Title |
The 5-HTTLPR polymorphism, platelet serotonin transporter activity and platelet serotonin content in underweight and weight-recovered females with anorexia nervosa
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Published in |
European Archives of Psychiatry and Clinical Neuroscience, December 2009
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DOI | 10.1007/s00406-009-0092-3 |
Pubmed ID | |
Authors |
Stefan Ehrlich, Leonora Franke, Susann Scherag, Roland Burghardt, Regina Schott, Nora Schneider, Simone Brockhaus, Jakob Hein, Ralf Uebelhack, Ulrike Lehmkuhl |
Abstract |
Serotonin (5-HT) pathways play an important role in the pathophysiology of anorexia nervosa (AN). In this study, we investigated functional characteristics of the platelet 5-HT transporter and platelet 5-HT content in AN patients at various stages of their illness in comparison to healthy control woman (HCW) controlling for the 5-HTTLPR deletion/insertion polymorphism and other confounding variables. Fasting blood samples of 58 acutely underweight AN patients (acAN, BMI = 15.2 ± 1.4), 26 AN patients of the initial acAN sample after short-term/partial weight restoration (BMI = 17.3 ± 0.9), 36 weight-recovered AN patients (recAN, BMI = 20.7 ± 2.2) and 58 HCW (BMI = 21.6 ± 2.0) were assessed for kinetic characteristics of platelet 5-HT uptake (V (max), K (m)) and platelet 5-HT content. Plasma leptin served as an indicator of malnutrition. Mean V (max) and K (m) values were significantly higher in recAN subjects in comparison to HCW (2.05 ± 0.62 vs. 1.66 ± 0.40 nmol 5-HT/10(9) platelets min and 432 ± 215 vs. 315 ± 136 nmol, respectively) but there were no differences in platelet 5-HT content (464.8 ± 210.6 vs. 472.0 ± 162.2 ng 5-HT/10(9) platelets). 5-HT parameters in acAN patients and HCW were similar. 5-HTTLPR variants were not related to 5-HT platelet variables. In the longitudinal part of the study we found significantly increased 5-HT content but unchanged 5-HT uptake in AN patients after short-term/partial weight restoration. Our results highlight the importance of malnutrition for the interpretation of abnormalities in neurotransmitter systems in AN. Changes in platelet 5-HT transporter activity were related to the stage of the illness but not to 5-HTTLPR genotype. Increased V (max) and K (m) in recovered AN patients might mirror adaptive modulations of the 5-HT system. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 2% |
Unknown | 41 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 10 | 24% |
Student > Bachelor | 8 | 19% |
Professor | 3 | 7% |
Other | 3 | 7% |
Professor > Associate Professor | 3 | 7% |
Other | 9 | 21% |
Unknown | 6 | 14% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 9 | 21% |
Medicine and Dentistry | 8 | 19% |
Agricultural and Biological Sciences | 4 | 10% |
Neuroscience | 4 | 10% |
Mathematics | 1 | 2% |
Other | 4 | 10% |
Unknown | 12 | 29% |