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Decreased prefrontal 5-HT2A receptor binding in subjects at enhanced risk for schizophrenia
René Hurlemann1, Christian Boy, Philipp T Meyer
1Department of Psychiatry, University of Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany. Rene.Hurlemann@ukb.uni-bonn.de
Abstract:
The brain serotonin-2A receptor (5-HT(2A)R) has been implicated in both the pathology of schizophrenia and the therapeutic action of atypical antipsychotics. However, little is known about the 5-HT(2A)R status before the onset of schizophrenia and before the exposure to antipsychotics. We used [18F] altanserin and positron emission tomography (PET) in a pilot study of 6 individuals suspected to be at elevated risk for schizophrenia and seven age-matched controls to test the hypothesis that regional 5-HT(2A)R binding is altered in the prodromal stages of schizophrenia. Distribution volume ratios (DVRs) as a proxy for 5-HT(2A)R availability were significantly reduced in prefrontal cortex regions of at-risk subjects, implicating early abnormalities of serotonergic neurotransmission that antecede the onset of schizophrenia.
Insights
Brain serotonin-2A receptors (5-HT(2A)R) are reduced in individuals at high risk for schizophrenia. This finding suggests early serotonergic neurotransmission abnormalities precede the disorder
Area of Science:
- Neuroscience
- Psychiatry
- Radiology
Background:
- The serotonin-2A receptor (5-HT(2A)R) is linked to schizophrenia and antipsychotic drug efficacy.
- Limited data exists on 5-HT(2A)R status in schizophrenia's early stages and before antipsychotic treatment.
Purpose of the Study:
- To investigate 5-HT(2A)R availability in individuals at high risk for schizophrenia.
- To determine if altered 5-HT(2A)R binding precedes schizophrenia onset.
Main Methods:
- Pilot study utilizing [18F] altanserin and positron emission tomography (PET).
- Compared 6 at-risk individuals with 7 age-matched controls.
- Measured distribution volume ratios (DVRs) as a measure of 5-HT(2A)R availability.
Main Results:
- Significantly reduced 5-HT(2A)R availability (DVRs) in prefrontal cortex regions of at-risk subjects.
- Indicates early alterations in serotonergic neurotransmission.
Conclusions:
- Prefrontal cortex 5-HT(2A)R availability is reduced in individuals at elevated risk for schizophrenia.
- These findings suggest early serotonergic system abnormalities may precede the clinical manifestation of schizophrenia.
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