5-HT(2) receptor binding is reduced in drug-naive and unchanged in SSRI-responder depressed patients compared to healthy controls: A PET study

Autor: Maria Carla Gilardi, Enrico Smeraldi, Giovanna Rizzo, Francesc Artigas, Ferruccio Fazio, Raffaella Zanardi, L. Galli, Giovanni Lucignani, Rosa Maria Moresco, C. Gobbo, Cristina Colombo, Cristina Messa
Přispěvatelé: Messa, M, Colombo, C, Moresco, R, Gobbo, C, Galli, L, Lucignani, G, Gilardi, M, Rizzo, G, Smeraldi, E, Zanardi, R, Artigas, F, Fazio, F, Messa, C, Colombo, CRISTINA ANNA, Moresco, Rm, Gilardi, Mc, Fazio, F.
Rok vydání: 2003
Předmět:
Zdroj: 167 (2003): 72–78.
info:cnr-pdr/source/autori:Messa C. 1, Colombo C. 1, Moresco R.M. 1, Gobbo C. 1, Galli L. 1, Lucignani G.1, Gilardi M.C. 1, Rizzo G. 1, Smeraldi E. 1, Zanardi R.1, Artigas F. 2, Fazio F. 1/titolo:5-HT(2) receptor binding is reduced in drug-naive and unchanged in SSRI-responder depressed patients compared to healthy controls: A PET study/doi:/rivista:/anno:2003/pagina_da:72/pagina_a:78/intervallo_pagine:72–78/volume:167
Scopus-Elsevier
Digital.CSIC. Repositorio Institucional del CSIC
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Popis: Cristina Messa et al.
[Objective]: The aim of the study was to investigate differences in 5-HT2A receptor binding between healthy volunteers and patients with major depressive disorder (MDD), either never treated before with antidepressants (drug-naive: DN) or responding to paroxetine treatment (drug-treated: DT)
[Methods]: Nineteen DN patients with MDD and 15 euthymic DT (paroxetine 4 weeks) patients were compared with a group of 20 healthy controls (C) with positron emission tomography (PET) using [(18)F]fluoroethylspiperone ([(18)F]FESP), a 5-HT(2A) and D(2) receptor antagonist. A "binding index" (BI) of [(18)F]FESP to cortical and basal ganglia regions was calculated as the ratio of the activity in these regions to that of cerebellum. Differences in BI between groups, i.e. C versus DN or DT, were assessed by ANOVA, with or without age as covariate (ANCOVA).
[Results]: A significant reduction in BI ( P=0.003 ANOVA, P=0.001 ANCOVA) was found in DN patients in the frontal, occipital, temporal and cingulate cortices, but not in the striatum. No significant differences emerged between C and DT patients.
[Conclusions]: The reduction of [(18)F]FESP BI in cortical areas of DN depressed, but not of euthymic DT patients suggests an association between the occurrence of depressive symptoms and impairment of cortical 5-HT(2A) receptors. [(18)F]FESP cortical BI may represent a state marker of depression.
Grant supporting: Fondo de Investigación Sanitaria 98/6978 (profesor Artigás).
Databáze: OpenAIRE