Zusammenfassung
In der Entwicklung der Kausalforschung affektiver Erkrankungen kamen die wichtigsten Impulse aus der Neuropharmakologie. Die Entdeckung der antidepressiven Wirkung von Imipramin durch den Schweizer Psychiater Kuhn und die Beobachtung, daß sich bei 10–20% aller Patienten, die wegen einer Hypertonus mit Reserpin behandelt wurden, ein depressives Syndrom entwickelte, führten zur Noradrenalin-Mangel-Hypothese der Depression. Sie basierte auf pharmakologischen Befunden, nach denen das Antidepressiva Imipramin durch Wiederaufnahmehemmung von Noradrenalin in die präsynaptischen Nervenendigungen dessen postsynaptische Bioverfügbarkeit erhöht. Weiter wurde diese Hypothese durch die pharmakologische Eigenschaft von Reserpin gestützt, das die präsynaptischen Noradrenalinvesikel entspeichert und so nach längerer Anwendung die noradrenerge Neurotransmission vermindert (Abb. 1).
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Literatur
Bardeleben U von, Steiger A, Gerken A, Holsboer F (1986) Pharmacoendocrine and sleep- EEG characteristics of fluoxetine in normal controls. Br J Clin Pract 40 (Suppl 46):34–40
Brunello N, Barbacchia ML, Chuang DM, Costa E (1982) Down-regulation of beta adrenergic receptors following repeated desipramine injection: Permissive role serotonergic axons. Neuropharmacology 21:1145–1149
Bylund DB (1988) Subtypes of alpha2-adrenoceptors: Pharmacological and molecular biological evidence converge. TIPS 9:356–361
Chen CN (1979) Sleep, depression and antidepressants. Br J Psychiatry 135:385–402
Dahlström A, Fuxe K (1964) Evidence for the existence of monoamine containing neurons in the central nervous system. I. Demonstration of monoamines in the cell bodies of brainstem neurons. Acta Physiol Scand 63:1–55
Gibbs DM, Vale W (1983) Effect of the serotonin reuptake inhibitor fluoxetine on corticotropin-releasing factor and vasopressin secretion into hyophyse portal blood. Brain Res 280:176–179
Göthert M (1988) Modulation of transmitter release by presynaptic serotonin receptors. NATO ASI Series 19:55–68
Guldner J, Rothe B, Lauer C, Pollmächer T, Steiger A, Spiegel R, Holsboer F (1991) Effects of a 5-HT3 receptor antagonist on sleep EEG and sleep associated secretion of cortisol and growth hormone. Biol Psychiatry 29:326
Hobson JA, McCarley RW, Wyzinski PW (1975) Sleep cycle oscillation: reciprocal discharge by two brain stem neuronal groups. Science 189:55–58
Holsboer F (1989) Psychiatric implications of altered limbic-hypothalamic-pituitary-adrenocortical activity. Eur Arch Psychiatry Neurol Sci 238:302–322
Kilpatrick GJ, Jones BJ, Tyers MB (1987) Identification and distribution of 5-HT3 receptors in rat brain using radioligand binding. Nature 330:746–748
Laakmann G (1987) Psychoneuroendokrinologie und Depressionsforschung. Springer, Berlin Heidelberg New York Tokyo
Lefkowitz RJ, Caron MG (1988) Adrenergic receptors. Models for the study of receptors coupled to guanine regulatory proteins. J Biol Chem 263:4993–4996
Potter WZ, Scheinin M, Golden RN (1985) Selective antidepressants and cerebrospinal fluid. Arch Gen Psychiatry 42:1171–1177
Pritchett DB, Bach AW, Wozny M, Taleb O, Dal Toso R, Shih J, Seeburg PH (1988) Structure and functional expression of cloned rat serotonin 5-HT-2 receptor. EMBO J 7:4135–4140
Steiger A, Herth T, Holsboer F (1987a) Sleep-electroencephalography and the secretion of cortisol and growth hormone in normal controls. Acta Endocrinologica (Copenh) 116:36–42
Steiger A, Holsboer F, Benkert O (1987b) Effects of brofaromine (CGP 11 305 A), a short- acting, reversible, and selective inhibitor of MAO-A on sleep, nocturnal penile tumescence and nocturnal hormonal secretion in three healthy volunteers. Psychopharmacology 92:110–114
Steiger A, Holsboer F, Benkert O (1988a) Long-term studies on the effect of tricyclic antidepressants and selective MAO-A-inhibitors on sleep, nocturnal penile tumescence and hormonal secretion in normal controls. In: Koella WP, Obál F, Schulz H, Visser P (eds) Sleep 86. G. Fischer, Stuttgart, pp 335–337
Steiger A, Bardeleben U von, Herth T, Holsboer F (1988b) Schlaf-EEG und nächtliche Sekretion von Kortisol und Wachstumshormon bei Patienten mit endogener Depression und gesunden Probanden. In: Beckmann H, Laux G (Hrsg) Biologische Psychiatrie, Springer, Berlin Heidelberg New York Tokyo, S 262–264
Steiger A, Benkert O, Steinseifer D, Wöhrmann S, Holsboer F (1989) Effects of trimipramine on sleep-EEG, penile tumescence (NPT) and nocturnal hormonal secretion. Neuropsychobiology 21:71–75
Vogel GW, Thasmond A, Gibbons R, Sloan K, Boyd M, Walkerm (1975) REM sleep reduction effects on depressive syndromes. Arch Gen Psychiatry 32:765–777
Weitzmann ED (1976) Circadian rhythms and episodic hormone secretion in man. Ann Rev Med 27:225–243
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Steiger, A., von Bardeleben, U., Holsboer, F. (1991). Neurobiologische Grundlagen der „Spezifität“ verschiedener Antidepressiva. In: Hippius, H., Laakmann, G. (eds) Depressionstherapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77105-7_9
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