Document Detail


Dopamine and serotonin transporters in patients with schizophrenia: an imaging study with [(123)I]beta-CIT.
MedLine Citation:
PMID:  10704949     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Several lines of evidence derived from imaging and postmortem studies suggest that schizophrenia is associated with hyperactivity of dopamine function and deficiency in serotonin (5-HT) function. The aim of this study was to investigate potential alterations of striatal dopamine transporters (DAT) and brainstem serotonin transporters (SERT) density in schizophrenia. METHODS: Striatal DAT and brainstem SERT were measured in 24 patients with schizophrenia and 22 matched healthy control subjects using single photon emission computed tomography and [(123)I]beta-CIT. In this cohort of subjects, we previously reported an increase in striatal amphetamine-induced dopamine release, measured as the displacement of the D(2) receptor radiotracer [(123)I]IBZM. RESULTS: No differences were observed between patients and control subjects in the equilibrium uptake ratio (V(3)") of [(123)I]beta-CIT in the striatum, indicating that schizophrenia is not generally associated with an alteration of striatal DAT density; however, a trend level association (p =.07) was observed in patients with schizophrenia between low striatal [(123)I]beta-CIT V(3)" and severity of negative symptoms. After controlling for age, striatal [(123)I]beta-CIT V(3)" in patients was not associated with duration of illness, suggesting that this relative deficit was not secondary to a neurodegenerative process. No correlation was observed between DAT density and amphetamine-induced dopamine release, either in the patients or in the controls. Brainstem [(123)I]beta-CIT V(3)" was unaffected in patients with schizophrenia, and was unrelated to symptomatology. CONCLUSIONS: Schizophrenia is generally not associated with alterations of DAT in the striatum or SERT in the brainstem. In some patients, a relative deficit in dopamine nerve terminals might play a role in the pathophysiology of negative symptoms.
Authors:
M Laruelle; A Abi-Dargham; C van Dyck; R Gil; D C D'Souza; J Krystal; J Seibyl; R Baldwin; R Innis
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Biological psychiatry     Volume:  47     ISSN:  0006-3223     ISO Abbreviation:  Biol. Psychiatry     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2000-03-28     Completed Date:  2000-03-28     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0213264     Medline TA:  Biol Psychiatry     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  371-9     Citation Subset:  IM    
Affiliation:
New York State Psychiatric Institute, Columbia University College of Physicians and Surgeons, New York 10032, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Brain Stem / metabolism*,  radionuclide imaging
Carrier Proteins / metabolism*
Case-Control Studies
Cocaine / analogs & derivatives*,  diagnostic use
Dopamine / metabolism
Dopamine Plasma Membrane Transport Proteins
Female
Humans
Iodine Radioisotopes / diagnostic use*
Male
Membrane Glycoproteins / metabolism*
Membrane Transport Proteins*
Middle Aged
Neostriatum / metabolism*,  radionuclide imaging
Nerve Tissue Proteins / metabolism*
Schizophrenia / metabolism*,  radionuclide imaging*
Serotonin / metabolism
Serotonin Plasma Membrane Transport Proteins
Tomography, Emission-Computed, Single-Photon* / methods
Grant Support
ID/Acronym/Agency:
KO2MH01603/MH/NIMH NIH HHS; MH30929/MH/NIMH NIH HHS; R01MH54192/MH/NIMH NIH HHS
Chemical
Reg. No./Substance:
0/Carrier Proteins; 0/Dopamine Plasma Membrane Transport Proteins; 0/Iodine Radioisotopes; 0/Membrane Glycoproteins; 0/Membrane Transport Proteins; 0/Nerve Tissue Proteins; 0/SLC6A3 protein, human; 0/SLC6A4 protein, human; 0/Serotonin Plasma Membrane Transport Proteins; 133647-95-7/RTI 55; 50-36-2/Cocaine; 50-67-9/Serotonin

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