24-h Monitoring of plasma norepinephrine, MHPG, cortisol, growth hormone and prolactin in depression

Koenigsberg, Harold W.; Teicher, Martin H.; Mitropoulou, Vivian; Navalta, Carryl; New, Antonia S.; Trestman, Robert; Siever, Larry J.

doi:10.1016/j.jpsychires.2004.03.006

Cited by 104Stress Responses and CortisolCircadian rhythm and melatoninTreatment of Major Depression

24-h Monitoring of plasma norepinephrine, MHPG, cortisol, growth hormone and prolactin in depression

Koenigsberg, Harold W., Teicher, Martin H., Mitropoulou, Vivian, Navalta, Carryl, New, Antonia S., Trestman, Robert, Siever, Larry J.·2004·Journal of Psychiatric Research

DOI 10.1016/j.jpsychires.2004.03.006

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Abstract

Unlabelled Depression is associated with alterations in hormone and catecholamine circadian rhythms. Analysis of these alterations has the potential to distinguish between three neurobiological models of depression, the catecholamine model, the phase advance model and the dysregulation model. Although a number of studies of 24-h rhythms have been reported, inconsistencies among the findings have complicated efforts to model the chronobiology of depression. The present study takes advantage of frequent plasma sampling over the 24-h period and a multioscillator cosinor model to fit the 24-h rhythms.Method Plasma levels of norepinephrine, cortisol, prolacatin and growth hormone were sampled at 30-min intervals, and MHPG at 60-min intervals, over a 24-h period in 22 patients with major depressive disorder and 20 healthy control volunteers.Results The depressed patients had phase advanced circadian rhythms for cortisol, norepinephrine and MHPG, phase advanced hemicircadian rhythms for cortisol and prolactin, and a phase advanced ultradian rhythm for prolactin compared to healthy control subjects. In addition, the rhythm-corrected 24-h mean value (mesor) of norepinephrine was lower in the depressed patients compared to the healthy controls. There also was a poorer goodness-of-fit for norepinephrine to the circadian oscillator in the depressed patients relative to the healthy controls.Conclusions These findings provide partial support for the dysregulation model of depression and are consistent with those studies that have found phase advances in cortisol, norepinephrine and MHPG rhythms in depression.

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Patients with major depression have elevated nocturnal body temperature, increased cortisol, lower melatonin, and lower norepinephrine levels.
“It has been documented that patients with major depression have elevated nocturnal body temperature, increased cortisol, lower melatonin, and lower norepinephrine levels [70,71].”
From Digital Biomarkers for Depression Screening With Wearable Devices: Cross-sectional Study With Machine Learning Modeling (2021) · cites this paper as [70]

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Authors: Koenigsberg, H. W., Teicher, M. H., Mitropoulou, V., Navalta, C., New, A. S., Trestman, R., & Siever, L. J.
Affiliations: James J. Peters VA Medical Center (US)
Harvard University (US)
Icahn School of Medicine at Mount Sinai (US)
UConn Health (US)
Veterans Health Administration (US)
Corresponding author: Koenigsberg, Harold W.
ORCID: Teicher, Martin H.
New, Antonia S.
Trestman, Robert
Venue: Journal of Psychiatric Research
Publisher: Elsevier BV
Published: 2004-09
Volume: 38
Issue: 5
Pages: 503-511
ISSN: 0022-3956 (ISSN-L)
DOI: 10.1016/j.jpsychires.2004.03.006
OpenAlex: W1967191643
Cited by: 104
References: 54
Citations by year: 2026: 1 · 2025: 2 · 2024: 5 · 2023: 3 · 2022: 3 · 2021: 5 · 2020: 4 · 2019: 4 · 2018: 3 · 2017: 7 · 2016: 5 · 2015: 8 · 2014: 7 · 2013: 8 · 2012: 6
FWCI: 1.21
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Psychiatric Research (publishedVersion)
PubMed (publishedVersion)
Funders: U.S. Department of Veterans Affairs
National Institutes of Health
National Center for Research Resources (5 M01RR00071, M01RR000071)
NIH Clinical Center
Topics: Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
Keywords: depression, major depressive disorder, circadian rhythm, ultradian rhythms, norepinephrine, MHPG, cortisol, growth hormone, prolactin, phase advance, chronobiology, cosinor analysis, mesor
MeSH terms: Adult, Circadian Rhythm, Depressive Disorder, Female, Humans, Hydrocortisone, Male, Methoxyhydroxyphenylglycol, Middle Aged, Models, Biological, Norepinephrine, Prolactin, Human Growth Hormone

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24-h Monitoring of plasma norepinephrine, MHPG, cortisol, growth hormone and prolactin in depression

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