Reduced Serotonin-1A Receptor Binding in Social Anxiety Disorder

Results from studies in serotonin-1A (5-HT 1A) knockout mice and previous positron emission tomography (PET) studies in humans imply a role for 5-HT 1A receptors in normal state anxiety as well as in certain anxiety disorders. The objective of this study was to investigate 5-HT 1A receptor binding p...

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Published inBiological psychiatry (1969) Vol. 61; no. 9; pp. 1081 - 1089
Main Authors Lanzenberger, Rupert R., Mitterhauser, Markus, Spindelegger, Christoph, Wadsak, Wolfgang, Klein, Nikolas, Mien, Leonhard-Key, Holik, Alexander, Attarbaschi, Trawat, Mossaheb, Nilufar, Sacher, Julia, Geiss-Granadia, Thomas, Kletter, Kurt, Kasper, Siegfried, Tauscher, Johannes
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.05.2007
Elsevier Science
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Abstract Results from studies in serotonin-1A (5-HT 1A) knockout mice and previous positron emission tomography (PET) studies in humans imply a role for 5-HT 1A receptors in normal state anxiety as well as in certain anxiety disorders. The objective of this study was to investigate 5-HT 1A receptor binding potential (BP) in social anxiety disorder (SAD). Using PET and [carbonyl- 11C]WAY-100635, we compared a homogeneous group of 12 unmedicated, male SAD patients with 18 healthy control subjects (HC). A multivariate ANOVA with all regional BP values as dependent variables, age and four radiochemical variables as covariates was performed. We found a significantly lower 5-HT 1A BP in several limbic and paralimbic areas but not in the hippocampus (p = .234) of SAD patients. The difference in 5-HT 1A binding was most significant in the amygdala (−21.4%; p = .003). There was also a more than 20% lower 5-HT 1A BP of SAD patients in the anterior cingulate cortex (p = .004), insula (p = .003), and dorsal raphe nuclei (p = .030). The lower 5-HT 1A binding in the amygdala and mesiofrontal areas of SAD patients is consistent with 1) preclinical findings of elevated anxiety in 5-HT 1A knockout mice, 2) a previous PET study in healthy volunteers showing an inverse correlation between 5-HT 1A BP and state anxiety, and 3) another human PET study in patients with panic disorder showing reduced 5-HT 1A binding, thus corroborating the potential validity of 5-HT 1A receptors as targets in the treatment of human anxiety disorders.
AbstractList Results from studies in serotonin-1A (5-HT 1A) knockout mice and previous positron emission tomography (PET) studies in humans imply a role for 5-HT 1A receptors in normal state anxiety as well as in certain anxiety disorders. The objective of this study was to investigate 5-HT 1A receptor binding potential (BP) in social anxiety disorder (SAD). Using PET and [carbonyl- 11C]WAY-100635, we compared a homogeneous group of 12 unmedicated, male SAD patients with 18 healthy control subjects (HC). A multivariate ANOVA with all regional BP values as dependent variables, age and four radiochemical variables as covariates was performed. We found a significantly lower 5-HT 1A BP in several limbic and paralimbic areas but not in the hippocampus (p = .234) of SAD patients. The difference in 5-HT 1A binding was most significant in the amygdala (−21.4%; p = .003). There was also a more than 20% lower 5-HT 1A BP of SAD patients in the anterior cingulate cortex (p = .004), insula (p = .003), and dorsal raphe nuclei (p = .030). The lower 5-HT 1A binding in the amygdala and mesiofrontal areas of SAD patients is consistent with 1) preclinical findings of elevated anxiety in 5-HT 1A knockout mice, 2) a previous PET study in healthy volunteers showing an inverse correlation between 5-HT 1A BP and state anxiety, and 3) another human PET study in patients with panic disorder showing reduced 5-HT 1A binding, thus corroborating the potential validity of 5-HT 1A receptors as targets in the treatment of human anxiety disorders.
Background Results from studies in serotonin-1A (5-HT1A ) knockout mice and previous positron emission tomography (PET) studies in humans imply a role for 5-HT1A receptors in normal state anxiety as well as in certain anxiety disorders. The objective of this study was to investigate 5-HT1A receptor binding potential (BP) in social anxiety disorder (SAD). Methods Using PET and [carbonyl-11 C]WAY-100635, we compared a homogeneous group of 12 unmedicated, male SAD patients with 18 healthy control subjects (HC). A multivariate ANOVA with all regional BP values as dependent variables, age and four radiochemical variables as covariates was performed. Results We found a significantly lower 5-HT1A BP in several limbic and paralimbic areas but not in the hippocampus (p = .234) of SAD patients. The difference in 5-HT1A binding was most significant in the amygdala (−21.4%; p = .003). There was also a more than 20% lower 5-HT1A BP of SAD patients in the anterior cingulate cortex (p = .004), insula (p = .003), and dorsal raphe nuclei (p = .030). Conclusions The lower 5-HT1A binding in the amygdala and mesiofrontal areas of SAD patients is consistent with 1) preclinical findings of elevated anxiety in 5-HT1A knockout mice, 2) a previous PET study in healthy volunteers showing an inverse correlation between 5-HT1A BP and state anxiety, and 3) another human PET study in patients with panic disorder showing reduced 5-HT1A binding, thus corroborating the potential validity of 5-HT1A receptors as targets in the treatment of human anxiety disorders.
Background Results from studies in serotonin-1A (5-HT sub(1A)) knockout mice and previous positron emission tomography (PET) studies in humans imply a role for 5-HT sub(1A) receptors in normal state anxiety as well as in certain anxiety disorders. The objective of this study was to investigate 5-HT sub(1A) receptor binding potential (BP) in social anxiety disorder (SAD). Methods Using PET and [carbonyl- super(11)C]WAY-100635, we compared a homogeneous group of 12 unmedicated, male SAD patients with 18 healthy control subjects (HC). A multivariate ANOVA with all regional BP values as dependent variables, age and four radiochemical variables as covariates was performed. Results We found a significantly lower 5-HT sub(1A) BP in several limbic and paralimbic areas but not in the hippocampus (p = .234) of SAD patients. The difference in 5-HT sub(1A) binding was most significant in the amygdala (-21.4%; p = .003). There was also a more than 20% lower 5-HT sub(1A) BP of SAD patients in the anterior cingulate cortex (p = .004), insula (p = .003), and dorsal raphe nuclei (p = .030). Conclusions The lower 5-HT1A binding in the amygdala and mesiofrontal areas of SAD patients is consistent with 1) preclinical findings of elevated anxiety in 5-HT1A knockout mice, 2) a previous PET study in healthy volunteers showing an inverse correlation between 5-HT1A BP and state anxiety, and 3) another human PET study in patients with panic disorder showing reduced 5-HT1A binding, thus corroborating the potential validity of 5-HT1A receptors as targets in the treatment of human anxiety disorders.
Results from studies in serotonin-1A (5-HT1A) knockout mice and previous positron emission tomography (PET) studies in humans imply a role for 5-HT1A receptors in normal state anxiety as well as in certain anxiety disorders. The objective of this study was to investigate 5-HT1A receptor binding potential (BP) in social anxiety disorder (SAD). Using PET and [carbonyl-11C]WAY-100635, we compared a homogeneous group of 12 unmedicated, male SAD patients with 18 healthy control subjects (HC). A multivariate ANOVA with all regional BP values as dependent variables, age and four radiochemical variables as covariates was performed. We found a significantly lower 5-HT1A BP in several limbic and paralimbic areas but not in the hippocampus (p = .234) of SAD patients. The difference in 5-HT1A binding was most significant in the amygdala (-21.4%; p = .003). There was also a more than 20% lower 5-HT(1A) BP of SAD patients in the anterior cingulate cortex (p = .004), insula (p = .003), and dorsal raphe nuclei (p = .030). The lower 5-HT1A binding in the amygdala and mesiofrontal areas of SAD patients is consistent with 1) preclinical findings of elevated anxiety in 5-HT1A knockout mice, 2) a previous PET study in healthy volunteers showing an inverse correlation between 5-HT1A BP and state anxiety, and 3) another human PET study in patients with panic disorder showing reduced 5-HT1A binding, thus corroborating the potential validity of 5-HT1A receptors as targets in the treatment of human anxiety disorders.
Results from studies in serotonin-1A (5-HT1A) knockout mice and previous positron emission tomography (PET) studies in humans imply a role for 5-HT1A receptors in normal state anxiety as well as in certain anxiety disorders. The objective of this study was to investigate 5-HT1A receptor binding potential (BP) in social anxiety disorder (SAD).BACKGROUNDResults from studies in serotonin-1A (5-HT1A) knockout mice and previous positron emission tomography (PET) studies in humans imply a role for 5-HT1A receptors in normal state anxiety as well as in certain anxiety disorders. The objective of this study was to investigate 5-HT1A receptor binding potential (BP) in social anxiety disorder (SAD).Using PET and [carbonyl-11C]WAY-100635, we compared a homogeneous group of 12 unmedicated, male SAD patients with 18 healthy control subjects (HC). A multivariate ANOVA with all regional BP values as dependent variables, age and four radiochemical variables as covariates was performed.METHODSUsing PET and [carbonyl-11C]WAY-100635, we compared a homogeneous group of 12 unmedicated, male SAD patients with 18 healthy control subjects (HC). A multivariate ANOVA with all regional BP values as dependent variables, age and four radiochemical variables as covariates was performed.We found a significantly lower 5-HT1A BP in several limbic and paralimbic areas but not in the hippocampus (p = .234) of SAD patients. The difference in 5-HT1A binding was most significant in the amygdala (-21.4%; p = .003). There was also a more than 20% lower 5-HT(1A) BP of SAD patients in the anterior cingulate cortex (p = .004), insula (p = .003), and dorsal raphe nuclei (p = .030).RESULTSWe found a significantly lower 5-HT1A BP in several limbic and paralimbic areas but not in the hippocampus (p = .234) of SAD patients. The difference in 5-HT1A binding was most significant in the amygdala (-21.4%; p = .003). There was also a more than 20% lower 5-HT(1A) BP of SAD patients in the anterior cingulate cortex (p = .004), insula (p = .003), and dorsal raphe nuclei (p = .030).The lower 5-HT1A binding in the amygdala and mesiofrontal areas of SAD patients is consistent with 1) preclinical findings of elevated anxiety in 5-HT1A knockout mice, 2) a previous PET study in healthy volunteers showing an inverse correlation between 5-HT1A BP and state anxiety, and 3) another human PET study in patients with panic disorder showing reduced 5-HT1A binding, thus corroborating the potential validity of 5-HT1A receptors as targets in the treatment of human anxiety disorders.CONCLUSIONSThe lower 5-HT1A binding in the amygdala and mesiofrontal areas of SAD patients is consistent with 1) preclinical findings of elevated anxiety in 5-HT1A knockout mice, 2) a previous PET study in healthy volunteers showing an inverse correlation between 5-HT1A BP and state anxiety, and 3) another human PET study in patients with panic disorder showing reduced 5-HT1A binding, thus corroborating the potential validity of 5-HT1A receptors as targets in the treatment of human anxiety disorders.
Author Mien, Leonhard-Key
Kletter, Kurt
Tauscher, Johannes
Klein, Nikolas
Lanzenberger, Rupert R.
Wadsak, Wolfgang
Sacher, Julia
Mossaheb, Nilufar
Spindelegger, Christoph
Holik, Alexander
Kasper, Siegfried
Attarbaschi, Trawat
Mitterhauser, Markus
Geiss-Granadia, Thomas
Author_xml – sequence: 1
  givenname: Rupert R.
  surname: Lanzenberger
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  organization: Department of General Psychiatry, Medical University of Vienna, Vienna, Austria
– sequence: 2
  givenname: Markus
  surname: Mitterhauser
  fullname: Mitterhauser, Markus
  organization: Department of Nuclear Medicine, Medical University of Vienna, Vienna, Austria
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  surname: Spindelegger
  fullname: Spindelegger, Christoph
  organization: Department of General Psychiatry, Medical University of Vienna, Vienna, Austria
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  surname: Wadsak
  fullname: Wadsak, Wolfgang
  organization: Department of Nuclear Medicine, Medical University of Vienna, Vienna, Austria
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  organization: Department of General Psychiatry, Medical University of Vienna, Vienna, Austria
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  surname: Mien
  fullname: Mien, Leonhard-Key
  organization: Department of Nuclear Medicine, Medical University of Vienna, Vienna, Austria
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  surname: Holik
  fullname: Holik, Alexander
  organization: Department of General Psychiatry, Medical University of Vienna, Vienna, Austria
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  organization: Department of General Psychiatry, Medical University of Vienna, Vienna, Austria
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  surname: Mossaheb
  fullname: Mossaheb, Nilufar
  organization: Department of General Psychiatry, Medical University of Vienna, Vienna, Austria
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  givenname: Julia
  surname: Sacher
  fullname: Sacher, Julia
  organization: Department of General Psychiatry, Medical University of Vienna, Vienna, Austria
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  fullname: Geiss-Granadia, Thomas
  organization: Department of General Psychiatry, Medical University of Vienna, Vienna, Austria
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  givenname: Kurt
  surname: Kletter
  fullname: Kletter, Kurt
  organization: Department of Nuclear Medicine, Medical University of Vienna, Vienna, Austria
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  surname: Kasper
  fullname: Kasper, Siegfried
  organization: Department of General Psychiatry, Medical University of Vienna, Vienna, Austria
– sequence: 14
  givenname: Johannes
  surname: Tauscher
  fullname: Tauscher, Johannes
  organization: Department of General Psychiatry, Medical University of Vienna, Vienna, Austria
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https://www.ncbi.nlm.nih.gov/pubmed/16979141$$D View this record in MEDLINE/PubMed
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Issue 9
Keywords anxiety
serotonin
Affective disorders
social phobia
5-HT 1A
PET
STAI
Radionuclide study
Mood disorder
Affect affectivity
Serotonin
Social phobia
Anxiety disorder
Affective disorder
5-HT1A Serotonine receptor
5TAl
Neurotransmitter
5-HT1A
Anxiety
Positron emission tomography
Emission tomography
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Snippet Results from studies in serotonin-1A (5-HT 1A) knockout mice and previous positron emission tomography (PET) studies in humans imply a role for 5-HT 1A...
Background Results from studies in serotonin-1A (5-HT1A ) knockout mice and previous positron emission tomography (PET) studies in humans imply a role for...
Results from studies in serotonin-1A (5-HT1A) knockout mice and previous positron emission tomography (PET) studies in humans imply a role for 5-HT1A receptors...
Background Results from studies in serotonin-1A (5-HT sub(1A)) knockout mice and previous positron emission tomography (PET) studies in humans imply a role for...
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SubjectTerms 5-HT 1A
Adult
Adult and adolescent clinical studies
Affective disorders
anxiety
Anxiety disorders. Neuroses
Biological and medical sciences
Brain - diagnostic imaging
Brain Chemistry - physiology
Humans
Magnetic Resonance Imaging
Male
Medical sciences
PET
Phobia
Phobic Disorders - diagnostic imaging
Phobic Disorders - metabolism
Phobic Disorders - psychology
Piperazines
Positron-Emission Tomography
Psychiatric Status Rating Scales
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Pyridines
Receptor, Serotonin, 5-HT1A - metabolism
serotonin
Serotonin Antagonists
social phobia
STAI
Title Reduced Serotonin-1A Receptor Binding in Social Anxiety Disorder
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https://www.ncbi.nlm.nih.gov/pubmed/16979141
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