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Abnormal peripheral benzodiazepine receptor density associated with generalized social phobia
M R Johnson1, D Marazziti, O Brawman-Mintzer
1Department of Psychiatry, Medical University of South Carolina, Charleston 29451, USA.
Generalized social phobia (GSP) patients exhibit significantly lower peripheral benzodiazepine receptor (PBR) density on platelets compared to controls. This finding suggests PBRs may be involved in the pathophysiology of GSP and other anxiety disorders.
Area of Science:
- Neuroscience
- Psychiatry
- Pharmacology
Background:
- Peripheral benzodiazepine receptors (PBRs) are implicated in stress response regulation.
- Reduced platelet PBRs are observed in panic disorder, PTSD, and generalized anxiety disorder.
- Patients with OCD and MDD do not show this PBR abnormality.
Purpose of the Study:
- To investigate PBR density on platelets in patients with generalized social phobia (GSP).
Main Methods:
- Quantified PBR density (Bmax) and dissociation constant (Kd) on platelets.
- Studied 53 medication-free patients with GSP and 53 matched controls.
Main Results:
- GSP patients displayed significantly lower PBR Bmax compared to controls (2764 vs. 4327 fmol/mg protein).
- Statistical significance was highly robust (p = .00001).
Conclusions:
- GSP shares the PBR abnormality with certain anxiety disorders.
- This contrasts with findings in OCD and MDD.
- PBRs may contribute to the underlying mechanisms of some anxiety disorders.
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