Beyond Monoamines: The Role of the Nociceptin/Orphanin FQ Receptor in Major Depression

This study looks at the role of the Nociceptin/Orphanin FQ receptor system in the brain of individuals with current or past major depressive disorder (MDD). It also examines how individuals with a history of depression make certain decisions and which brain regions are involved in such decisions. Information collected through MRI, PET, biospecimens (i.e., blood, saliva) and behavioral tasks will be used to predict depressive symptoms in the future.

Inclusion Criteria for all participants:All genders, races, and ethnic origins, aged between 18 and 45Capable of providing written informed consent, and fluent in EnglishRight-handedAbsence of any psychotropic medications for at least 2 weeksHas a smartphone (iPhone or Android) (needed for Ecological Momentary Assessment)Inclusion Criteria for "Remitted MDD" group:Meets inclusion criteria for all subjects, plus:History of MDD as defined by DSM-5Absence of anxiety disorder for the past two monthsInclusion Criteria for "Current MDD" group:Meets inclusion criteria for all subjects, plus:Presence of MDD as defined by DSM-5Absence of anxiety disorder for the past two monthsExclusion Criteria for all participants:Subjects with suicidal ideation where outpatient treatment is determined unsafe by the study clinician. These patients will be immediately referred to appropriate clinical treatmentPregnant women or women of childbearing potential who are not using a medically accepted means of contraception (defined as oral contraceptive pill or implant, condom, diaphragm, spermicide, IUD, s/p tubal ligation, or partner with vasectomy)Serious or unstable medical illness, including cardiovascular, hepatic, renal, respiratory, endocrine, neurologic or hematologic diseaseHistory of seizure disorderHistory of psychiatric illnesses, other than depression or anxiety disorders among the Current MDD and Remitted MDD groupsHistory of substance use disorder or alcohol use disorder (as these terms are defined by DSM-5); except depressed subjects may have a history of 'Mild' substance/alcohol use disorder only if it ended as least 12 months agoHistory of cocaine or stimulant use or dopaminergic drugsHistory or current diagnosis of dementia, or a score of < 26 on the Mini Mental State Examination at the screening visit;Patients with mood congruent or mood incongruent psychotic featuresCurrent use of other psychotropic drugsClinical or laboratory evidence of hypothyroidismPatients with a lifetime history of electroconvulsive therapy (ECT)Failure to meet standard MRI safety requirementsAbnormal ECG and lab resultsHistory of seizure disorderContraindications for arterial line (e.g., abnormal result on Allen test, Raynaud's syndrome, history of anemia or bleeding disorder, history of fainting from blood draws).