Decreased Urinary Output of Tyramine and its Metabolites in Depression
- 1 February 1978
- journal article
- Published by Royal College of Psychiatrists in The British Journal of Psychiatry
- Vol. 132 (2) , 125-132
- https://doi.org/10.1192/bjp.132.2.125
Abstract
Summary: Despite dramatic clinical improvement in about one-third of a group of severely depressed, medication-resistant patients one year after modified leucotomy, their relative decrease in conjugated and free tyramine output after an oral tyramine load remained unchanged and abnormal. Whilst a direct deficit in intestinal tyramine-conjugating ability still needs to be finally ruled out, this appears most compatible with a deficit due to bodily metabolic failure, perhaps a deficit in membrane transport which could be an essential aspect of the depressive illness syndrome. Attention is drawn to a similar defect in migraine. The two illnesses may represent a common predisposition which an appropriate triggering mechanism may transform to the florid disease. Biochemical detection of such vulnerability may have important diagnostic and predictive significance.Keywords
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