Serotonin 5HT1A receptor availability and pathological crying after stroke
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Serotonin 5HT1A receptor availability and pathological crying after stroke. / Møller, Mette; Andersen, G; Gjedde, A.
In: Acta Neurologica Scandinavica, Vol. 116, No. 2, 2007, p. 83-90.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Serotonin 5HT1A receptor availability and pathological crying after stroke
AU - Møller, Mette
AU - Andersen, G
AU - Gjedde, A
N1 - Keywords: Aged; Binding, Competitive; Brain; Citalopram; Crying; Depressive Disorder; Down-Regulation; Female; Humans; Limbic System; Male; Middle Aged; Pilot Projects; Positron-Emission Tomography; Presynaptic Terminals; Raphe Nuclei; Receptor, Serotonin, 5-HT1A; Serotonin; Serotonin Antagonists; Serotonin Uptake Inhibitors; Stroke; Synaptic Transmission
PY - 2007
Y1 - 2007
N2 - OBJECTIVES: Post-stroke depression and pathological crying (PC) implicate an imbalance of serotonergic neurotransmission. We claim that PC follows serotonin depletion that raises the binding potential (p(B)) of the 5-HT(1A) receptor antagonist [carbonyl-(11)C]WAY-100635, which is reversible by selective serotonin re-uptake inhibitor (SSRI) treatment. MATERIALS AND METHODS: We PET scanned patients with acute stroke and PC and age-matched control subjects. Maps of receptor availability were generated from the images of eight cortical regions and raphe nuclei. RESULTS: The maps showed highest binding in limbic areas and raphe nuclei, while binding in basal ganglia and cerebellum was negligible. Baseline binding potentials of patients were lower than that of control subjects (3.7 +/- 0.6 vs 4.2 +/- 0.2). Treatment with SSRI markedly reduced free receptor sites, whereas placebo administration led to a global increase. DISCUSSION: The study is the first suggestion of changes of serotonergic neurotransmission in the early phase of stroke and the modulation of these changes with SSRI treatment.
AB - OBJECTIVES: Post-stroke depression and pathological crying (PC) implicate an imbalance of serotonergic neurotransmission. We claim that PC follows serotonin depletion that raises the binding potential (p(B)) of the 5-HT(1A) receptor antagonist [carbonyl-(11)C]WAY-100635, which is reversible by selective serotonin re-uptake inhibitor (SSRI) treatment. MATERIALS AND METHODS: We PET scanned patients with acute stroke and PC and age-matched control subjects. Maps of receptor availability were generated from the images of eight cortical regions and raphe nuclei. RESULTS: The maps showed highest binding in limbic areas and raphe nuclei, while binding in basal ganglia and cerebellum was negligible. Baseline binding potentials of patients were lower than that of control subjects (3.7 +/- 0.6 vs 4.2 +/- 0.2). Treatment with SSRI markedly reduced free receptor sites, whereas placebo administration led to a global increase. DISCUSSION: The study is the first suggestion of changes of serotonergic neurotransmission in the early phase of stroke and the modulation of these changes with SSRI treatment.
U2 - 10.1111/j.1600-0404.2007.00869.x
DO - 10.1111/j.1600-0404.2007.00869.x
M3 - Journal article
C2 - 17661792
VL - 116
SP - 83
EP - 90
JO - Acta Neurologica Scandinavica
JF - Acta Neurologica Scandinavica
SN - 0001-6314
IS - 2
ER -
ID: 20689145