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CSF and Urinary Biogenic Amines and Metabolites in Depression and Mania: A Controlled, Univariate Analysis

Koslow, Stephen H.·1983·Archives of General Psychiatry

Abstract

Levels of 5-hydroxyindoleacetic acid (5-HIAA), homovanillic acid (HVA), and 3-methoxy-4-hydroxyphenylglycol (MHPG) in the CSF, and norepinephrine (NE), epinephrine (E), vanillylmandelic acid, normetanephrine, metanephrine, and MHPG in the urine, were measured in 151 hospitalized patients with affective disorders and in 80 healthy controls following a two-week drug-free period. Unipolar and bipolar depressed subjects differed only in NE and E levels. Compared with controls, depressed subjects had higher CSF MHPG levels, women had higher 5-HIAA levels, and men had lower HVA levels. All urinary metabolites were elevated in depression and mania, with the exception of MHPG. The patterns of NE-E differences discriminated among the forms of affective disorders. These data suggest an imbalance of monoamine transmission in depression, characterized by the hyperactive sympathetic nervous system and adrenal medulla. However, MHPG may not be the measure of choice to reflect this imbalance, necessitating measurement of total body monoamine output.

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Metadata

Authors
Koslow, S. H.
Venue
Archives of General Psychiatry
Published
1983-09-01
Volume
40
Issue
9
Pages
999
ISSN
0003-990X (ISSN-L)
OpenAlex
W2049019626
Cited by
312
References
2
FWCI
33.90
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: CSF and Urinary Biogenic Amines and Metabolites in Depression and Mania: A Controlled, Univariate Analysis. https://app.cochat.ai/papers/10.1001/archpsyc.1983.01790080081011
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Koslow, S. H. (1983). CSF and Urinary Biogenic Amines and Metabolites in Depression and Mania: A Controlled, Univariate Analysis. Archives of General Psychiatry. https://doi.org/10.1001/archpsyc.1983.01790080081011

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