Abstract
Background: Efforts to model putative serotonergic deficits associated with affective
disorders have frequently involved acute tryptophan depletion (ATD) as a manipulation
strategy aimed at lowering brain serotonin synthesis. In an attempt to widen the scope
of the measurement probes used in these investigations, the central actions of ATD
and a subsequent dose of fenfluramine were examined via utilization of quantitative
electroencephalography (EEG) and mood ratings.
Methods: Electroencephalograms (EEG) and subjective mood ratings were assessed in
28 healthy men before and after double-blind ingestion of a tryptophan-depleting (T−)
amino acid mixture, or a nutritionally balanced (B) amino acid mixture containing
tryptophan, and again after a single-blind oral dose of d,l-fenfluramine hydrochloride (60 mg).
Results: Compared to the B mixture, the T− mixture reduced total plasma tryptophan
by more than 75% 5 hours after ingestion. Tryptophan depletion was associated with
a modest lowering of mood and a slowing of EEG as indicated by increases in delta
amplitude. Fenfluramine caused no change in mood but increased fast wave (beta) activity
in anterior recordings when administered after the T−, but not after the B mixture.
Conclusions: Quantitative EEG measurements may be a promising method for studying
the central mechanisms underlying serotonin-mediated changes in mood and behavior.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Biological PsychiatryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Acute tryptophan depletion blocks morphine analgesia in the cold-pressor test in humans.Psychopharmacology. 1992; 108: 60-66
- Descriptive data analysis.Methods Inf Med. 1987; 26: 77-88
- Mood-lowering effect of tryptophan depletion.Arch Gen Psychiatry. 1994; 51: 687-697
- Rapid depletion of serum tryptophan brain tryptophan, serotonin and 5-hydroxyindoleacetic acid by a tryptophan-free diet.Life Sci. 1974; 14: 1321-1329
- The effects of d-fenfluramine on mood and performance, and on neuroendocrine indicators of 5-HT function.J Psychopharmacol. 1995; 9: 1-8
- Effect of fluoxetine on the spontaneous electrical activity of fronto-cortical neurons.Eur J Pharmacol. 1993; 250: 461-464
- The effect of tryptophan depletion and enhancement on subjective and behavioural aggression in normal male subjects.Psychopharmacology. 1995; 118: 72-81
- Hormonal responses to d- and d,l-fenfluramine in healthy human subjects.Neuropsychopharmacology. 1996; 15: 595-596
- Psychomotor, subjective and neuroendocrine effects of acute tryptophan depletion in the healthy volunteer.Psychiatr Psychobiol. 1990; 5: 31-38
- Anterior electrophysiological asymmetries, emotion, and depression; Conceptual and methodological conundrums.Psychophysiology. 1998; 35: 607-614
- Serotonin function and the mechanism of antidepressant action.Arch Gen Psychiatry. 1990; 47: 411-418
- Neuroanatomical circuits in depression.Psychopharmacol Bull. 1992; 28: 261-274
- Mood response to acute tryptophan depletion in healthy volunteers.Neuropsychopharmacology. 1996; 15: 465-474
- The effects of d- and l-fenfluramine and their interactions with d-amphetamine on psychomotor function and mood.Int Clin Psychopharmacol. 1996; 11: 89-99
- EEG profiles of fenfluramine, amobarbital and dextroamphetamine in normal volunteers.Psychopharmacologia. 1971; 22: 369-383
- Impulsivity, aggression, and neuroendocrine responses to serotonergic stimulation in substance abusers.Biol Psychiatry. 1989; 25: 1049-1066
- Naloxone reduces the fenfluramine-induced prolactin release in man.Clin Endocrinol. 1985; 22: 539-543
- Effect of oral administration of tryptophan-free amino acid mixtures on serum tryptophan, brain tryptophan and serotonin metabolism.J Neurochem. 1974; 22: 869-870
- Clinical-pharmacological study with the two isomers (d-,l-) of fenfluramine and its comparison with chlorpromazine and d-amphetamine.Meth Find Exp Clin Pharmacol. 1993; 15: 313-328
- Indoleamines.in: Bloom F.E. Kupfer D.J. Psychopharmacology The Fourth Generation of Progress. Raven, New York1995: 471-482
- The revised monoamine theory of depression.Pharmacopsychiatry. 1996; 29: 2-11
- Left frontal hypoactivation in depression.J Abnorm Psychol. 1991; 100: 535-545
- Regional brain electrical asymmetries discriminate between previously depressed and healthy control subjects.J Abnorm Psychol. 1990; 99: 22-31
- Development and critical evaluation of an objective procedure for the electroencephalographic classification of psychotropic drugs.in: Herrmann W. Electroencephalography in Drug Research. Gustav Fischer, Stuttgart1982: 249-324
- Pharmaco-EEG.in: Lopes da Silva F. Handbook of Electroencephalography and Clinical Neurophysiology. Elsevier, Amsterdam1986: 385-445
- Platelet serotonergic markers in psychiatric disorders.J Psychiatr Neurosci. 1994; 19: 87-90
- Neurometrics.Science. 1988; 239: 162-169
- The topographical features of EEGs in patients with affective disorders.EEG Clin Neurophysiol. 1992; 83: 124-129
- Functional utility of nicotine.in: Snel J. Lorist M. Nicotine, Caffeine and Social Drinking Behaviour and Brain Function. Harwood Academic Publishers, Amsterdam1998: 115-130
- EEG correlates of acute nicotinic and muscarinic cholinergic blockade.Hum Psychopharmacol. 1997; 12: 573-582
- Computerized EEG correlates of depression and antidepressant treatment.Prog Neuropsychopharmacol Biol Psychiatry. 1987; 11: 213-221
- Quantitative EEG in the prediction of antidepressant response to imipramine.J Affect Disord. 1996; 39: 175-184
- Effects of rapid tryptophan depletion in patients with seasonal affective disorder in remission after light therapy.Arch Gen Psychiatry. 1996; 53: 41-44
- Topographic mapping of EEG artifacts.Clin Electroencephalogr. 1987; 18: 61-67
- Serotonergic stimulation of adrenocorticotropin secretion in man.J Clin Endocrinol Metab. 1984; 58: 458-462
- The effect of tryptophan depletion on mood in medication-free, former patients with major affective disorder.Neuropsychopharmacology. 1997; 16: 294-297
- Effect of fenfluramine on mood.Biol Psychiatry. 1992; 31: 351-356
- Psychological phenomena and the EEG.EEG Clin Neurophysiol. 1951; 4: 443-456
- Evidence for bipolar mood states.J Pers Assess. 1982; 46: 432-436
- Position emission tomographic imaging of serotonin activation effects on prefrontal cortex in healthy volunteers.J Cerebral Blood Flow Metab. 1996; 16: 418-426
- Neuroendocrine and behavioral responses to challenge with the indirect serotonin agonist dl-fenfluramine in adults with obsessive-compulsive disorder.Biol Psychiatry. 1992; 31: 19-34
- EEG and blood level of the potential antidepressant paroxetine after a single oral dose to normal volunteers.Psychopharmacology. 1984; 83: 327-329
- Manual for the Profile of Mood States. Educational and Industrial Testing Service, San Diego1988
- Cycloheximide blocks the fall of plasma and tissue tryptophan levels after tryptophan-free amino acid mixtures.Life Sci. 1991; 49: 1121-1128
- Neurophysiological correlates of depressive symptomatology.Neuropsychobiol. 1980; 6: 268-279
- d,l-Fenfluramine challenge test.Biol Psychiatry. 1996; 39: 761-768
- Abnormal behavioral responses to fenfluramine in patients with affective and personality disorders.Biol Psychiatry. 1994; 35: 112-120
- Effects of tryptophan depletion on drug-free patients with seasonal affective disorder during a stable response to bright light therapy.Arch Gen Psychiatry. 1997; 54: 133-138
- Relationships between psychomotor retardation and EEG power spectrum in major depression.Neuropsychobiol. 1992; 25: 20-23
- Differences between males and females in rates of serotonin synthesis in human brain.Proc Natl Acad Sci U S A. 1997; 94: 5308-5313
- Use of selective serotonin reuptake inhibitors and other serotonergic drugs in the biological dissection of affective disorders.Int Clin Psychopharmacol. 1995; 9: 53-59
- Relationships between EEG and biochemical parameters in major depressive disorder.Acta Psychiatr Scand. 1988; 77: 457-462
- Quantitative, waking EEG research on depression.Biol Psychiatry. 1990; 27: 757-780
- Neurobiology of tryptophan depletion in depression.Neuropsychopharmacology. 1997; 17: 342-350
- The use of pharmaco-EEG in drug profiles.in: Hindmarch I. Stonier P. Human Psychopharmacology. volume 1. Wiley, Lichester1987: 173-200
- Clinical-pharmacological study with the two isomers (d-,l-) of fenfluramine and its comparison with chlorpromazine and d-amphetamine.Meth Find Exp Clin Pharmacol. 1993; 15: 291-312
- Pharmaco-EEG profiles of antidepressants.Br J Clin Pharmacol. 1983; 15: 369S-383S
- 5-Hydroxytryptamine (serotonin) receptor agonists and antagonists.in: Hardman J.G. Limbird L.E. Goodman and Gilman’s Pharmacological Basis of Therapeutics. 9th ed. McGraw-Hill, New York1996: 249-263
- Frontal and parietal electroencephalogram asymmetry in depressed and nondepressed subjects.Biol Psychiatry. 1983; 18: 753-762
- Double-blind comparisons of a selective serotonin reuptake inhibitor, zimelidine, and placebo on quantified EEG parameters and psychological variables.Acta Psychiatr Scand. 1981; 290: 303-313
- Dexfenfluramine profile in quantitative EEG and its topographical aspects.in: Maurer K. Topographic Brain Mapping of EEG and Evoked Potentials. Springer-Verlag, Berlin1989: 288-295
- A test of possible cognitive and environmental influences on the mood lowering effect of tryptophan depletion in normal males.Psychopharmacology. 1987; 91: 451-457
- Acute administration of a tryptophan-free amino acid mixture decreases 5-HT release in rat hippocampus in vivo.Am J Physiol. 1997; 272: R991-R994
- Raphe unit activity in freely moving cats.Brain Res. 1979; 163: 135-150
- Evidence that serotonin mediates non-cholinergic neocortical low voltage fast activity, non-cholinergic hippocampal rhythmical slow activity and contributes to intelligent behavior.Brain Res. 1986; 374: 342-356
- Two afferent pathways mediating hippocampal rhythmical slow activity.in: Buzzaki G. Vanderwolf C.H. Electrical Activity of the Archicortex. Akademiai Kiado, Budapest1985: 47-66
- Monoamine replacement after reserpine.Brain Res. 1980; 202: 65-77
- Sex differences in the epidemiology of depression.Arch Gen Psychiat. 1977; 34: 98-111
- Neuroendocrine probes of serotonergic function.Life Sci. 1993; 53: 447-463
- Biochemical aspects of tryptophan depletion in primates.Psychopharmacology. 1989; 98: 508-551
- Tryptophan depletion causes a rapid lowering of mood in normal males.Psychopharmacology. 1985; 87: 173-177
Article info
Publication history
Accepted:
September 29,
1998
Received in revised form:
April 16,
1998
Received in revised form:
September 11,
1998
Received:
November 19,
1997
Identification
Copyright
© 1999 Society of Biological Psychiatry. Published by Elsevier Inc. All rights reserved.