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Study on the clinical use of (13)C-tryptophan breath test in depressive disorder

Research Project

Project/Area Number 15K15439
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Psychiatric science
Research InstitutionNational Center of Neurology and Psychiatry

Principal Investigator

Kunugi Hiroshi  国立研究開発法人国立精神・神経医療研究センター, 神経研究所 疾病研究第三部, 部長 (40234471)

Research Collaborator TERAISHI Toshiya  
Project Period (FY) 2015-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2016: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2015: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords安定同位体 / 呼気ガス検査 / トリプトファン / キヌレニン / うつ病 / 脳脊髄液 / バイオマーカー
Outline of Final Research Achievements

Altered tryptophan-kynurenine metabolism has been implicated in major depressive disorder (MDD). The 13C-tryptophan breath test (13C-TBT) is a noninvasive, stable-isotope tracer method in which exhaled 13CO2 is attributable to tryptophan catabolism via the kynurenine pathway. Subjects were 18 patients with MDD (DSM-IV) and 24 age- and sex-matched controls in the 1st sample, and 18 with MDD, 15 with schizophrenia, and 21 controls in the 2nd sample. 13C-tryptophan (150mg) was orally administered and the 13CO2/12CO2 ratio in the breath was monitored for 180 min. The cumulative recovery rate (CRR) was significantly higher in patients with MDD than in controls for both samples, while no significant difference was found between schizophrenia patients and controls in the 2nd sample. Plasma tryptophan levels and antidepressant dose correlated negatively with 13C-TBT. Our results suggest that 13C-TBT is a useful test to detect increased tryptophan- kynurenine metabolism in MDD.

Report

(3 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • Research Products

    (5 results)

All 2016 2015 Other

All Journal Article (2 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 1 results,  Open Access: 1 results,  Acknowledgement Compliant: 1 results) Presentation (1 results) Book (1 results) Remarks (1 results)

  • [Journal Article] キヌレニン経路2016

    • Author(s)
      寺石俊也、功刀浩
    • Journal Title

      分子精神医学

      Volume: 16 Pages: 47-49

    • Related Report
      2016 Annual Research Report
  • [Journal Article] 13 C-tryptophan breath test detects increased catabolic turnover of tryptophan along the kynurenine pathway in patients with major depressive disorder2015

    • Author(s)
      Teraishi T, Hori H, Sasayama D, Matsuo J, Ogawa S, Ota M, Hattori K, Kajiwara M, Higuchi T, Kunugi H
    • Journal Title

      Sci Rep

      Volume: 5 Issue: 1 Pages: 15994-15994

    • DOI

      10.1038/srep15994

    • URL

      https://pure.teikyo.jp/en/publications/e801ab17-2269-4764-8df6-ab10fcc76365

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Presentation] 13C-トリプトファン呼気検査による、うつ病のキヌレニン仮説についての検討.2016

    • Author(s)
      寺石俊也, 堀弘明, 篠山大明, 松尾淳子, 小川眞太朗, 太田深秀, 服部功太郎, 梶原正宏, 功刀浩
    • Organizer
      第38回日本生物学的精神医学会 第59回日本神経化学会大会合同年会,
    • Place of Presentation
      福岡
    • Related Report
      2016 Annual Research Report
  • [Book] 非侵襲的検体検査の最前線―唾液検査・呼気検査を中心にー (槻木恵一監修)2015

    • Author(s)
      寺石俊也、功刀浩
    • Publisher
      シーエムシー出版
    • Related Report
      2015 Research-status Report
  • [Remarks] 疾病研究第三部

    • URL

      http://www.ncnp.go.jp/nin/guide/r3/index.html

    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2018-03-22  

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