Abstract
The activity of prolyl endopeptidase (PEP), a serine proteinase, has been found to be significantly lower in the blood of patients with major depression than in normal volunteers. The present study investigates plasma PEP activity in 25 major depressed, 10 manic, and 14 schizophrenic subjects versus 30 normal volunteers. It also examines the effects of antidepressants, valproate, and neuroleptic drugs on plasma PEP activity. PEP activity was significantly lower in major depressed subjects than in normal volunteers and in patients with mania and schizophrenia. In depressed subjects, plasma PEP activity was significantly increased during treatment with antidepressant drugs, such as fluoxetine. Plasma PEP activity was significantly increased in manic and schizophrenic subjects compared with normal volunteers. In manic subjects, short-term treatment with valproate had a significant suppressive effect on PEP activity. No significant effects of neuroleptics on PEP activity could be found in the schizophrenic patients. The results support the hypothesis that lower PEP activity could play a role in the pathophysiology of major depression, while increased PEP activity may be related to psychotic conditions, such as mania and schizophrenia.
Original language | English (US) |
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Pages (from-to) | 217-225 |
Number of pages | 9 |
Journal | Psychiatry Research |
Volume | 58 |
Issue number | 3 |
DOIs | |
State | Published - Oct 16 1995 |
Funding
The researchr eportedw as supported,in part, by the Nationaal Fonds voor Wetenschappelijk Onderzoek (NFWO) and the IUAP Program, Belgium;U .S. Public Health Serviceg rantsM H-41684a nd GCRC MOlRR00080; grantsf rom the Elisabeth SeveranceP rentiss and John Pascal SawyerF oundationsa; nd the Michael Kaplen In-vestigatoAr ward (to M.M.). H.Y.M. is the recipient of a U.S. Public Health Service Research Career Scientist Award, MH-47808. The secretariaal ssistanceof Mrs. M. Maes is greatly appreciated.
Keywords
- Fluoxetine
- Neuroleptics
- Peptidases
- Peptides
- Proteinases
- Valproate
ASJC Scopus subject areas
- Psychiatry and Mental health
- Biological Psychiatry