Relationship of substance P, 5-hydroxyindole acetic acid and tryptophan in serum of fibromyalgia patients

The serotonergic system has repeatedly been discussed to be involved in the pathophysiology of fibromyalgia (FM), which is a syndrome of widespread pain and sleep disturbance. Elevated levels of substance P (SP), a mediator of nociception, have been described in FM. In this study the possible relati...

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Veröffentlicht in:Neuroscience letters 1999-01, Vol.259 (3), p.196-198
Hauptverfasser: Schwarz, Marcus J, Späth, Michael, Müller-Bardorff, Hanns, Pongratz, Dieter E, Bondy, Brigitta, Ackenheil, Manfred
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container_end_page 198
container_issue 3
container_start_page 196
container_title Neuroscience letters
container_volume 259
creator Schwarz, Marcus J
Späth, Michael
Müller-Bardorff, Hanns
Pongratz, Dieter E
Bondy, Brigitta
Ackenheil, Manfred
description The serotonergic system has repeatedly been discussed to be involved in the pathophysiology of fibromyalgia (FM), which is a syndrome of widespread pain and sleep disturbance. Elevated levels of substance P (SP), a mediator of nociception, have been described in FM. In this study the possible relationship between SP and serotonin (5-HT) together with its precursor tryptophan (TRP) and its metabolite 5-hydroxyindoleacetic acid (5-HIAA) was evaluated in 51 serum samples of fibromyalgia patients. These parameters were compared with clinical data such as pain intensity or sleep quality. A strong negative correlation between SP and 5-HIAA ( P=.000) as well as between SP and TRP ( P=.009) could be demonstrated. High serum concentrations of 5-HIAA and TRP showed a significant relation to low pain scores (5-HIAA: P=.030; TRP: P=.014). Moreover, 5-HIAA was strongly related to good quality of sleep ( P=.000), while SP was related to sleep disturbance ( P=.005). These data are valid to support the hypothesis of a systemic involvement of 5-HT and SP in fibromyalgia.
doi_str_mv 10.1016/S0304-3940(98)00937-9
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Elevated levels of substance P (SP), a mediator of nociception, have been described in FM. In this study the possible relationship between SP and serotonin (5-HT) together with its precursor tryptophan (TRP) and its metabolite 5-hydroxyindoleacetic acid (5-HIAA) was evaluated in 51 serum samples of fibromyalgia patients. These parameters were compared with clinical data such as pain intensity or sleep quality. A strong negative correlation between SP and 5-HIAA ( P=.000) as well as between SP and TRP ( P=.009) could be demonstrated. High serum concentrations of 5-HIAA and TRP showed a significant relation to low pain scores (5-HIAA: P=.030; TRP: P=.014). Moreover, 5-HIAA was strongly related to good quality of sleep ( P=.000), while SP was related to sleep disturbance ( P=.005). 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Neuromuscular diseases</subject><subject>Female</subject><subject>Fibromyalgia</subject><subject>Fibromyalgia - blood</subject><subject>Fibromyalgia - etiology</subject><subject>Humans</subject><subject>Hydroxyindoleacetic Acid - blood</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Pain</subject><subject>Pain - blood</subject><subject>Serotonin</subject><subject>Sleep</subject><subject>Substance P</subject><subject>Substance P - blood</subject><subject>Tryptophan</subject><subject>Tryptophan - blood</subject><issn>0304-3940</issn><issn>1872-7972</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU2L1TAUhoMozp3Rn6BkIaJgNWnzuRIZxg8YUPxYhzQ58Ubapiap2H9v79yLupvV2TznPYfnRegRJS8poeLVF9IR1nSakWdaPSdEd7LRd9COKtk2Usv2Ltr9Rc7QeSk_CCGccnYfnVFCWs413aH4GQZbY5rKPs44BVyWvlQ7OcCfXmDe7Fef0-81Tj4NgK2DGt02osd28rjmda5p3tsJxwkXyMt4yAixz2lc7fA9Wjxv8TDV8gDdC3Yo8PA0L9C3t1dfL9831x_ffbh8c904xkRtXCt4YEwqcFT0IoDsGXeaOk981_k-hNYG2oNQIKS0VvngVSCdtUxb3-ruAj095s45_VygVDPG4mAY7ARpKUZormgn2a0gla3iitEN5EfQ5VRKhmDmHEebV0OJOZRhbsowB9NGK3NThjl88vh0YOlH8P9tHe1vwJMTYIuzQ8ib91j-cYJzJfmGvT5isGn7FSGb4jalDnzM4KrxKd7yyR8Ucqgm</recordid><startdate>19990115</startdate><enddate>19990115</enddate><creator>Schwarz, Marcus J</creator><creator>Späth, Michael</creator><creator>Müller-Bardorff, Hanns</creator><creator>Pongratz, Dieter E</creator><creator>Bondy, Brigitta</creator><creator>Ackenheil, Manfred</creator><general>Elsevier Ireland Ltd</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><scope>7X8</scope></search><sort><creationdate>19990115</creationdate><title>Relationship of substance P, 5-hydroxyindole acetic acid and tryptophan in serum of fibromyalgia patients</title><author>Schwarz, Marcus J ; Späth, Michael ; Müller-Bardorff, Hanns ; Pongratz, Dieter E ; Bondy, Brigitta ; Ackenheil, Manfred</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c446t-c265f4478ec16b6fe7b45c91cd0d33dbff2af1be68e677aa8dfd8f03aa49ad293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>5-Hydroxyindoleacetic acid</topic><topic>5-Hydroxytryptamine</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Biomarkers - blood</topic><topic>Diseases of striated muscles. Neuromuscular diseases</topic><topic>Female</topic><topic>Fibromyalgia</topic><topic>Fibromyalgia - blood</topic><topic>Fibromyalgia - etiology</topic><topic>Humans</topic><topic>Hydroxyindoleacetic Acid - blood</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Pain</topic><topic>Pain - blood</topic><topic>Serotonin</topic><topic>Sleep</topic><topic>Substance P</topic><topic>Substance P - blood</topic><topic>Tryptophan</topic><topic>Tryptophan - blood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schwarz, Marcus J</creatorcontrib><creatorcontrib>Späth, Michael</creatorcontrib><creatorcontrib>Müller-Bardorff, Hanns</creatorcontrib><creatorcontrib>Pongratz, Dieter E</creatorcontrib><creatorcontrib>Bondy, Brigitta</creatorcontrib><creatorcontrib>Ackenheil, Manfred</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><collection>MEDLINE - Academic</collection><jtitle>Neuroscience letters</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schwarz, Marcus J</au><au>Späth, Michael</au><au>Müller-Bardorff, Hanns</au><au>Pongratz, Dieter E</au><au>Bondy, Brigitta</au><au>Ackenheil, Manfred</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship of substance P, 5-hydroxyindole acetic acid and tryptophan in serum of fibromyalgia patients</atitle><jtitle>Neuroscience letters</jtitle><addtitle>Neurosci Lett</addtitle><date>1999-01-15</date><risdate>1999</risdate><volume>259</volume><issue>3</issue><spage>196</spage><epage>198</epage><pages>196-198</pages><issn>0304-3940</issn><eissn>1872-7972</eissn><coden>NELED5</coden><abstract>The serotonergic system has repeatedly been discussed to be involved in the pathophysiology of fibromyalgia (FM), which is a syndrome of widespread pain and sleep disturbance. 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subjects 5-Hydroxyindoleacetic acid
5-Hydroxytryptamine
Adult
Biological and medical sciences
Biomarkers - blood
Diseases of striated muscles. Neuromuscular diseases
Female
Fibromyalgia
Fibromyalgia - blood
Fibromyalgia - etiology
Humans
Hydroxyindoleacetic Acid - blood
Male
Medical sciences
Middle Aged
Neurology
Pain
Pain - blood
Serotonin
Sleep
Substance P
Substance P - blood
Tryptophan
Tryptophan - blood
title Relationship of substance P, 5-hydroxyindole acetic acid and tryptophan in serum of fibromyalgia patients
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