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Neuroimaging in Seasons and Winter Depression

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PET and SPECT in Psychiatry

Abstract

Seasonal fluctuations in mood, behaviour, energy level and appetite are common in humans living in temperate and polar zones. These changes are not necessarily associated with clinical symptoms; however, some people regularly experience severe changes in mood and drive during the dark season. Seasonal affective disorder (SAD) is regarded as an extreme reaction to changes in environmental light. The underlying mechanism of these seasonal changes and the pathobiology of SAD still remain unclear. However, several lines of evidence suggest a key role of monoamines in modulating seasonal fluctuations in animals and humans. Here, we review the literature on neuroimaging including MRI, SPECT and PET in SAD. Furthermore, the effects of season on the monoamine neurotransmitter systems serotonin and dopamine are discussed.

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References

  • Abou Elseoud A, Nissilä J, Liettu A et al (2014) Altered resting-state activity in seasonal affective disorder. Hum Brain Mapp 35(1):161–172

    Article  PubMed  Google Scholar 

  • Akimova E, Lanzenberger R, Kasper S (2009) The serotonin-1A receptor in anxiety disorders. Biol Psychiatry 66:627–635

    Article  CAS  PubMed  Google Scholar 

  • Borchardt V, Krause AL, Starck T et al (2015) Graph theory reveals hyper-functionality in visual cortices of seasonal affective disorder patients. World J Biol Psychiatry 16(2):123–134

    Article  PubMed  Google Scholar 

  • Borgsted C, Ozenne B, McMahon B et al (2018) Amygdala response to emotional faces in seasonal affective disorder. J Affect Disord 229:288–295

    Article  PubMed  Google Scholar 

  • Boyce P, Parker G (1988) Seasonal affective disorder in the southern hemisphere. Am J Psychiatry 145:96–99

    Article  CAS  PubMed  Google Scholar 

  • Brucke T, Kornhuber J, Angelberger P et al (1993) SPECT imaging of dopamine and serotonin transporters with [123I]beta-CIT. Binding kinetics in the human brain. J Neural Transm Gen Sect 94:137–146

    Article  CAS  PubMed  Google Scholar 

  • Buchert R, Schulze O, Wilke F et al (2006) Is correction for age necessary in SPECT or PET of the central serotonin transporter in young, healthy adults? J Nucl Med 47:38–42

    CAS  PubMed  Google Scholar 

  • Bundgaard C, Larsen F, Jorgensen M et al (2006) Mechanistic model of acute autoinhibitory feedback action after administration of SSRIs in rats: application to escitalopram-induced effects on brain serotonin levels. Eur J Pharm Sci 29(5):394–404

    Article  CAS  PubMed  Google Scholar 

  • Carlsson A, Svennerholm L, Winblad B (1980) Seasonal and circadian monoamine variations in human brains examined post mortem. Acta Psychiatr Scand Suppl 280:75–85

    Article  CAS  PubMed  Google Scholar 

  • Cohen RM, Gross M, Nordahl TE et al (1992) Preliminary data on the metabolic brain pattern of patients with winter seasonal affective disorder. Arch Gen Psychiatry 49:545–552

    Article  CAS  PubMed  Google Scholar 

  • Dalley JW, Everitt BJ (2009) Dopamine receptors in the learning, memory and drug reward circuitry. Semin Cell Dev Biol 20:403–410

    Article  CAS  PubMed  Google Scholar 

  • Delveccio G, Ac A, Soares JC, Brambilla P (2017) Pituitary gland in bipolar disorder and major depression: evidence from structural MRI studies: special section on “translational and neuroscience studies in affective disorders”. J Affect Disord 218:446–450

    Article  Google Scholar 

  • Drevets WC, Thase ME, Moses-Kolko EL et al (2007) Serotonin-1A receptor imaging in recurrent depression: replication and literature review. Nucl Med Biol 34:865–877

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Eisenberg DP, Kohn PD, Baller EB et al (2010) Seasonal effects on human striatal presynaptic dopamine synthesis. J Neurosci 30:14691–14694

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Goyer PF, Schulz PM, Semple WE et al (1992) Cerebral glucose metabolism in patients with summer seasonal affective disorder. Neuropsychopharmacology 7:233–240

    CAS  PubMed  Google Scholar 

  • Hardin TA, Wehr TA, Brewerton T et al (1991) Evaluation of seasonality in six clinical populations and two normal populations. J Psychiatr Res 25:75–87

    Article  CAS  PubMed  Google Scholar 

  • Harrison SJ, Tyrer AE, Levitan RD et al (2015) Light therapy and serotonin transporter binding in the anterior cingulate and prefrontal cortex. Acta Psychiatr Scand 132(5):379–388

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hebert M, Beattie CW, Tam EM et al (2004) Electroretinography in patients with winter seasonal affective disorder. Psychiatry Res 127:27–34

    Article  PubMed  Google Scholar 

  • Kalbitzer J, Erritzoe D, Holst KK et al (2010) Seasonal changes in brain serotonin transporter binding in short serotonin transporter linked polymorphic region-allele carriers but not in long-allele homozygotes. Biol Psychiatry 67:1033–1039

    Article  CAS  PubMed  Google Scholar 

  • Kasper S (1994) Diagnosis, epidemiology and therapy of seasonal depression. Nervenarzt 65:69–72

    CAS  PubMed  Google Scholar 

  • Kasper S, Rogers SL, Yancey AL et al (1988) Phototherapy in subsyndromal seasonal affective disorder (S-SAD) and “diagnosed” controls. Pharmacopsychiatry 21:428–429

    Article  CAS  PubMed  Google Scholar 

  • Kasper S, Wehr TA, Bartko JJ et al (1989) Epidemiological findings of seasonal changes in mood and behavior. A telephone survey of Montgomery County, Maryland. Arch Gen Psychiatry 46:823–833

    Article  CAS  PubMed  Google Scholar 

  • Kasper S, Neumeister A, Praschak-Rieder N et al (1996) Serotonergic mechanisms in the pathophysiology and treatment of seasonal affective disorder. de Gruyter, Atlanta/Berlin

    Google Scholar 

  • Kessing LV, Willer IS, Knorr U (2011) Volume of the adrenal and pituitary glands in depression. Psychoneuroendocrinology 36:19–27

    Article  PubMed  Google Scholar 

  • Lam RW, Levitan RD (2000) Pathophysiology of seasonal affective disorder: a review. J Psychiatry Neurosci 25:469–480

    CAS  PubMed  PubMed Central  Google Scholar 

  • Lam RW, Zis AP, Grewal A et al (1996) Effects of rapid tryptophan depletion in patients with seasonal affective disorder in remission after light therapy. Arch Gen Psychiatry 53:41–44

    Article  CAS  PubMed  Google Scholar 

  • Lam RW, Levitt AJ, Levitan RD et al (2006) The can-SAD study: a randomized controlled trial of the effectiveness of light therapy and fluoxetine in patients with winter seasonal affective disorder. Am J Psychiatry 163:805–812

    Article  PubMed  Google Scholar 

  • Lambert GW, Reid C, Kaye DM et al (2002) Effect of sunlight and season on serotonin turnover in the brain. Lancet 360:1840–1842

    Article  CAS  PubMed  Google Scholar 

  • Laruelle M (2000) Imaging synaptic neurotransmission with in vivo binding competition techniques: a critical review. J Cereb Blood Flow Metab 20:423–451

    Article  CAS  PubMed  Google Scholar 

  • Laruelle M, Baldwin RM, Malison RT et al (1993) SPECT imaging of dopamine and serotonin transporters with [123I]beta-CIT: pharmacological characterization of brain uptake in nonhuman primates. Synapse 13:295–309

    Google Scholar 

  • Lavoie MP, Lam RW, Bouchard G et al (2009) Evidence of a biological effect of light therapy on the retina of patients with seasonal affective disorder. Biol Psychiatry 66:253–258

    Article  PubMed  Google Scholar 

  • Levitan RD (2007) The chronobiology and neurobiology of winter seasonal affective disorder. Dialogues Clin Neurosci 9:315–324

    Article  PubMed  PubMed Central  Google Scholar 

  • Levitan RD, Masellis M, Lam RW et al (2006) A birth-season/DRD4 gene interaction predicts weight gain and obesity in women with seasonal affective disorder: a seasonal thrifty phenotype hypothesis. Neuropsychopharmacology 31:2498–2503

    Article  CAS  PubMed  Google Scholar 

  • Levitan RD, Kaplan AS, Davis C et al (2010) A season-of-birth/DRD4 interaction predicts maximal body mass index in women with bulimia nervosa. Neuropsychopharmacology 35:1729–1733

    Article  PubMed  PubMed Central  Google Scholar 

  • Lewy AJ, Bauer VK, Cutler NL et al (1998) Morning vs evening light treatment of patients with winter depression. Arch Gen Psychiatry 55:890–896

    Article  CAS  PubMed  Google Scholar 

  • Magnusson A, Partonen T (2005) The diagnosis, symptomatology, and epidemiology of seasonal affective disorder. CNS Spectr 10:625–634. quiz 621–614

    Article  PubMed  Google Scholar 

  • Matheson GJ, Schain M, Almeida R et al (2015) Diurnal and seasonal variation of the brain serotonin system in healthy male subjects. NeuroImage 112:225–231

    Article  CAS  PubMed  Google Scholar 

  • McMahon B, Andersen SB, Madsen MK et al (2016) Seasonal difference in brain serotonin transporter binding predicts symptom severity in patients with seasonal affective disorder. Brain 139(5):1605–1614

    Article  Google Scholar 

  • McMahon B, Nørgaard M, Svarer C et al (2018) Seasonality-resilient individuals downregulate their cerebral 5-HT transporter binding in winter—a longitudinal combined 11C-DASB and 11C-SB207145 PET study. Eur Neuropsychopharmacol 28(10):1151–1160

    Article  CAS  Google Scholar 

  • Mersch PP, Middendorp HM, Bouhuys AL et al (1999) Seasonal affective disorder and latitude: a review of the literature. J Affect Disord 53:35–48

    Article  CAS  PubMed  Google Scholar 

  • Miranda-Scippa AM, Pires ML, Handfas BW et al (2008) Pituitary volume and the effects of phototherapy in patients with seasonal winter depression: a controlled study. Rev Bras Psiquiatr 30:50–54

    Article  PubMed  Google Scholar 

  • Murthy NV, Selvaraj S, Cowen PJ et al (2010) Serotonin transporter polymorphisms (SLC6A4 insertion/deletion and rs25531) do not affect the availability of 5-HTT to [11C] DASB binding in the living human brain. NeuroImage 52:50–54

    Article  CAS  PubMed  Google Scholar 

  • Neumeister A, Praschak-Rieder N, Hesselmann B et al (1998a) Effects of tryptophan depletion in fully remitted patients with seasonal affective disorder during summer. Psychol Med 28:257–264

    Article  CAS  PubMed  Google Scholar 

  • Neumeister A, Turner EH, Matthews JR et al (1998b) Effects of tryptophan depletion vs catecholamine depletion in patients with seasonal affective disorder in remission with light therapy. Arch Gen Psychiatry 55:524–530

    Article  CAS  PubMed  Google Scholar 

  • Neumeister A, Pirker W, Willeit M et al (2000) Seasonal variation of availability of serotonin transporter binding sites in healthy female subjects as measured by [123I]-2 beta-carbomethoxy-3 beta-(4-iodophenyl)tropane and single photon emission computed tomography. Biol Psychiatry 47:158–160

    Article  CAS  PubMed  Google Scholar 

  • Neumeister A, Willeit M, Praschak-Rieder N et al (2001) Dopamine transporter availability in symptomatic depressed patients with seasonal affective disorder and healthy controls. Psychol Med 31:1467–1473

    Article  CAS  PubMed  Google Scholar 

  • Nørgaard M, Ganz M, Svarer C et al (2017) Brain networks implicated in seasonal affective disorder: a neuroimaging PET study of the serotonin transporter. Front Neurosci 11:614

    Article  PubMed  PubMed Central  Google Scholar 

  • Potkin SG, Zetin M, Stamenkovic V et al (1986) Seasonal affective disorder: prevalence varies with latitude and climate. Clin Neuropharmacol 9(Suppl 4):181–183

    PubMed  Google Scholar 

  • Praschak-Rieder N, Willeit M (2003) Treatment of seasonal affective disorders. Dialogues Clin Neurosci 5:389–398

    Article  PubMed  PubMed Central  Google Scholar 

  • Praschak-Rieder N, Willeit M (2012) Imaging of seasonal affective disorder and seasonality effects on serotonin and dopamine function in the human brain. Curr Top Behav Neurosci 11:149–167

    Article  PubMed  Google Scholar 

  • Praschak-Rieder N, Neumeister A, Willeit M et al (1998) HMPAO-SPECT in SAD patients before and after light therapy. Biol Psychiatry 43:17

    Article  Google Scholar 

  • Praschak-Rieder N, Willeit M, Wilson AA et al (2008) Seasonal variation in human brain serotonin transporter binding. Arch Gen Psychiatry 65:1072–1078

    Article  PubMed  Google Scholar 

  • Rosen LN, Targum SD, Terman M et al (1990) Prevalence of seasonal affective disorder at four latitudes. Psychiatry Res 31:131–144

    Article  CAS  PubMed  Google Scholar 

  • Rosenthal NE, Sack DA, Gillin JC et al (1984) Seasonal affective disorder. A description of the syndrome and preliminary findings with light therapy. Arch Gen Psychiatry 41:72–80

    Article  CAS  PubMed  Google Scholar 

  • Ruhe HG, Booij J, Reitsma JB et al (2009) Serotonin transporter binding with [123I]beta-CIT SPECT in major depressive disorder versus controls: effect of season and gender. Eur J Nucl Med Mol Imaging 36:841–849

    Article  CAS  PubMed  Google Scholar 

  • Schwartz PJ, Loe JA, Bash CN et al (1997) Seasonality and pituitary volume. Psychiatry Res 74:151–157

    Article  CAS  PubMed  Google Scholar 

  • Spies M, James GM, Vraka C et al (2018) Brain monoamine oxidase A in seasonal affective disorder and treatment with bright light therapy. Transl Psychiatry 8(1):198

    Article  PubMed  PubMed Central  Google Scholar 

  • Spindelegger C, Stein P, Wadsak W et al (2012) Light-dependent alteration of serotonin-1A receptor binding in cortical and subcortical limbic regions in the human brain. World J Biol Psychiatry 13(6):413–422

    Article  PubMed  Google Scholar 

  • Staley JK, Basile M, Flynn DD et al (1994) Visualizing dopamine and serotonin transporters in the human brain with the potent cocaine analogue [125I]RTI-55: in vitro binding and autoradiographic characterization. J Neurochem 62:549–556

    Google Scholar 

  • Stuhrmann A, Suslow T, Dannlowski U (2011) Facial emotion processing in major depression: a systematic review of neuroimaging findings. Biol Mood Anxiety Disord 1(1):10

    Article  PubMed  PubMed Central  Google Scholar 

  • Terman M (2006) Review: light therapy is an effective treatment for seasonal affective disorder. Evid Based Ment Health 9:21

    Article  PubMed  Google Scholar 

  • Terman M, Terman JS, Quitkin FM et al (1989) Light therapy for seasonal affective disorder. A review of efficacy. Neuropsychopharmacology 2:1–22

    Article  CAS  PubMed  Google Scholar 

  • Thompson C, Isaacs G (1988) Seasonal affective disorder–a British sample. Symptomatology in relation to mode of referral and diagnostic subtype. J Affect Disord 14:1–11

    Article  CAS  PubMed  Google Scholar 

  • Tsai HY, Chen KC, Yang YK et al (2011) Sunshine-exposure variation of human striatal dopamine D(2)/D(3) receptor availability in healthy volunteers. Prog Neuro-Psychopharmacol Biol Psychiatry 35:107–110

    Article  CAS  Google Scholar 

  • Tyrer AE, Levitan RD, Houle S et al (2016) Increased seasonal variation in serotonin transporter binding in seasonal affective disorder. Neuropsychopharmacology 41(10):2447–2454

    Google Scholar 

  • Vandewalle G, Hebert M, Beaulieu C et al (2011) Abnormal hypothalamic response to light in seasonal affective disorder. Biol Psychiatry 70:954–961

    Article  PubMed  Google Scholar 

  • Wehr TA, Sack DA, Rosenthal NE (1987) Seasonal affective disorder with summer depression and winter hypomania. Am J Psychiatry 144:1602–1603

    Article  CAS  PubMed  Google Scholar 

  • Willeit M, Praschak-Rieder N, Neumeister A et al (2000) [123I]-beta-CIT SPECT imaging shows reduced brain serotonin transporter availability in drug-free depressed patients with seasonal affective disorder. Biol Psychiatry 47:482–489

    Article  CAS  PubMed  Google Scholar 

  • Willeit M, Sitte HH, Thierry N et al (2008) Enhanced serotonin transporter function during depression in seasonal affective disorder. Neuropsychopharmacology 33:1503–1513

    Article  CAS  PubMed  Google Scholar 

  • Winkler D, Willeit M, Praschak-Rieder N et al (2002) Changes of clinical pattern in seasonal affective disorder (SAD) over time in a German-speaking sample. Eur Arch Psychiatry Clin Neurosci 252:54–62

    Article  CAS  PubMed  Google Scholar 

  • Wirz-Justice A, Bucheli C, Graw P et al (1986) Light treatment of seasonal affective disorder in Switzerland. Acta Psychiatr Scand 74:193–204

    Article  CAS  PubMed  Google Scholar 

  • Witkovsky P (2004) Dopamine and retinal function. Doc Ophthalmol 108:17–40

    Article  PubMed  Google Scholar 

  • Young SN, Leyton M (2002) The role of serotonin in human mood and social interaction. Insight from altered tryptophan levels. Pharmacol Biochem Behav 71:857–865

    Article  CAS  PubMed  Google Scholar 

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Dajić, I., Praschak-Rieder, N., Lanzenberger, R., Spindelegger, C., Kasper, S., Willeit, M. (2021). Neuroimaging in Seasons and Winter Depression. In: Dierckx, R.A., Otte, A., de Vries, E.F.J., van Waarde, A., Sommer, I.E. (eds) PET and SPECT in Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-030-57231-0_6

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