journal article·2021-03-22Open access

Identification of Statin’s Action in a Small Cohort of Patients with Major Depression

Ishani Thakkar, Teresa Massardo, Jaime Pereira, Juan Carlos Quintana, Luis Risco, Claudia G. Saez, Sebastián Corral, Carolina Villa, Jane Spuler, Nixa Olivares, Guillermo Valenzuela, Gabriel Castro, Byron Riedel, Daniel Vicentini, Diego Muñoz, Raúl Lastra, Maria Rodriguez-Fernandez

Applied Sciences· Volume 11· Issue 6

Abstract

Statins are widely used as an effective therapy for ischemic vascular disorders and employed for primary and secondary prevention in cardiac and cerebrovascular diseases. Their hemostatic mechanism has also been shown to induce changes in cerebral blood flow that may result in neurocognitive improvement in subjects with Major Depressive Disorder. Behavioral data, various blood tests, and resting-state brain perfusion data were obtained at the start of this study and three months post-therapy from a small cohort of participants diagnosed with Major Depressive Disorder. Subjects received either rosuvastatin (10 mg) or placebo with their standard selective serotonin reuptake inhibitors therapy. At the end of the study, patients using rosuvastatin reported more positive mood changes than placebo users. However, standard statistical tests revealed no significant differences in any non-behavioral variables before and after the study. In contrast, feature selection techniques allowed identifying a small set of variables that may be affected by statin use and contribute to mood improvement. Classification models built to assess the distinguishability between the two groups showed an accuracy higher than 85% using only five selected features: two peripheral platelet activation markers, perfusion abnormality in the left inferior temporal gyrus, Attention Switching Task Reaction latency, and serum phosphorus levels. Thus, using machine learning tools, we could identify factors that may be causing self-reported mood improvement in patients due to statin use, possibly suggesting a regulatory role of statins in the pathogenesis of clinical depression.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Blood Pressure and Hypertension Studies · Cardiac Health and Mental Health · Functional Brain Connectivity Studies

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago 8331150, Chile

Faculty of Medicine, Hospital Clínico Universidad de Chile, Santiago 8380456, Chile

Department of Hematology-Oncology, Pontificia Universidad Católica de Chile, Santiago 8331150, Chile

Department of Radiology, Pontificia Universidad Católica de Chile, Santiago 8331150, Chile

University Psychiatric Clinic, Hospital Clínico Universidad de Chile, Santiago 8380456, Chile

Psychiatric Institute, Instituto Dr. José Horwitz Barak, Santiago 8431621, Chile

Institute for Biological and Medical Engineering, Schools of Engineering, Medicine and Biological Sciences, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile

Funding

Fondo Nacional de Desarrollo Científico y Tecnológico · ANID doctoral scholarship · CONICYT PIA

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