Values are means±SD. BPRL, basal prolactin concentration; APRL, peak concentration minus basal prolactin concentration; BPRS, … These results show us that: A serotonergic dysselleck compound function was associated with suicidal behavior in patients with schizophrenia, but not with schizophrenia itself. Patients with a history of a recent suicide attempt did not have a different PRL response to D-FEN to patients with a suicide attempt in the distant past. Inhibitors,research,lifescience,medical This indicates that the injury itself did not account for the reduced serotonergic function observed in the suicide
attempt group suggesting that a lower serotonergic function may be a trait marker for suicidality in schizophrenia too. We failed to replicate previous studies showing that a serotonergic dysfunction may be associated with more lethal suicide attempts.19,23 A type P error Inhibitors,research,lifescience,medical is probably the reason for this discrepancy, in view of our small sample (n=12) of suicide attempt patients. Molecular approach As described above, serotonergic dysfunction in the brain has been reported to be involved in suicidal behavior independently of the presence of a specific psychiatric disorder. There is much evidence suggesting that suicidal behavior is, at least partially, genetically determined, as shown by many familial, twin, and adoption studies. Inhibitors,research,lifescience,medical A search for the gene, Inhibitors,research,lifescience,medical or more probably the genes,
involved in suicidal behavior could involve a investigation of the entire genome. Current debate concerns whether there is a relationship between genetic polymorphisms with intermediate phenotypes, such as impulsivity, psychomotor abnormalities, and aggression, and other biological abnormalities including Inhibitors,research,lifescience,medical specific gene products. Serotonergic function is a complex equation depending on the functional state of enzymes, reuptake protein, and about 15 different receptors. However, since D-FEN-induced increase in PRL plasma levels is mediated by 5-HT2A, 5-HT2C, or 5-HT1A receptors, the genes for these receptors, as well as others related to
important steps in serotonergic function, like the serotonin transporter and tryptophan hydroxylase, are also candidates associated with suicidal behavior. Several postmortem studies have reported an increased 5-HT2A binding in prefrontal cortex in suicide victims, when compared with controls, which makes 5-HT2A an interesting candidate gene in suicidal behavior. However, however investigations in unselected suicide completers did not suggest any evidence of association between genetic variation at this gene when tested for the T102C and A1438G polymorphisms, as well as the Thr25Asp, His542Tyr, and C516T polymorphisms33 and completed suicide, even though evidence was found for a relationship between genetic variation at the T102C and A-1438G loci and 5HT2A binding in the prefrontal cortex.