Association of VEGF With Antianhedonic Effects of Repeated-Dose Intravenous Ketamine in Treatment-Refractory Depression

Objectives: To first explore the role of plasma vascular endothelial growth factor (VEGF) concentrations in ketamine's antianhedonic effects, focusing on Chinese patients with treatment-refractory depression (TRD).Methods: Seventy-eight patients with treatment-refractory major depressive disord...

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Autores principales: Wei Zheng, Li-Mei Gu, Yan-Ling Zhou, Cheng-Yu Wang, Xiao-Feng Lan, Bin Zhang, Hai-Shan Shi, Dan-Feng Wang, Yu-Ping Ning
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:74a55e187b2b41f495aeae82377f4f6f2021-12-03T05:02:24ZAssociation of VEGF With Antianhedonic Effects of Repeated-Dose Intravenous Ketamine in Treatment-Refractory Depression1664-064010.3389/fpsyt.2021.780975https://doaj.org/article/74a55e187b2b41f495aeae82377f4f6f2021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.780975/fullhttps://doaj.org/toc/1664-0640Objectives: To first explore the role of plasma vascular endothelial growth factor (VEGF) concentrations in ketamine's antianhedonic effects, focusing on Chinese patients with treatment-refractory depression (TRD).Methods: Seventy-eight patients with treatment-refractory major depressive disorder (MDD) or bipolar disorder (BD) were treated with six ketamine infusions (0.5 mg/kg). Levels of anhedonia were measured using the Montgomery–Åsberg Depression Rating Scale (MADRS) anhedonia item at baseline, day 13 and 26. Plasma VEGF concentrations were examined at the same time points as the MADRS.Results: Despite a significant reduction in anhedonia symptoms in individuals with treatment-refractory MDD (n = 59) or BD (n = 19) after they received repeated-dose ketamine infusions (p < 0.05), no significant changes in plasma VEGF concentrations were found at day 13 when compared to baseline (p > 0.05). The alteration of plasma VEGF concentrations did not differ between antianhedonic responders and non-responders at days 13 and 26 (all ps > 0.05). Additionally, no significant correlations were observed between the antianhedonic response to ketamine and plasma VEGF concentrations (all ps > 0.05).Conclusion: This preliminary study suggests that the antianhedonic effects of ketamine are not mediated by VEGF.Wei ZhengLi-Mei GuYan-Ling ZhouCheng-Yu WangXiao-Feng LanBin ZhangHai-Shan ShiDan-Feng WangYu-Ping NingYu-Ping NingFrontiers Media S.A.articleketamineVEGFantianhedonic effectmajor depressive disorderresponsePsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic ketamine
VEGF
antianhedonic effect
major depressive disorder
response
Psychiatry
RC435-571
spellingShingle ketamine
VEGF
antianhedonic effect
major depressive disorder
response
Psychiatry
RC435-571
Wei Zheng
Li-Mei Gu
Yan-Ling Zhou
Cheng-Yu Wang
Xiao-Feng Lan
Bin Zhang
Hai-Shan Shi
Dan-Feng Wang
Yu-Ping Ning
Yu-Ping Ning
Association of VEGF With Antianhedonic Effects of Repeated-Dose Intravenous Ketamine in Treatment-Refractory Depression
description Objectives: To first explore the role of plasma vascular endothelial growth factor (VEGF) concentrations in ketamine's antianhedonic effects, focusing on Chinese patients with treatment-refractory depression (TRD).Methods: Seventy-eight patients with treatment-refractory major depressive disorder (MDD) or bipolar disorder (BD) were treated with six ketamine infusions (0.5 mg/kg). Levels of anhedonia were measured using the Montgomery–Åsberg Depression Rating Scale (MADRS) anhedonia item at baseline, day 13 and 26. Plasma VEGF concentrations were examined at the same time points as the MADRS.Results: Despite a significant reduction in anhedonia symptoms in individuals with treatment-refractory MDD (n = 59) or BD (n = 19) after they received repeated-dose ketamine infusions (p < 0.05), no significant changes in plasma VEGF concentrations were found at day 13 when compared to baseline (p > 0.05). The alteration of plasma VEGF concentrations did not differ between antianhedonic responders and non-responders at days 13 and 26 (all ps > 0.05). Additionally, no significant correlations were observed between the antianhedonic response to ketamine and plasma VEGF concentrations (all ps > 0.05).Conclusion: This preliminary study suggests that the antianhedonic effects of ketamine are not mediated by VEGF.
format article
author Wei Zheng
Li-Mei Gu
Yan-Ling Zhou
Cheng-Yu Wang
Xiao-Feng Lan
Bin Zhang
Hai-Shan Shi
Dan-Feng Wang
Yu-Ping Ning
Yu-Ping Ning
author_facet Wei Zheng
Li-Mei Gu
Yan-Ling Zhou
Cheng-Yu Wang
Xiao-Feng Lan
Bin Zhang
Hai-Shan Shi
Dan-Feng Wang
Yu-Ping Ning
Yu-Ping Ning
author_sort Wei Zheng
title Association of VEGF With Antianhedonic Effects of Repeated-Dose Intravenous Ketamine in Treatment-Refractory Depression
title_short Association of VEGF With Antianhedonic Effects of Repeated-Dose Intravenous Ketamine in Treatment-Refractory Depression
title_full Association of VEGF With Antianhedonic Effects of Repeated-Dose Intravenous Ketamine in Treatment-Refractory Depression
title_fullStr Association of VEGF With Antianhedonic Effects of Repeated-Dose Intravenous Ketamine in Treatment-Refractory Depression
title_full_unstemmed Association of VEGF With Antianhedonic Effects of Repeated-Dose Intravenous Ketamine in Treatment-Refractory Depression
title_sort association of vegf with antianhedonic effects of repeated-dose intravenous ketamine in treatment-refractory depression
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/74a55e187b2b41f495aeae82377f4f6f
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