Healy D, Theodorou A E, Whitehouse A M, Lawrence K M, White W, Wilton-Cox H, Kerry S M, Horton R W, Paykel E S
Department of Psychiatry, University of Cambridge.
Br J Psychiatry. 1990 Aug;157:208-15. doi: 10.1192/bjp.157.2.208.
3H-imipramine binding in 39 drug-free patients with major depression and 44 healthy controls did not differ significantly between the two groups, in male or female subjects or in subgroups of depressed patients divided by endogenicity or dexamethasone suppression test result. 3H-imipramine binding in depressed patients drug-free for less than three weeks did not differ from those drug-free for longer intervals or from controls. A significant seasonal variation of 3H-imipramine Bmax was found, with lower values in summer and autumn. Treatment of depressed patients with imipramine or lofepramine for six weeks increased KD and Bmax. Methodological modification (in preparation and storage of platelets) does not explain the major differences in results between this study (using frozen platelets), a previous one (using freshly prepared platelets) and others in general, although it might contribute to the range of values reported.
39名未服用药物的重度抑郁症患者和44名健康对照者的3H-丙咪嗪结合情况,在两组之间、男性或女性受试者中,以及根据内源性或地塞米松抑制试验结果划分的抑郁症患者亚组中均无显著差异。未服用药物少于三周的抑郁症患者的3H-丙咪嗪结合情况与未服用药物时间更长的患者或对照组并无差异。发现3H-丙咪嗪的Bmax存在显著的季节性变化,夏季和秋季的值较低。用丙咪嗪或洛非帕明治疗抑郁症患者六周可使KD和Bmax增加。方法学上的改进(血小板的制备和储存)并不能解释本研究(使用冷冻血小板)、之前的一项研究(使用新鲜制备的血小板)以及其他研究结果之间的主要差异,尽管它可能会导致所报告的值的范围有所不同。