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Mediator effects of parameters of inflammation and neurogenesis from a N-acetyl cysteine clinical-trial for bipolar depression
journal contribution
posted on 2018-12-01, 00:00 authored by Bruna Panizzutti, Chiara Bortolasci, Kyoko Hasebe, Srisaiyini Kidnapillai, Laura GrayLaura Gray, Ken WalderKen Walder, Michael BerkMichael Berk, Mohammadreza MohebbiMohammadreza Mohebbi, Seetal DoddSeetal Dodd, Clarissa Gama, Pedro V Magalhães, Susan M Cotton, Flávio Kapczinski, Ashley I Bush, Gin S Malhi, Olivia DeanOlivia DeanOBJECTIVE: This study aimed to explore effects of adjunctive treatment with N-acetyl cysteine (NAC) on markers of inflammation and neurogenesis in bipolar depression. METHODS: This is a secondary analysis of a placebo-controlled randomised trial. Serum samples were collected at baseline, week 8, and week 32 of the open-label and maintenance phases of the clinical trial to determine changes in interleukin (IL)-6, IL-8, IL-10, tumour necrosis factor-α (TNF-α), C-reactive protein (CRP) and brain-derived neurotrophic factor (BDNF) following adjunctive NAC treatment, and to explore mediation and moderator effects of the listed markers. RESULTS: Levels of brain-derived neurotrophic factor (BDNF), tumour necrosis factor-α (TNF-α), C-reactive protein (CRP), interleukins (IL) -6, 8, or 10 were not significantly changed during the course of the trial or specifically in the open-label and maintenance phases. There were no mediation or moderation effects of the biological factors on the clinical parameters. CONCLUSION: The results suggest that these particular biological parameters may not be directly involved in the therapeutic mechanism of action of adjunctive NAC in bipolar depression.
History
Journal
Acta neuropsychiatricaVolume
30Issue
6Pagination
334 - 341Publisher
Cambridge University PressLocation
Cambridge, Eng.Publisher DOI
ISSN
0924-2708eISSN
1601-5215Language
engPublication classification
C1 Refereed article in a scholarly journalCopyright notice
2018, Scandinavian College of NeuropsychopharmacologyUsage metrics
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