Cortical serotonin 1A receptor levels are associated with depression in patients with dementia with Lewy bodies and Parkinson's disease dementia

Dement Geriatr Cogn Disord. 2008;26(4):330-8. doi: 10.1159/000161058. Epub 2008 Oct 8.

Abstract

Background: Serotonin 1A receptors (5-HT(1A)) have not been studied in dementia with Lewy bodies (DLB) or Parkinson's disease dementia (PDD) patients with depression.

Aim: To examine 5-HT(1A) in DLB and PDD postmortem in relation to depression.

Methods: [(3)H]8-hydroxy-2-dipropylaminotetralin binding to 5-HT(1A) was determined in temporal cortex (Brodmann areas, BA20 and BA36) from 10 DLB patients, 17 PDD patients and 9 controls.

Results: 5-HT(1A) density was significantly higher in BA36 in combined DLB/PDD patients with depression, but was unaltered in BA20.

Conclusion: Higher BA36 5-HT(1A) density in PDD and DLB patients than in control is dependent on whether the patient had experienced depression during life, not DLB/PDD diagnosis. A 5-HT(1A) antagonist adjuvant may improve treatment of depression in dementia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 8-Hydroxy-2-(di-n-propylamino)tetralin / metabolism
  • 8-Hydroxy-2-(di-n-propylamino)tetralin / pharmacokinetics
  • Aged
  • Aged, 80 and over
  • Antidepressive Agents / therapeutic use
  • Antiparkinson Agents / therapeutic use
  • Autopsy
  • Cerebral Cortex / metabolism*
  • Dementia / complications
  • Dementia / metabolism*
  • Dementia / psychology*
  • Depression / etiology
  • Depression / metabolism*
  • Depression / psychology*
  • Female
  • Humans
  • Levodopa / therapeutic use
  • Lewy Body Disease / complications
  • Lewy Body Disease / metabolism*
  • Lewy Body Disease / psychology*
  • Male
  • Middle Aged
  • Parkinson Disease / complications*
  • Parkinson Disease / psychology*
  • Receptor, Serotonin, 5-HT1A / metabolism*
  • Serotonin Receptor Agonists / metabolism
  • Serotonin Receptor Agonists / pharmacokinetics
  • Temporal Lobe / metabolism

Substances

  • Antidepressive Agents
  • Antiparkinson Agents
  • Serotonin Receptor Agonists
  • Receptor, Serotonin, 5-HT1A
  • Levodopa
  • 8-Hydroxy-2-(di-n-propylamino)tetralin