scholarly journals Platelet Serotonin and Plasma Tryptophan in Depressed Patients: Effect of Drug Treatment and Clinical Outcome

1994 ◽  
Vol 10 (3) ◽  
pp. 207-214 ◽  
Author(s):  
Félicien Karege ◽  
Jean Widmer ◽  
Philippe Bovier ◽  
Jean-Michel Gaillard
1977 ◽  
Vol 6 (4) ◽  
pp. 673-678 ◽  
Author(s):  
R. N. Herrington ◽  
A. Bruce ◽  
E. C. Johnstone ◽  
M. H. Lader

SynopsisDepressed patients who were suitable for drug treatment were allocated randomly to treatment for four weeks with either amitriptyline in doses reaching 150 mg daily or with l-tryptophan in a maximal dose of 8 G daily. Both in-patients and out-patients were included. The trial was double-blind and ratings were made at the start of treatment and weekly for the subsequent four weeks: the patients were then followed for a further six months. Both groups of patients improved steadily over the course of four weeks and there were no marked differences between the treatment groups though there was some tendency for the improvement of the tryptophan-treated patients to fade between the third and fourth weeks. Within the tryptophan group anxious patients improved least. It is concluded that L-tryptophan probably has some antidepressive action in patients with depressive illness of moderate severity.


1993 ◽  
Vol 39 (11) ◽  
pp. 2337-2340 ◽  
Author(s):  
N Eynard ◽  
E Flachaire ◽  
C Lestra ◽  
M Broyer ◽  
R Zaidan ◽  
...  

Abstract The determination of platelet serotonin (5-HT) and plasma tryptophan concentrations is useful in the diagnosis, investigation of etiologies, and treatment of psychiatric disorders. To determine the usual circadian variations in platelet 5-HT and free and total tryptophan concentrations, we measured these variables during 24 h at 1-h intervals and every 30 min from 2000 to 0800 in seven clinically healthy young men with an HPLC method. No common circadian rhythm for platelet serotonin concentrations was observed in our subjects; however, there was a distinct rhythm for both free and total plasma tryptophan: Concentrations were maximal in the afternoon and minimal during the night.


Author(s):  
Anja Dvojkovic ◽  
Matea Nikolac Perkovic ◽  
Marina Sagud ◽  
Gordana Nedic Erjavec ◽  
Alma Mihaljevic Peles ◽  
...  

2009 ◽  
Vol 17 (4) ◽  
pp. 335-343 ◽  
Author(s):  
Alessandra Canuto ◽  
Panteleimon Giannakopoulos ◽  
Corina Meiler-Mititelu ◽  
Christophe Delaloye ◽  
François R. Herrmann ◽  
...  

1986 ◽  
Vol 19 (2) ◽  
pp. 105-112 ◽  
Author(s):  
Jeffrey L. Rausch ◽  
David S. Janowsky ◽  
S.Craig Risch ◽  
Leighton Y. Huey

1989 ◽  
Vol 155 (S8) ◽  
pp. 25-31 ◽  
Author(s):  
Herbert Meltzer

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


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