Increased platelet membrane [3H]‐LSD binding in patients on chronic neuroleptic treatment

Using a [3H]‐lysergic acid diethylamide [(3H]‐LSD) binding technique, platelet 5‐hydroxytryptamine (5‐HT) receptor number and affinity were compared in schizophrenics treated with depot thioxanthenes and phenothiazines and controls. There was an approximately 30% increase in platelet receptor number...

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Veröffentlicht in:British journal of clinical pharmacology 1985-04, Vol.19 (4), p.453-457
Hauptverfasser: Schachter, M, Geaney, DP, Grahame‐Smith, DG, Cowen, PJ, Elliott, JM
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container_end_page 457
container_issue 4
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container_title British journal of clinical pharmacology
container_volume 19
creator Schachter, M
Geaney, DP
Grahame‐Smith, DG
Cowen, PJ
Elliott, JM
description Using a [3H]‐lysergic acid diethylamide [(3H]‐LSD) binding technique, platelet 5‐hydroxytryptamine (5‐HT) receptor number and affinity were compared in schizophrenics treated with depot thioxanthenes and phenothiazines and controls. There was an approximately 30% increase in platelet receptor number (Bmax) in the patient group. There was a decrease in affinity (increase in Kd) of about 30% in the patient group. This was probably due to the persistence of the neuroleptic in the platelet membrane preparation. There was a weak positive correlation between receptor number and total neuroleptic dosage. The increased number of 5‐HT receptors is consistent with the previously reported enhancement of 5‐HT‐induced platelet aggregation in patients treated with long‐term phenothiazines and thioxanthenes. Our findings are compatible with 5‐HT up‐regulation in human platelets produced by depot neuroleptic therapy. It is not known whether parallel changes may be occurring in brain 5‐HT receptors.
doi_str_mv 10.1111/j.1365-2125.1985.tb02670.x
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There was an approximately 30% increase in platelet receptor number (Bmax) in the patient group. There was a decrease in affinity (increase in Kd) of about 30% in the patient group. This was probably due to the persistence of the neuroleptic in the platelet membrane preparation. There was a weak positive correlation between receptor number and total neuroleptic dosage. The increased number of 5‐HT receptors is consistent with the previously reported enhancement of 5‐HT‐induced platelet aggregation in patients treated with long‐term phenothiazines and thioxanthenes. Our findings are compatible with 5‐HT up‐regulation in human platelets produced by depot neuroleptic therapy. 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There was an approximately 30% increase in platelet receptor number (Bmax) in the patient group. There was a decrease in affinity (increase in Kd) of about 30% in the patient group. This was probably due to the persistence of the neuroleptic in the platelet membrane preparation. There was a weak positive correlation between receptor number and total neuroleptic dosage. The increased number of 5‐HT receptors is consistent with the previously reported enhancement of 5‐HT‐induced platelet aggregation in patients treated with long‐term phenothiazines and thioxanthenes. Our findings are compatible with 5‐HT up‐regulation in human platelets produced by depot neuroleptic therapy. 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Psychiatry</topic><topic>Psychopharmacology</topic><topic>Receptors, Serotonin - metabolism</topic><topic>Schizophrenia - blood</topic><topic>Sex Factors</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schachter, M</creatorcontrib><creatorcontrib>Geaney, DP</creatorcontrib><creatorcontrib>Grahame‐Smith, DG</creatorcontrib><creatorcontrib>Cowen, PJ</creatorcontrib><creatorcontrib>Elliott, JM</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>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of clinical pharmacology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schachter, M</au><au>Geaney, DP</au><au>Grahame‐Smith, DG</au><au>Cowen, PJ</au><au>Elliott, JM</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increased platelet membrane [3H]‐LSD binding in patients on chronic neuroleptic treatment</atitle><jtitle>British journal of clinical pharmacology</jtitle><addtitle>Br J Clin Pharmacol</addtitle><date>1985-04</date><risdate>1985</risdate><volume>19</volume><issue>4</issue><spage>453</spage><epage>457</epage><pages>453-457</pages><issn>0306-5251</issn><eissn>1365-2125</eissn><coden>BCPHBM</coden><abstract>Using a [3H]‐lysergic acid diethylamide [(3H]‐LSD) binding technique, platelet 5‐hydroxytryptamine (5‐HT) receptor number and affinity were compared in schizophrenics treated with depot thioxanthenes and phenothiazines and controls. There was an approximately 30% increase in platelet receptor number (Bmax) in the patient group. There was a decrease in affinity (increase in Kd) of about 30% in the patient group. This was probably due to the persistence of the neuroleptic in the platelet membrane preparation. There was a weak positive correlation between receptor number and total neuroleptic dosage. The increased number of 5‐HT receptors is consistent with the previously reported enhancement of 5‐HT‐induced platelet aggregation in patients treated with long‐term phenothiazines and thioxanthenes. Our findings are compatible with 5‐HT up‐regulation in human platelets produced by depot neuroleptic therapy. It is not known whether parallel changes may be occurring in brain 5‐HT receptors.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>2859873</pmid><doi>10.1111/j.1365-2125.1985.tb02670.x</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adult
Aging
Antipsychotic Agents - pharmacology
Biological and medical sciences
Blood Platelets - metabolism
Cell Membrane - metabolism
Female
Humans
Kinetics
Lysergic Acid Diethylamide - blood
Lysergic Acid Diethylamide - metabolism
Male
Medical sciences
Middle Aged
Neuropharmacology
Pharmacology. Drug treatments
Psycholeptics: tranquillizer, neuroleptic
Psychology. Psychoanalysis. Psychiatry
Psychopharmacology
Receptors, Serotonin - metabolism
Schizophrenia - blood
Sex Factors
Time Factors
title Increased platelet membrane [3H]‐LSD binding in patients on chronic neuroleptic treatment
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