TY - JOUR PY - 2017// TI - Relationship between the hippocampal shape abnormality and serum cortisol levels in first-episode and drug-naïve major depressive disorder patients JO - Depression and anxiety A1 - Watanabe, Rieko A1 - Kakeda, Shingo A1 - Watanabe, Keita A1 - Liu, Xiaodan A1 - Katsuki, Asuka A1 - Umeno-Nakano, Wakako A1 - Hori, Hikaru A1 - Abe, Osamu A1 - Yoshimura, Reiji A1 - Korogi, Yukunori SP - 401 EP - 409 VL - 34 IS - 5 N2 - BACKGROUND: We aimed to investigate the relationship between the hippocampal shape deformations and the serum cortisol levels in first-episode and drug-naïve major depression disorder (MDD) patients.

METHODS: Thirty first-episode and drug-naïve MDD patients and 40 healthy subjects were recruited. High-resolution T1-weighted imaging and morning blood samples for cortisol measurement were obtained from all MDD patients and healthy subjects. In the hippocampal shape analysis, we compared the hippocampal shape between MDD patients and healthy subjects and evaluated the linear correlation between hippocampal shape deformations and the serum cortisol levels in MDD patients and healthy subjects.

RESULTS: MDD patients showed significant inward deformations predominantly in the cornu ammonis (CA) 1 and subiculum in bilateral hippocampi compared to healthy subjects (false discovery rate (FDR) corrected, P <.05). Furthermore, in MDD patients, a significant linear correlation between inward deformations and high cortisol levels were found predominantly in the CA1 and subiculum, extending into the CA2-3 (FDR-corrected, P <.05), whereas no significant linear correlation was observed in healthy subjects.

CONCLUSIONS: The serum cortisol levels are therefore considered to be associated with hippocampal shape abnormalities in MDD.

© 2017 Wiley Periodicals, Inc.

Language: en

LA - en SN - 1091-4269 UR - http://dx.doi.org/10.1002/da.22604 ID - ref1 ER -