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女性急性血清素激发试验中诱发电偶极子源活动的响度依赖性

Loudness dependence of evoked dipole source activity during acute serotonin challenge in females.

作者信息

Norra Christine, Becker Stefanie, Bröcheler Anno, Kawohl Wolfram, Kunert Hanns Jürgen, Buchner Helmut

机构信息

Department of Psychiatry and Psychotherapy, Aachen University Hospital, Aachen, Germany.

出版信息

Hum Psychopharmacol. 2008 Jan;23(1):31-42. doi: 10.1002/hup.880.

Abstract

OBJECTIVES

Direct challenge of cortical serotonergic (5-hydroxytryptamine, 5-HT) availability by tryptophan depletion test (TDT) was used to assess the hypothesized inverse relationship between central 5-HT function and loudness dependence of auditory evoked potentials (LDAEPs). Gender must be taken into particular account here, since there are gender differences in 5-HT brain synthesis, with women reacting more strongly to TDT.

METHODS

In a double-blind, controlled cross-over study, 16 healthy females were ingested two highly concentrated amino acid mixtures with (+TRP) or without TRP (-TRP). While monitoring TRP levels and mood states, the AEP of different loudness stimuli were recorded, followed by dipole source analysis.

RESULTS

Under the -TRP condition, free plasma TRP levels decreased by 81.10% (+/-5.14). Most of the loudness change rates of the relevant N1/P2 tangential dipole activities were significantly increased under -TRP, but calculated LDAEP did not differ significantly between treatments. LDAEP and states of mood were not correlated.

CONCLUSIONS

Despite strong TRP depletion, the results did not reach sufficient evidence that LDAEP is a valid biological marker of central 5-HT activity in females when using TDT. This agrees with the literature and supports the view that LDAEP indicates predominantly biological vulnerability in predisposed individuals.

摘要

目的

通过色氨酸耗竭试验(TDT)直接挑战皮质5-羟色胺(5-羟色胺,5-HT)的可用性,以评估中枢5-HT功能与听觉诱发电位响度依赖性(LDAEP)之间假设的反比关系。在此必须特别考虑性别因素,因为5-HT的脑合成存在性别差异,女性对TDT的反应更强。

方法

在一项双盲、对照交叉研究中,16名健康女性摄入含(+TRP)或不含色氨酸(-TRP)的两种高浓度氨基酸混合物。在监测色氨酸水平和情绪状态的同时,记录不同响度刺激下的听觉诱发电位,随后进行偶极子源分析。

结果

在-TRP条件下,游离血浆色氨酸水平下降了81.10%(±5.14)。在-TRP条件下,相关N1/P2切向偶极子活动的大多数响度变化率显著增加,但两种处理之间计算出的LDAEP没有显著差异。LDAEP与情绪状态无关。

结论

尽管色氨酸严重耗竭,但结果并未充分证明在使用TDT时,LDAEP是女性中枢5-HT活性的有效生物学标志物。这与文献一致,并支持LDAEP主要表明易感个体生物学易损性的观点。

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