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Thyroid axis activity and dopamine function in depression.

Fabrice Duval1, Marie-Claude Mokrani1, Alexis Erb1

  • 1APF2R, Rouffach Centre Hospitalier, Pôle 8/9, Rouffach, France.

Psychoneuroendocrinology
|April 11, 2021
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Summary
This summary is machine-generated.

Depression is linked to altered hypothalamic-pituitary-thyroid (HPT) axis and dopamine (DA) function. Findings suggest DA function is unchanged in HPT-dysregulated depression but reduced in those with normal HPT axis activity.

Keywords:
ApomorphineDepressionDopamineHomeostasisThyrotropin (TSH)Thyrotropin-releasing hormone (TRH)

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Area of Science:

  • Neuroendocrinology
  • Psychiatry
  • Molecular Psychiatry

Background:

  • Depression is associated with dysregulation in the hypothalamic-pituitary-thyroid (HPT) axis and dopamine (DA) system.
  • The precise functional interplay between these neuroendocrine and neurotransmitter systems in depression remains unclear.

Purpose of the Study:

  • To investigate the relationship between HPT axis function and dopamine receptor sensitivity in major depressive disorder.
  • To explore how alterations in thyrotropin-releasing hormone (TRH) and DA signaling contribute to depressive states.

Main Methods:

  • Assessed thyrotropin (TSH) response to thyrotropin-releasing hormone (TRH) challenges at different times of day.
  • Measured adrenocorticotropic hormone (ACTH), cortisol, and growth hormone (GH) responses to apomorphine (APO), a DA receptor agonist.
  • Studied 58 drug-free major depressed inpatients and 22 healthy controls.

Main Results:

  • Depressed patients exhibited lower basal 2300h-TSH levels and blunted TSH responses to TRH compared to controls.
  • Cortisol response to APO was reduced in depressed patients.
  • A negative correlation was found between TSH response dynamics and hormonal responses to APO in depressed individuals.
  • Patients with normal HPT axis activity showed decreased DA-receptor function.

Conclusions:

  • Hypothalamic DA function appears unaltered in depressed patients with HPT axis dysregulation.
  • Conversely, DA-receptor function is diminished in depressed patients with a normal HPT axis.
  • These findings highlight the complex interactions between TRH and DA systems in the pathophysiology of depression.