Release Me J Kenner Epub 111
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Methods: We used [11C]-(+)-PHNO PET and amphetamine-induced DA release in medication-free depressed patients and healthy controls (HC) to measure receptor availability and DA release in the ventral striatum. Anhedonia was measured with the SHAPS questionnaire, and clinical response to pramipexole was measured with the CGI-I scale.
All participants underwent [11C]-(+)-PHNO PET and amphetamine-induced DA release scans, and completed an anhedonia assessment with the SHAPS. Clinical response to pramipexole was assessed at 4 weeks of treatment with the CGI-I scale.
Background: Pituitary adenylate cyclase activating polypeptide (PACAP) is a neuropeptide and hormone released in the hypothalamus and adrenal gland thought to modulate the HPA axis. In females with PTSD, circulating PACAP levels have been correlated with symptoms.
Conclusions: These results did not find evidence associating MDD with significant differences in D2/D3 receptor binding or DA release, as measured by [11C]-(+)-PHNO PET with amphetamine. Nor did PET outcomes show significant association with clinical features of the MDD group, including anhedonia and clinical response to pramipexole treatment. These results contrast with evidence (presented separately) from the same samples showing group differences in striatal BOLD response to prediction error and behavioral differences in reward learning, both of which have been previously associated with dopaminergic function.
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