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

Anatomy and Embryology
|September 28, 2005
PubMed

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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