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Journal Article 2007; 28(5): 541-544 PubMed PMID: 17984950 Citation  Keywords:  Animals, Energy Metabolism:physiology, Humans, Hypothalamo-Hypophyseal System:secretion, Nerve Tissue Proteins:physiology, Neurotransmitter Agents:physiology, Prolactin:secretion, Rats,.   

: Cocaine and amphetamine regulated transcript (CART) is widely expressed in the central nervous system and in several endocrine organs. The physiological role of this peptide includes modulation of appetite control, energy expenditure, thermoregulation and hormone secretion. It has been suggested that CART influences prolactin (PRL) secretion both directly and indirectly. However, the mechanism underlying the regulation of PRL release by CART remains unclear....

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Journal Article 2007; 28(5): 639-642 PubMed PMID: 17984948 Citation  Keywords:  Adaptation, Psychological, Adult, Depressive Disorder:blood, Dissociative Disorders:blood, Female, Humans, Hypothalamo-Hypophyseal System:physiopathology, Male, Middle Aged, Pituitary-Adrenal System:physiopathology, Prolactin:blood, Statistics, Nonparamet.   

OBJECTIVES: Usual neuroendocrinological manifestation of traumatic stress and dissociation is dysregulation of the hypothalamus-pituitary-adrenal (HPA) axis. The aim of the present study is to perform examination of HPA axis as indexed by basal serum prolactin and test its relationship to dissociative symptoms and symptoms of traumatic stress.

PATIENTS AND METHODS: 25 inpatients treated at the university hospital with diagnosis of unipolar depression mean age 41.23 (SD=11.53) were assessed using psychometric measures of dissociation (DES) and traumatic symptoms (TSC-40), and using standard biochemical analytical methods basal serum prolactin levels were investigated.

RESULTS: Data show that prolactin manifests significant relationship to dissociative symptoms (r=0.52, p=0.004). Significant correlation was not found between prolactin and traumatic symptoms measured by TSC-40 (r=0.31, p=0.07).

CONCLUSIONS: The present data suggest that serum prolactin levels in unipolar depressive patients are related to dissociative symptoms that is likely caused by passive coping mechanisms leading to dissociation....

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Journal Article 2007; 28(5): 659-661 PubMed PMID: 17984946 Citation  Keywords:  Adult, Behavior, Addictive:psychology, Cerebral Cortex:physiology, Choice Behavior, Conflict (Psychology), Decision Making, Games, Experimental, Humans, Male, Reinforcement (Psychology), Smoking:psychology, Socioeconomic Factors,.   

OBJECTIVE: No study to date compared degrees of inequity aversion in economic decision-making in the ultimatum game between non-addictive and addictive reinforcers. The comparison is potentially important in neuroeconomics and reinforcement learning theory of addiction.

METHODS: We compared the degrees of inequity aversion in the ultimatum game between money and cigarettes in habitual smokers.

RESULTS: Smokers avoided inequity in the ultimatum game more dramatically for money than for cigarettes; i.e., there was a "domain effect" in decision-making in the ultimatum game.

CONCLUSIONS: Reward-processing neural activities in the brain for non-addictive and addictive reinforcers may be distinct and the insula activation due to cue-induced craving may conflict with unfair offer-induced insula activation. Future studies in neuroeconomics of addiction should employ game-theoretic decision tasks for elucidating reinforcement learning processes in dopaminergic neural circuits....

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Journal Article 2007; 28(5): 666-670 PubMed PMID: 17984941 Citation  Keywords:  Analysis of Variance, Animals, Dose-Response Relationship, Drug, Estradiol:physiology, Female, Melatonin:administration & dosage, Nerve Degeneration:pathology, Neural Conduction:physiology, Neuroprotective Agents:administration & dosage, Ovariectomy, Post.   

OBJECTIVES: Melatonin is a potent antioxidant agent and an anti-aging hormone. Serum melatonin level declines during the menopause. Estradiol, a neuroprotective ovarian hormone, also decreases during the menopause. The purpose of this study is to evaluate the effect of melatonin supplementary on peripheral nerve function in the ovariectomized (OVX)-aged rats.

METHODS: Randomly selected OVX-aged Wistar rats received injections of melatonin (5 or 20 mg/kg) daily either two or six weeks. Nerve conduction velocities and distal latencies were determined from the propagation of action potential recorded by using an extracellular electrophysiological technique.

RESULTS: The mean distal latencies of melatonin-treated groups were shorter than that of the control group. Thus, the nerve conduction velocity was significantly greater in both two weeks and six weeks melatonin treated groups as compared to the controls (p<0.001).

CONCLUSION: Melatonin alleviates the electrophysiological properties of the sciatic nerve in OVX-aged rats. Thus, melatonin supplementary may have a potential clinical application for the treatment of postmenopausal peripheral nerve degeneration....

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Comparative Study 2007; 28(5): 575-579 PubMed PMID: 17984939 Citation  Keywords:  Adult, Aged, Circadian Rhythm:physiology, Humans, Male, Middle Aged, Nerve Growth Factors:blood, Oxygen:blood, Polysomnography, S100 Calcium Binding Protein beta Subunit, S100 Proteins:blood, Severity of Illness Index, Sleep Apnea, Obstructive:blood, Stat.   

OBJECTIVE: Responsible for sleep brain perfusion changes, obstructive sleep apnea (OSA) constitutes a cardiovascular risk. To find out about any diffuse damage to the brain tissue, we studied the S100B protein, whose serum level is known to rise in stroke and craniocerebral trauma.

METHODS: 60 men (mean age 51.7+/-11.8 years) referred to us for OSA without any major comorbidity were examined polygraphically. S100B was determined with electrochemiluminiscence immunoassay (ECLIA) from evening and morning blood samples.

RESULTS: All sixty men were diagnosed with OSA. The difference between the evening level of S100B 0.068+/-0.030 microg/l and the morning level 0.059+/-0.029 microg/l was significant (p=0.0004). Patients with mild OSA were found to have the evening S100B 0.063+/-0.023 microg/l, the morning level 0.042+/-0.012 microg/l, the difference being significant (p=0.00051). In moderate OSA the difference between the evening -0.070+/-0.017 microg/l and morning levels -0.055+/-0.025 microg/l was less significant (p=0.043). In severe OSA no difference was found between the evening and morning concentrations of S100B (0.070+/-0.036 microg/l and 0.070+/-0.031 microg/l respectively). The difference between the evening and morning S100B levels correlated negatively with AHI and ODI and positively with basal saturation and average minimal oxygen saturation.

CONCLUSIONS: Sleep with signs of severe OSA influences S100B protein release....

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Comparative Study 2007; 28(5): 621-628 PubMed PMID: 17984937 Citation  Keywords:  Acromegaly:blood, Adult, Aged, Aged, 80 and over, Bone Density:physiology, Bone Resorption:blood, Estradiol:blood, Female, Follicle Stimulating Hormone:blood, Human Growth Hormone:blood, Humans, Hypogonadism:blood, Insulin-Like Growth Factor I:analysis, L.   

OBJECTIVES: The aim of our study was to evaluate bone metabolism and bone mineral density (BMD), and to indicate the main determinants of these parameters in a large group of patients with active acromegaly.

METHODS: A group of 121 active acromegalics, aged 23-80 years, from a single endocrinological center was studied. Serum GH, IGF-I, LH, FSH, PRL, estradiol/testosterone, osteocalcin (OC), type I collagen carboxyterminal telopeptide (ICTP) as well as BMD by DXA at spine L2-L4, femoral neck, Ward's triangle and trochanter were measured.

RESULTS: Serum OC and ICTP concentrations were elevated (mean+/-SEM: 31.7+/-2.2 microg/L, p<0.001; 7.3+/-0.5 microg/L, p<0.001, respectively), and positively correlated with each other, as well as with IGF-I. BMD (Z-scores) was increased at L2-L4, femoral neck and trochanter (0.35+/-0.15, p=0.016; 0.60+/-0.11, p<0.001 and 0.59+/-0.13, p<0.001; respectively). The main determinants of Z-scores and ICTP were gonadal status and gender, while of OC was IGF-I. Eugonadal acromegalics had higher than normal serum OC and ICTP, as well as Z-scores at all measured sites. Hypogonadal patients (2/3 of the population) had significantly higher serum ICTP concentrations and lower BMD at all sites, when compared to eugonadal acromegalics. Thirty five percent of hypogonadal subjects had T-score<-1. Men had significantly higher serum ICTP and lower Z-scores than women.

CONCLUSIONS: (i) In active acromegaly, enhanced IGF-I-dependent bone turnover and increased BMD is observed. (ii) In hypogonadal acromegalics, high bone resorption decreases BMD and may lead to osteoporosis. (iii) There is a smaller increase in bone resorption and greater increase in BMD in women with acromegaly than in men....

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Journal Article 2007; 28(5): 610-613 PubMed PMID: 17984936 Citation  Keywords:  Adjustment Disorders:blood, Adrenocorticotropic Hormone:blood, Adult, Anxiety Disorders:blood, Circadian Rhythm:physiology, Crime Victims:psychology, Dehydroepiandrosterone:blood, Depressive Disorder:blood, Female, Humans, Hydrocortisone:blood, MMPI, Male.   

OBJECTIVES: Evidence in the literature suggests stress-related changes of hypothalamus-pituitary-adrenal (HPA) axis in mobbing. We investigated the association between HPA activity and psychological profiles in mobbing, using a multidisciplinary approach.

DESIGN: Forty-eight victims of mobbing were evaluated by a working group of the Departments of Occupational Medicine, Psychiatry and Internal Medicine. After an informed consent, a detailed occupational history, a psychiatric interview with Minnesota Multiphasic Personality Inventory 2 (MMPI-2) administration and a blood sample (8:00 AM) for the determination of basal adrenocorticotropin (ACTH), cortisol and dehydroepiandrosterone sulphate (DHEAS) plasma levels were collected. Twenty-six patients received an overnight dexamethasone (dex) test.

RESULTS: Mean ACTH, cortisol and DHEAS levels were within normal ranges. The dex-test response was normal, with a significant hormone suppression (ACTH p<0.001, cortisol p<0.001, DHEAS p<0.001). The correlations between basal hormones and the psychometric scales of MMPI-2 revealed that cortisol was significantly and negatively related to Psychasthenia (Pt, p=0.003) and Depression (D, p=0.006), while DHEAS showed a significant negative correlation to Hysteria (Hy, p=0.008). Basal ACTH levels were not significantly related to psychometric scales.

CONCLUSION: A significant inverse correlation between morning plasma cortisol levels and psychometric parameters in victims of mobbing with adjustment disorders was observed. A larger group of patients is necessary to identify and validate a cut-off cortisol level that may become an innovative biological parameter for the diagnosis and follow-up in victims of mobbing....

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Clinical Trial 2007; 28(5): 633-638 PubMed PMID: 17984932 Citation  Keywords:  Adult, Aged, Antidepressive Agents:therapeutic use, Cerebrovascular Circulation:drug effects, Combined Modality Therapy, Depressive Disorder, Major:therapy, Female, Functional Laterality, Gyrus Cinguli:blood supply, Humans, Male, Middle Aged, Pilot Projec.   

OBJECTIVES: Repetitive transcranial magnetic stimulation (rTMS) is a brain stimulation technique which has received increasing attention as an antidepressant treatment. However available studies are characterized by a substantial variability in response. We hypothesized that individual patients' characteristics might contribute to such heterogeneity. Therefore we investigated whether either alterations of regional cerebral blood flow (rCBF) or clinical characteristics may predict antidepressant response to rTMS.

DESIGN: 24 patients with major depression and stable medication received high frequency (10 Hz) rTMS over the left dorsolateral prefrontal cortex (DLPFC) for two weeks as add-on treatment. ECD-Single photon emission computed tomographay (SPECT) imaging was performed 1 to 2 days before rTMS.

SETTING: Tertial referral center

RESULTS: After two weeks of rTMS a mean reduction of 30% of the initial Hamilton Depression Rating Score (HAMD) was observed. Using a multivariate regression model with simultaneous evaluation of the relative impact of a-priori chosen potential factors influencing treatment outcome, two variables, the pretreatment anterior cingulate rCBF and the former response to antidepressant agents proved significant. High pretreatment anterior cingulate activity and low treatment resistance to pharmacologic therapy were positive predictors for treatment response to rTMS.

CONCLUSIONS: Pretreatment anterior cingulate activity seems to be a useful prognostic marker of rTMS treatment response, which is in line with other treatment strategies, like sleep deprivation, electroconvulsive therapy or antidepressant medication....

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