Decreased plasma serotonin in melancholic patients: a study with clomipramine.

Abstract:

:Eighteen unmedicated patients suffering from major depressive disorder with melancholia (DSM-III) were examined for abnormalities in peripheral serotonin (5-HT) and related metabolites. Serotonin in platelet-free plasma and in platelets from melancholics was significantly reduced to 30% and 60% of their respective control values. Plasma 5-hydroxyindoleacetic acid was also found to be reduced, but not significantly. Other plasma compounds related to 5-HT (indoleacetic acid, total tryptophan, and free tryptophan) were found to be unchanged in these patients. Of all variables, only platelet 5-HT was affected while patients were on clomipramine (CIM) treatment. After 2 weeks on CIM (100-150 mg/day, orally), platelet 5-HT was reduced to 8% of pretreatment values, but plasma 5-HT did not change and continued to be reduced upon clinical recovery. The existence of a distinct pool of plasma 5-HT that is clearly independent of the platelet pool is indicated by the differences observed in plasma and platelet 5-HT during CIM treatment, as well as by previous data from this laboratory. The very marked decrease in plasma 5-HT levels may be in accord with the central nervous system changes reported in depression and suggests the possibility of using plasma 5-HT as a peripheral indicator of abnormal serotonin function in melancholia.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Sarrias MJ,Artigas F,Martínez E,Gelpí E,Alvarez E,Udina C,Casas M

doi

10.1016/0006-3223(87)90100-4

subject

Has Abstract

pub_date

1987-12-01 00:00:00

pages

1429-38

issue

12

eissn

0006-3223

issn

1873-2402

pii

0006-3223(87)90100-4

journal_volume

22

pub_type

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