The subjective and cognitive effects of acute phenylalanine and tyrosine depletion in patients recovered from depression
Open accessAbstract
Although there is evidence for the involvement of dopamine (DA) in unipolar depression, no published study has yet used the technique of acute phenylalanine and tyrosine depletion (APTD), a dietary intervention that selectively lowers DA synthesis, in order to investigate the role of DA in mood disturbance. Tyrosine and phenylalanine depleted and placebo amino acid drinks were administered to 20 patients recovered from depression in a double-blind, placebo-controlled, crossover design. Measures included subjective effects, Hamilton Depression Rating Scale scores, and a comprehensive battery of well-validated computerized cognitive tests. APTD induced a substantial reduction in the ratio of plasma tyrosine and phenylalanine to large neutral amino acids. However, relapse of depressive symptoms was not seen. Although performance on most cognitive tests was unaffected, there was a selective effect on decision-making, with APTD causing participants to bet significantly less. In conclusion, These results suggest a specific role for the involvement of DA in reward/punishment processing in humans. While APTD did not induce relapse in any participant, it did cause patients recovered from depression to show lowered sensitivity to reward in a gambling game. It is hypothesized that tests involving reward/punishment processing are preferentially affected by DA depletion, and that a more complete account of depression is likely to result from considering the roles played by serotonin, noradrenaline, and DA in mediating the various cognitive and clinical symptoms, including anhedonia.
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Tyrosine depletion experiments suggest that acute reductions in brain catecholamine levels lead people to behave in a less motivated way or to develop cognitive impairments.
“In line with this, tyrosine depletion experiments, in which participants consume an amino acid mixture devoid of tyrosine and its precursor, phenylalanine, suggest that acute reductions in brain catecholamine levels lead people to behave in a less motivated way (McLean et al., 2004;Roiser et al., 2005;Cawley et al., 2013) or develop cognitive impairments (Harmer et al., 2001).”
From Behavioral and cognitive effects of tyrosine intake in healthy human adults (2015) · cites this paper as Roiser et al., 2005
The Discussion reports that acute phenylalanine and tyrosine depletion made patients recovered from depression bet less, possibly because they were less sensitive to reward. This supports the suggested motivation-related effect, but the study tested that specific patient group rather than people generally. The cognitive-impairment clause is attributed to Harmer et al., not Roiser et al. (LLM, conf=0.82)
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- Authors
- Roiser, J. P., McLean, A., Ogilvie, A. D., Blackwell, A. D., Bamber, D. J., Goodyer, I., Jones, P. B., & Sahakian, B. J.
- Affiliations
- University of Cambridge (GB)
- University of Glasgow (GB)
- Warneford Hospital (GB)
- Corresponding author
- Sahakian, Barbara J
- ORCID
- Venue
- Neuropsychopharmacology
- Published
- 2005-01-26
- Volume
- 30
- Issue
- 4
- Pages
- 775-785
- ISSN
- 0893-133X (ISSN-L)
- 1740-634X
- PMC
- PMC2631648
- OpenAlex
- W2154517553
- Cited by
- 96
- References
- 53
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 5 · 2023: 2 · 2022: 4 · 2021: 4 · 2020: 5 · 2019: 1 · 2018: 7 · 2017: 2 · 2016: 7 · 2015: 6 · 2014: 3 · 2013: 7 · 2012: 3
- FWCI
- 2.06
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Neuropsychopharmacology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Wellcome Trust (053642, 019407)
- Medical Research Council
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- dopamine, depression, recovered depression, decision-making, reward processing, punishment processing, gambling behavior, anhedonia, plasma amino acids, cognitive function, relapse
- MeSH terms
- Adult, Brain, Cognition Disorders, Decision Making, Depressive Disorder, Dopamine, Double-Blind Method, Female, Food, Formulated, Gambling, Humans, Judgment, Male, Middle Aged, Neuropsychological Tests, Phenylalanine, Reward, Tyrosine, Cross-Over Studies, Recovery of Function, Amino Acids, Neutral
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