31P RINEPT MRSI and VBM reveal alterations in brain aging associated with major depression

Purpose: Phosphomono- and diesters, the major components of the choline peak in 1H magnetic resonance spectroscopy, are associated with membrane anabolic and catabolic mechanisms. With the refocused insensitive nuclei-enhanced polarization transfer technique, these phospholipids are edited and enhan...

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Main Authors: Biedermann, Sarah Violetta (Author) , Sartorius, Alexander (Author) , Ende, Gabriele (Author)
Format: Article (Journal)
Language:English
Published: 5 May 2014
In: Magnetic resonance in medicine
Year: 2014, Volume: 73, Issue: 4, Pages: 1390-1400
ISSN:1522-2594
DOI:10.1002/mrm.25278
Online Access:Verlag, Volltext: http://dx.doi.org/10.1002/mrm.25278
Verlag, Volltext: http://onlinelibrary.wiley.com.ezproxy.medma.uni-heidelberg.de/doi/10.1002/mrm.25278/abstract
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Author Notes:Sarah V. Biedermann, Wolfgang Weber-Fahr, Traute Demirakca, Nuran Tunc-Skarka, Mareen Hoerst, Fritz Henn, Alexander Sartorius, and Gabriele Ende

MARC

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520 |a Purpose: Phosphomono- and diesters, the major components of the choline peak in 1H magnetic resonance spectroscopy, are associated with membrane anabolic and catabolic mechanisms. With the refocused insensitive nuclei-enhanced polarization transfer technique, these phospholipids are edited and enhanced in the 31P MR spectrum. In depressed patients, alterations of the choline peak and cerebral volume have been found, indicating a possible relation. Thus, combining MR phosphorous spectroscopy and volumetry in depressed patients seems to be a promising approach to detect underlying pathomechanisms. Methods: Depressed in-patients were either treated with antidepressive medication or with electroconvulsive therapy and compared to matched healthy controls. 31P magnetic resonance spectroscopy imaging was conducted before and after the treatment phases. A 3D MRI dataset for volumetry was acquired in a dedicated 1H head coil. Results: Phosphocholine and phosphoethanolamine were increased in depressed patients. Though patients responded to the treatments, phospholipids were not significantly altered. An increased age-related gray matter loss in fronto-limbic regions along with an altered relation of phosphomonoesters/phosphodiesters with age were found in depressed patients. Discussion: The findings of increased phosphomonoesthers and an age*group interaction for gray matter volumes need further research to define the role of phospholipids in major depression and possible associations to gray matter loss. 
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650 4 |a Hippocampus 
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