Abstract
The cerebrospinal fluid (CSF) levels of 5-hydroxyindoleacetic acid (5-HIAA) and homovanillic acid (HVA) were determined in 20 patients with endogenous depression before and 2–6 days after a full course of convulsive therapy, the depressive symptoms being simultaneously rated.
-
1.
The level of 5-HIAA was similar to that in previous series of healthy controls while the level of HVA appeared somewhat low.
-
2.
The levels did not change after therapy in spite of considerable clinical improvement.
-
3.
There was no relation between the levels and the severity of the depressive state, nor between changes of the levels and degree of clinical improvement.
-
3.
There was no relation between the levels and the severity of the depressive state, nor between changes of the levels and degree of clinical improvement.
The validity of determination of acid monoamine metabolites in CSF relative to the cerebral turn-over of the amines may be increased, if the elimination of metabolites from CSF is blocked with probenecid.
Similar content being viewed by others
References
Ashcroft, G. W., Crawford, T. B. B., Eccleston, D., Sharman, D. F., MacDougall, E. J., Stanton, J. B., Binns, J. K.: 5-Hydroxyindole compounds in the cerebrospinal fluid of patients with psychiatric or neurological diseases. Lancet 1966 II, 1049–1052.
—, Sharman, D. F.: 5-Hydroxyindoles in human cerebrospinal fluids. Nature (Lond.) 186, 1050–1051 (1960).
Bertaccini, G.: Effect of convulsant treatment on the 5-HT content of brain and other tissues of the rat. J. Neurochem. 4, 217–222 (1959).
Bowers, M. B., Heninger, G. R., Gerbode, F. A.: Cerebrospinal fluid, 5-hydroxyindoleacetic acid and homovanillic acid in psychiatric patients. Int. J. Neuropharm. 8, 255–262 (1969).
Breitner, C., Picchioni, A., Chin, L.: Neurohormone levels in brain after CNS stimulation including electrotherapy. J. Neuropsychiat. 15, 153–158 (1964).
Cronholm, B., Ottosson, J. -O.: Experimental studies of the therapeutic action of electroconvulsive therapy in endogenous depression. The role of the electrical stimulation and of the seizure studied by variation of stimulus intensity and modification by lidocaine of seizure discharge. Acta psychiat. scand. 35, Suppl. 145, 69–101 (1960).
Dencker, S. J., Malm, U., Roos, B.-E., Werdinius, B.: Acid monoamine metabolites of cerebrospinal fluid in mental depression and mania. J. Neurochem. 13, 1545–1548 (1966).
d'Elia, G. (Ed.): Unilateral electroconvulsive therapy. Acta psychiat. scand. 46, Suppl. 215 (1970).
Engel, J., Hanson, L. C. F., Roos, B.-E., Strömbergsson, L.-E.: Effect of electroshock on dopamine metabolism in rat brain. Psychopharmacologia (Berl.) 13, 140–144 (1968).
Garattini, S., Cato, R., Valzelli, L.: Biochemical and pharmacological effects induced by electroshock. Psychiat. et Neurol. (Basel) 140, 190–206 (1960).
—, Valzelli, L.: Serotonin and electroshock. In: S. Garattini and V. Ghetti (Eds.): Psychotropic drugs, pp. 428–436. Amsterdam: Elsevier 1957.
Gottfries, C. G., Gottfries, I., Johansson, B., Olsson, R., Persson, T., Roos, B.-E., Sjöström, R.: Acid monoamine metabolites in human cerebrospinal fluid and their relations to age and sex. J. Neuropharm. (in press).
Laurell, B. (Ed.): Flurothyl convulsive therapy. Acta psychiat. scand. 46, Suppl. 213 (1970).
Roos, B.-E., Sjöström, R.: 5-Hydroxyindolacetic acid (and homovanillic acid) levels in the cerebrospinal fluid after probenecid application in patients with manic-depressive psychosis. Pharmacol. Clin. 1, 153–155 (1969).
Snedecor, S. W.: Statistical methods applied to experiments in agriculture and biology, 5 ed. Iowa: Ames 1956.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Nordin, G., Ottosson, J.O. & Roos, B.E. Influence of convulsive therapy on 5-hydroxyindoleacetic acid and homovanillic acid in cerebrospinal fluid in endogenous depression. Psychopharmacologia 20, 315–320 (1971). https://doi.org/10.1007/BF00403563
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00403563