[3H]Imipramine binding in idiopathic pain syndromes. Basal values and changes after treatment with antidepressants

Autor: P. Plenge, Heimo L Nilsson, Göran Eberhard, Ulf Sundequist, E. T. Mellerup, L. von Knorring
Rok vydání: 1989
Předmět:
Zdroj: Pain. 38:261-267
ISSN: 0304-3959
DOI: 10.1016/0304-3959(89)90211-x
Popis: The binding affinity (Bmax, Kd) of [3H]imipramine to platelet membranes was investigated in 43 patients with a diagnosis of idiopathic pain syndrome. Measurements were carried out prior to and after 6 weeks' treatment with the antidepressants clomipramine or maprotiline (randomized double-blind trial). Before treatment the Bmax was 11% lower (1109 +/- 237 fmol/mg protein) compared to historical control subjects (n = 21, 1240 +/- 390) and comparable to patients with psychogenic pain with affective symptoms (n = 62, 1110 +/- 360) previously measured at the same laboratory. The Kd was 0.5 +/- 0.3 nM comparable to the Kd of the controls (0.6 +/- 0.2). After 6 weeks of treatment the clomipramine group (n = 11) had significantly lower Bmax = 208.5 +/- 286 (P less than 0.001). In the maprotiline-treated patients (n = 18) the Bmax values (1221 +/- 258) tended to increase towards the values of the controls but without statistical significance. No significant statistical correlation was found between initial Bmax values and clinical outcome.
Databáze: OpenAIRE