Table 2:
TSPO results in major depressive disorder by study
| Diagnosis (n)* |
Treatment status | Brain region | Main result | ||
|---|---|---|---|---|---|
| Major depressive disorder |
Healthy controls |
||||
| Hannestad et al (2013)30 | 9 | 10 | 8 unmedicated, 1 medicated | Frontal cortex; eight grey matter regions; centrum semiovale | Not significant |
| Setiawan et al (2015)31 | 20 | 20 | All medication-free | PFC; ACC; insula; 14 grey matter regions | 26–32% elevated during MDE |
| Setiawan et al (2018)32 | 50 (30 new†) |
30 (10 new†) |
30 medicated, treatment-resistant; 20 medication-free | PFC; ACC; insula; 14 grey matter regions | About 15–23% elevated during MDE; about 29–42% elevated in untreated major depressive disorder for more than 10 years |
| Richards et al (2018)27 | 28 | 20 | 12 medication-free; 16 medicated | sgPFC; ACC | About 25% elevated in sgPFC; about 15% elevated in ACC |
| Holmes et al (2018)33 | 14 | 13 | No antidepressant or anti-inflammatory medications | PFC; ACC; insula | 67% elevated in ACC; 28% elevated in PFC‡; 24% elevated in insula‡ |
| Li et al (2018)34 | 40 | 20 | Medication-naive | Frontal cortex; temporal cortex; hippocampus; whole grey and white matter | About 25–35% elevated during MDE |
| Li et al (2018)35 | 50 (10 new†) |
30 (10 new†) |
Medication-naive | Frontotemporal cortex; hippocampus; grey and white matter | About 25% elevated during MDE |
All studies with quantitative results, statistical analyses, and that specified medication status of the participants were included. All studies used a second-generation radiotracer (either [18F]FEPPA or [11C]PBR28) except the study by Holmes and colleagues,33 which used [11C]-(R)-PK11195. ACC=anterior cingulate cortex. MDE=major depressive episode. PFC=prefrontal cortex. sgPFC=subgenual prefrontal cortex. TSPO=18 kDa translocator protein.
All participants with major depressive disorder were studied during an MDE except for the study by Hannestad and colleagues,30 in which four of nine participants were experiencing an MDE.
New participants not included in other studies listed in this table.
Results were not statistically significant.