319 Adrenergic receptor function in depression* A. FRAZER, G. PANDBY, Y.-C. WANG, M. HESS and J. MENDELS Affective Diseases Research Unit, Veterans Administration Hospital and Departments of Psychiatry and Pharmacology, University of Pennsylvania, Philadelphia, Pennsylvania, U.S.A. The adenylate cyclase-adenosine 3’,5’-monophosphate (cyclic AMP) system probably plays an important role in brain function. Consequently, investigators have attempted to examine the activity of this system in patients with affective disorders, by measurement of the urinary excretion of cyclic AMP or its concentration in lumbar fluid. We have employed a different strategy to explore the possible role of this system in affective illness, and propose to summarize the results of three related experiments: (1). The level of act& of adenylate cyclase in intact platelets from eleven depressed male patients (Hamilton score of 24 & 2; x f SEM) was compared with its activity measured in platelets obtained from eight male normal control subjects. Prostaglandin E1 (PGE,) was added in vitro to stimulate enzyme activity and the inhibitory effect of norepinephrine (NE) on this stimulation was observed. There was no sianificant difference in the basal uercent conversion of (3H) nucleotides to (3H) cvclic AMP between the depre the dose-dependent reduction of PGE,stimulated enzyme activity caused by NE was also the same in both groups of subjects. (2) We examined the effect of therapeutic concentrations of lithium (Li) in vitro on adenylate cyclase activity in intact platelets. Li produced a dose-dependent inhibition of the stimulatory effect of PGE, (2 x 1O-6 M) on (3H) cvclic AMP net svnthesis without alter& the basal net svnthesis of the labelled nucleotide. As little as 1 mM Li signitlcantli reduced the stimulato;y effect of PG’E;. This effect was specific to Li as other monovalent cations (sodium, potassium, or rubidium) did not alter PGE,-stimulated enzyme activity. (3) We investigated the effects of a combination of imipramine and Tri-idothyronine (T$ on brain adenylate cyclase, in order to determine whether this might explain the reported therapeutic advantage of combining imipramine with T8 in the treatment of depression. Male rats were injected with either Ts (15 pg), or imipramine (20 mg/kg) or T8 plus imipramine, for 5 consecutive days. Cerebral cortex slices obtained from these animals were incubated with (%I)-adenine and the production of radioactive cyclic AMP in the slices was measured. Results obtained were as follows : (a) none of the treatments altered basal net synthesis of ($H) cyclic AMP; (b) imipramine treatment significantly reduced the stimulatory effect of NE on (%I) cyclic AMP net synthesis; (c) T, treatment did not alter the stimulation produced by NE in this system; (d) the combination of T3 plus imipramine reduced the stimulatory effect of NE. However, the degree of inhibition was less than that observed with imipramine alone. The relevance of the results from these three sets of experiments for the postulated deficit in adrenergic receptors in depression will be discussed together with the signiticance of the interaction of lithium with hormone-stimulated adenylate cyclase. Neuroendocrine strategies in psychobiological research EDWARD J. SACHAR Bronx Municipal Hospital, Bronx, New York, U.S.A. Exciting research of the past 5 yr has established that the hypothalamic neuroendocrine cells which secrete the releasing factors for the anterior pituitary hormones are themselves regulated by monoaminergic neurones. For example, proiactin secretion is regulated by Prolactin Inhibiting Factor (PIF), which in turn * Supported in part by Research Funds from the Veterans Administration.
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