Home > Publications Database > Long-term cortisol stress response in depression and comorbid anxiety is linked with reduced N-acetylaspartate in the anterior cingulate cortex. > print

001     164068
005     20250127111059.0
024 7 _ |a 10.1080/15622975.2022.2058084
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024 7 _ |a 1562-2975
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024 7 _ |a 1814-1412
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037 _ _ |a DZNE-2022-00731
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Bonnekoh, Linda M
|b 0
245 _ _ |a Long-term cortisol stress response in depression and comorbid anxiety is linked with reduced N-acetylaspartate in the anterior cingulate cortex.
260 _ _ |a Abingdon
|c 2023
|b Taylor & Francis Group
336 7 _ |a article
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520 _ _ |a Major Depression (MDD) and anxiety disorders are stress-related disorders that share pathophysiological mechanisms. There is evidence for alterations of glutamate-glutamine, N-acetylaspartate (NAA) and GABA in the anterior cingulate cortex (ACC), a stress-sensitive region affected by hypothalamic-pituitary-adrenal axis (HPA). The aim was to investigate metabolic alterations in the ACC and whether hair cortisol, current stress or early life adversity predict them.We investigated 22 patients with MDD and comorbid anxiety disorder and 23 healthy controls. Proton magnetic resonance spectroscopy was performed with voxels placed in pregenual (pg) and dorsal (d) ACC in 3 T. Analysis of hair cortisol was performed using liquid chromatography-tandem mass spectrometry (LC-MS/MS).The N-acetylaspartate/Creatin ratio (NAA/Cr) was reduced in patients in both pgACC (p = .040) and dACC (p = .016). A significant interactive effect of diagnosis and cortisol on both pg-NAA/Cr (F = 5.00, p = .033) and d-NAA/Cr (F = 7.86, p = .009) was detected, whereby in controls cortisol was positively correlated with d-NAA/Cr (r = 0.61, p = .004).Our results suggest a relationship between NAA metabolism in ACC and HPA axis activity as represented by long-term cortisol output.
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650 _ 7 |a anterior
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650 _ 7 |a anxiety disorders
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650 _ 7 |a depression
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650 _ 7 |a magnet resonance spectroscopy
|2 Other
650 _ 7 |a stress
|2 Other
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Hydrocortisone: metabolism
|2 MeSH
650 _ 2 |a Hypothalamo-Hypophyseal System: metabolism
|2 MeSH
650 _ 2 |a Gyrus Cinguli: metabolism
|2 MeSH
650 _ 2 |a Chromatography, Liquid
|2 MeSH
650 _ 2 |a Depression
|2 MeSH
650 _ 2 |a Pituitary-Adrenal System: metabolism
|2 MeSH
650 _ 2 |a Tandem Mass Spectrometry
|2 MeSH
650 _ 2 |a Depressive Disorder, Major: metabolism
|2 MeSH
650 _ 2 |a Anxiety
|2 MeSH
650 _ 2 |a Aspartic Acid: metabolism
|2 MeSH
650 _ 2 |a Anxiety Disorders
|2 MeSH
700 1 _ |a Seidenbecher, Stephanie
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700 1 _ |a Knigge, Katrin
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700 1 _ |a Hünecke, Anne-Kathrin
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700 1 _ |a Metzger, Coraline D
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700 1 _ |a Tempelmann, Claus
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700 1 _ |a Kanowski, Martin
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700 1 _ |a Kaufmann, Jörn
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700 1 _ |a Meyer-Lotz, Gabriela
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700 1 _ |a Schlaaff, Konstantin
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700 1 _ |a Dobrowolny, Henrik
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700 1 _ |a Tozzi, Leonardo
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700 1 _ |a Gescher, Dorothee M
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700 1 _ |a Steiner, Johann
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700 1 _ |a Kirschbaum, Clemens
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700 1 _ |a Frodl, Thomas
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