Elsevier

Biological Psychiatry

Volume 32, Issue 4, 15 August 1992, Pages 354-363
Biological Psychiatry

Low plasma γ-aminobutyric acid levels in male patients with depression

https://doi.org/10.1016/0006-3223(92)90039-3Get rights and content

Abstract

Plasma levels of γ-aminobutyric acid (GABA) were significantly lower in males with primary unipolar major depressive disorder than in healthy controls. Although the difference in means between control and symptomatic depressed patient groups was small, the distribution of plasma GABA in the depressed patients was markedly different from controls. Forty percent of depressed patients had plasma GABA levels below those of controls. Plasma GABA levels correlated positively with duration of illness, and negatively with age at onset of the mood disorder and the total Endogenomorphic Symptom Score on the Hamilton Rating Scale. Plasma GABA levels may be a biochemical marker of vulnerability to depression, as opposed to a consequence of the illness. A low GABA condition in depression fits and complements the prevailing biogenic amine hypotheses of depression.

References (49)

  • K.G. Lloyd et al.

    The potential use of GABA agonists in psychiatric disorders: Evidence from studies with progabide in animal models and clinical traits

    Pharmacol Biochem Behav

    (1983)
  • R.W. Peoples et al.

    γ-Aminobutyric acid enhancement of potassium-stimulated release of [3H]norepinephrine by multiple mechanisms in rat cortical slices

    Biochem Pharmacol

    (1991)
  • E.K. Perry et al.

    Neurotransmitter abnormalities in senile dementia

    J Neurol Sci

    (1977)
  • F. Petty et al.

    Plasma GABA in affective illness: A preliminary investigation

    J Affect Disorder

    (1981)
  • F. Petty et al.

    Plasma GABA levels in psychiatric illness

    J Affect Disorder

    (1984)
  • R.M. Post et al.

    Cerebrospinal fluid GABA in normals and patients with affective disorders

    Brain Res Bull

    (1980)
  • J.C. Strahlendorf et al.

    Pentobarbital augments serotonin-mediated inhibition of cerebellar Purkinje cells

    Neurosci

    (1988)
  • P.D. Suzdak et al.

    Parallel changes in the sensitivity of γ-aminobutyric acid and noradrenergic receptors following chronic administration of antidepressant and GABAergic drugs

    Neuropharmacology

    (1985)
  • M.E. Thase et al.

    Validation of a Hamilton subscale for endogenomorphic depression

    J Affect Disorder

    (1983)
  • M. Zachmann et al.

    The occurrence of γ-aminobutyric acid in human tissues other than brain

    J Biol Chem

    (1966)
  • R. Zimmer et al.

    Preliminary studies on CSF gamma-aminobutyric acid levels in psychiatric patients before and during treatment with different psychotropic drugs

    Prog Neuropsychopharmacol Biol Psychiatry

    (1981)
  • W.H. Berrettini et al.

    Genetic factors in affective illness

    J Psychiatr Res

    (1984)
  • W.H. Berrettini et al.

    Reduced plasma and CSF γ-aminobutyric acid in affective illness: Effect of lithium carbonate

    Biol Psychiatry

    (1983)
  • W.H. Berrettini et al.

    Plasma and CSF GABA in affective illness

    Br J Psychiatry

    (1982)
  • Cited by (117)

    • Number Needed to Treat and Number Needed to Harm analysis of the zuranolone phase 2 clinical trial results in major depressive disorder

      2021, Journal of Affective Disorders
      Citation Excerpt :

      Dysregulation of GABA-ergic signaling has been implicated in the development of MDD (Duman, Sanacora, and Krystal 2019). Alterations in GABA levels (Maguire 2019, Lener et al. 2017, Gold et al. 1980, Petty et al. 1992, Gabbay et al. 2012, Hasler et al. 2007, Sanacora et al. 1999) and GABAA receptor expression (Luscher, Shen, and Sahir 2011, Maguire 2019, Guilloux et al. 2012, Rajkowska et al. 2007, Sibille et al. 2009) may disrupt the excitatory:inhibitory signaling balance (Northoff and Sibille 2014, Lener et al. 2017, Levinson et al. 2010, Fee, Banasr, and Sibille 2017), driving the dysregulation of neuronal networks in depression (Fischer, Keller, and Etkin 2016, Fogaça and Duman 2019). Zuranolone (SAGE-217) is a novel, investigational 2-week treatment under development for MDD and is characterized as a neuroactive steroid-positive allosteric modulator of synaptic and extrasynaptic GABAA receptors (Gunduz-Bruce et al. 2019).

    View all citing articles on Scopus

    Supported by the Department of Veterans Affairs and a Department of Veterans Affairs Research Career Development Award to Frederick Petty, Ph.D., M.D. Also supported by NIMH Research Grant MH37899, NIAAA Research Grant AA07234, MHCRC Center Grant (MH41115), and the John Schemmerhorn Fund.

    ∗∗

    We thank Dinah Turner-Knight for excellent secretarial support in preparing the manuscript, Tery Phillips, David Dunnam, B.S., and Gayle Patterson, B.A. for technical assistance and Kenneth Z. Altshuler, M.D. Stanton Sharpe Professor and Chairman for administrative support.

    View full text