4.2 Article

Serotonergic neurotransmission in early Parkinson's disease: A pilot study to assess implications for depression in this disorder

Journal

WORLD JOURNAL OF BIOLOGICAL PSYCHIATRY
Volume 11, Issue 6, Pages 781-787

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.3109/15622975.2010.491127

Keywords

Parkinson's disease; LDAEP; depression; serotonin; I-123-FP-CIT SPECT

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Objectives. Depression, a disease usually accompanied by a serotonergic deficit, has been observed in about 40% of patients suffering from Parkinson's disease (PD). Thus, a serotonergic dysfunction in PD can be assumed. We aimed to investigate the interaction between serotonergic (5-HT) and dopaminergic activity in early PD. We hypothesized a serotonergic as well as a dopaminergic deficit in PD patients. We also assumed a correlation between these neurotransmitters indicating a relationship between dopaminergic and serotonergic function in PD. Methods. Nine unmedicated PD patients before and 12 weeks after L-dopa treatment and nine healthy subjects were examined using the loudness dependence of auditory evoked potentials (LDAEP), a promising indicator of central serotonergic function. Dopaminergic transporters (DAT) were collected using I-123-FP-CIT and single photon emission computer tomography (SPECT). LDAEP values were correlated with I-123-FP-CIT SPECT data. Results. A significant difference between LDAEP of controls and patients (P = 0.05) suggested lower serotonergic activity in PD. Twelve weeks after initiation of L-dopa treatment this difference was lost between patients and controls (P = 0.20). There was a trend towards a correlation between LDAEP and DAT (r = 0.65; P = 0.057) of the unmedicated patients, suggesting a low serotonergic activity may be related to a dopamine deficit in PD. Conclusions. Our results support the hypothesis that serotonergic neurotransmission is decreased in untreated PD and suggest that a low serotonergic activity may be related to the dopamine pathology in PD. This could be related to the high prevalence of depression in PD.

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