Serial DST, TRH test, and TRH-like immunoreactivity measurements in major affective disorders.

Abstract:

:Neuroendocrine functions in depressed patients with major affective disorders were serially investigated by the Dexamethasone Suppression Test (DST), the thyrotropin-releasing hormone (TRH) stimulation test, and the plasma TRH-like immunoreactivity (TRH-LI) measurement. Prior to antidepressant therapy, the sensitivity for nonsuppression to the DST was 36.0%, whereas that for blunted thyroid-stimulating hormone (TSH) response to TRH was 28.0%. Both DST nonsuppression and TSH blunting appeared to be state-related markers for depressed patients. Specifically, a significant increase of maximum TSH response to TRH after 4 weeks of antidepressant therapy was associated with clinical improvement. Plasma TRH-LI in depressed patients was significantly lower than that of healthy controls. It is possible that the lower plasma TRH-LI level is related to the pathophysiology of some depressed patients with major affective disorders.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Itoh N,Matsui N,Fuwano S,Yaginuma H,Miyashita O,Sakai M

doi

10.1016/0006-3223(87)90184-3

subject

Has Abstract

pub_date

1987-05-01 00:00:00

pages

559-72

issue

5

eissn

0006-3223

issn

1873-2402

pii

0006-3223(87)90184-3

journal_volume

22

pub_type

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