“…Due to its ability to cross the blood-brain barrier (Karege et al, 2005b;Pan et al, 1998), it is expected that measurement of BDNF levels in the peripheral blood reflect abnormalities which occur in the brain. As Fernandes et al (2011b) describe in a recent meta-analysis, serum BDNF levels in bipolar disorder patients have been consistently reported as decreased during both manic (Cunha et al, 2006;Machado-Vieira et al, 2007a;de Oliveira et al, 2009;Palomino et al, 2007;Tramontina et al, 2009;Yoshimura et al, 2006) and depressive episodes (Cunha et al, 2006;de Oliveira et al, 2009;Yoshimura et al, 2006;Fernandes et al, 2009;Mackin et al, 2007). Furthermore, a positive correlation between BDNF levels and symptom severity (represented by the Young Mania Rating Scale) has been shown (Fernandes et al, 2011b).…”