The Effects of Dexamethasone on Plasma Homovanillic Acid and 3-Methoxy-4-hydroxyphenylglycol

Evidence for Abnormal Corticosteroid-Catecholamine Interactions in Major Depression

Owen M. Wolkowitz, Allen R. Doran, Alan Breier, Alec Roy, David C. Jimerson, Mary E. Sutton, Robert N. Golden, Steven M. Paul, David Pickar

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

We investigated the possible interactions between corticosteroids and catecholamines in depression by studying the effects of the synthetic glucocorticoid dexamethasone on plasma levels of homovanillic acid (HVA) and 3-methoxy-4--hydroxyphenylglycol (MHPG) in a group of depressed patients and normal controls. In comparison with metabolite levels on a control day, normal controls showed a significant dexamethasone-induced increase in the plasma HVA level and a trend toward a decrease in the plasma MHPG level at 4 PM following dexamethasone administration (1 mg orally at 11 PM). Conversely, depressed patients, particularly those with psychotic features, showed a significant dexamethasone-induced increase in the plasma MHPG level and a blunting of the plasma HVA response relative to the normal controls. Dexamethasoneinduced increases in the plasma MHPG level were directly correlated with the severity of depressive symptoms and with postdexamethasone cortisol levels in the depressed patients. These data suggest abnormal corticosteroid-catecholamine interactions in depression and, specifically, in depressed patients with psychotic features.

Original languageEnglish (US)
Pages (from-to)782-789
Number of pages8
JournalArchives of General Psychiatry
Volume44
Issue number9
DOIs
StatePublished - 1987
Externally publishedYes

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Homovanillic Acid
Dexamethasone
Catecholamines
Adrenal Cortex Hormones
Depression
Glucocorticoids
Hydrocortisone
4-hydroxyphenethylene glycol
Interaction
Plasma

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Psychiatry and Mental health

Cite this

The Effects of Dexamethasone on Plasma Homovanillic Acid and 3-Methoxy-4-hydroxyphenylglycol : Evidence for Abnormal Corticosteroid-Catecholamine Interactions in Major Depression. / Wolkowitz, Owen M.; Doran, Allen R.; Breier, Alan; Roy, Alec; Jimerson, David C.; Sutton, Mary E.; Golden, Robert N.; Paul, Steven M.; Pickar, David.

In: Archives of General Psychiatry, Vol. 44, No. 9, 1987, p. 782-789.

Research output: Contribution to journalArticle

Wolkowitz, Owen M. ; Doran, Allen R. ; Breier, Alan ; Roy, Alec ; Jimerson, David C. ; Sutton, Mary E. ; Golden, Robert N. ; Paul, Steven M. ; Pickar, David. / The Effects of Dexamethasone on Plasma Homovanillic Acid and 3-Methoxy-4-hydroxyphenylglycol : Evidence for Abnormal Corticosteroid-Catecholamine Interactions in Major Depression. In: Archives of General Psychiatry. 1987 ; Vol. 44, No. 9. pp. 782-789.
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