhou
- Center for MR Research, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA, Department of Bioengineering, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA, Department of Radiology, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA, Department of Neurosurgery, University of Illinois Medical Center at Chicago, Chicago, Illinois, USA
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