HPA-Axis hormones and prolactin responses to dextro-fenfluramine in depressed patients and healthy controls

1. Like other authors we have established disturbances in central serotonergic neurotransmission in severely depressed patients by implementing hypothalamic pituitary adrenal (HPA)-axis hormones and prolactin responses to serotonin agonists or precursors. 2. Challenge probes with D,L fenfluramine ha...

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Veröffentlicht in:Progress in neuro-psychopharmacology & biological psychiatry 1991, Vol.15 (6), p.781-790
Hauptverfasser: Maes, Michael, D'hondt, Peter, Suy, Eduard, Minner, Bob, Vandervorst, Carine, Raus, Jef
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container_end_page 790
container_issue 6
container_start_page 781
container_title Progress in neuro-psychopharmacology & biological psychiatry
container_volume 15
creator Maes, Michael
D'hondt, Peter
Suy, Eduard
Minner, Bob
Vandervorst, Carine
Raus, Jef
description 1. Like other authors we have established disturbances in central serotonergic neurotransmission in severely depressed patients by implementing hypothalamic pituitary adrenal (HPA)-axis hormones and prolactin responses to serotonin agonists or precursors. 2. Challenge probes with D,L fenfluramine have yielded controversial results. This substance, however, is not as serotonin-selective as previously believed. 3. Dextro(D)-fenfluramine, the dextrorotatory isomer of fenfluramine, constitutes a specific and potent serotonergic agonist. 4. In the present study the authors determined the following in healthy volunteers, and in depressed inpatients: the adrenocorticotropic hormone (ACTH), B endorphin, prolactin and cortisol responses to D-fenfluramine administration (45 mg orally), total L-tryptophan and the 8 a.m. postdexamethasone cortisol values. 5. We found no significant differences in any of the post-D-fenfluramine hormone levels across healthy controls, minor, simple major and melancholic depressives. There were no significant correlations between L-tryptophan or postdexamethasone cortisol on the one hand, and any of the post-D-fenfluramine hormone values on the other.
doi_str_mv 10.1016/0278-5846(91)90007-N
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Like other authors we have established disturbances in central serotonergic neurotransmission in severely depressed patients by implementing hypothalamic pituitary adrenal (HPA)-axis hormones and prolactin responses to serotonin agonists or precursors. 2. Challenge probes with D,L fenfluramine have yielded controversial results. This substance, however, is not as serotonin-selective as previously believed. 3. Dextro(D)-fenfluramine, the dextrorotatory isomer of fenfluramine, constitutes a specific and potent serotonergic agonist. 4. In the present study the authors determined the following in healthy volunteers, and in depressed inpatients: the adrenocorticotropic hormone (ACTH), B endorphin, prolactin and cortisol responses to D-fenfluramine administration (45 mg orally), total L-tryptophan and the 8 a.m. postdexamethasone cortisol values. 5. We found no significant differences in any of the post-D-fenfluramine hormone levels across healthy controls, minor, simple major and melancholic depressives. There were no significant correlations between L-tryptophan or postdexamethasone cortisol on the one hand, and any of the post-D-fenfluramine hormone values on the other.</description><identifier>ISSN: 0278-5846</identifier><identifier>EISSN: 1878-4216</identifier><identifier>DOI: 10.1016/0278-5846(91)90007-N</identifier><identifier>PMID: 1662403</identifier><identifier>CODEN: PNPPD7</identifier><language>eng</language><publisher>Amsterdam: Elsevier Inc</publisher><subject>Adrenocorticotropic Hormone - blood ; Biological and medical sciences ; Brain Chemistry - drug effects ; D-fenfluramine ; depression ; Depressive Disorder - blood ; Depressive Disorder - drug therapy ; Depressive Disorder - psychology ; Dexamethasone ; dexamethasone suppression test ; Endorphins - blood ; Fenfluramine - adverse effects ; Fenfluramine - therapeutic use ; Hormones - blood ; Humans ; Hypothalamo-Hypophyseal System - physiology ; Medical sciences ; Neuropharmacology ; Neurotransmitters. 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Like other authors we have established disturbances in central serotonergic neurotransmission in severely depressed patients by implementing hypothalamic pituitary adrenal (HPA)-axis hormones and prolactin responses to serotonin agonists or precursors. 2. Challenge probes with D,L fenfluramine have yielded controversial results. This substance, however, is not as serotonin-selective as previously believed. 3. Dextro(D)-fenfluramine, the dextrorotatory isomer of fenfluramine, constitutes a specific and potent serotonergic agonist. 4. In the present study the authors determined the following in healthy volunteers, and in depressed inpatients: the adrenocorticotropic hormone (ACTH), B endorphin, prolactin and cortisol responses to D-fenfluramine administration (45 mg orally), total L-tryptophan and the 8 a.m. postdexamethasone cortisol values. 5. We found no significant differences in any of the post-D-fenfluramine hormone levels across healthy controls, minor, simple major and melancholic depressives. 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Neurotransmission. Receptors</subject><subject>Pharmacology. Drug treatments</subject><subject>Pituitary-Adrenal System - physiology</subject><subject>Prolactin - blood</subject><subject>Psychiatric Status Rating Scales</subject><subject>serotonergic probes</subject><subject>Serotonin - physiology</subject><subject>Serotoninergic system</subject><subject>Stereoisomerism</subject><subject>tryptophan</subject><subject>Tryptophan - metabolism</subject><issn>0278-5846</issn><issn>1878-4216</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kF1LHDEUhoO02K31H1iYiyLtxdRk8jGbm8IifhREvWivQyY5YaMzyZpki_57s53F3vUq8J7nPeQ8CJ0Q_J1gIs5w1y9bvmTiqyTfJMa4b28P0IIsa8w6It6hxRvyAX3M-aEyhGJ6iA6JEB3DdIEer-9X7erZ52Yd0xQD5EYH22xSHLUpPjQJ8iaGXPMSGwvPJcXWQXDjNunJB2gqY2FTsQy1p4uHUOYla9BjWb80JobaGvMn9N7pMcPx_j1Cvy8vfp1ftzd3Vz_PVzetYaQvLQMuORXO9qSXlgwCS8ZcZy3GGigWw8CJ63m3lGzoHIbBSe5YTWlXO4bSI3Q6761XPG0hFzX5bGAcdYC4zYoIwiljvIJsBk2KOSdwapP8pNOLIljtHKudQLUTqCRRfx2r21r7vN-_HSaw_0qz1Dr_sp_rbPTokg7G5zeM445gISv2Y8aguvjjIalsqjwD1icwRdno__-PV5SDmZk</recordid><startdate>1991</startdate><enddate>1991</enddate><creator>Maes, Michael</creator><creator>D'hondt, Peter</creator><creator>Suy, Eduard</creator><creator>Minner, Bob</creator><creator>Vandervorst, Carine</creator><creator>Raus, Jef</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope></search><sort><creationdate>1991</creationdate><title>HPA-Axis hormones and prolactin responses to dextro-fenfluramine in depressed patients and healthy controls</title><author>Maes, Michael ; D'hondt, Peter ; Suy, Eduard ; Minner, Bob ; Vandervorst, Carine ; Raus, Jef</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-4e59536fd7179d1b60944f2dd00ae306bb51f752894b2f0ebf95f4bb532fd7c33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Adrenocorticotropic Hormone - blood</topic><topic>Biological and medical sciences</topic><topic>Brain Chemistry - drug effects</topic><topic>D-fenfluramine</topic><topic>depression</topic><topic>Depressive Disorder - blood</topic><topic>Depressive Disorder - drug therapy</topic><topic>Depressive Disorder - psychology</topic><topic>Dexamethasone</topic><topic>dexamethasone suppression test</topic><topic>Endorphins - blood</topic><topic>Fenfluramine - adverse effects</topic><topic>Fenfluramine - therapeutic use</topic><topic>Hormones - blood</topic><topic>Humans</topic><topic>Hypothalamo-Hypophyseal System - physiology</topic><topic>Medical sciences</topic><topic>Neuropharmacology</topic><topic>Neurotransmitters. Neurotransmission. Receptors</topic><topic>Pharmacology. Drug treatments</topic><topic>Pituitary-Adrenal System - physiology</topic><topic>Prolactin - blood</topic><topic>Psychiatric Status Rating Scales</topic><topic>serotonergic probes</topic><topic>Serotonin - physiology</topic><topic>Serotoninergic system</topic><topic>Stereoisomerism</topic><topic>tryptophan</topic><topic>Tryptophan - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maes, Michael</creatorcontrib><creatorcontrib>D'hondt, Peter</creatorcontrib><creatorcontrib>Suy, Eduard</creatorcontrib><creatorcontrib>Minner, Bob</creatorcontrib><creatorcontrib>Vandervorst, Carine</creatorcontrib><creatorcontrib>Raus, Jef</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><jtitle>Progress in neuro-psychopharmacology &amp; biological psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maes, Michael</au><au>D'hondt, Peter</au><au>Suy, Eduard</au><au>Minner, Bob</au><au>Vandervorst, Carine</au><au>Raus, Jef</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>HPA-Axis hormones and prolactin responses to dextro-fenfluramine in depressed patients and healthy controls</atitle><jtitle>Progress in neuro-psychopharmacology &amp; biological psychiatry</jtitle><addtitle>Prog Neuropsychopharmacol Biol Psychiatry</addtitle><date>1991</date><risdate>1991</risdate><volume>15</volume><issue>6</issue><spage>781</spage><epage>790</epage><pages>781-790</pages><issn>0278-5846</issn><eissn>1878-4216</eissn><coden>PNPPD7</coden><abstract>1. Like other authors we have established disturbances in central serotonergic neurotransmission in severely depressed patients by implementing hypothalamic pituitary adrenal (HPA)-axis hormones and prolactin responses to serotonin agonists or precursors. 2. Challenge probes with D,L fenfluramine have yielded controversial results. This substance, however, is not as serotonin-selective as previously believed. 3. Dextro(D)-fenfluramine, the dextrorotatory isomer of fenfluramine, constitutes a specific and potent serotonergic agonist. 4. In the present study the authors determined the following in healthy volunteers, and in depressed inpatients: the adrenocorticotropic hormone (ACTH), B endorphin, prolactin and cortisol responses to D-fenfluramine administration (45 mg orally), total L-tryptophan and the 8 a.m. postdexamethasone cortisol values. 5. We found no significant differences in any of the post-D-fenfluramine hormone levels across healthy controls, minor, simple major and melancholic depressives. There were no significant correlations between L-tryptophan or postdexamethasone cortisol on the one hand, and any of the post-D-fenfluramine hormone values on the other.</abstract><cop>Amsterdam</cop><pub>Elsevier Inc</pub><pmid>1662403</pmid><doi>10.1016/0278-5846(91)90007-N</doi><tpages>10</tpages></addata></record>
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subjects Adrenocorticotropic Hormone - blood
Biological and medical sciences
Brain Chemistry - drug effects
D-fenfluramine
depression
Depressive Disorder - blood
Depressive Disorder - drug therapy
Depressive Disorder - psychology
Dexamethasone
dexamethasone suppression test
Endorphins - blood
Fenfluramine - adverse effects
Fenfluramine - therapeutic use
Hormones - blood
Humans
Hypothalamo-Hypophyseal System - physiology
Medical sciences
Neuropharmacology
Neurotransmitters. Neurotransmission. Receptors
Pharmacology. Drug treatments
Pituitary-Adrenal System - physiology
Prolactin - blood
Psychiatric Status Rating Scales
serotonergic probes
Serotonin - physiology
Serotoninergic system
Stereoisomerism
tryptophan
Tryptophan - metabolism
title HPA-Axis hormones and prolactin responses to dextro-fenfluramine in depressed patients and healthy controls
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