the investigators make the following assumptions: 1) neuroinflammation in MDD can be measured by the \[18 F \] DPA- 714 ; 2) it is accompanied by anatomical and functional changes in the frontal subcortical loops, strongly involved in MDD ; 3) neuroinflammation in patients might be a biomarker related to resistance to treatment in patients with MDD. If this assumptions are validated, then this study will enable a better understanding of the neuroinflammatory processes. This breakthrough could have a long term therapeutic impact, helping to target more specifically antidepressant drugs with anti-inflammatory action and / or drugs targeting neuroinflammation.
The most widespread pathophysiological hypothesis in major depressive disorder (MDD), is the hypothesis of monoamine deficit. The most used antidepressants in everyday clinical practice act by inhibiting the reuptake of monoamines. However, meta-analyzes evaluating the efficacy of antidepressants suggest that they are ineffective in 30 to 40% of patients. Inflammatory mechanisms might be related to the deficiency of monoamines, compromising the effectiveness of conventional antidepressants. Newly developed specific radiotracers allow the use of positron emission tomography (PET) imaging techniques to evaluate neuroinflammation. It has recently demonstrated the relevance of the \[18F\] DPA- 714 as a biomarker of neuroinflammation in humans in several neurological diseases.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
60
Pet scan following an injection of the radiotracer (\[18F\]DPA-714), to evaluate the neuroinflammation. MRI to evaluate functional and structural integrities. Blood test to analyze various inflammation marker (IL-6, Tumor Necrosis Factor (TNF) alpha, CRPus, and TSPO). And psychological scales to assess the depressive symptoms.
Hôpital de Psychiatrie
Toulouse, Midi-Pyrénées, France
RECRUITINGCHU Bordeaux
Bordeaux, New Aquitaine, France
NOT_YET_RECRUITINGCHRU Lapeyronie
Montpellier, Occitanie, France
RECRUITINGClinique Psychiatrique Universitaire CHRU Tours
Tours, Val-De-Loire, France
RECRUITINGdistribution pattern of neuroinflammation in Positron Emission Tomography (PET) data
Assessed between patients with MDD (experimental group), patients who have had a MDD and being in remission for at least 8 weeks, still treated with antidepressants, matched in age and gender with the experimental group (pathological control group) and control subjects, matched in gender and age with both patients' groups (control group).
Time frame: Day 7
distribution pattern of neuroinflammation in PET data across all groups
Across all groups (i.e. experimental group, pathological control group and control group).
Time frame: Day 7
patients with depressive symptoms and neuroinflammation (i.e. PET data).
Depressive symptoms are assessed by the Montgomery and Asberg Depression Scale (MADRS) and the Columbia-Suicide severity rating scale (CSSRS). Correlation across all groups (experimental group, pathological control group and control group).
Time frame: Day 7
patients with neuroinflammation (i.e. PET analysis) and MRI parameters for functional and structural integrities.
Correlation across all groups (experimental group, pathological control group and control group).
Time frame: Day 7
patients with neuroinflammation (i.e. PET analysis) and biological markers of neuroinflammation (i.e. cytokines).
Correlation across all groups (experimental group, pathological control group and control group).
Time frame: Day 7
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