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Biochemical and behavioural effects of acute tryptophan depletion in abstinent bulimic subjects: a pilot study

Published online by Cambridge University Press:  09 July 2009

A. Oldman
Affiliation:
Psychopharmacology Research Unit, Department of Psychiatry, University of Oxford
A. Walsh
Affiliation:
Psychopharmacology Research Unit, Department of Psychiatry, University of Oxford
P. Salkovskis
Affiliation:
Psychopharmacology Research Unit, Department of Psychiatry, University of Oxford
C. G. Fairburn
Affiliation:
Psychopharmacology Research Unit, Department of Psychiatry, University of Oxford
P. J. Cowen*
Affiliation:
Psychopharmacology Research Unit, Department of Psychiatry, University of Oxford
*
1Address for correspondence: Dr P. J. Cowen, Psychopharmacology Research Unit, University Department of Psychiatry, Littlemore Hospital, Oxford OX4 4XN.

Synopsis

We studied the effect of acute tryptophan (TRP) depletion in a group of eight abstinent bulimic (BN) subjects and in 12 healthy female controls. Despite being free of episodes of bingeeating and vomiting for a prolonged period, the abstinent BN subjects still appeared to practice dietary restraint as judged by their food intake in a test meal. In addition, their plasma TRP concentrations were significantly lower than those of the controls. Administration of a TRP-free amino acid load (52 g) significantly lowered plasma total and free TRP. However, compared to a balanced amino acid load, this procedure did not have significant effects on mood, appetite or food intake in either the abstinent BN subjects or the healthy controls.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1995

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References

Anderson, I. M., Parry-Billings, M., Newsholme, E. A., Fairburn, C. G. & Cowen, P. J. (1990). Dieting reduces plasma tryptophan and alters brain 5-HT function in women. Psychological Medicine 20, 785791.CrossRefGoogle ScholarPubMed
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J. E. & Erbaugh, J. E. (1961). An inventory for measuring depression. Archives of General Psychiatry 4, 561567.CrossRefGoogle ScholarPubMed
Benkelfat, C., Ellenborg, M., Dean, P., Palmour, R. M. & Young, S. N. (1994). Enhanced susceptibility to the mood lowering effect of TRP depletion in young male adults at genetic risk for major affective disorders. Archives of General Psychiatry 51, 687697.CrossRefGoogle Scholar
Bloxham, D. L. & Warren, W. H. (1974). Error in the determination of tryptophan by the method of Denkla and Dewey: a revised procedure. Analytical Biochemistry 60, 621625.CrossRefGoogle Scholar
Bloxham, D. L., Hutson, P. H. & Curzon, G. (1977). A simple apparatus for ultrafiltration of small volumes: applications to the measurement of free and albumin-bound tryptophan in plasma. Analytical Biochemistry 83, 130142.CrossRefGoogle Scholar
Blundell, J. E. (1991). Pharmacological approaches to appetite suppression. Trends in Pharmacological Science 12, 147157.CrossRefGoogle ScholarPubMed
Blundell, J. E. & Hill, A. J. (1993). Binge eating: psychobiological mechanisms. In Binge Eating (ed. Fairburn, C. G. and Wilson, G. T.), pp. 206224. Guilford Press: New York.Google Scholar
Brewerton, T. D., Mueller, E. A., Lesem, M. D., Brandt, H. A., Quearry, B., George, T., Murphy, D. L. & Jimerson, D. C. (1992). Neuroendocrine responses to m-chlorophenylpiperazine and Ltryptophan in bulimia. Archives of General Psychiatry 49, 852861.CrossRefGoogle ScholarPubMed
Cowen, P. J., Anderson, I. M. & Fairburn, C. G. (1992). Neurochemical effects of dieting: relevance to changes in eating and affective disorders. In The Biology of Feast and Famine (ed. Anderson, G. H. and Kennedy, S. H.), pp. 269283. Academic Press: San Diego.Google Scholar
Curzon, G. (1991). 5-hydroxytryptamine in the control of feeding and its possible implications for appetite disturbance. In 5-hydroxytryptamine in Psychiatry: A Spectrum of Ideas (ed. Sandler, M., Coppen, A. and Harnett, S.), pp. 279302. Oxford University Press: Oxford.CrossRefGoogle Scholar
Delgado, P. L., Charney, D. S., Price, L. H., Aghajanian, G. K., Landis, H. & Heninger, G. R. (1990). Serotonin function and the mechanism of antidepressant action: reversal of antidepressant induced remission by rapid depletion of plasma tryptophan. Archives of General Psychiatry 47, 411418.CrossRefGoogle ScholarPubMed
Fernstrom, J. D. (1977). Effects of the diet on brain neurotransmitters. Metabolism 26, 207223.CrossRefGoogle ScholarPubMed
Fluoxetine Bulimia Nervosa Collaborative Study Group (1992). Fluoxetine in the treatment of bulimia nervosa: a multi-centre placebo controlled double-blind trial. Archives of General Psychiatry 49, 139147.CrossRefGoogle Scholar
Garattini, S., Mennini, T. & Samanin, R. (1989). Reduction of food intake by manipulation of central serotonin. British Journal of Psychiatry 155 (suppl. 8), 4151.CrossRefGoogle Scholar
Garner, D. M. & Garfinkel, P. E. (1979). The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychological Medicine 9. 273279.CrossRefGoogle ScholarPubMed
Gartside, S. E., Cowen, P. J. & Sharp, T. (1992). Effect of amino acid loads on hippocampal 5-HT release vivo evoked by electrical stimulation of the dorsal raphe nucleus and d-fenfluramine administration. British Journal of Pharmacology 107, 448P.Google Scholar
Goldbloom, D. S., Hicks, L. & Garfinkel, P. E. (1990). Platelet serotonin uptake in bulimia nervosa. Biological Psychiatry 28, 644647.CrossRefGoogle ScholarPubMed
Hsu, L. K. G. (1990). Eating Disorders. Guilford Press: New York.Google Scholar
Jimerson, D. C., Lesem, M. D., Kaye, W. H., Hegg, A. P. & Brewerton, T. D. (1990). Eating disorders and depression: is there a serotonin connection? Biological Psychiatry 28, 443454.CrossRefGoogle Scholar
Kaye, W. H., Gwirtsman, H. E., Brewerton, T. D. & Wurtman, R. J. (1988). Bingeing behaviour and plasma amino acids: a possible involvement of brain serotonin in bulimia nervosa. Psychiatry Research 23, 3143.CrossRefGoogle ScholarPubMed
Kaye, W. H., & Weltzin, T. E. (1991). Serotonin activity in anorexia and bulimia nervosa: relationship to the modulation of feeding and mood. Journal of Clinical Psychiatry 52, (suppl. 12), 4148.Google Scholar
Lydiard, R. B., Brandy, K. T., O'Neil, P. M., Schlesier-Carter, B., Hamilton, S., Rogers, Q. & Ballenger, J. C. (1988). Precursor amino acid concentrations in normal weight bulimics and normal controls. Progress in Neuropsychopharmacology and Biological Psychiatry 12, 893898.CrossRefGoogle ScholarPubMed
McNair, D. M., Lorr, M. & Droppelman, L. F. (1971). Manual for the Profile of Mood States. Education and Industrial Testing Service: San Diego.Google Scholar
Oldman, A. D., Walsh, A. E. S., Salkovskis, P., Laver, D. A. & Cowen, P. J. (1994). Effect of acute tryptophan depletion on mood and appetite in healthy female volunteers. Journal of Psychopharmacology 8, 813.CrossRefGoogle ScholarPubMed
Young, S. N., Smith, S. E., Pihl, R. O. & Urvin, F. R. (1985). Tryptophan depletion causes a rapid lowering of mood in normal males. Psychopharmacology 87, 173177.CrossRefGoogle ScholarPubMed
Young, S. N., Tourjman, S. V., Teff, K. L., Pihl, R. O. & Anderson, G. H. (1988). The effect of lowering plasma tryptophan on food selection in normal males. Pharmacology Biochemistry and Behaviour 31, 149152.CrossRefGoogle ScholarPubMed
Young, S. N., Ervin, F. R., Pihl, R. O. & Finn, P. (1989). Biochemical aspects of tryptophan depletion in primates. Psychopharmacology 98, 508511.CrossRefGoogle ScholarPubMed