1. Serotonin release measured in the human brain: a PET study with [ 11 C]CIMBI-36 and d-amphetamine challenge.
- Author
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Erritzoe D, Ashok AH, Searle GE, Colasanti A, Turton S, Lewis Y, Huiban M, Moz S, Passchier J, Saleem A, Beaver J, Lingford-Hughes A, Nutt DJ, Howes OD, Gunn RN, Knudsen GM, and Rabiner EA
- Subjects
- Adult, Benzylamines pharmacology, Brain drug effects, Central Nervous System Stimulants blood, Central Nervous System Stimulants pharmacology, Dextroamphetamine blood, Dextroamphetamine pharmacology, Humans, Male, Phenethylamines pharmacology, Serotonin 5-HT2 Receptor Agonists pharmacology, Young Adult, Brain metabolism, Positron-Emission Tomography methods, Serotonin metabolism
- Abstract
Positron emission tomography (PET) enables non-invasive estimation of neurotransmitter fluctuations in the living human brain. While these methods have been applied to dopamine and some other transmitters, estimation of 5-hydroxytryptamine (5-HT; Serotonin) release has proved to be challenging. Here we demonstrate the utility of the novel 5-HT2A receptor agonist radioligand, [
11 C]CIMBI-36, and a d-amphetamine challenge to evaluate synaptic 5-HT changes in the living human brain. Seventeen healthy male volunteers received [11 C]CIMBI-36 PET scans before and 3 h after an oral dose of d-amphetamine (0.5 mg/kg). Dynamic PET data were acquired over 90 min, and the total volume of distribution (VT ) in the frontal cortex and the cerebellum derived from a kinetic analysis using MA1. The frontal cortex binding potential (BPND frontal ) was calculated as (VT frontal /VT cerebellum ) - 1. ∆BPND frontal = 1 - (BPND frontal post-dose/BPND C]CIMBI-36 binding is sensitive to synaptic serotonin release in the human brain, and when combined with a d-amphetamine challenge, the evaluation of the human brain serotonin system in neuropsychiatric disorders, such as major depression and Parkinson's disease is enabled.frontal baseline) was used as an index of 5-HT release. Statistical inference was tested by means of a paired Students t-test evaluating a reduction in post-amphetamine [11 C]CIMBI-36 BPND frontal . Following d-amphetamine administration, [11 C]CIMBI-36 BPND frontal was reduced by 14 ± 13% (p = 0.002). Similar effects were observed in other cortical regions examined in an exploratory analysis. [11 C]CIMBI-36 binding is sensitive to synaptic serotonin release in the human brain, and when combined with a d-amphetamine challenge, the evaluation of the human brain serotonin system in neuropsychiatric disorders, such as major depression and Parkinson's disease is enabled.- Published
- 2020
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