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The effect of early trauma exposure on serotonin type 1B receptor expression revealed by reduced selective radioligand binding.
CONTEXTSerotonergic dysfunction is implicated in the pathogenesis of posttraumatic stress disorder (PTSD), and recent animal models suggest that disturbances in serotonin type 1B receptor function, in particular, may contribute to chronic anxiety. However, the specific role of the serotonin type 1B receptor has not been studied in patients with PTSD.
OBJECTIVETo investigate in vivo serotonin type 1B receptor expression in individuals with PTSD, trauma-exposed control participants without PTSD (TC), and healthy (non-trauma-exposed) control participants (HC) using positron emission tomography and the recently developed serotonin type 1B receptor selective radiotracer [(11)C]P943.
DESIGNCross-sectional positron emission tomography study under resting conditions.
SETTINGAcademic and Veterans Affairs medical centers.
PARTICIPANTSNinety-six individuals in 3 study groups: PTSD (n = 49), TC (n = 20), and HC (n = 27). Main Outcome Measure Regional [(11)C]P943 binding potential (BP(ND)) values in an a priori-defined limbic corticostriatal circuit investigated using multivariate analysis of variance and multiple regression analysis.
RESULTSA history of severe trauma exposure in the PTSD and TC groups was associated with marked reductions in [(11)C]P943 BP(ND) in the caudate, the amygdala, and the anterior cingulate cortex. Participant age at first trauma exposure was strongly associated with low [(11)C]P943 BP(ND). Developmentally earlier trauma exposure also was associated with greater PTSD symptom severity and major depression comorbidity.
CONCLUSIONSThese data suggest an enduring effect of trauma history on brain function and the phenotype of PTSD. The association of early age at first trauma and more pronounced neurobiological and behavioral alterations in PTSD suggests a developmental component in the cause of PTSD.
Archives of general psychiatry 68:9 2011 Sep pg 892-900
Depressive Disorder, Major
Psychiatric Status Rating Scales
Receptor, Serotonin, 5-HT1B
Serotonin 5-HT1 Receptor Antagonists
Stress Disorders, Post-Traumatic
Trauma Severity Indices
Wounds and Injuries
Pub Type(s)Comparative Study
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.