Dexamethasone increases plasma HVA but not MHPG in normal humans.

Abstract:

:Several recent studies in animals and man indicate that corticosteroids may alter catecholaminergic activity in both the peripheral and central nervous systems. We administered 1 mg of the synthetic glucocorticoid, dexamethasone, to 12 drug-free healthy volunteers and measured plasma homovanillic acid (HVA) and 3-methoxy-4-hydroxyphenylglycol (MHPG). Dexamethasone was administered at 11 p.m. and blood was collected at 4 p.m. on the preceding and subsequent days. Dexamethasone administration resulted in a significant increase in plasma HVA but did not consistently affect MHPG. All subjects showed a suppression of serum cortisol to values less than 5 micrograms/dl while prolactin levels were unaltered. In an additional group of nine volunteers, we administered 2 mg of dexamethasone and observed a similar increase in plasma HVA without change in plasma MHPG, indicating a selective effect on dopamine metabolism. Implications of these findings for an understanding of the neurochemical and behavioral changes seen with steroid administration and in explaining previous results on plasma MHPG/HVA ratios in delusional depression are discussed.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Wolkowitz OM,Sutton ME,Doran AR,Labarca R,Roy A,Thomas JW,Pickar D,Paul SM

doi

10.1016/0165-1781(85)90003-4

subject

Has Abstract

pub_date

1985-10-01 00:00:00

pages

101-9

issue

2

eissn

0165-1781

issn

1872-7123

pii

0165-1781(85)90003-4

journal_volume

16

pub_type

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