The relationship of serotonin to depression in Parkinson's disease.
Identifieur interne : 003F40 ( Ncbi/Merge ); précédent : 003F39; suivant : 003F41The relationship of serotonin to depression in Parkinson's disease.
Auteurs : R. Mayeux [États-Unis] ; Y. Stern ; M. Sano ; J B Williams ; L J CoteSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1988.
English descriptors
- KwdEn :
- 5-Hydroxytryptophan (therapeutic use), Aged, Clinical Trials as Topic, Dementia (cerebrospinal fluid), Dementia (complications), Depressive Disorder (cerebrospinal fluid), Depressive Disorder (drug therapy), Depressive Disorder (etiology), Female, Humans, Hydroxyindoleacetic Acid (cerebrospinal fluid), Longitudinal Studies, Male, Middle Aged, Parkinson Disease (complications), Serotonin (physiology).
- MESH :
- chemical , cerebrospinal fluid : Hydroxyindoleacetic Acid.
- chemical , physiology : Serotonin.
- chemical , therapeutic use : 5-Hydroxytryptophan.
- cerebrospinal fluid : Dementia, Depressive Disorder.
- complications : Dementia, Parkinson Disease.
- drug therapy : Depressive Disorder.
- etiology : Depressive Disorder.
- Aged, Clinical Trials as Topic, Female, Humans, Longitudinal Studies, Male, Middle Aged.
Abstract
We have previously reported a correlation between depression in patients with idiopathic Parkinson's disease and decreased concentrations of the cerebrospinal fluid content of the serotonin metabolite, 5-HIAA. To further examine this relationship, we repeated the study in a new cohort of patients while they remained on dopaminergic medications, conducted follow-up interviews and examinations in our original cohort, and conducted an open trial of the serotonin precursor, 5-hydroxytryptophan in a group of new patients with depression. We were again able to demonstrate a significant reduction in cerebrospinal 5-HIAA in depressed patients in comparison to controls and patients without depression. Demented patients with Parkinson's disease, particularly those with concurrent depression, had the lowest values of 5-HIAA. No new cases of depression occurred in our original cohort after 2 1/2 years of follow-up, and depression remitted following conventional or experimental treatment in four patients. Depression improved in six of the seven new patients following oral 5-hydroxytryptophan. Three of these patients allowed a repeat lumbar puncture, and the concentration of 5-HIAA increased following 5-hydroxytryptophan. These three studies support our hypothesis that depression in idiopathic Parkinson's disease is associated with a reduction in brain serotonin. However, it also suggests that other factors, biological or environmental, may be causal factors.
DOI: 10.1002/mds.870030308
PubMed: 2461509
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pubmed:2461509Le document en format XML
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<wicri:cityArea>Department of Neurology, College of Physicians and Surgeons, Columbia University, New York</wicri:cityArea>
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<author><name sortKey="Stern, Y" sort="Stern, Y" uniqKey="Stern Y" first="Y" last="Stern">Y. Stern</name>
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<author><name sortKey="Sano, M" sort="Sano, M" uniqKey="Sano M" first="M" last="Sano">M. Sano</name>
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<author><name sortKey="Williams, J B" sort="Williams, J B" uniqKey="Williams J" first="J B" last="Williams">J B Williams</name>
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<author><name sortKey="Cote, L J" sort="Cote, L J" uniqKey="Cote L" first="L J" last="Cote">L J Cote</name>
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<term>Depressive Disorder (drug therapy)</term>
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<front><div type="abstract" xml:lang="en">We have previously reported a correlation between depression in patients with idiopathic Parkinson's disease and decreased concentrations of the cerebrospinal fluid content of the serotonin metabolite, 5-HIAA. To further examine this relationship, we repeated the study in a new cohort of patients while they remained on dopaminergic medications, conducted follow-up interviews and examinations in our original cohort, and conducted an open trial of the serotonin precursor, 5-hydroxytryptophan in a group of new patients with depression. We were again able to demonstrate a significant reduction in cerebrospinal 5-HIAA in depressed patients in comparison to controls and patients without depression. Demented patients with Parkinson's disease, particularly those with concurrent depression, had the lowest values of 5-HIAA. No new cases of depression occurred in our original cohort after 2 1/2 years of follow-up, and depression remitted following conventional or experimental treatment in four patients. Depression improved in six of the seven new patients following oral 5-hydroxytryptophan. Three of these patients allowed a repeat lumbar puncture, and the concentration of 5-HIAA increased following 5-hydroxytryptophan. These three studies support our hypothesis that depression in idiopathic Parkinson's disease is associated with a reduction in brain serotonin. However, it also suggests that other factors, biological or environmental, may be causal factors.</div>
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<Abstract><AbstractText>We have previously reported a correlation between depression in patients with idiopathic Parkinson's disease and decreased concentrations of the cerebrospinal fluid content of the serotonin metabolite, 5-HIAA. To further examine this relationship, we repeated the study in a new cohort of patients while they remained on dopaminergic medications, conducted follow-up interviews and examinations in our original cohort, and conducted an open trial of the serotonin precursor, 5-hydroxytryptophan in a group of new patients with depression. We were again able to demonstrate a significant reduction in cerebrospinal 5-HIAA in depressed patients in comparison to controls and patients without depression. Demented patients with Parkinson's disease, particularly those with concurrent depression, had the lowest values of 5-HIAA. No new cases of depression occurred in our original cohort after 2 1/2 years of follow-up, and depression remitted following conventional or experimental treatment in four patients. Depression improved in six of the seven new patients following oral 5-hydroxytryptophan. Three of these patients allowed a repeat lumbar puncture, and the concentration of 5-HIAA increased following 5-hydroxytryptophan. These three studies support our hypothesis that depression in idiopathic Parkinson's disease is associated with a reduction in brain serotonin. However, it also suggests that other factors, biological or environmental, may be causal factors.</AbstractText>
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