Differences between unipolar and bipolar I depression in the quantitative analysis of glutamic acid decarboxylase-immunoreactive neuropil

Eur Arch Psychiatry Clin Neurosci. 2012 Dec;262(8):647-55. doi: 10.1007/s00406-012-0315-x. Epub 2012 Apr 13.

Abstract

Alterations in GABAergic neurotransmission are assumed to play a crucial role in the pathophysiology of mood disorders. Glutamic acid decarboxylase (GAD) is the key enzyme in GABA synthesis. This study aimed to differentiate between unipolar and bipolar I depression using quantitative evaluation of GAD-immunoreactive (GAD-ir) neuropil in several brain regions known to be involved in the pathophysiology of mood disorders. Immunohistochemical staining of GAD 65/67 was performed in the orbitofrontal, anterior cingulate and dorsolateral prefrontal cortex (DLPFC), the entorhinal cortex, the hippocampal formation and the medial dorsal and lateral dorsal (LD) thalamic nuclei, with a quantitative densitometric analysis of GAD-ir neuropil. The study was performed on paraffin-embedded brains from 9 unipolar and 12 bipolar I depressed patients (8 and 6 suicidal patients, respectively) and 18 matched controls. In unipolar patients, compared with controls, only the increased relative density of GAD-ir neuropil in the right LD was different from the previous results in depressed suicides from the same cohort (Gos et al. in J Affect Disord 113:45-55, 2009). On the other hand, the left DLPFC was the only area where a significant decrease was observed, specific for bipolar I depression. Significant differences between both diagnostic groups were found in these regions. By revealing abnormalities in the relative density of GAD-ir neuropil in brain structures, our study suggests a diathesis of the GABAergic system in mood disorders, which may differentiate the pathophysiology of unipolar from that of bipolar I depression.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Bipolar Disorder / drug therapy
  • Bipolar Disorder / pathology*
  • Brain / drug effects
  • Brain / enzymology
  • Brain / pathology*
  • Case-Control Studies
  • Depressive Disorder / drug therapy
  • Depressive Disorder / pathology*
  • Female
  • Glutamate Decarboxylase / metabolism*
  • Humans
  • Male
  • Middle Aged
  • Neuropil / enzymology*
  • Neuropil / pathology
  • Psychotropic Drugs / pharmacology
  • Psychotropic Drugs / therapeutic use
  • Statistics, Nonparametric

Substances

  • Psychotropic Drugs
  • Glutamate Decarboxylase
  • glutamate decarboxylase 1
  • glutamate decarboxylase 2