Temperature Regulation in Depression: Functional 5HT1A Receptor Adaptation Differentiates Antidepressant Response

Autor: Katherine E Kasik, Stephen M. Stahl, Maria E. Johnson, Jeffrey L. Rausch
Rok vydání: 2006
Předmět:
Zdroj: Neuropsychopharmacology. 31:2274-2280
ISSN: 1740-634X
0893-133X
DOI: 10.1038/sj.npp.1301088
Popis: Observations in humans and animals have indicated that chronic, but not acute, antidepressant treatment (ADT) can desensitize 5-HT1A receptor-mediated responses, such as hypothermia. We hypothesized that 5-HT1A desensitization would be necessary for an antidepressant response (ADR) to occur. To test this hypothesis, we examined 5HT1A-agonist ipsapirone (IPS)-induced hypothermia in 28 depressed patients being treated with fixed doses of nortriptyline (75 mg) at 3-day and 3-week treatment points. Decreases in 24-item Hamilton scores (>12) were used to dichotomize the response data into ADR groups of 13 responders (ADR+) and 15 nonresponders (ADR-). A two-way repeated measures analysis of variance indicated significant temperature differences in the area under the curve between response groups across time from 3-day to 3-week intervals (df=1, 26, F=6.6, p
Databáze: OpenAIRE