Mood and Behavioral Effects of Physostigmine on Humans Are Accompanied by Elevations in Plasma β-Endorphin and Cortisol
Abstract
Administration of physostigmine to normal volunteers produced significant elevations in plasma cortisol and beta-endorphin immunoreactivity as well as alterations in mood, cognition, and behavior. These observations might be explained by a cholinergically mediated stress syndrome. However, peak elevations in plasma beta-endorphin immunoreactivity (but not in plasma cortisol) were significantly correlated with physostigmine-induced increases in depression ratings. These results suggest that a cholinergically mediated beta-endorphin pathway may be involved in the observed affective changes.
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Administration of the AChE blocker physostigmine to patients with a history of depression, individuals with Tourette's syndrome and normal volunteers results in increased symptoms of depression.
“This has been observed with administration of the AChE blocker physostigmine to patients with a history of depression, individuals with Tourette’s syndrome and normal volunteers (Risch et al., 1980; Risch et al., 1981; Shytle et al., 2000).”
From Acetylcholine as a Neuromodulator: Cholinergic Signaling Shapes Nervous System Function and Behavior (2012) · cites this paper as Risch et al., 1980
Increasing ACh signaling in humans results in increased symptoms of depression.
“There is strong evidence that increasing ACh signaling in humans results in increased symptoms of depression (Janowsky et al., 1972; Risch et al., 1980).”
From Acetylcholine as a Neuromodulator: Cholinergic Signaling Shapes Nervous System Function and Behavior (2012) · cites this paper as Risch et al., 1980
Cholinergic hyperactivity plays a role in the pathophysiology of depression and can exacerbate depression-like symptoms in patients and controls.
“First, cholinergic hyperactivity plays a role in the pathophysiology of depression (2–4) and can exacerbate depression-like symptoms in patients and controls (4–6).”
From Persistent β <sub>2</sub> *-Nicotinic Acetylcholinergic Receptor Dysfunction in Major Depressive Disorder (2012) · cites this paper as [5]
Increased ACh transmission can increase behaviors related to depression in humans and rodents, but the type of circuits/cell types modulated by ACh or nAChRs can have opposite effects on mood regulation, and the outcome depends on the sum of these effects.
“while increased ACh transmission can increase behaviors related to depression in humans (Risch et al., 1980) and rodents (Mineur et al., 2013), the type of circuits/cell types that are modulated by ACh or nAChRs can have opposite effects on mood regulation, and the outcome on behavior depends on the sum of these effects.”
From Mood and anxiety regulation by nicotinic acetylcholine receptors: A potential pathway to modulate aggression and related behavioral states (2015) · cites this paper as Risch et al., 1980
Cites
β-Endorphin and Adrenocorticotropin Are Selected Concomitantly by the Pituitary Gland
Guillemin, R., Vargo, T., Rossier, J., Minick, S., Ling, N., Rivier, C., Vale, W., & Bloom, F. (1977) · Science · doi:10.1126/science.197601 · Cited by 1,419 · see citing works
A cholinergic-adrenergic hypothesis of mania and depression
Janowsky, D., Davis, J., El-Yousef, M. K., & Sekerke, H. J. (1972) · The Lancet · doi:10.1016/s0140-6736(72)93021-8 · Cited by 1,134 · see citing works
Self-citationCommon precursor to corticotropins and endorphins
Mains, R. E., Eipper, B. A., & LING, N. C. (1977) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.74.7.3014 · Cited by 1,106 · see citing works
Endorphins: Profound Behavioral Effects in Rats Suggest New Etiological Factors in Mental Illness
Bloom, F. E., Segal, D., LING, N. C., & Guillemin, R. (1976) · Science · doi:10.1126/science.185694 · Cited by 810 · see citing works
Neuroendocrine Regulation in Depression
Carroll, B. J. (1976) · Archives of General Psychiatry · doi:10.1001/archpsyc.1976.01770090029002 · Cited by 622 · see citing works
Foot-shock induced stress increases β-endorphin levels in blood but not brain
Rossier, J., French, E., Rivier, C., Ling, N., Guillemin, R., & Bloom, F. (1977) · Nature · doi:10.1038/270618a0 · Cited by 535 · see citing works
Human Serial Learning: Enhancement with Arecholine and Choline Impairment with Scopolamine
Sitaram, N., Weingartner, H., & Gillin, J. C. (1978) · Science · doi:10.1126/science.351808 · Cited by 524 · see citing works
Annual Review of Pharmacology,
Williams, J. F. (1975) · Archives of Internal Medicine · doi:10.1001/archinte.1975.00330100136032 · Cited by 387 · see citing works
Roberts, J. L., & Herbert, E. (1977) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.74.12.5300 · Cited by 330 · see citing works
Izquierdo, I. (1979) · Psychopharmacology · doi:10.1007/bf00427631 · Cited by 268 · see citing works
Janowsky, D. S., El-Yousef, K. M., & Davis, J. M. (1974) · Psychosomatic Medicine · doi:10.1097/00006842-197405000-00008 · Cited by 230 · see citing works
Self-citationParasympathetic Suppression of Manic Symptoms by Physostigmine
Janowsky, D. S. (1973) · Archives of General Psychiatry · doi:10.1001/archpsyc.1973.01750340072012 · Cited by 225 · see citing works
Self-citationImmunohistochemical Localization of β-Lipotropic Hormone in the Pituitary Gland
Pelletier, G., Leclerc, R., Labrie, F., COTE, J., Chrétien, M., & Lis, M. (1977) · Endocrinology · doi:10.1210/endo-100-3-770 · Cited by 213 · see citing works
In vitro pharmacology of the opioid peptides, enkephalins and endorphins
Waterfield, A. A., Smokcum, R. W. J., Hughes, J. M., et al. (1977) · European Journal of Pharmacology · doi:10.1016/0014-2999(77)90123-6 · Cited by 206 · see citing works
Analysis of the common precursor to corticotropin and endorphin
Eipper, B. A., & Mains, R. E. (1978) · Journal of Biological Chemistry · doi:10.1016/s0021-9258(17)30329-0 · Cited by 199 · see citing works
β-ENDORPHIN IN THE HUMAN PANCREAS
Bruni, J. F., WATKINS, W. B., & YEN, S. S. C. (1979) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-49-4-649 · Cited by 198 · see citing works
Roberts, J. L., Phillips, M. A., Rosa, P. A., & Herbert, E. (1978) · Biochemistry · doi:10.1021/bi00610a030 · Cited by 197 · see citing works
Beigel, A. (1971) · Archives of General Psychiatry · doi:10.1001/archpsyc.1971.01750150064009 · Cited by 188 · see citing works
Beaumont, A., & Hughes, J. W. (1979) · The Annual Review of Pharmacology and Toxicology · doi:10.1146/annurev.pa.19.040179.001333 · Cited by 187 · see citing works
PROFOUND ANALGESIC EFFECTS OF β-ENDORPHIN IN MAN
Oyama, T., Jin, T., Yamaya, R., et al. (1980) · The Lancet · doi:10.1016/s0140-6736(80)90606-6 · Cited by 177 · see citing works
Physostigmine: Effects on cognition and affect in normal subjects
Davis, K. L., Hollister, L. E., Overall, J. E., et al. (1976) · Psychopharmacology · doi:10.1007/bf00426316 · Cited by 141 · see citing works
Coordinate synthesis of corticotropins and endorphins by mouse pituitary tumor cells.
Mains, R. E., & Eipper, B. A. (1978) · Journal of Biological Chemistry · doi:10.1016/s0021-9258(17)38151-6 · Cited by 140 · see citing works
Characterization of pro-opiocortin, a precursor to opioid peptides and corticotropin.
Rubinstein, M., Stein, S., & Udenfriend, S. (1978) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.75.2.669 · Cited by 102 · see citing works
Influence of enkephalin on K+-evoked efflux of putative neurotransmitters in rat brain
Subramanian, N., Mitznegg, P., Spr�gel, W., Domschke, W., Domschke, S., W�nsch, E., & Demling, L. (1977) · Naunyn-Schmiedeberg s Archives of Pharmacology · doi:10.1007/bf00498558 · Cited by 95 · see citing works
Placental β-Endorphin-Like Peptides
Houck, J. C., Kimball, C. D., Chang, C., et al. (1980) · Science · doi:10.1126/science.7350643 · Cited by 94 · see citing works
Wilkes, M. M., Stewart, R. D. H., Bruni, J. F., et al. (1980) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-50-2-309 · Cited by 89 · see citing works
β Endorphin inhibits ACh turnover in nuclei of rat brain
Moroni, F., Cheney, D. L., & Costa, E. (1977) · Nature · doi:10.1038/267267a0 · Cited by 84 · see citing works
High Levels ofβ-Endorphin in Hypophyseal Portal Blood*
Wardlaw, S. L., Wehrenberg, W. B., Ferin, M., Carmel, P. W., & FRANTZ, A. G. (1980) · Endocrinology · doi:10.1210/endo-106-5-1323 · Cited by 63 · see citing works
How generalizable are the results of clinical trials?
Nr, S. (1980) · PubMed · Cited by 48 · see citing works
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Physiological functions of glucocorticoids in stress and their relation to pharmacological actions
MUNCK, A., GUYRE, P. M., & HOLBROOK, N. J. (1984) · Endocrine Reviews · doi:10.1210/edrv-5-1-25 · Cited by 3,083 · see citing works
Acetylcholine as a Neuromodulator: Cholinergic Signaling Shapes Nervous System Function and Behavior
Picciotto, M. R., Higley, M. J., & Mineur, Y. S. (2012) · Neuron · doi:10.1016/j.neuron.2012.08.036 · Cited by 1,404 · see citing works
Neuromodulation by acetylcholine: examples from schizophrenia and depression
Higley, M. J., & Picciotto, M. R. (2014) · Current Opinion in Neurobiology · doi:10.1016/j.conb.2014.06.004 · Cited by 184 · see citing works
Picciotto, M. R., Lewis, A. S., van Schalkwyk, G. I., & Mineur, Y. S. (2015) · Neuropharmacology · doi:10.1016/j.neuropharm.2014.12.028 · Cited by 157 · see citing works
Caldarone, B. J., Harrist, A., Cleary, M. A., Beech, R. D., King, S. L., & Picciotto, M. R. (2004) · Biological Psychiatry · doi:10.1016/j.biopsych.2004.08.010 · Cited by 122 · see citing works
Saricicek, A., Esterlis, I., Maloney, K. H., Mineur, Y. S., Ruf, B. M., Muralidharan, A., Chen, J. I., Cosgrove, K. P., Kerestes, R., Ghose, S., et al. (2012) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2012.11101546 · Cited by 118 · see citing works
Pathophysiology of “cholinoceptor supersensitivity” in affective disorders
Dilsaver, S. C. (1986) · Biological Psychiatry · doi:10.1016/0006-3223(86)90246-5 · Cited by 87 · see citing works
Dilsaver, S. C., & Greden, J. F. (1984) · Brain Research Reviews · doi:10.1016/0165-0173(84)90028-6 · Cited by 73 · see citing works
- Authors
- Risch, S. C., Cohen, R. M., Janowsky, D. S., Kalin, N. H., & Murphy, D. L.
- Affiliations
- National Institute of Mental Health (US)
- University of California San Diego (US)
- Venue
- Science
- Published
- 1980-09-26
- Volume
- 209
- Issue
- 4464
- Pages
- 1545-1546
- ISSN
- 0036-8075 (ISSN-L)
- 1095-9203
- OpenAlex
- W2016331834
- Cited by
- 140
- References
- 29
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 4 · 2018: 6 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 2
- FWCI
- 6.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Science (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuropeptides and Animal Physiology
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- physostigmine, beta-endorphin, cortisol, mood, depression, cholinergic pathways, cognition, behavior
- MeSH terms
- Behavior, Emotions, Endorphins, Humans, Hydrocortisone, Physostigmine
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