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Serotonin Transporter Residual Availability During Long-Term Antidepressant Therapy Does Not Differentiate Responder and Nonresponder Unipolar Patients
Abstract
Background Serotonin transporters (SERT) are a major target for antidepressant medication, although there have been limited in vivo studies of SERT availability in patients being treated with antidepressants. It is not known whether SERT availability differs in treatment-responsive and -nonresponsive patients receiving long-term treatment. In this study, we used single photon emission computed tomography (SPECT) to compare SERT residual availability in unipolar responders and nonresponders during long-term antidepressant treatment. Dopamine transporter (DAT) availability was also assessed in the same patients to examine the relationship between the two transporter systems. Methods Twenty-four medicated unipolar patients were recruited, of whom 11 were responders and 13 were nonresponders. All patients underwent SPECT with [123I] beta-carbomethoxy-3-beta-(4 iodophenyl)tropane. Brain SERT was measured in the brain stem and diencephalon, and DAT was measured in the striatum. Residual availability was calculated as a ratio of specific to nonspecific uptake, with the occipital region used as the nonspecific reference region. Results There was no difference between responders and nonresponders in SERT availability. Dopamine transporter availability was similar in responders and nonresponders, and there was no association between SERT and DAT availability. Conclusions Serotonin transporter availability does not discriminate responders and nonresponders during long-term treatment with antidepressants.
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Serotonin transporter inhibition does not consistently correlate with symptom improvement.
“this action doesn't consistently correlate with symptom improvement (Cavanagh et al., 2006; Hjorth et al., 2021).”
From Revisiting the SSRI vs. placebo debate in the treatment of social anxiety disorder: the role of expectancy effects, neural responsivity, and monoamine transporters (2025) · cites this paper as Cavanagh et al., 2006
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Metadata
- Authors
- Cavanagh, J., Patterson, J., Pimlott, S., Dewar, D., Eersels, J., Dempsey, M. F., & Wyper, D.
- Affiliations
- Southern General Hospital (GB)
- National Health Service (GB)
- University of Glasgow (GB)
- Vrije Universiteit Amsterdam (NL)
- Corresponding author
- Cavanagh, Jonathan
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2006-02
- Volume
- 59
- Issue
- 4
- Pages
- 301-308
- ISSN
- 0006-3223 (ISSN-L)
- OpenAlex
- W2090548503
- Cited by
- 21
- References
- 3
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2018: 1 · 2015: 1 · 2014: 1 · 2013: 1 · 2012: 2
- FWCI
- 1.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Keywords
- serotonin transporter, antidepressant response, major depressive disorder, dopamine transporter, [123I]beta-CIT, SPECT, striatum, brainstem, diencephalon
- MeSH terms
- Venlafaxine Hydrochloride, Mirtazapine, Adult, Aging, Antidepressive Agents, Antidepressive Agents, Tricyclic, Cyclohexanols, Depressive Disorder, Female, Humans, Image Processing, Computer-Assisted, Male, Mianserin, Middle Aged, Tropanes, Tomography, Emission-Computed, Single-Photon, Selective Serotonin Reuptake Inhibitors, Radiopharmaceuticals, Serotonin Plasma Membrane Transport Proteins
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