Serotonergic dysfunction in depression

作者: Herbert Meltzer

DOI: 10.1192/S0007125000291733

关键词:

摘要: Various irregularities in serotonin (5-HT) function have been postulated as causes of affective disorders. Serotonin has related to many the major symptoms depression, e.g. mood, appetite, sleep, activity, and cognitive dysfunction. Interference with 5-HT synthesis or storage shown induce depression vulnerable individuals. Decreased levels 5-hydroxyindoleacetic acid (5-HIAA) cerebrospinal fluid, decreased plasma tryptophan, low tryptophan neutral amino ratio, abnormalities serotonergic indicated by neuroendocrine challenge tests various platelet measures, reported depressed patients. Concentrations 5-HIAA, metabolite plasma, were found be significantly negatively correlated severity measured Hamilton Rating Scale for Depression score specific depressive symptoms, despite fact that 5-HIAA is largely peripheral origin. Blood platelets, which suggested models nerve terminals, a number uptake sites 3H-imipramine binding Antidepressant drugs may act, part, enhancing activity. The deficit occur at any several levels: diminished availability precursor, impaired activity hydroxylase, release uptake, receptor interactions other neurotransmitters.

参考文章(44)
Young Sn, Ervin Fr, Pihl Ro, The effect of altered tryptophan levels on mood and behavior in normal human males. Clinical Neuropharmacology. pp. 516- ,(1988)
T. Koyama, H. Y. Meltzer, A Biochemical and Neuroendocrine Study of the Serotonergic System in Depression Springer, Berlin, Heidelberg. pp. 169- 188 ,(1986) , 10.1007/978-3-642-70702-5_19
M. H. Aprison, Ryo Takahashi, K. Tachiki, Hypersensitive Serotonergic Receptors Involved in Clinical Depression—A Theory Neuropharmacology and Behavior. pp. 23- 53 ,(1978) , 10.1007/978-1-4613-3961-8_2
M Stanley, J Virgilio, S Gershon, Tritiated imipramine binding sites are decreased in the frontal cortex of suicides Science. ,vol. 216, pp. 1337- 1339 ,(1982) , 10.1126/SCIENCE.7079769
A. Biegon, A. Weizman, L. Karp, A. Ram, S. Tiano, M. Wolff, Serotonin 5-HT2 receptor binding on blood platelets - a peripheral marker for depression? Life Sciences. ,vol. 41, pp. 2485- 2492 ,(1987) , 10.1016/0024-3205(87)90675-8
W.Z. Potter, M.V. Rudorfer, D. Pickar, M. Linnoila, Effects of psychotropic drugs on neurotransmitters in man Life Sciences. ,vol. 41, pp. 817- 820 ,(1987) , 10.1016/0024-3205(87)90170-6
David P. Geaney, Michael Schächter, J.Martin Elliot, David G. Grahame-Smith, Characterisation of [3H]lysergic acid diethylamide binding to a 5-hydroxytryptamine receptor on human platelet membranes European Journal of Pharmacology. ,vol. 97, pp. 87- 93 ,(1984) , 10.1016/0014-2999(84)90515-6
J BLUNDELL, Serotonin and appetite Neuropharmacology. ,vol. 23, pp. 1537- 1551 ,(1984) , 10.1016/0028-3908(84)90098-4