Psychopharmacology

, Volume 88, Issue 4, pp 496–499 | Cite as

Diurnal rhythm of plasma beta endorphin, cortisol and growth hormone in schizophrenics as compared to control subjects

  • I. Gil-Ad
  • Z. Dickerman
  • S. Amdursky
  • Z. Laron
Original Investigations

Abstract

The diurnal variation of plasma beta endorphin was studied in ten schizophrenics, and in age/sex matched control subjects. In the controls beta endorphin was high in the morning (21.0±3.5 pmol/l) and decreased towards evening. In the schizophrenic group the beta endorphin fluctuated randomly, ranging within 9–40 pmol/l throughout the day. Plasma cortisol showed a normal diurnal pattern in both groups. The mean plasma cortisol levels in the schizophrenics were significantly higher than in the controls throughout the day. The pattern of plasma human growth hormone (hGH) level was similar in both groups at the time tested. It is hypothesized that the instability of beta endorphin secretion may contribute to the pathogenesis of schizophrenia.

Key words

Circadian rhythm Beta endorphin Cortisol Growth hormone Schizophrenics 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Berger PA, Watson SY, Akil H, Elliott GK, Rubin RT, Pfefferbaum A, Davis KL, Barchas JD, Li CH (1980) Beta endorphin and schizophrenia. Arch Gen Psychiatry 37:635–640Google Scholar
  2. Brambilla F, Gennazzani A, Faccinetti F (1984) Endogenous opioid peptides in schizophrenia and affective disorders. In: Shah NS, Donald AG (eds) Psychoneuroendocrine dysfunction. Plenum Medical Book Co., New York, pp 309–329Google Scholar
  3. Brown GM, Garfinkel PE, Grof E, Grof P, Cleghorn JM, Brown P (1983) A critical appraisal of neuroendocrine approaches to psychiatric disorders. In: Muller EE, MacLeod RM (eds) Neuroendocrine perspectives, vol. 2. Elsevier Sci Publ BY, pp 329–364Google Scholar
  4. Dent RRM, Guilleminault C, Albert LH, Posner BI, Cox BM, Goldstein A (1981) Diurnal rhythm of plasma immunoreactive beta endorphin and its relationship to sleep stages and plasma rhythms of cortisol and prolactin. J Clin Endocrinol Metab 52:942–947Google Scholar
  5. Domschke W, Dickshas A, Mitznegg P (1979) CSF beta endorphin in schizophrenia. Lancet I:1024Google Scholar
  6. Emrich H, Hollt V, Kissling W, Fischler M, Laspe H, Heinemann H, Von Zerssen D, Herz A (1979) Beta endorphin like immunoreactivity in cerebrospinal fluid and plasma of patients with schizophrenia and other neuropsychiatric disorders. Pharmakopsychiatrie 12:269–276Google Scholar
  7. Farsang C, Vajda L, Kapocsi J, Malisaki Z, Alfoldi S, Varga K, Kunos G (1983) Diurnal rhythm of beta endorphin in normotensive and hypertensive patients: the effect of clonidine. J Clin Endocrinol Metab 56:865–867Google Scholar
  8. Ferrier N, Johnstone C, Crow TJ, Rincon Rodriguez I (1983) Anterior pituitary hormone secretion in chronic schizophrenia. Arch Gen Psychiatry 40:755–761Google Scholar
  9. Gil-Ad I, Dickerman Z, Weitzman R, Weitzman A, Tyano S, Laron Z (1981) Abnormal GH response to LRH and TRH in adolescent schizophrenic patients. Am J Psychiatry 138:357–361Google Scholar
  10. Gruen PH (1978) Endocrine changes in psychiatric diseases. Med Clin North Am 62:285–296Google Scholar
  11. Guillemin R, Varga T, Rossier J, Minick S, Ling N, Rivier C, Vale W, Bloom F (1977) Beta endorphin and adrenocorticotropin are secreted concomitantly by the pituitary gland. Science 197:1367–1369Google Scholar
  12. Jacquet YF (1980) Beta endorphin, blood brain barrier and schizophrenia. Lancet I:831Google Scholar
  13. Kline NS, Li CH, Lehmann HE, Laytha A, Laski E, Cooper T (1977) Beta endorphin induced changes in schizophrenic and depressed patients. Arch Gen Psychiatry 34:1111–1113Google Scholar
  14. Rapoport SI, Klee WA, Pettigrew KD, Ohno K (1980) Entry of opioid peptides into the central nervous system. Science 207:84–86Google Scholar
  15. Spiegel MR (1981) Theory and problems of statistics. McGraw Hill Book Co., New YorkGoogle Scholar
  16. Spitzer RL, Endicott J, Robins E (1975) Research Diagnostic Criteria (RDC) for a selected group of functional disorders, 2nd ed. New York State Psychiatric Institute, Biometrics Research, New YorkGoogle Scholar
  17. Terenius L, Wahlstrom A, Lindstrom L, Widerlon E (1976) Increased CSF levels of endorphins in chronic psychosis. Neurosci Lett 3:157–162PubMedGoogle Scholar
  18. Van Ree JM, De Wied D (1981) Endorphins in schizophrenia. Neuropharmacology 20:1271–1277Google Scholar
  19. Verhoeven WMA, Van Praag HM, De Jong JTVM (1981) Use of naloxone in schizophrenic psychoses and manic syndromes. Neuropsychobiology 7:159–168Google Scholar

Copyright information

© Springer-Verlag 1986

Authors and Affiliations

  • I. Gil-Ad
    • 1
  • Z. Dickerman
    • 1
  • S. Amdursky
    • 1
  • Z. Laron
    • 1
  1. 1.Institute of Pediatric and Adolescent Endocrinology, Beilinson Medical Center and Sackler Faculty of MedicineTel Aviv UniversityIsrael

Personalised recommendations