Acute tryptophan depletion in bipolar disorders; literature review and directives for further research

被引:10
作者
Sobczak, S [1 ]
Honig, A [1 ]
Riedel, WJ [1 ]
机构
[1] Inst Brain & Behav, AZM Dept Psychiat, NL-6202 AZ Maastricht, Netherlands
关键词
bipolar disorders; family history; mania; mood; serotonin; tryptophan depletion;
D O I
10.1017/S0924270800035432
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Serotonin (5-HT) has been implicated in the pathophysiology of bipolar disorders. Acute tryptophan depletion (ATD), which decreases serotonergic turnover, is an established paradigm to study serotonergic vulnerability in affective disorders. Literature on the application of ATD as a research tool in bipolar patients is limited to three studies, which revealed inconsistent results on mood modification. These inconsistencies may be attributed to differences in methodological procedures and / or characteristics of included patients. Patient selection, methodological aspects and procedures of these studies are critically considered and recommendations given. A research protocol to test the 5-HT vulnerability in bipolar disorder is proposed.
引用
收藏
页码:69 / 72
页数:4
相关论文
共 22 条
[1]   Association between the tryptophan hydroxylase gene and manic-depressive illness [J].
Bellivier, F ;
Leboyer, M ;
Courtet, P ;
Buresi, C ;
Beaufils, B ;
Samolyk, D ;
Allilaire, JF ;
Feingold, J ;
Mallet, J ;
Malafosse, A .
ARCHIVES OF GENERAL PSYCHIATRY, 1998, 55 (01) :33-37
[2]  
BENKELFAT C, 1994, ARCH GEN PSYCHIAT, V51, P687
[3]  
BENKELFAT C, 1995, ARCH GEN PSYCHIAT, V52, P154
[4]  
Bowden C. L., 1997, BIPOLAR DISORDER BIO, P235
[5]   Effects of acute tryptophan depletion in lithium-remitted manic patients: A pilot study [J].
Cappiello, A ;
Sernyak, MJ ;
Malison, RT ;
McDougle, CJ ;
Heninger, GR ;
Price, LH .
BIOLOGICAL PSYCHIATRY, 1997, 42 (11) :1076-1078
[6]  
Carpenter LL, 1998, NEUROPSYCHOPHARMACOL, V19, P26
[7]   Tryptophan depletion in recently manic patients treated with lithium [J].
Cassidy, F ;
Murry, E ;
Carroll, BJ .
BIOLOGICAL PSYCHIATRY, 1998, 43 (03) :230-232
[8]  
DELGADO PL, 1990, ARCH GEN PSYCHIAT, V47, P411
[9]  
DELGADO PL, 1994, ARCH GEN PSYCHIAT, V51, P865
[10]   Acute tryptophan depletion in healthy young women with a family history of major affective disorder [J].
Ellenbogen, MA ;
Young, SN ;
Dean, P ;
Palmour, RM ;
Benkelfat, C .
PSYCHOLOGICAL MEDICINE, 1999, 29 (01) :35-46