CSF monoamine levels in normal-weight bulimia: evidence for abnormal noradrenergic activity

Autor: J C Ballenger, S Lesser, R B Lydiard, G Hsu, G W Stuart, Mark D. Fossey, Walter H. Kaye, V Stevens, Laraia Mt, Patrick M. O'Neil
Rok vydání: 1990
Předmět:
Zdroj: American Journal of Psychiatry. 147:225-229
ISSN: 1535-7228
0002-953X
DOI: 10.1176/ajp.147.2.225
Popis: Normal-weight bulimic patients have disturbed appetite, mood, and neuroendocrine function and often respond to antidepressants. Since these findings suggest abnormalities in brain monoaminergic pathways, the authors measured CSF monoamine concentrations in 27 normal-weight bulimic patients and 14 volunteers. Bulimic patients had a significantly lower mean CSF norepinephrine concentration. Levels of CSF 5-HIAA, the major serotonin metabolite, and CSF HVA, the major dopamine metabolite, were normal, although more frequent binge-eating in bulimic subjects was associated with a significantly lower CSF HVA level. Whether trait- or state-related, monoaminergic disturbances are part of this disorder's neurobiological syndrome. The lower CSF norepinephrine concentration suggests bulimia is not simply a variant of affective disorders.
Databáze: OpenAIRE