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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2001-2-22
pubmed:abstractText
Augmentation of selective serotonin reuptake inhibitors (SSRIs) therapy by the 5-HT(1A) receptor agent pindolol may reduce the delay between initiation of antidepressant treatment and clinical response. This hypothesis is based on the ability of pindolol to block 5-HT(1A) autoreceptors in the dorsal raphe nuclei (DRN) and to potentiate the increase in 5-HT transmission induced by SSRIs. However, placebo-controlled clinical studies of pindolol augmentation of antidepressant therapy have reported inconsistent results. Here, we evaluated the occupancy of 5-HT(1A) receptors during treatment with pindolol controlled release (CR) in nine healthy volunteers with Positron Emission Tomography and [11C]WAY 100635. Subjects were studied four times: at baseline, following one week of pindolol CR 7.5 mg/day (4 and 10 hrs post dose), and following one dose of pindolol CR 30 mg(4 hrs post dose). Occupancy of the DRN was 40 +/- 29% on scan 2, 38 +/- 26% on scan 3, and 64 +/- 15% on scan 4. The average occupancy in all other regions was significantly lower at each doses (18 +/- 5% on scan 2, 12 +/- 3% on scan 3, and 42 +/- 4% on scan 4). These results suggest that the blockade in the DRN reached in clinical studies (7.5 mg/day) might be too low and variable to consistently augment the therapeutic effect of SSRIs. However, these data indicate that pindolol exhibits in vivo selectivity for the DRN 5-HT(1A) autoreceptors. As DRN selectivity is desirable for potentiation of 5-HT function, this observation represents an important proof of concept for the development of 5-HT(1A) agents in this application.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0893-133X
pubmed:author
pubmed:issnType
Print
pubmed:volume
24
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
209-29
pubmed:dateRevised
2011-5-18
pubmed:meshHeading
pubmed-meshheading:11166513-Adult, pubmed-meshheading:11166513-Antidepressive Agents, pubmed-meshheading:11166513-Brain, pubmed-meshheading:11166513-Humans, pubmed-meshheading:11166513-Kinetics, pubmed-meshheading:11166513-Magnetic Resonance Imaging, pubmed-meshheading:11166513-Male, pubmed-meshheading:11166513-Mood Disorders, pubmed-meshheading:11166513-Pindolol, pubmed-meshheading:11166513-Piperazines, pubmed-meshheading:11166513-Pyridines, pubmed-meshheading:11166513-Raphe Nuclei, pubmed-meshheading:11166513-Receptors, Neurotransmitter, pubmed-meshheading:11166513-Receptors, Serotonin, pubmed-meshheading:11166513-Receptors, Serotonin, 5-HT1, pubmed-meshheading:11166513-Serotonin Uptake Inhibitors, pubmed-meshheading:11166513-Synaptic Transmission, pubmed-meshheading:11166513-Tomography, Emission-Computed
pubmed:year
2001
pubmed:articleTitle
Differential occupancy of somatodendritic and postsynaptic 5HT(1A) receptors by pindolol: a dose-occupancy study with [11C]WAY 100635 and positron emission tomography in humans.
pubmed:affiliation
Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY, USA.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't