Protocol for teen inflammation glutamate emotion research (TIGER): Toward predictors of treatment response and clinical course in depressed adolescents

Adolescent-onset depression is a prevalent and debilitating condition commonly associated with treatment refractory depression and non-response to first-line antidepressants. There are, however, no objective tests to determine who may or may not respond to antidepressants. As depressed adolescents a...

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Main Authors: Saché M. Coury, Vanessa López, Zia Bajwa, Jordan M. Garcia, Giana I. Teresi, Kate R. Kuhlman, Yan Li, Steve Cole, David J. Miklowitz, Ioannis Pappas, Tiffany C. Ho
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Brain, Behavior, & Immunity - Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666354623001321
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author Saché M. Coury
Vanessa López
Zia Bajwa
Jordan M. Garcia
Giana I. Teresi
Kate R. Kuhlman
Yan Li
Steve Cole
David J. Miklowitz
Ioannis Pappas
Tiffany C. Ho
author_facet Saché M. Coury
Vanessa López
Zia Bajwa
Jordan M. Garcia
Giana I. Teresi
Kate R. Kuhlman
Yan Li
Steve Cole
David J. Miklowitz
Ioannis Pappas
Tiffany C. Ho
author_sort Saché M. Coury
collection DOAJ
description Adolescent-onset depression is a prevalent and debilitating condition commonly associated with treatment refractory depression and non-response to first-line antidepressants. There are, however, no objective tests to determine who may or may not respond to antidepressants. As depressed adolescents are especially vulnerable to the lifelong consequences of ineffectively-treated depression, it is critical to identify neurobiological predictors of treatment non-response in this population. Here, we describe the scientific rationale and protocol for the Teen Inflammation Glutamate Emotion Research (TIGER) study, a prospective 18-month investigation of 160 depressed adolescents who will be assessed before and after treatment with selective serotonin reuptake inhibitors. TIGER will be using ultra-high field imaging to test the effects of acute stress and antidepressant treatment on inflammatory and glutamatergic processes hypothesized to underlie depression maintenance. Results from this work will motivate future studies testing alternative therapeutics for depressed adolescents at risk for treatment resistant depression. ClinicalTrials.gov Identifier: NCT05329441.
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spelling doaj.art-8435567304f943eb88a3dda02df5c12a2024-01-20T04:46:42ZengElsevierBrain, Behavior, & Immunity - Health2666-35462024-02-0135100718Protocol for teen inflammation glutamate emotion research (TIGER): Toward predictors of treatment response and clinical course in depressed adolescentsSaché M. Coury0Vanessa López1Zia Bajwa2Jordan M. Garcia3Giana I. Teresi4Kate R. Kuhlman5Yan Li6Steve Cole7David J. Miklowitz8Ioannis Pappas9Tiffany C. Ho10Department of Psychology, University of California, Los Angeles, Los Angeles, CA, USADepartment of Neuroscience, Columbia University, New York, NY, USADepartment of Psychiatry, Columnia University, New York, NY, USASchool of Social Work, University of Washington, Seattle, WA, USADepartment of Psychology, University of Pittsburgh, Pittsburgh, USADepartment of Psychological Science, School of Social Ecology, University of California Irvine, Irvine, CA, USA; Cousins Center for Psychoneuroimmunology, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA 90095, USADepartment of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USACousins Center for Psychoneuroimmunology, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA 90095, USA; Departments of Psychiatry and Biobehavioral Sciences and Medicine, Division of Hematology-Oncology, University of California Los Angeles, Los Angeles, CA 90095, USADepartment of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USALaboratory of NeuroImaging, Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Los Angeles, CA, USADepartment of Psychology, University of California, Los Angeles, Los Angeles, CA, USA; Corresponding author.Department of Psychology University of California, 502 Portola Plaza Los Angeles, CA 90095, USAAdolescent-onset depression is a prevalent and debilitating condition commonly associated with treatment refractory depression and non-response to first-line antidepressants. There are, however, no objective tests to determine who may or may not respond to antidepressants. As depressed adolescents are especially vulnerable to the lifelong consequences of ineffectively-treated depression, it is critical to identify neurobiological predictors of treatment non-response in this population. Here, we describe the scientific rationale and protocol for the Teen Inflammation Glutamate Emotion Research (TIGER) study, a prospective 18-month investigation of 160 depressed adolescents who will be assessed before and after treatment with selective serotonin reuptake inhibitors. TIGER will be using ultra-high field imaging to test the effects of acute stress and antidepressant treatment on inflammatory and glutamatergic processes hypothesized to underlie depression maintenance. Results from this work will motivate future studies testing alternative therapeutics for depressed adolescents at risk for treatment resistant depression. ClinicalTrials.gov Identifier: NCT05329441.http://www.sciencedirect.com/science/article/pii/S2666354623001321DepressionAdolescenceSocial stressFronto-cingulate-limbic circuitsMagnetic resonance spectroscopySelective serotonin reuptake inhibitors
spellingShingle Saché M. Coury
Vanessa López
Zia Bajwa
Jordan M. Garcia
Giana I. Teresi
Kate R. Kuhlman
Yan Li
Steve Cole
David J. Miklowitz
Ioannis Pappas
Tiffany C. Ho
Protocol for teen inflammation glutamate emotion research (TIGER): Toward predictors of treatment response and clinical course in depressed adolescents
Brain, Behavior, & Immunity - Health
Depression
Adolescence
Social stress
Fronto-cingulate-limbic circuits
Magnetic resonance spectroscopy
Selective serotonin reuptake inhibitors
title Protocol for teen inflammation glutamate emotion research (TIGER): Toward predictors of treatment response and clinical course in depressed adolescents
title_full Protocol for teen inflammation glutamate emotion research (TIGER): Toward predictors of treatment response and clinical course in depressed adolescents
title_fullStr Protocol for teen inflammation glutamate emotion research (TIGER): Toward predictors of treatment response and clinical course in depressed adolescents
title_full_unstemmed Protocol for teen inflammation glutamate emotion research (TIGER): Toward predictors of treatment response and clinical course in depressed adolescents
title_short Protocol for teen inflammation glutamate emotion research (TIGER): Toward predictors of treatment response and clinical course in depressed adolescents
title_sort protocol for teen inflammation glutamate emotion research tiger toward predictors of treatment response and clinical course in depressed adolescents
topic Depression
Adolescence
Social stress
Fronto-cingulate-limbic circuits
Magnetic resonance spectroscopy
Selective serotonin reuptake inhibitors
url http://www.sciencedirect.com/science/article/pii/S2666354623001321
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