Loeb D C, Roccatagliata G, Albano C, Abbruzzese G
Schweiz Arch Neurol Neurochir Psychiatr. 1980;126(1):27-32.
HVA and 5-HIAA levels were determined in the lumbar CSF of 17 patients affected by endogenous depression. The modification of the amine metabolites after treatment (tryciclics, bromocriptine, trazodone, ECT) were not related to the specific therapy nor to the clinical improvement. In 11 patients, HVA and 5-HIAA showed opposite modificatons. The possible role of interactions between dopaminergic and serotoninergic systems in the pathogenesis of endogenous depression is discussed.
测定了17例内源性抑郁症患者腰椎脑脊液中的高香草酸(HVA)和5-羟吲哚乙酸(5-HIAA)水平。治疗后(三环类药物、溴隐亭、曲唑酮、电休克治疗)胺类代谢产物的变化与特定治疗方法及临床改善均无关。11例患者中,HVA和5-HIAA呈现相反的变化。文中讨论了多巴胺能系统与5-羟色胺能系统之间的相互作用在内源性抑郁症发病机制中可能发挥的作用。