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On the role of dopamine in the pathophysiology of anorexia nervosa

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Summary

Based on a review of the pathophysiology of the major symptoms of anorexia nervosa, it was suggested that increased activity of dopamine at central dopamine receptors plays a role in the pathophysiology of this disorder. Although dopamine receptor site hypersensitivity, or synthesis, of a false transmitter could account for this, a defect in negative feedback control mechanisms is more consistent with the known characteristics of anorexia nervosa. The possible role of pure dopamine antagonists in symptomatic treatment and of dopamine agonists in reversing this disorder was discussed.

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References

  • Anden, N.-E.: Pharmacological and anatomical implications of induced abnormal movements with L-dopa. In: L-dopa and Parkinsonism (Barbeau, A., McDowell, F. H., eds.), pp. 132–143. Philadelphia: F. A. Davis. 1970.

    Google Scholar 

  • Andén, N.-E., Rubenson, A., Fuxe, K., Hökfelt, T.: Evidence for dopamine receptor stimulation by apomorphine. J. Pharm. Pharmacol.19, 627 to 629 (1967).

    Google Scholar 

  • Andén, N.-E., Butcher, S. G., Corrodi, H., Fuxe, K., Ungerstedt, U.: Receptor activity and turnover of dopamine and noradrenaline after neuroleptics. Eur. J. Pharmacol.11, 303–314 (1970).

    Google Scholar 

  • Baez, L. A.: Role of catecholamines in the anorectic effects of amphetamine in rats. Psychopharmacologia35, 91–98 (1974).

    Google Scholar 

  • Baldessarini, R. J.: Pharmacology of the amphetamines. Pediatrics49, 694 to 700 (1972).

    Google Scholar 

  • Barbeau, A., Mars, H., Gillo-Joffroy, L.: Adverse clinical side effects of levodopa therapy. In: Recent Advances in Parkinson's Disease (Barbeau, A., McDowell, F. H., eds.). Philadelphia: F. A. Davis. 1971.

    Google Scholar 

  • Barnett, A., Goldstein, J., Taber, R. I.: Apomorphine-induced hypothermia in mice, a possible dopaminergic effect. Arch. Int. Pharmacodyn. Ther.198, 242–247 (1972).

    Google Scholar 

  • Barzaghi, F., Groppetti, A., Mantegazza, P., Muller, E. F.: Reduction of food intake by apomorphine: A pimozide sensitive effect. J. Pharm. Pharmacol.25, 909–911 (1973).

    Google Scholar 

  • Bell, D. S.: Comparison of amphetamine psychosis and schizophrenia. Br. J. Psychiatry111, 701–707 (1965).

    Google Scholar 

  • Bell, D. S., Trethowan, N.: Amphetamine addiction and disturbed sexuality. Arch. Gen. Psychiatry4, 74–78 (1961).

    Google Scholar 

  • Beumont, P. J. V.: Anorexia nervosa in male subjects. Psychother. Psychosom.18, 365–371 (1970).

    Google Scholar 

  • Beumont, P. J. V., Carr, P. J., Gelder, M. G.: Plasma levels of luteinizing hormone and of immuno-reactive oestrogens (oestradiel) on anorexia nervosa: Response to clomiphene citrate. Psychol. Med.3, 495–501 (1973).

    Google Scholar 

  • Bliss, E. L., Branch, C. H.: Anorexia Nervosa. Psychosomatic Medicine Monograph 14. New York: Hoeber. 1960.

    Google Scholar 

  • Bobon, D. P., Janssen, P. A. J., Bobon, J.: The Neuroleptics. Modern Problems of Pharmapsychiatry. Basel: Karger. 1970.

    Google Scholar 

  • Boyar, R. M., Katz, J., Finkelstein, J. W., Kapen, S., Weiner, H., Weitzman, E. D., Hellman, L.: Anorexia nervosa: Immaturity of the 24-hour leuteinizing hormone secretory pattern. N. Engl. J. Med.291, 861–865 (1974).

    Google Scholar 

  • Bruch, H.: Anorexia nervosa and its differential diagnosis. J. Nerv. Ment. Dis.141, 555–566 (1966).

    Google Scholar 

  • Bruch, H.: Anorexia nervosa in the male. Psychosom. Med.33, 31–47 (1971).

    Google Scholar 

  • Carlsson, A.: Biochemical implications of dopa-induced actions on the central nervous system, with particular reference to abnormal movements. In: L-dopa and Parkinsonism (Barbeau, A., McDowell, F. H., eds.), pp. 205–213. Philadelphia: F. A. Davis. 1970.

    Google Scholar 

  • Cole, S. O.: Hypothalamic feeding mechanisms and amphetamine anorexia. Psychol. Bull.79, 13–20 (1973).

    Google Scholar 

  • Corrodi, H., Fuxe, K., Ungerstedt, U.: Evidence for a new type of dopamine receptor stimulating agent. J. Pharm. Pharmacol.23, 989–991 (1971).

    Google Scholar 

  • Corrodi, H., Garnebo, L.-O., Fuxe, K., Hamberger, B., Ungerstedt, U.: ET-495 and brain catecholamine mechanisms: Evidence for a stimulation of central dopamine neurons. Eur. J. Pharmacol.20, 195–204 (1972).

    Google Scholar 

  • Crisp, A. H., Toms, D. A.: Primary anorexia nervosa or weight phobia in the male: Report on 13 cases. Br. Med. J.1, 334–338 (1972).

    Google Scholar 

  • Dally, P. J.: Anorexia Nervosa. London: Heinemann. 1969.

    Google Scholar 

  • Danowski, T. S., Livstone, E., Gonzales, A. R., Jung, Y., Khurana, R. C.: Fractional and partial hypopituitarism in anorexia nervosa. Hormones5, 105–118 (1972).

    Google Scholar 

  • Editors: Anorexia nervosa. Br. Med. J.4, 183–184 (1971).

  • Ellinwood, E. H. J.: Amphetamine psychosis. I. Description of the individuals and the process. J. Nerv. Ment. Dis.144, 273–283 (1967).

    Google Scholar 

  • Ellinwood, E. H. J.: Amphetamine psychosis. II. Theoretical implications. Int. J. Neuropsychiatry4, 45–54 (1968).

    Google Scholar 

  • Ellinwood, E. H. J.: Amphetamine psychosis: A multi-dimensional process. Semin. Psychiatry1, 208–226 (1969).

    Google Scholar 

  • Ellinwood, E. H. J., Sudilovsky, A., Nelson, L. M.: Evolving behavior in the clinical and experimental amphetamine (model) psychosis. Am. J. Psychiatry130, 1088–1093 (1973).

    Google Scholar 

  • Ernst, A. M.: Mode of action of apomorphine and dexamphetamine on gnawing compulsion in rats. Psychopharmacologia10, 316–323 (1967).

    Google Scholar 

  • Frazier, S. H.: Anorexia nervosa. Dis. Nerv. Syst.26, 155–159 (1965).

    Google Scholar 

  • Fuxe, K.: Tools in the treatment of Parkinson's disease: Studies on new types of dopamine receptor stimulating agents. In: Progress in the Treatment of Parkinsonism (Calne, D. B., ed.). New York: Raven Press. 1973.

    Google Scholar 

  • Fuxe, K., Sjoqvist, F.: Hypothermic effect of apomorphine in the mouse. J. Pharm. Pharmacol.24, 702–705 (1972).

    Google Scholar 

  • Fuxe, K., Hökfelt, T., Jonsson, G.: Participation of central monoaminergic neurons in the regulation of anterior pituitary secretion. In: Neurochemical Aspects of Hypothalamic Function (Martini, L., Meites, J., eds.), pp. 61–83. London: Academic Press. 1970 a.

    Google Scholar 

  • Fuxe, K., Hökfelt, T., Ungerstedt, U.: Morphological and functional aspects of central monoamine neurons. In: International Review of Neurobiology (Pfeiffer, C. C., Smythies, J., eds.), pp. 93–126. New York: Academic Press. 1970 b.

    Google Scholar 

  • Fuxe, K., Agnati, L. F., Corrodi, H., Everitt, B. J., Hökfelt, T., Lofstrom, A., Ungerstedt, U.: Action of dopamine receptor agonists in forebrain and hypothalamus: Rotational behavior, ovulation, and dopamine turnover. In: Advances in Neurology, Vol. 9 (Calne, D. B., Chase, T. N., Barbeau, A., eds.), pp. 223–242. New York: Raven Press. 1975.

    Google Scholar 

  • Greaves, G.: Sexual disturbances among chronic amphtamine users. J. Nerv. Ment. Dis.155, 363–365 (1972).

    Google Scholar 

  • Gull, W. W.: The address in Medicine delivered before the Annual Meeting of the British Medical Association at Oxford, Vol.2, pp. 171–176 (1868).

    Google Scholar 

  • Hart, T., Kase, N., Kimball, C. P.: Induction of ovulation and pregnancy in patients with anorexia nervosa. Am. J. Obstet. Gynecol.108, 508 to 584 (1970).

    Google Scholar 

  • Hökfelt, T., Fuxe, K.: On the morphology and neuroendocrine role of the hypothalamic catecholamine neurons. In: Brain-Endocrine Interaction. Median Eminence: Structure and Function (Knigge, M., ed.). New York: A. J. Phiebig. 1972.

    Google Scholar 

  • Johansson, A. J., Knorr, N. J.: Treatment of anorexia nervosa by levodopa. Lancet2, 591 (1974).

    Google Scholar 

  • Kay, D. W. K., Leigh, D.: The natural history, treatment, and prognosis of anorexia nervosa, based on a study of 38 patients. J. Ment. Sci.100, 411–431 (1954).

    Google Scholar 

  • Kidd, C. B., Wood, J. F.: Some observations on anorexia nervosa. Postgrad. Med. J.42, 443–448 (1966).

    Google Scholar 

  • Klawans, H. L.: The pharmacology of tardive dyskinesias. Am. J. Psychiatry130, 82–86 (1973).

    Google Scholar 

  • Klawans, H. L., Margolin, D. I.: Amphetamine-induced hypersensitivity in guinea pigs (implications in psychosis and human movement disorders). Arch. Gen. Psychiatry32, 725–732 (1975).

    Google Scholar 

  • Klawans, H. L., Shenker, D. M.: Observations on the dopaminergic nature of hyperthyroid chorea. J. Neural Transm.33, 73–81 (1972).

    Google Scholar 

  • Klawans, H. L., Weiner, W. J.: Animal models of human extrapyramidal disorders. In: Models of Human Neurological Diseases (Klawans, H. L., ed.), pp. 5–38. Amsterdam: Excerpta Medica. 1974.

    Google Scholar 

  • Klawans, H. L., Ilahi, M. M., Ringel, S. P.: Toward an understanding of the pathophysiology of Huntington's chorea. Confin. Neurol.33, 297–303 (1971).

    Google Scholar 

  • Klawans, H. L., Goetz, C. C., Westheimer, R.: Pathophysiology of schizophrenia and the striatum. Dis. Nerv. Syst.33, 714–719 (1973).

    Google Scholar 

  • Klawans, H. L., Westheimer, R., Goetz, C. C.: A pharmacological model of the pathophysiology of schizophrenia. Dis. Nerv. Syst.36, 267–275 (1975).

    Google Scholar 

  • Lakoff, K. M., Feldman, J. D.: Anorexia nervosa associated with pregnancy. Obstet. Gynecol.39, 699–701 (1972).

    Google Scholar 

  • Lapin, I. P., Samsonova, M. L.: Apomorphine induced hypothermia in mice and the effect thereon of adrenergic and serotonergic agents. Farmakol. Toksikol.31, 563 (1968).

    Google Scholar 

  • Lundberg, P. O., Walinder, J. M., Werner, I., Wide, L.: Effects of thyrotorphin-releasing hormone on plasma levels of TSH, FSH, LH, and GH in anorexia nervosa. Eur. J. Clin. Invest.2, 150–153 (1972).

    Google Scholar 

  • McCann, S. M., Kalra, P. S., Donoso, A. O., Bishop, W., Schneider, H. P. G., Fawcett, D. P., Krulich, L.: The role of monoamines in the control of gonadotrophin and prolactin secretion. In: Brain-Endocrine Interaction. Median Eminence: Structure and Function (Knigge, M., ed.), pp. 224 to 235. New York: A. J. Phiebig. 1972.

    Google Scholar 

  • Marshall, J. C., Fraser, T. R.: Amenorrhea in anorexia nervosa: Assessment and treatment with clomiphene citrate. Br. Med. J.4, 590–592 (1971).

    Google Scholar 

  • Mecklenburg, R. S., Loriaux, D. L., Thompson, R. H., Andersen, A. E., Lipsett, M. B.: Hypothalamic dysfunction in patients with anorexia nervosa. Medicine (Baltimore)53, 147–159 (1974).

    Google Scholar 

  • Meyerson, B. J.: Monoamines and hormone activated oestrus behavior in the ovariectomized hamster. Psychopharmacologia18, 50–57 (1970).

    Google Scholar 

  • Russell, G. F. M., Beardwood, C. J.: Amenorrhea in the feeding disorders: Anorexia nervosa and obesity. Psychother. Psychosom.18, 359–364 (1970).

    Google Scholar 

  • Russell, G. F. M., Loraine, J. A., Bell, E. T., Harkness, R. A.: Gonadotrophin and estrogen excretion in patients with anorexia nervosa. J. Psychosom. Res.9, 79–85 (1965).

    Google Scholar 

  • Rylander, G.: Psychoses and the punding and choreiform syndromes in addiction to central stimulant drugs. Psychiatr. Neurol. Neurochir.75, 203–212 (1972).

    Google Scholar 

  • Seidensticker, J. F., Tzagournis, M.: Anorexia nervosa-clinical features and long-term follow-up. J. Chronic Dis.21, 361–367 (1968).

    Google Scholar 

  • Snyder, S. H.: Catecholamines in the brain as mediators of amphetamine psychosis. Arch. Gen. Psychiatry27, 169–179 (1972).

    Google Scholar 

  • Starkey, F. A., Lee, R. A.: Menstruation and fertigility in anorexia nervosa. Am. J. Obstet. Gynecol.105, 374–379 (1969).

    Google Scholar 

  • Stevens, J. R.: An anatomy of schizophrenia. Arch. Gen. Psychiatry29, 177–189 (1973).

    Google Scholar 

  • Theander, S.: Anorexia nervosa. Acta Psychiatr. Scand. (Suppl.)214, 1 (1970).

    Google Scholar 

  • Vemura, H., Kobayashi, H.: Effects of dopamine implanted in the median eminence on the estrous cycle of the rat. Endocrinol. Japan18, 91–100 (1971).

    Google Scholar 

  • Wakeling, A., Russell, G. F. M.: Disturbances in regulation of body temperature in anorexia nervosa. Psychol. Med.1, 30–39 (1970).

    Google Scholar 

  • Warren, M. P., van de Wiele, R. L.: Clinical and metabolic features of anorexia nervosa. Am. J. Obstet. Gynecol.117, 435–449 (1973).

    Google Scholar 

  • Wiegelmann, W., Solbach, H. G.: Effects of LH-RF on plasma levels of LH and FSH in anorexia nervosa. Horm. Metab. Res.4, 404 (1972).

    Google Scholar 

  • Weiner, R. I., Gorski, R. A., Sawyer, C. H.: Hypothalamic catecholamines and pituitary gonadotrophic function. In: Brain-Endocrine Interaction. Median Eminence: Structure and Function (Knigge, M., ed.), pp. 236 to 244. New York: A. J. Phiebig. 1972.

    Google Scholar 

  • Yehuda, S., Wurtman, R. J.: Release of brain dopamine as the probable mechanism fore the hypothermic effect of d-amphetamine. Nature (Lond.)240, 477–478 (1972).

    Google Scholar 

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Barry, V.C., Klawans, H.L. On the role of dopamine in the pathophysiology of anorexia nervosa. J. Neural Transmission 38, 107–122 (1976). https://doi.org/10.1007/BF01262969

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