Abstract
Although a large body of research accumulated over the past decades points to distinct biological mechanisms being involved in the pathophysiology of major depressive disorder (MDD), its precise pathobiology is not yet fully understood. In the last 20 years, substantial new research has been generated in an attempt to identify and characterize candidate biomarkers for MDD. This chapter provides the current state of biomarker research in MDD and summarizes the most recent results from neuroimaging, genetic, epigenetic, and neurochemical studies in MDD.
Promising new findings report high diagnostic accuracy for metabolomic and epigenetic approaches as well as combinatorial functional neuroimaging approaches.
Notes
- 1.
(keywords [MESH criteria] for literature search: “depression” OR “depressive disorder,” AND “biological markers,” “endophenotypes,” “functional,” “structural,” “molecular,” and “genetics,” “magnetic resonance imaging,” “diffusion tensor imaging,” “magnetic resonance spectroscopy,” “positron-emission tomography”; additional articles were identified from reference lists of key articles)
Abbreviations
- Aβ1–42:
-
Amyloid Beta 1–42
- APLP2:
-
Amyloid Precursor-Like Protein 2
- APP:
-
Amyloid Precursor Protein
- ACC:
-
Anterior Cingulate Cortex
- AVP:
-
Arginine Vasopressin
- ASL:
-
Arterial Spin Labeling
- BDNF:
-
Brain-Derived Neurotrophic Factor
- CBF:
-
Cerebral Blood Flow
- CSF:
-
Cerebrospinal Fluid
- Cohe-ReHo:
-
Coherence-Based Regional Homogeneity
- CRH:
-
Corticotropin-Releasing Hormone
- CRHR:
-
Corticotropin-Releasing Hormone Receptor
- Cr:
-
Creatine
- DMN:
-
Default Mode Network
- DEX:
-
Dexamethasone
- DST:
-
Dexamethasone Suppression Test
- DTI:
-
Diffusion Tensor Imaging
- DLPFC:
-
Dorsolateral Prefrontal Cortex
- FA:
-
Fractional Anisotropy
- fMRI:
-
Functional Magnetic Resonance Imaging
- GABA:
-
Gamma-Aminobutyric Acid
- GR:
-
Glucocorticoid Receptor
- Glu:
-
Glutamate
- Glx:
-
Glutamine + Glutamate
- HPA:
-
Hypothalamic-Pituitary-Adrenal
- MRI:
-
Magnetic Resonance Imaging
- MDD:
-
Major Depressive Disorder
- MCC:
-
Midcingulate Cortex
- NAA:
-
N-acetyl-aspartate
- OFC:
-
Orbitofrontal Cortex
- PVN:
-
Paraventricular Nucleus
- PET:
-
Positron Emission Tomography
- PFC:
-
Prefrontal Cortex
- pgACC:
-
Pregenual Anterior Cingulate Cortex
- rACC:
-
Rostral Anterior Cingulum
- 5-HT:
-
Serotonin
- HT1A BP:
-
Serotonin Receptor 1A Binding Protein
- 5-HTTLPR:
-
Serotonin Transporter Promoter
- SGPFC:
-
Subgenual Prefrontal Cortex
- sgACC:
-
Supragenual ACC
- vlPFC:
-
Ventrolateral Prefrontal Cortex
References
Ahdidan J, Hviid LB, Chakravarty MM, et al. Longitudinal MR study of brain structure and hippocampus volume in major depressive disorder. Acta Psychiatr Scand. 2011;123:211–9.
Anand A, Li Y, Wang Y, et al. Activity and connectivity of brain mood regulating circuit in depression: a functional magnetic resonance study. Biol Psychiatry. 2005;57:1079–88.
Bao AM, Meynen G, Swaab DF. The stress system in depression and neurodegeneration: focus on the human hypothalamus. Brain Res Rev. 2008;57:531–53.
Berman MG, Peltier S, Nee DE, et al. Depression, rumination and the default network. Soc Cogn Affect Neurosci. 2010;6:548–55.
Binder EB, Owens MJ, Liu W, et al. Association of polymorphisms in genes regulating the corticotropin-releasing factor system with antidepressant treatment response. Arch Gen Psychiatry. 2010;67:369–79.
Brambilla P, Stanley JA, Nicoletti MA, et al. 1H Magnetic resonance spectroscopy study of dorsolateral prefrontal cortex in unipolar mood disorder patients. Psychiatry Res. 2005;138:131–9.
Bus BA, Tendolkar I, Franke B, et al. Serum brain-derived neurotrophic factor: determinants and relationship with depressive symptoms in a community population of middle-aged and elderly people. World J Biol Psychiatry. 2012;13:39–47.
Caetano SC, Hatch JP, Brambilla P, et al. Anatomical MRI study of hippocampus and amygdala in patients with current and remitted major depression. Psychiatry Res. 2004;132:141–7.
Capizzano AA, Jorge RE, Acion LC, et al. In vivo proton magnetic resonance spectroscopy in patients with mood disorders: a technically oriented review. J Magn Reson Imaging. 2007;26:1378–89.
Carballedo A, Amico F, Ugwu I, et al. Reduced fractional anisotropy in the uncinate fasciculus in patients with major depression carrying the met-allele of the Val66Met brain-derived neurotrophic factor genotype. Am J Med Genet B Neuropsychiatr Genet. 2012;159B:537–48.
Cole J, Costafreda SG, McGuffin P, et al. Hippocampal atrophy in first episode depression: a meta-analysis of magnetic resonance imaging studies. J Affect Disord. 2011;134:483–7.
Cole J, Chaddock CA, Farmer AE, et al. White matter abnormalities and illness severity in major depressive disorder. Br J Psychiatry. 2012;201:33–9.
Colloby SJ, Firbank MJ, He J, et al. Regional cerebral blood flow in late-life depression: arterial spin labelling magnetic resonance study. Br J Psychiatry. 2012;200:150–5.
Dager SR, Friedman SD, Parow A, et al. Brain metabolic alterations in medication-free patients with bipolar disorder. Arch Gen Psychiatry. 2004;61:450–8.
Dannlowski U, Ohrmann P, Konrad C, et al. Reduced amygdala-prefrontal coupling in major depression: association with MAOA genotype and illness severity. Int J Neuropsychopharmacol. 2009;12:11–22.
Davey CG, Harrison BJ, Yucel M, et al. Regionally specific alterations in functional connectivity of the anterior cingulate cortex in major depressive disorder. Psychol Med. 2012;42:2071–81.
Dekker MJ, Tiemeier H, Luijendijk HJ, et al. The effect of common genetic variation in 11beta-hydroxysteroid dehydrogenase type 1 on hypothalamic-pituitary-adrenal axis activity and incident depression. J Clin Endocrinol Metab. 2012;97:E233–7.
Deschwanden A, Karolewicz B, Feyissa AM, et al. Reduced metabotropic glutamate receptor 5 density in major depression determined by [(11)C]ABP688 PET and postmortem study. Am J Psychiatry. 2011;168:727–34.
Diniz BS, Teixeira AL, Miranda AS, et al. Circulating Glial-derived neurotrophic factor is reduced in late-life depression. J Psychiatr Res. 2012;46:135–9.
Ditzen C, Tang N, Jastorff AM, et al. Cerebrospinal fluid biomarkers for major depression confirm relevance of associated pathophysiology. Neuropsychopharmacology. 2012;37:1013–25.
Du MY, Wu QZ, Yue Q, et al. Voxelwise meta-analysis of gray matter reduction in major depressive disorder. Prog Neuropsychopharmacol Biol Psychiatry. 2012;36:11–6.
Elfving B, Buttenschon HN, Foldager L, et al. Depression, the Val66Met polymorphism, age, and gender influence the serum BDNF level. J Psychiatr Res. 2012;46:1118–25.
Falagas ME, Vardakas KZ, Vergidis PI. Under-diagnosis of common chronic diseases: prevalence and impact on human health. Int J Clin Pract. 2007;61:1569–79.
Fan Y, Resnick SM, Wu X, et al. Structural and functional biomarkers of prodromal Alzheimer’s disease: a high-dimensional pattern classification study. Neuroimage. 2008;41:277–85.
Fang P, Zeng LL, Shen H, et al. Increased cortical-limbic anatomical network connectivity in major depression revealed by diffusion tensor imaging. PLoS One. 2012;7:e45972.
Frodl T, Bokde AL, Scheuerecker J, et al. Functional connectivity bias of the orbitofrontal cortex in drug-free patients with major depression. Biol Psychiatry. 2010;67:161–7.
Fu CH, Steiner H, Costafreda SG. Predictive neural biomarkers of clinical response in depression: a meta-analysis of functional and structural neuroimaging studies of pharmacological and psychological therapies. Neurobiol Dis. 2013;52:75–83.
Fuchikami M, Morinobu S, Segawa M, et al. DNA methylation profiles of the brain-derived neurotrophic factor (BDNF) gene as a potent diagnostic biomarker in major depression. PLoS One. 2011;6:e23881.
Fujii T, Ota M, Hori H, et al. Association between the functional polymorphism (C3435T) of the gene encoding P-glycoprotein (ABCB1) and major depressive disorder in the Japanese population. J Psychiatr Res. 2012;46:555–9.
Galecka E, Szemraj J, Bienkiewicz M, et al. Single nucleotide polymorphisms of NR3C1 gene and recurrent depressive disorder in population of Poland. Mol Biol Rep. 2013;40:1693–9.
Gass P, Hellweg R. Peripheral brain-derived neurotrophic factor (BDNF) as a biomarker for affective disorders? Int J Neuropsychopharmacol. 2010;13:1–4.
Greicius MD, Flores BH, Menon V, et al. Resting-state functional connectivity in major depression: abnormally increased contributions from subgenual cingulate cortex and thalamus. Biol Psychiatry. 2007;62:429–37.
Grimm S, Luborzewski A, Schubert F, et al. Region-specific glutamate changes in patients with unipolar depression. J Psychiatr Res. 2012;46:1059–65.
Guilloux JP, Douillard-Guilloux G, Kota R, et al. Molecular evidence for BDNF- and GABA-related dysfunctions in the amygdala of female subjects with major depression. Mol Psychiatry. 2012;17:1130–42.
Hahn T, Marquand AF, Ehlis AC, et al. Integrating neurobiological markers of depression. Arch Gen Psychiatry. 2011;68:361–8.
Hasselbalch BJ, Knorr U, Bennike B, et al. Decreased levels of brain-derived neurotrophic factor in the remitted state of unipolar depressive disorder. Acta Psychiatr Scand. 2012;126:157–64.
Heuser I, Yassouridis A, Holsboer F. The combined dexamethasone/CRH test: a refined laboratory test for psychiatric disorders. J Psychiatr Res. 1994;28:341–56.
Husarova V, Bittsansky M, Ondrejka I, et al. Hippocampal neurometabolite changes in depression treatment: a (1)H magnetic resonance spectroscopy study. Psychiatry Res. 2012;201:206–13.
Isikli S, Ugurlu O, Durmusoglu E, et al. Altered hippocampal formation shape in first-episode depressed patients at 5-year follow-up. J Psychiatr Res. 2013;47:50–5.
Johnstone T, van Reekum CM, Urry HL, et al. Failure to regulate: counterproductive recruitment of top-down prefrontal-subcortical circuitry in major depression. J Neurosci. 2007;27:8877–84.
Keller J, Shen L, Gomez RG, et al. Hippocampal and amygdalar volumes in psychotic and nonpsychotic unipolar depression. Am J Psychiatry. 2008;165:872–80.
Kempton MJ, Salvador Z, Munafo MR, et al. Structural neuroimaging studies in major depressive disorder. Meta-analysis and comparison with bipolar disorder. Arch Gen Psychiatry. 2011;68:675–90.
Kerestes R, Bhagwagar Z, Nathan PJ, et al. Prefrontal cortical response to emotional faces in individuals with major depressive disorder in remission. Psychiatry Res. 2012;202:30–7.
Kim JJ, Pae CU, Kim MR, et al. Association between estrogen receptor gene polymorphisms and depression in post-menopausal women: a preliminary study. Psychiatry Investig. 2010;7:224–7.
Kocabas NA, Antonijevic I, Faghel C, et al. Brain-derived neurotrophic factor gene polymorphisms: influence on treatment response phenotypes of major depressive disorder. Int Clin Psychopharmacol. 2011;26:1–10.
Koolschijn PC, van Haren NE, Lensvelt-Mulders GJ, et al. Brain volume abnormalities in major depressive disorder: a meta-analysis of magnetic resonance imaging studies. Hum Brain Mapp. 2009;30:3719–35.
Kronenberg G, Tebartz van Elst L, Regen F, et al. Reduced amygdala volume in newly admitted psychiatric in-patients with unipolar major depression. J Psychiatr Res. 2009;43:1112–7.
Lange C, Irle E. Enlarged amygdala volume and reduced hippocampal volume in young women with major depression. Psychol Med. 2004;34:1059–64.
Li Z, Zhang Y, Wang Z, et al. The role of BDNF, NTRK2 gene and their interaction in development of treatment-resistant depression: data from multicenter, prospective, longitudinal clinic practice. J Psychiatr Res. 2013;47:8–14.
Liu F, Guo W, Yu D, et al. Classification of different therapeutic responses of major depressive disorder with multivariate pattern analysis method based on structural MR scans. PLoS One. 2012a;7:e40968.
Liu F, Hu M, Wang S, et al. Abnormal regional spontaneous neural activity in first-episode, treatment-naive patients with late-life depression: a resting-state fMRI study. Prog Neuropsychopharmacol Biol Psychiatry. 2012b;39:326–31.
Lorenzetti V, Allen NB, Fornito A, et al. Structural brain abnormalities in major depressive disorder: a selective review of recent MRI studies. J Affect Disord. 2009;117:1–17.
Luykx JJ, Laban KG, van den Heuvel MP, et al. Region and state specific glutamate downregulation in major depressive disorder: a meta-analysis of (1)H-MRS findings. Neurosci Biobehav Rev. 2012;36:198–205.
Matthews SC, Strigo IA, Simmons AN, et al. Decreased functional coupling of the amygdala and supragenual cingulate is related to increased depression in unmedicated individuals with current major depressive disorder. J Affect Disord. 2008;111:13–20.
Milanesi E, Minelli A, Cattane N, et al. ErbB3 mRNA leukocyte levels as a biomarker for major depressive disorder. BMC Psychiatry. 2012;12:145.
Milne AM, MacQueen GM, Hall GB. Abnormal hippocampal activation in patients with extensive history of major depression: an fMRI study. J Psychiatry Neurosci. 2012;37:28–36.
Mingtian Z, Shuqiao Y, Xiongzhao Z, et al. Elevated amygdala activity to negative faces in young adults with early onset major depressive disorder. Psychiatry Res. 2012;201:107–12.
Monkul ES, Silva LA, Narayana S, et al. Abnormal resting state corticolimbic blood flow in depressed unmedicated patients with major depression: a (15)O-H(2)O PET study. Hum Brain Mapp. 2012;33:272–9.
Moses-Kolko EL, Wisner KL, Price JC, et al. Serotonin 1A receptor reductions in postpartum depression: a positron emission tomography study. Fertil Steril. 2008;89:685–92.
Murphy ML, Carballedo A, Fagan AJ, et al. Neurotrophic tyrosine kinase polymorphism impacts white matter connections in patients with major depressive disorder. Biol Psychiatry. 2012;72:663–70.
Murrough JW, Henry S, Hu J, et al. Reduced ventral striatal/ventral pallidal serotonin1B receptor binding potential in major depressive disorder. Psychopharmacology (Berl). 2011;213:547–53.
Mwangi B, Matthews K, Steele JD. Prediction of illness severity in patients with major depression using structural MR brain scans. J Magn Reson Imaging. 2012;35:64–71.
Ordway GA, Szebeni A, Chandley MJ, et al. Low gene expression of bone morphogenetic protein 7 in brainstem astrocytes in major depression. Int J Neuropsychopharmacol. 2012;15:855–68.
Pizzagalli DA. Frontocingulate dysfunction in depression: toward biomarkers of treatment response. Neuropsychopharmacology. 2011;36:183–206.
Portella MJ, de Diego-Adelino J, Gomez-Anson B, et al. Ventromedial prefrontal spectroscopic abnormalities over the course of depression: a comparison among first episode, remitted recurrent and chronic patients. J Psychiatr Res. 2011;45:427–34.
Raichle ME, MacLeod AM, Snyder AZ, et al. A default mode of brain function. Proc Natl Acad Sci U S A. 2001;98:676–82.
Ritsner MS, Gottesman II. Where do we stand in the quest for neuropsychiatric biomarkers and what next?, Chapter 1. The handbook of neuropsychiatric biomarkers, endophenotypes and genes. New York: Springer; 2009. pp. 3–17.
Ruhe HG, Booij J, Veltman DJ, et al. Successful pharmacologic treatment of major depressive disorder attenuates amygdala activation to negative facial expressions: a functional magnetic resonance imaging study. J Clin Psychiatry. 2012;73:451–9.
Saleh K, Carballedo A, Lisiecka D, et al. Impact of family history and depression on amygdala volume. Psychiatry Res. 2012;203:24–30.
Savitz J, Drevets WC. Bipolar and major depressive disorder: neuroimaging the developmental-degenerative divide. Neurosci Biobehav Rev. 2009;33:699–771.
Schneider B, Prvulovic D. Novel biomarkers in major depression. Curr Opin Psychiatry. 2013;26:47–53.
Schneider B, Prvulovic D, Oertel-Knöchel V, et al. Biomarkers for major depression and its delineation from neurodegenerative disorders. Prog Neurobiol. 2011;95:703–14.
Serra-Millas M, Lopez-Vilchez I, Navarro V, et al. Changes in plasma and platelet BDNF levels induced by S-citalopram in major depression. Psychopharmacology (Berl). 2011;216:1–8.
Sexton CE, Mackay CE, Ebmeier KP. A systematic review of diffusion tensor imaging studies in affective disorders. Biol Psychiatry. 2009;66:814–23.
Sheline YI, Price JL, Yan Z, et al. Resting-state functional MRI in depression unmasks increased connectivity between networks via the dorsal nexus. Proc Natl Acad Sci U S A. 2010;107:11020–5.
Shen X, Wu Y, Qian M, et al. Tryptophan hydroxylase 2 gene is associated with major depressive disorder in a female Chinese population. J Affect Disord. 2011;133:619–24.
Shi C, Zhang K, Wang X, et al. A study of the combined effects of the EHD3 and FREM3 genes in patients with major depressive disorder. Am J Med Genet B Neuropsychiatr Genet. 2012a;159B:336–42.
Shi C, Zhang K, Xu Q. Gender-specific role of the protein tyrosine phosphatase receptor type R gene in major depressive disorder. J Affect Disord. 2012b;136:591–8.
Simic I, Maric NP, Mitic M, et al. Phosphorylation of leukocyte glucocorticoid receptor in patients with current episode of major depressive disorder. Prog Neuropsychopharmacol Biol Psychiatry. 2013;40:281–5.
Sun RF, Zhu YS, Kuang WJ, et al. The G-712A polymorphism of brain-derived neurotrophic factor is associated with major depression but not schizophrenia. Neurosci Lett. 2011;489:34–7.
Szczepankiewicz A, Leszczynska-Rodziewicz A, Pawlak J, et al. Glucocorticoid receptor polymorphism is associated with major depression and predominance of depression in the course of bipolar disorder. J Affect Disord. 2011;134:138–44.
Taylor WD, MacFall JR, Boyd B, et al. One-year change in anterior cingulate cortex white matter microstructure: relationship with late-life depression outcomes. Am J Geriatr Psychiatry. 2011;19:43–52.
The Biomarkers Definitions Working Group of the National Institutes of Health. Biomarkers and surrogate endpoints: preferred definitions and conceptual framework. Clin Pharmacol Ther. 2001;69:89–95.
Videbech P, Ravnkilde B. Hippocampal volume and depression: a meta-analysis of MRI studies. Am J Psychiatry. 2004;161:1957–66.
Xiao Z, Liu W, Gao K, et al. Interaction between CRHR1 and BDNF genes increases the risk of recurrent major depressive disorder in Chinese population. PLoS One. 2011;6:e28733.
Zeng LL, Shen H, Liu L, et al. Identifying major depression using whole-brain functional connectivity: a multivariate pattern analysis. Brain. 2012;135:1498–507.
Zheng P, Gao HC, Li Q, et al. Plasma metabonomics as a novel diagnostic approach for major depressive disorder. J Proteome Res. 2012;11:1741–8.
Zhu X, Wang X, Xiao J, et al. Altered white matter integrity in first-episode, treatment-naive young adults with major depressive disorder: a tract-based spatial statistics study. Brain Res. 2011;1369:223–9.
Zhu X, Wang X, Xiao J, et al. Evidence of a dissociation pattern in resting-state default mode network connectivity in first-episode, treatment-naive major depression patients. Biol Psychiatry. 2012;71:611–7.
Zimmermann P, Bruckl T, Nocon A, et al. Interaction of FKBP5 gene variants and adverse life events in predicting depression onset: results from a 10-year prospective community study. Am J Psychiatry. 2011;168:1107–16.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media Dordrecht
About this entry
Cite this entry
Schneider, B., Prvulovic, D. (2014). Biomarkers for Depression. In: Preedy, V., Patel, V. (eds) General Methods in Biomarker Research and their Applications. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7740-8_1-1
Download citation
DOI: https://doi.org/10.1007/978-94-007-7740-8_1-1
Received:
Accepted:
Published:
Publisher Name: Springer, Dordrecht
Online ISBN: 978-94-007-7740-8
eBook Packages: Springer Reference Biomedicine and Life SciencesReference Module Biomedical and Life Sciences