{"id":47010,"date":"2003-08-25T00:00:00","date_gmt":"2003-08-25T05:00:00","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/2003\/08\/25\/unmc-researchers-receive-497000-grant-from-nationalinstitutes-of-health-to-find-ways-to-better-predict-effectiveness-of-antidepressantsin-children-adolescents\/"},"modified":"2022-08-29T10:43:42","modified_gmt":"2022-08-29T15:43:42","slug":"unmc-researchers-receive-497000-grant-from-nationalinstitutes-of-health-to-find-ways-to-better-predict-effectiveness-of-antidepressantsin-children-adolescents","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2003\/08\/25\/unmc-researchers-receive-497000-grant-from-nationalinstitutes-of-health-to-find-ways-to-better-predict-effectiveness-of-antidepressantsin-children-adolescents\/","title":{"rendered":"UNMC researchers receive $497,000 grant from National\n\nInstitutes of Health to find ways to better predict effectiveness of antidepressants\n\nin children, adolescents"},"content":{"rendered":"<div class=\"panel body-content\"><div class=\"panel__container\"><p>University of Nebraska Medical Center researchers have received a three-year,<\/p>\n<p>$497,000 grant funded by the National Institute of Mental Health (NIMH),<\/p>\n<p>to develop laboratory animal models of testing antidepressants in children<\/p>\n<p>and adolescents.<\/p>\n<p>The National Institutes of Health, the premier public source of medical<\/p>\n<p>and behavioral research support in the United States, funds scientific<\/p>\n<p>studies at universities and research institutions across the country.<\/p>\n<p>Like other drugs approved for use in humans, researchers first must<\/p>\n<p>test antidepressants in humans. Before drugs can be tested in humans, researchers<\/p>\n<p>may first use animal models to screen a multitude of drugs. For anti-depressant<\/p>\n<p>drugs, researchers are likely to turn to adult rodent models.<\/p>\n<p>But researchers say a rodent model designed to test the effectiveness<\/p>\n<p>of antidepressants in children and adolescents is needed.<\/p>\n<p>Tricyclic antidepressants used in adults, for example, have not been<\/p>\n<p>shown to be effective in treatment of child and adolescent clinical depression<\/p>\n<p>said David Bylund, Ph.D., UNMC professor of pharmacology and principal<\/p>\n<p>investigator of the UNMC study titled, Animal Models of Childhood and Adolescent<\/p>\n<p>Depression. We think that tricyclics tend to work on a different neurochemical<\/p>\n<p>system in the brain than do serotonin uptake inhibitor drugs, he said.<\/p>\n<p>Researchers hope their study can explain the lack of effectiveness of<\/p>\n<p>the tricyclic antidepressants in children and adolescents and more importantly,<\/p>\n<p>a rodent model of child and adolescent depression should help predict the<\/p>\n<p>classes of antidepressants that will be effective in children and adolescents.<\/p>\n<p>There are many differences between juvenile and adult animals.<\/p>\n<p>If we can develop a juvenile animal model that can predict which drugs<\/p>\n<p>might be useful in child and adolescents, we might find new classes of<\/p>\n<p>drugs which are effective in children even if theyre not effective in<\/p>\n<p>adults, Dr. Bylund said. And, there may be drugs that have been overlooked<\/p>\n<p>because theyve only been studied in adult animal models with depression<\/p>\n<p>as oppose to juvenile animal models.<\/p>\n<p>He said an important difference between clinical depression in children<\/p>\n<p>and adolescents, as compared to adults, is response to anti-depressant<\/p>\n<p>drugs.<\/p>\n<p>There are no established juvenile rodent animal models of clinical<\/p>\n<p>depression, said Dr. Bylund. We have reasonable rodent animal models<\/p>\n<p>for adults that predict more than 90 percent how well drugs work in adult<\/p>\n<p>humans, but no one to this point has looked at models in the young animal<\/p>\n<p>to see what drugs might be effective in children and adolescents.<\/p>\n<p>&nbsp;<\/p>\n<p>In their study, researchers will assess the validity and usefulness<\/p>\n<p>of two established rodent animal models of adult clinical depression as<\/p>\n<p>models of childhood and adolescent clinical depression.<\/p>\n<p>Research of antidepressants in children is a relatively recent phenomena.<\/p>\n<p>Prior to the 1990s, it was generally considered unethical to do controlled<\/p>\n<p>clinical trials in children, Dr. Bylund said. But in the 1990s, when the<\/p>\n<p>U.S. Food and Drug Administration began allowing studies in young people,<\/p>\n<p>controlled clinical trials with tricyclic antidepressants showed no benefits<\/p>\n<p>in children compared to placebo. In the later 1990s, the FDA demanded studies<\/p>\n<p>be done in children.<\/p>\n<p>Although antidepressant drugs have numerous neurochemical actions,<\/p>\n<p>the therapeutic mechanisms of action of antidepressant drugs in relieving<\/p>\n<p>depression remain unknown, Dr. Bylund said. We need to better understand<\/p>\n<p>the neurobiology underlying the differences between children and adolescents,<\/p>\n<p>and adults in the response to pharmacological treatment of clinical depression.<\/p>\n<p>Christopher Kratochvil, M.D., UNMC child and adolescent psychiatrist<\/p>\n<p>who has been treating children and adolescents with depression for about<\/p>\n<p>eight years, and is nationally known for his work in clinical research<\/p>\n<p>on pediatric depression, said the study is unique in that it is taking<\/p>\n<p>a look at depression in children from a very different perspective.<\/p>\n<p>By developing a model for pediatric depression in animals, it could<\/p>\n<p>be much easier to assess potential treatments prior to progressing to human<\/p>\n<p>studies, Dr. Kratochivil said. We know when compared to adulthood depression,<\/p>\n<p>that pediatric depression can present quite differently in the clinic.<\/p>\n<p>Additionally, not all treatments that are effective in adults with<\/p>\n<p>depression are effective in children with depression, he said. This line<\/p>\n<p>of study may provide an effective in way to conduct a systematic line of<\/p>\n<p>research on childhood depression, and learn much more about a very common<\/p>\n<p>problem in the pediatric population.<\/p>\n<p>It is estimated up to 2.5 percent of children and up to 8.3 percent<\/p>\n<p>of adolescents in the U.S. suffer from depression. According to the National<\/p>\n<p>Institute of Mental Health (NIMH), depressive disorders can have far reaching<\/p>\n<p>effects on the functioning and adjustment of young people, including an<\/p>\n<p>increased risk for illness and interpersonal and psychosocial difficulties<\/p>\n<p>that persist long after the depressive episode is resolved.<\/p>\n<p>In adolescents, there is also an increased risk for substance abuse<\/p>\n<p>and suicidal behavior. In addition, research indicates that depression<\/p>\n<p>onset is occurring earlier in life today than in past decades.<\/p>\n<p>According to the NIMH, although the scientific literature on treatment<\/p>\n<p>of children and adolescents with depression is far less extensive than<\/p>\n<p>that concerning adults, a number of studiesmostly conducted in the last<\/p>\n<p>four to five yearshave confirmed the short-term efficacy and safety of<\/p>\n<p>treatments for depression in youth. Larger treatment trials are needed<\/p>\n<p>to determine which treatments work best for which youngsters.<\/p>\n<p>Also collaborating on the UNMC study is Frederick Petty, M.D., Ph.D.,<\/p>\n<p>Creighton University Medical Centers Department of Psychiatry vice-chair<\/p>\n<p>of research.<\/p>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>University of Nebraska Medical Center researchers have received a three-year, $497,000 grant funded by the National Institute of Mental Health (NIMH), to develop laboratory animal models of testing antidepressants in children and adolescents. The National Institutes of Health, the premier public source of medical and behavioral research support in the United States, funds scientific studies [&hellip;]<\/p>\n","protected":false},"author":79,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-47010","post","type-post","status-publish","format-standard","hentry","category-uncategorized","department-press-release"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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