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未服用抗抑郁药的抑郁自杀受害者大脑中的β-肾上腺素能受体结合位点。

Brain beta-adrenoceptor binding sites in antidepressant-free depressed suicide victims.

作者信息

De Paermentier F, Cheetham S C, Crompton M R, Katona C L, Horton R W

机构信息

Department of Pharmacology and Clinical Pharmacology, St. George's Hospital Medical School, London, U.K.

出版信息

Brain Res. 1990 Aug 13;525(1):71-7. doi: 10.1016/0006-8993(90)91321-7.

Abstract

beta-Adrenoceptor binding sites were quantitated by saturation binding of [3H]CGP 12177 in 9 brain regions from 21 suicide victims, with a firm retrospective diagnosis of depression, who had not recently received antidepressant drugs, and 20 age- and sex-matched controls. In depressed suicides the number of total beta-adrenoceptors was significantly lower in temporal cortex (Brodmann area 38, by 19%) and beta 1-adrenoceptors (Brodmann area 21/22, by 17%) compared to controls. Suicides who died by violent means had significantly lower numbers of total beta- and beta 1-adrenoceptors in frontal cortex than matched controls (by 23 and 25%, respectively) and than non-violent suicides (by 20 and 22%, respectively) and lower numbers of beta 1-adrenoceptors in temporal cortex (Brodmann area 21/22) than matched controls (by 16%). Depressed suicides who died by non-violent means had lower numbers of total beta-adrenoceptors in occipital cortex than matched controls (by 24%) and than violent suicides (by 18%), and lower numbers of total beta- and beta 1-adrenoceptors in temporal cortex (Brodmann area 38) than matched controls (by 27 and 24%, respectively). Depression in suicide victims is associated with deficits in beta-adrenoceptor binding sites, largely restricted to cortical areas.

摘要

通过对21例有明确抑郁症回顾性诊断、近期未服用抗抑郁药物的自杀受害者以及20例年龄和性别匹配的对照者的9个脑区进行[3H]CGP 12177饱和结合实验,对β-肾上腺素能受体结合位点进行定量分析。与对照组相比,抑郁自杀者颞叶皮质(布罗德曼38区,降低19%)和β1-肾上腺素能受体(布罗德曼21/22区,降低17%)的总β-肾上腺素能受体数量显著减少。暴力自杀者额叶皮质的总β-和β1-肾上腺素能受体数量显著低于匹配对照组(分别降低23%和25%),也低于非暴力自杀者(分别降低20%和22%),颞叶皮质(布罗德曼21/22区)的β1-肾上腺素能受体数量低于匹配对照组(降低16%)。非暴力死亡的抑郁自杀者枕叶皮质的总β-肾上腺素能受体数量低于匹配对照组(降低24%),也低于暴力自杀者(降低18%),颞叶皮质(布罗德曼38区)的总β-和β1-肾上腺素能受体数量低于匹配对照组(分别降低27%和24%)。自杀受害者的抑郁症与β-肾上腺素能受体结合位点的缺陷有关,主要局限于皮质区域。

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