Study Report
                    
                            
                           Reference
                        
 
                    
                    
                        
                            | Citation | Agren, 1994  PubMed | 
                        
                        
                            | Full Info | Agren, H. and Reibring, L. (1994) PET studies of presynaptic monoamine metabolism in depressed patients and healthy volunteers. Pharmacopsychiatry, 27, 2-6.
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                           Study
                        
 
                    
                    
                        
                            | Hypothesis or Background | 
                            
                                No deranged presynaptic monoamine metabolism in the brain has been directly demonstrated in mood disorders, in spite of the rich but indirect pharmacological evidence for a decreased efficacy of monoaminergic synaptic transmission in depression, especially as for serotonin.
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                        | Sample Information | 8 healthy volunteers and 6 patients suffering from unipolar depression | 
                        
                            | Method Detail | The availability of 11C-labelled 5-hydroxytryptophan (5-HTP) and L-DOPA, the direct precursors in the synthetic pathways to serotonin and dopamine, has allowed positron emission tomographic (PET) studies in 8 healthy volunteers and 6 patients suffering from unipolar depression. | 
                        
                        
                            | Method Keywords | positron emission tomography (PET) | 
                        
                        
                            | Result | Main results indicate (1) decreased uptake of [11C]5-HTP and [11C]L-DOPA over the blood-brain barrier in depression (which is not altered by dietary tryptophan depletion in healthy volunteers), and (2) an increased utilization of [11C]5-HTP (but not [11C]L-DOPA), in the lower region of the medial prefrontal cortex, mainly of the left side.  | 
                        
                        
                        
                            | Conclusions | This phenomenon presumably mirrors an increased synthesis of serotonin in this area and might represent a local compensatory increase in a situation of a general serotonergic hypometabolism. Analyses of interactions of both ligands between striatal and prefrontal areas suggest significantly stronger positive correlations in depression than in health, that could be interpreted as a less pronounced autonomy between brain regions in depression. | 
                        
                        
                        
                    
                     
                        
                    
                            
                           Relationships reported by 
Agren, 1994
                         
                    
                    
                        
                            | Component A Approved Name (Name in Paper) | 
                            Component A Type | 
                            Component B Approved Name (Name in Paper) | 
                            Component B Type | 
                            Statistical Result | 
                            Relationship Description | 
                            Result Category (Positive/Negative)) | 
                        
                        
                        
                            
                            
                                
                                
                                    
                                
                            
                                | 
                                    
                                    
                                        MDD
                                    
                                    
                                    
                                 | 
                                syndrome | 
                                Serotonin (serotonin) | 
                                molecule | 
                                 | 
                                Decreased uptake of [11C]5-HTP (the direct precursors in the synthetic pathways to serotonin) over the blood-brain barrier in depression (which is not altered by dietary tryptophan depletion in healthy volunteers). | 
                                
                                    
                                        Positive
                                    
                                    
                                 | 
                            
                        
                            
                            
                                
                                    
                                
                                
                            
                                | 
                                    
                                    
                                        MDD
                                    
                                    
                                    
                                 | 
                                syndrome | 
                                Dopamine (dopamine) | 
                                molecule | 
                                 | 
                                Decreased uptake of [11C]L-DOPA (the direct precursors in the synthetic pathways to dopamine) over the blood-brain barrier in depression (which is not altered by dietary tryptophan depletion in healthy volunteers). | 
                                
                                    
                                        Positive
                                    
                                    
                                 | 
                            
                        
                            
                            
                                
                                
                                    
                                
                            
                                | 
                                    
                                    
                                    
                                            medial prefrontal cortex (MPFC) (medial prefrontal cortex)
                                    
                                    
                                 | 
                                brain morphology and function | 
                                Serotonin (serotonin) | 
                                molecule | 
                                 | 
                                An increased utilization of [11C]5-HTP (the direct precursors in the synthetic pathways to serotonin), in the lower region of the medial prefrontal cortex, mainly of the left side.  | 
                                
                                    
                                        Positive
                                    
                                    
                                 |