1997
DOI: 10.1007/s002130050377
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Frontal 5-HT 2A receptors studied in depressive patients during chronic treatment by selective serotonin reuptake inhibitors

Abstract: To investigate adaptative changes of 5-HT2A receptors induced by SSRIs, six patients chronically treated for a depressive episode (four with fluoxetine, two with fluvoxamine) were studied with PET and [18F]setoperone. They were compared to eight untreated depressive patients. The mean frontal to cerebellum radioactivity concentration ratio, an index of the [18F]setoperone specific binding to 5-HT2A receptors, was higher in treated than in untreated patients, when age was taken into account. This suggests that … Show more

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Cited by 92 publications
(39 citation statements)
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“…13 This implies that chronic fluoxetine can enhance 5-HT 2 -coupled activation of PLC and possibly other 5-HT receptor-coupled effectors such as PLA 2 . Like fluoxetine, the SSRI fluvoxamine increased rat cortex total PLA 2 activity after 7 days but not after 1 day of administration.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…13 This implies that chronic fluoxetine can enhance 5-HT 2 -coupled activation of PLC and possibly other 5-HT receptor-coupled effectors such as PLA 2 . Like fluoxetine, the SSRI fluvoxamine increased rat cortex total PLA 2 activity after 7 days but not after 1 day of administration.…”
Section: Discussionmentioning
confidence: 99%
“…13 Despite the many cellular and molecular targets of fluoxetine, its mechanism of action is not agreed upon. Arachidonic acid (20:4n-6) is a nutritionally essential polyunsaturated fatty acid predominately found in the stereospecifically numbered-2 (sn-2) position of membrane phospholipids.…”
Section: Consistent With the Above [mentioning
confidence: 99%
“…These effects could be related to the long-lasting antidepressant-like actions of estrogens in the FST. It is notable that the 5-HT 2A receptor is also associated with antidepressant effects (Barnes and Sharp, 1999;Einat et al, 2001;Li et al, 1997b;Lucki et al, 1994;Massou et al, 1997;Raap and Van de Kar, 1999). The other proposed mechanism implies adaptive changes on the serotonergic and noradrenergic receptors that increase the cAMP response element binding protein (CREB) and the brain-derived neurotrophic factor (BDNF).…”
Section: Discussionmentioning
confidence: 99%
“…This latency may be due to drug-induced changes in serotonin receptors and their signaling pathways. SSRIs produce long-term neuroadaptive changes in the serotonin 2 (5-HT 2 ) receptors (Cadogan et al, 1993;Li et al, 1993;Tilakaratne et al, 1995;Massou et al, 1997). Understanding these adaptive changes that occur in 5-HT 2A receptor signaling may lead to novel antidepressants with a shorter latency of therapeutic action.…”
mentioning
confidence: 99%