Cited by 21Sleep and Wakefulness ResearchTreatment of Major DepressionSleep and related disorders

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Slow wave sleep and 5-HT2 receptor sensitivity during maintenance tricyclic antidepressant treatment

Sharpley, A.L., Gregory, C.A., Solomon, R.A., Cowen, P.J.·1990·Journal of Affective Disorders

Abstract

The 5-HT2 receptor antagonist cyproheptadine significantly increased slow wave sleep in 12 healthy control subjects but not in 12 patients with a history of major depression, maintained on tricyclic antidepressant treatment. Cyproheptadine produced a similar reduction in REM sleep in both groups of subjects. The results are consistent with the hypothesis that tricyclic antidepressant treatment alters brain 5-HT2 receptor sensitivity, but a primary abnormality in slow wave sleep regulation in depressed patients cannot be excluded.

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Crossref · 10.1016/0165-0327(90)90105-h

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  • The 5-HT2 receptor site has been implicated in the regulation of sleep.

    “The 5-HT 2 receptor site has been implicated in the regulation of sleep, thus providing a compelling rationale to compare effects of the SARIs to those pro-duced by the SSRIs with respect to sleep physiology [Idzikowski et al., 1989;Sharpley et al., 1990].”

    From Depression, sleep physiology, and antidepressant drugs (2001) · cites this paper as Sharpley et al., 1990

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Research works printed but not linked: 23

  1. Chen, 1979, Sleep, depression and antidepressants, Br. J. Psychiatry, 135, 385, 10.1192/bjp.135.5.385 · DOI
  2. Cowen, 1987, Platelet 5-HT receptor binding during depressive illness and tricyclic antidepressant treatment, J. Affect. Disord., 13, 45, 10.1016/0165-0327(87)90072-3 · DOI
  3. Farde, 1988, Central D2-dopamine receptor occupancy in schizophrenic patients treated with antipsychotic drugs, Arch. Gen. Psychiatry, 45, 71, 10.1001/archpsyc.1988.01800250087012 · DOI
  4. Friston, 1989, Lithium increases slow wave sleep: possible mediation by brain 5-HT2 receptors?, Psychopharmacology, 98, 139, 10.1007/BF00442020 · DOI
  5. Gillin, 1979, Successful separation of depressed, normal and insomniac subjects by EEG sleep data, Arch. Gen. Psychiatry, 36, 85, 10.1001/archpsyc.1979.01780010091010 · DOI
  6. Goodwin, 1984, 5-HT2 receptor characteristics in frontal cortex and 5-HT2 receptor-mediated head-twitch behaviour following antidepressant treatment to mice, Br. J. Pharmacol., 83, 235, 10.1111/j.1476-5381.1984.tb10140.x · DOI
  7. Hall, 1981, Effects of antidepressant drugs on different receptors in the brain, Eur. J. Pharmacol., 70, 393, 10.1016/0014-2999(81)90172-2 · DOI
  8. Hauri, 1974, Sleep of depressed patients in remission, Arch. Gen. Psychiatry, 31, 386, 10.1001/archpsyc.1974.01760150090013 · DOI
  9. Idzikowski, 1987, A dose-response study of the effects of ritanserin on slow wave sleep, Sleep Res., 16, 93
  10. Idzikowski, 1986, 5-Hydroxytryptamine2 antagonist increases human slow wave sleep, Brain Res., 378, 164, 10.1016/0006-8993(86)90299-4 · DOI
  11. Kupfer, 1976, EEG sleep changes as predictors in depression, Am. J. Psychiatry, 133, 622, 10.1176/ajp.133.6.622 · DOI
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  13. Leysen, 1981, Receptor binding profile of R 41 468, a novel antagonist at 5-HT2 receptors, Life Sci., 28, 1115, 10.1016/0024-3205(81)90747-5 · DOI
  14. Peroutka, 1980, Long-term antidepressant treatment decreases spiroperidol-labelled serotonin receptor binding, Science, 210, 88, 10.1126/science.6251550 · DOI
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  18. Sharpley, 1988, Evaluation of first night effect using ambulatory monitoring and automatic sleep stage analysis, Sleep, 11, 273, 10.1093/sleep/11.3.273 · DOI
  19. Sharpley, 1990, Dose-related effects of 5-HT2 receptor antagonists in humans, Psychopharmacology, 10.1007/BF02244239 · DOI
  20. Solomon, 1989, Increased slow wave sleep with 5-HT2 receptor antagonists: detection by ambulatory EEG recording and automatic sleep stage analysis, J. Psychopharmacol., 3, 125, 10.1177/026988118900300301 · DOI
  21. Sovner, 1983, Anorgasmia associated with imipramine but not desipramine: a case report, J. Clin. Psychiatry, 44, 345
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Metadata

Authors
Sharpley, A. L., Gregory, C. A., Solomon, R. A., & Cowen, P. J.
Affiliations
  • Littlemore Hospital (GB)
  • University of Oxford (GB)
Corresponding author
Sharpley, A.L.
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
1990-08
Volume
19
Issue
4
Pages
273-277
ISSN
0165-0327 (ISSN-L)
OpenAlex
W2015299723
Cited by
21
References
0
Citations by year
2017: 1 · 2013: 1
FWCI
1.07
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Wellcome Trust
  • Medical Research Council
  • Janssen Pharmaceuticals
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
  • Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Keywords
slow-wave sleep, 5-HT2 receptor, cyproheptadine, tricyclic antidepressants, major depressive disorder, REM sleep, sleep regulation, receptor sensitivity
MeSH terms
Adult, Aged, Amitriptyline, Brain, Cyproheptadine, Depressive Disorder, Dothiepin, Double-Blind Method, Electroencephalography, Female, Humans, Male, Middle Aged, Reaction Time, Receptors, Serotonin, Sleep Stages, Sleep, REM

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