HPA-axis hormones and prolactin responses to dextro-fenfluramine in depressed patients and healthy controls

Prog Neuropsychopharmacol Biol Psychiatry. 1991;15(6):781-90. doi: 10.1016/0278-5846(91)90007-n.

Abstract

1. Like other authors we have established disturbances in central serotonergic neurotransmission in severely depressed patients by implementing hypothalamic pituitary adrenal (HPA)-axis hormones and prolactin responses to serotonin agonists or precursors. 2. Challenge probes with D,L fenfluramine have yielded controversial results. This substance, however, is not as serotonin-selective as previously believed. 3. Dextro(D)-fenfluramine, the dextrorotatory isomer of fenfluramine, constitutes a specific and potent serotonergic agonist. 4. In the present study the authors determined the following in healthy volunteers, and in depressed inpatients: the adrenocorticotropic hormone (ACTH), beta endorphin, prolactin and cortisol responses to D-fenfluramine administration (45 mg orally), total L-tryptophan and the 8 a.m. postdexamethasone cortisol values. 5. We found no significant differences in any of the post-D-fenfluramine hormone levels across healthy controls, minor, simple major and melancholic depressives. There were no significant correlations between L-tryptophan or postdexamethasone cortisol on the one hand, and any of the post-D-fenfluramine hormone values on the other.

MeSH terms

  • Adrenocorticotropic Hormone / blood
  • Brain Chemistry / drug effects
  • Depressive Disorder / blood*
  • Depressive Disorder / drug therapy
  • Depressive Disorder / psychology
  • Dexamethasone
  • Endorphins / blood
  • Fenfluramine / adverse effects*
  • Fenfluramine / therapeutic use
  • Hormones / blood*
  • Humans
  • Hypothalamo-Hypophyseal System / physiology*
  • Pituitary-Adrenal System / physiology*
  • Prolactin / blood*
  • Psychiatric Status Rating Scales
  • Serotonin / physiology
  • Stereoisomerism
  • Tryptophan / metabolism

Substances

  • Endorphins
  • Hormones
  • Fenfluramine
  • Serotonin
  • Dexamethasone
  • Tryptophan
  • Adrenocorticotropic Hormone
  • Prolactin