Brain‐derived neurotrophic factor (BDNF) levels in panic disorder: A systematic review and meta‐analysis

Abstract Background The existing literature on the association between brain‐derived neurotrophic factor (BDNF) protein levels and panic disorder presents inconsistent findings. This systematic review and meta‐analysis aim to synthesize the available evidence and determine the overall effect of BDNF...

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Main Authors: Arman Shafiee, Kyana Jafarabady, Ida Mohammadi, Shahryar Rajai
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.3349
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author Arman Shafiee
Kyana Jafarabady
Ida Mohammadi
Shahryar Rajai
author_facet Arman Shafiee
Kyana Jafarabady
Ida Mohammadi
Shahryar Rajai
author_sort Arman Shafiee
collection DOAJ
description Abstract Background The existing literature on the association between brain‐derived neurotrophic factor (BDNF) protein levels and panic disorder presents inconsistent findings. This systematic review and meta‐analysis aim to synthesize the available evidence and determine the overall effect of BDNF protein levels in individuals diagnosed with panic disorder. Methods A comprehensive literature search was conducted using electronic databases (PubMed, Embase, Scopus, PsycINFO, and Web of Science) from inception to April 21, 2023. The search strategy included relevant keywords and medical subject headings terms related to BDNF, panic disorder, and protein levels. A random‐effects model was used for the meta‐analysis, and subgroup analyses were performed to explore heterogeneity. Publication bias was assessed using funnel plots and statistical tests. Results A total of 12 studies met the inclusion criteria. The meta‐analysis demonstrated a significant decrease in BDNF protein levels in individuals with panic disorder (SMD = −.53, 95% CI: −1.02 to −.04, p < .001; I2: 92%). The results of subgroup and meta‐regression analyses were not statistically significant. No significant publication bias was observed based on the results of Egger's regression test (p‐value = .3550). Conclusion This systematic review and meta‐analysis provide evidence of lower BDNF protein levels in individuals diagnosed with panic disorder compared to healthy controls. The findings suggest a potential role for BDNF dysregulation in the pathophysiology of panic disorder. Further research is warranted to elucidate the underlying mechanisms and potential therapeutic implications.
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spelling doaj.art-b01686c8546343b092d211080f11165e2024-03-13T10:15:39ZengWileyBrain and Behavior2162-32792024-01-01141n/an/a10.1002/brb3.3349Brain‐derived neurotrophic factor (BDNF) levels in panic disorder: A systematic review and meta‐analysisArman Shafiee0Kyana Jafarabady1Ida Mohammadi2Shahryar Rajai3Department of Psychiatry and Mental Health Alborz University of Medical Sciences Karaj IranStudent Research Committee, School of Medicine Alborz University of Medical Sciences Karaj IranSchool of Medicine Shahid Beheshti University of Medical Sciences Tehran IranSchool of Medicine Shahid Beheshti University of Medical Sciences Tehran IranAbstract Background The existing literature on the association between brain‐derived neurotrophic factor (BDNF) protein levels and panic disorder presents inconsistent findings. This systematic review and meta‐analysis aim to synthesize the available evidence and determine the overall effect of BDNF protein levels in individuals diagnosed with panic disorder. Methods A comprehensive literature search was conducted using electronic databases (PubMed, Embase, Scopus, PsycINFO, and Web of Science) from inception to April 21, 2023. The search strategy included relevant keywords and medical subject headings terms related to BDNF, panic disorder, and protein levels. A random‐effects model was used for the meta‐analysis, and subgroup analyses were performed to explore heterogeneity. Publication bias was assessed using funnel plots and statistical tests. Results A total of 12 studies met the inclusion criteria. The meta‐analysis demonstrated a significant decrease in BDNF protein levels in individuals with panic disorder (SMD = −.53, 95% CI: −1.02 to −.04, p < .001; I2: 92%). The results of subgroup and meta‐regression analyses were not statistically significant. No significant publication bias was observed based on the results of Egger's regression test (p‐value = .3550). Conclusion This systematic review and meta‐analysis provide evidence of lower BDNF protein levels in individuals diagnosed with panic disorder compared to healthy controls. The findings suggest a potential role for BDNF dysregulation in the pathophysiology of panic disorder. Further research is warranted to elucidate the underlying mechanisms and potential therapeutic implications.https://doi.org/10.1002/brb3.3349anxietybrain‐derived neurotrophic factorpanic
spellingShingle Arman Shafiee
Kyana Jafarabady
Ida Mohammadi
Shahryar Rajai
Brain‐derived neurotrophic factor (BDNF) levels in panic disorder: A systematic review and meta‐analysis
Brain and Behavior
anxiety
brain‐derived neurotrophic factor
panic
title Brain‐derived neurotrophic factor (BDNF) levels in panic disorder: A systematic review and meta‐analysis
title_full Brain‐derived neurotrophic factor (BDNF) levels in panic disorder: A systematic review and meta‐analysis
title_fullStr Brain‐derived neurotrophic factor (BDNF) levels in panic disorder: A systematic review and meta‐analysis
title_full_unstemmed Brain‐derived neurotrophic factor (BDNF) levels in panic disorder: A systematic review and meta‐analysis
title_short Brain‐derived neurotrophic factor (BDNF) levels in panic disorder: A systematic review and meta‐analysis
title_sort brain derived neurotrophic factor bdnf levels in panic disorder a systematic review and meta analysis
topic anxiety
brain‐derived neurotrophic factor
panic
url https://doi.org/10.1002/brb3.3349
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AT idamohammadi brainderivedneurotrophicfactorbdnflevelsinpanicdisorderasystematicreviewandmetaanalysis
AT shahryarrajai brainderivedneurotrophicfactorbdnflevelsinpanicdisorderasystematicreviewandmetaanalysis