Skip to main content
Log in

Inhibitory effect of ritanserin on the 5-hydroxytryptophan-mediated cortisol, ACTH and prolactin secretion in humans

  • Original Investigations
  • Published:
Psychopharmacology Aims and scope Submit manuscript

Abstract

Oral administration of the serotonin (5-HT) precursorl-5-hydroxytryptophan (5-HTP), 200 mg, significantly increased plasma cortisol levels in man.l-5-HTP had no significant effect on the plasma prolactin levels. A borderline effect of 5-HTP on plasma ACTH levels was found. Pretreatment with the 5-HT2/5-HT1C antagonist ritanserin (5 mg, PO, b.i.d. for 2 days) significantly inhibited 5-HTP-induced cortisol secretion. Ritanserin had no effect on the basal plasma cortisol or prolactin levels. These data are suggestive that 5-HTP stimulates cortisol secretion in man via 5-HT2/5-HT1C receptor mechanisms.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Awouters F, Leysen JE, DeClerck F, Van Nueten JM (1982) General pharmacological profile of ketanserin (R 41 468), a selective 5-HT2 receptor antagonist. In: DeClerck F, Vanhouth PM (eds), 5-Hydroxytryptamine in peripheral reactions. Raven Press, New York, pp 193–197

    Google Scholar 

  • Beck-Pecoz P, Ferrari C, Rondena M, Paracchi A, Faglia G (1976) Failure of oral 5-hydroxytryptophan administration to affect prolactin secretion in man. Horm Res 7:303–307

    Google Scholar 

  • Charig EM, Anderson IM, Robinson JM, Nuff DJ, Cowen PJ (1986)l-Tryptophan and prolactin release: evidence for interaction between 5-HT1 and 5-HT2 receptors. Hum Psychopharmacol 1:93–97

    Google Scholar 

  • Delitala G, Masala A, Alagna S, Devilla L, Rovasio P (1977) Inhibition of prolactin release by metergoline administration in man. Biomedicine (Paris) 27:31–33

    Google Scholar 

  • Facchinetti F, Martignon E, Nappi G, Marini S, Petraglia F, Sandrini G, Genazzani AR (1987) Ritanserin, a serotonin-S2 receptor antagonist, does not prevent 5-hydroxytryptophan-induced β-EP, β-LPH and cortisol secretion. Horm Res 27:42–46

    Google Scholar 

  • Ferrari C, Caldara R, Romussi M, Rampini G, Tellolo P, Zaatar S, Curtarelli G (1978) Prolactin suppression by serotonin antagonists in man; further evidence for serotonergic control of prolactin secretion. Neuroendocrinology 25:319–328

    Google Scholar 

  • Flückiger E, del Pozo E (1978) Influence on the endocrine system. In: Berde B, Schild HO (eds) Ergot alkaloids and related compounds. Springer, Berlin Heidelberg New York, pp 615–691

    Google Scholar 

  • Hamik A, Peroutka SJ (1989)l-(m-Chlorophenyl)piperazine (mCPP) interactions with neurotransmitter receptors in the human brain. Biol Psychiatry 25:569–575

    Google Scholar 

  • Hamon M, Fattaccini C-M, Adrien J, Gallissot M-C, Martin P, Gozlan H (1988) Alterations of central serotonin and dopamine-turnover in rats treated with ipsapirone and other 5-hydroxy-tryptamine1A agonists with potential anxiolytic properties. J Pharmacol Exp Ther 246:745–752

    Google Scholar 

  • Handwerger S, Plonk JW, Lebovits HE, Bivins CH, Feldman JM (1975) Failure of 5-hydroxytryptophan to stimulate prolactin and growth hormone secretion in man. Horm Metab Res 7:214–216

    Google Scholar 

  • Heninger GR, Charney DS, Steinberg SE (1984) Serotonergic function in depression. Prolactin response to intravenous tryptophan in depressed patients and healthy subjects. Arch Gen Psychiatry 41:398–402

    Google Scholar 

  • Hoshino Y, Kaneko M, Kumashero H, Tachibana R (1985) Endocrinological function in schizophrenic patients under haloperidol treatment plasma RPL, HGH and 5-HT levels afterl-5-HTP loading. Folia Psychiatr Neurol Jpn 39:25–32

    Google Scholar 

  • Hoyer D (1988) Functional correlates of serotonin 5-HT1 recognition sites. J Recep Res 8:59–81

    Google Scholar 

  • Idzikowksi C, Cowen PJ, Nutt D, Mills FJ (1987) The effects of chronic ritanserin treatment on sleep and the neuroendocrine response tol-tryptophan. Psychopharmacology 93:416–420

    Google Scholar 

  • Jacobsen FM, Sack DA, Wehr TA, Rogwers S, Rosenthal NE (1987) Neuroendocrine response to 5-hydroxytryptophan in seasonal affective disorder. Arch Gen Psychiatry 44:1086–1091

    Google Scholar 

  • Kahn RS, Wetzler S, Asnis GM, Kling MA, Suckow RF, van Praag HM (1990) Effects of m-chlorophenylpiperazine normal subjects: a dose-response study. Psychopharmacology 100:339–344

    Google Scholar 

  • Kato Y, Nakai Y, Imura H, Chihara C, Ohgo S (1974) Effects of 5-hydroxytryptophan on plasma prolactin levels in man. J Clin Endocrinology 38:695–697

    Google Scholar 

  • King BH, Brazell C, Dourish CT, Middlemiss DN (1989) MK-212 increases rat plasma ACTH concentration by activation of 5-HT1C receptor subtype. Neurosci Lett 105:174–176

    Google Scholar 

  • Koenig JI, Gudelsky GA, Meltzer HY (1987) Stimulation of corticosterone and β-endorphin secretion in the rat by selective 5-HT receptor subtype activation. Eur J Pharmacol 137:1–8

    Google Scholar 

  • Koenig JI, Meltzer HY, Gudelsky GA (1988) Hormone responses to selective serotonergic receptor stimulation in the rat. In: Rech RH, Gudelsky GA (eds) 5-HT agonists as psychoactive drugs. NPP Books, Ann Arbor, Michigan, pp 283–298

    Google Scholar 

  • Lancranjan I, Wirz-Justice A, Pühringer W, Del Pozo E (1977) Effect ofl-5-hydroxytryptophan infusion on growth hormone and prolactin secretion in man. J Clin Endocrinol Metab 45:588–593

    Google Scholar 

  • Lesch K-P, Rupprectit R, Poten B, Muller U, Söhule K, Fritze J, Schulte HM (1989) Endocrine responses to 5-HT1A receptor activation by ipsapirone in humans. Biol Psychiatry 26:203–205

    Google Scholar 

  • Leysen JE, Gommeren W, Van Gompel P, Wynants J, Janssen PFM, Laduron PM (1985) Receptor-binding properties in vitro and in vivo of ritanserin a very potent and long acting serotonin-S2 antagonist. Mol Pharmacol 27:600–611

    Google Scholar 

  • Lowy MT, Meltzer HY (1988) Stimulation of serum cortisol and prolactin secretion in man by MK-212, a centrally active serotonin agonist. Biol Psychiatry 23:818–828

    Google Scholar 

  • MacIndoe JH, Turkington RW (1973) Stimulation of human prolacin secretion by intravenous infusion ofl-tryptophan. J Clin Invest 52:1972–1978

    Google Scholar 

  • Maes M, DeRuyter M, Claes R, Bosma G, Suy E (1987) The cortisol responses to 5-hydroxytryptophan, orally, in depressive inpatients. J Affective Disord 13:23–30

    Google Scholar 

  • Maj J, Chojnacka-Wójak E, Tartarczynska E, Klodzinska A (1987) Central actions of ipsapirone, a new anxiolytic drug, on serotonergic, noradrenegic and dopaminergic function. J Neural Transm 70:1–17

    Google Scholar 

  • Mashchak CA, Kletzy OA, Spenser C, Artal R (1983) Transient effect ofl-5-hydroxytryptophan on pituitary function in men and women. J Clin Endocrinol Metab 56:170–176

    Google Scholar 

  • Meltzer HY, Nash JF (1988) Serotonin and mood: neuroendocrine aspects. In: Granten D, Pfaff D (eds), Current topics in neuroendocrinology, Vol 8. Springer, Berlin Heidelberg New York, pp 183–210

    Google Scholar 

  • Meltzer HY, Fleming R, Robertson A (1983a) The effect of buspirone on prolactin and growth hormone secretion in man. Arch Gen Psychiatry 40:1099–1104

    Google Scholar 

  • Meltzer HY, Simonovic M, Gudelsky GA (1983b) Effects of pirenperone and ketanserin on rat prolactin secretion in vivo and in vitro. Eur J Pharmacol 92:83–89

    Google Scholar 

  • Meltzer HY, Umberkomen-Wiita B, Robertson A, Tricou BJ, Lowy M, Perline R (1984) Effect of 5-hydroxytryptophan on serum cortisol levels in the major affective disorders and normal controls. I. Enhanced response in depression and mania. Arch Gen Psychiatry 41:366–374

    Google Scholar 

  • Meltzer HY, Wiita B, Tricou BJ, Simonovic M, Fang V, Manov G (1982) Effect of serotonin precursors and serotonin agonists on plasma hormone levels. In: BT Ho (ed) Serotonin in biological psychiatry. Raven Press, New York, pp 117–138

    Google Scholar 

  • Molineaux SM, Jessell TM, Axel R, Julius D (1989) 5-HT1C receptor is a prominent serotonin receptor subtype in the central nervous system. Proc Natl Acad Sci USA 86:6793–6797

    Google Scholar 

  • Mueller EA, Murphy DL, Sunderland T (1986) Further studies of the putative serotonin agonist, m-chlorophenylpiperazine: evidence for a serotonin receptor-mediated mechanism of action in humans. Psychopharmacology 89:388–391

    Google Scholar 

  • Nash JF, Meltzer HY, Gudelsky GA (1988) Antagonism of serotonin receptor mediated neuroendocrine and temperature responses by atypical neuroleptics in the rats. Eur J Pharmacol 151:463–469

    Google Scholar 

  • Nicholson WE, Davis DR, Sherrel BJ, Orth DN (1984) Rapid radioimmunoassay for corticotropin in unextracted human plasma. Clin Chem Acta 30:259–265

    Google Scholar 

  • Pazos A, Hoyer D, Palacios JM (1984) The binding of serotonergic ligands to the porcine choroid plexus: characterization of a new type of serotonin recognition site. Eur J Pharmacol 106:539–546

    Google Scholar 

  • Peroutka SJ (1985a) Selective interaction of novel anxiolytics with 5-hydroxytryptamine1A receptors. Biol Psychiatry 20:971–979

    Google Scholar 

  • Peroutka SJ (1985b) Selective labeling of 5-HT1A and 5-HT1B binding sites in bovine brain. Brain Res 344:167–171

    Google Scholar 

  • Raleigh MJ (1987) Differential behavior effects of tryptophan and 5-hydroxytryptophan in vervet monkeys: influence of catecholaminergic neurons. Psychopharmacology 93:44–50

    Google Scholar 

  • Rocco A, Graziano DG, Buongiorno T, Proietti A, Giovanni L, Palaschi F (1983) Prolactin response to R41468, a new specific 5-HT2 antagonist. Neuroencocrinol Lett 5:47–53

    Google Scholar 

  • Schmidt AW, Peroutka SJ (1989) 5-Hydroxytryptamine receptor “families”. FASEB J 3:2242–2249

    Google Scholar 

  • Smythe GA, Gleeson RM, Stead BM (1988) Mechanisms of 5-hydroxy-l-tryptophan-induced adrenocorticotropin release: a major role central noradrenergic drive. Neuroendocrinology 47:389–397

    Google Scholar 

  • van Praag HM, Korf J, Lequin RM (1976) An unexpected effect ofl-5-hydroxytryptophan-ethylester combined with a peripheral decarboxylase inhibitor on human serum prolactin. Psychopharmacol Commun 2:369–378

    Google Scholar 

  • Zis AP, Manji HK, Remick RA, Grant BEK, Clark CM (1989) Effect of the 5-HT2 antagonist ketanserin on the ECT-induced prolactin release. Biol Psychiatry 26:102–106

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lee, M.A., Nash, J.F., Barnes, M. et al. Inhibitory effect of ritanserin on the 5-hydroxytryptophan-mediated cortisol, ACTH and prolactin secretion in humans. Psychopharmacology 103, 258–264 (1991). https://doi.org/10.1007/BF02244213

Download citation

  • Received:

  • Revised:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02244213

Key words

Navigation