Table 1.
Type of study and setting | Sample size at follow-up | Depression diagnosis criteria | Source of Biomarker (Serum/Plasma/whole blood), Biomarkers Assessed (and type of biomarker) *implies statistically significant (p-value < 0.05) | Treatment offered | Follow-up duration | Outcomes studied | |
---|---|---|---|---|---|---|---|
Alvarez et al., 1999; France | Cohort; psychiatry inpatients | N = 8 | MADRS ≥ 20 | Serum 5 plasma fluoxetine (Neurotransmitter metabolism) | Fluoxetine 20 mg | 28 days | Treatment response defined as 50% reduction in MADRS scores from baseline |
Plasma norfluoxetine (Neurotransmitter metabolism) | |||||||
Plasma fluoxetine plus norfluoxetine (Neurotransmitter metabolism) | |||||||
Plasma 5 HT (Neurotransmitter metabolism) | |||||||
Serum 5HT (Neurotransmitter metabolism) | |||||||
Arolt et al., 2003; Germany | Case-control; psychiatry inpatients | N = 25 (MDD), N = 25 (healthy controls) | Composite International | Plasma S100 B protein* (Neurotrophic) | Different groups of anti-depressants | 28 days | Treatment Response defined as 50% reduction in HDRS from baseline |
Diagnostic Interview for DSM-IV criteria for MDD | |||||||
Baldwin et al., 2006; UK | Case-control; Community | N = 28 (MDD), N = 35 (healthy controls) | SCID for MDD | HDL cholesterol* (Metabolic) | Not specified | 3.1 years | Poor outcome of depression based on author described criteria assessed by SCID |
LDL cholesterol (Metabolic) | |||||||
BMI (Metabolic) | |||||||
ESR (Inflammatory) | |||||||
Pre-prandial glucose (Metabolic) | |||||||
Source: Serum/Plasma/Whole blood was not specified | |||||||
Baune et al., 2012; Australia | Cohort; community | N = 73 | GDS ≥ 6 | Serum IL1β (Inflammatory) | Not specified | 23.39 months (average) | Remission of depression symptoms defined as GDS <6 |
Serum IL6 (Inflammatory) | |||||||
Serum IL8 * (Inflammatory) | |||||||
Serum IL10 (Inflammatory) | |||||||
Serum IL 12p70 * (Inflammatory) | |||||||
sVCAM-1 (Inflammatory) | |||||||
Serum PAI-1 (Inflammatory) | |||||||
SAA (Inflammatory) | |||||||
Serum TNF-α (Inflammatory) | |||||||
Serum CRP (Inflammatory) | |||||||
Duval et al., 1996; France | Cohort study; psychiatry Inpatients | N = 30 | Unstructured interview for DSM-IV for MDD | Plasma TSH (Neuroendocrine) | 1.Amitriptyline (n = 13) | 1 month | 1. Remission of depression symptoms defined as HDRS<8 |
Plasma Free T3 (Neuroendocrine) | 2.Fluoxetine (n = 9) | 2. “Partial Response” (treatment response) defined as HDRS 8–15 | |||||
Plasma Free T4 (Neuroendocrine) | 3.Toloxatone (n = 8) | ||||||
Plasma TSH response to Protirelin stimulation* (for outcomes 1 and 2) (Neuroendocrine) | |||||||
Plasma Free T3 response to Protirelin stimulation (Neuroendocrine) | |||||||
Plasma Free T4 response to Protirelin stimulation (Neuroendocrine) | |||||||
Jang et al., 2008; South Korea | Case-control; Psychiatry Outpatients | N = 59 (MDD), N = 34 (healthy controls) | SCID for MDD | Serum S100B protein * (Neurotrophic) | Different groups of anti-depressants | 6 weeks | Treatment response defined as 50% reduction in HDRS from baseline |
Johnston et al., 1999; UK | Cohort; Psychiatry Outpatients and Inpatients | N = 34 | SCID for MDD | Plasma Norepinephrine* (Neuroendocrine) | Not specified | 8 years (average) | Poor Outcome defined by Depression Outcome Scale and Lee and Murray criteria |
Plasma Cortisol (Neuroendocrine) | |||||||
Jokinen and Nordstrom, 2009; Sweeden | Cohort; Psychiatry Inpatients | N = 346 | DSM- IV criteria for all mood disorders, diagnostic method unspecified | Plasma Cortisol* (for outcomes 1 and 2) (Neuroendocrine) | Not specified | 18 years (average) | 1. Death due to natural causes |
Plasma Dexamethasone non-suppression* (for outcomes 1 and 2) (Neuroendocrine) | 2. Cardiovascular deaths | ||||||
Kin et al., 1997; Multi-center | RCT with 3 arms; not specified | N = 70 randomized into 3 arms | HDRS ≥ 18 | Plasma dexamethasone non-suppression* (only in Nortriptyline arm) (Neuroendocrine) | 3 arms: 1. Nortriptyline 75 mg | 7 weeks | Treatment Response defined as 50% reduction in HDRS from baseline |
2.Moclobemide 400 mg | |||||||
3. Placebo | |||||||
Ladwig et al., 2005; Germany | Cohort; Community | N = 975 (only males) | von Zerssen affective symptom check list with a score ≥11 | Serum Highly sensitive CRP high risk group > 3 mg/ml* (Inflammatory) | Not specified | 7.7 years (average) | 1. Myocardial Infarction 2. Sudden cardiac death |
Lanquillon et al., 2000; Germany | Cohort; Psychiatry inpatients | N = 24 | SCID for MDD | Whole blood Lymphocyte count (Inflammatory) | Amitriptyline in increasing dose | 6 weeks | Treatment Response defined as 50% reduction in HDRS and MADRS from baseline |
Whole blood Monocyte count (Inflammatory) | |||||||
Whole blood Ratio lymphocyte/monocyte* (Inflammatory) | |||||||
Whole blood CRP (Inflammatory) | |||||||
Whole blood ESR (Inflammatory) | |||||||
Whole blood IL-6 * (Inflammatory) | |||||||
Whole blood TNF-alpha (Inflammatory) | |||||||
Perez et al., 1998; Spain | Cohort; Psychiatry Inpatients | N = 83 | HDRS ≥ 17 | Plasma 5HIAA (Neurotransmitter) | Different groups of anti-depressants | 6 weeks | Treatment Response defined as 50% reduction in HDRS from baseline |
Plasma Total Tryptophan (Neurotransmitter) | |||||||
Plasma 5 HT (Neurotransmitter) | |||||||
Platelet 5 HT with high concentration 800 ng/109 platelets* (stronger relationship in SSRI sub-group) (Neurotransmitter) | |||||||
Raison et al., 2013; US | RCT with 2 arms; Community | N = 60 randomized into two arms | Treatment resistance Depression diagnosed using Massachusetts | Plasma Highly sensitive CRP high risk group > 5 mg/ml (Inflammatory) | 2 arms: 1.Infliximab infusions × 3 2. Placebo | 12 weeks | 1. Treatment Response defined as 50% reduction in HDRS from baseline |
General Hospital Staging method for treatment resistance ≥ 2 | 2. Remission of depression symptoms defined as HDRS<8 | ||||||
Ribeiro et al., 1993; US | Meta-analysis with 3 different research questions (RQ1-3) | RQ-1 | Heterogeneous, including different symptoms scores and interview techniques | Dexamethasone non-suppression* (for RQ2 only) Source: Serum/Plasma/Whole blood was not specified for the included studies | Various | Not specified | 1. (RQ1) “Treatment Response” |
N = 1273 | |||||||
RQ-2 | Heterogeneous, including different symptoms scores and interview techniques | Various | 1–7 weeks | 1. (RQ1) “Treatment Response” | |||
N = 412 | |||||||
RQ-3 | Heterogeneous, including different symptoms scores and interview techniques | Various | 1–60 months | 3. Long term outcome of depression based on predefined author criteria | |||
N = 411 |
MADRS, Montgomery Asperg Depression Rating Scale; 5HT, 5 Hydroxytryptamine; HDRS, Hamilton Depression Rating Scale; DSM-IV, Diagnostic and Statistical Manual IV; MDD, Major Depressive Disorder; SCID, Structured Diagnostic Interview for DSM-IV; HDL, High Density Lipoprotein; LDL, Low Density Lipoprotein; ESR, Erythrocyte Sedimentation Rate; BMI, Body Mass Index; GDS, Geriatric Depression Scale; IL, Interleukin; sVCAM-1, Serum Vascular Cell AdhesionMolecule -1; PAI-1, Plasminogen Activator Inhibitor-1; SAA, Serum Amyloid A; TNF-α, Tumor, Necrotic Factor-alpha; CRP, C Reactive Protein; TSH, Thyroid Stimulating Hormone; RCT, Randomized Controlled Trial; 5-HIAA, 5-Hydroxyindoleacetic acid, RQ, Research Question.