Serotonergic dissection of obsessive compulsive symptoms: A challenge study with m-chlorophenylpiperazine and sumatriptan

Ruth Gross-Isseroff*, Rivka Cohen, Yehuda Sasson, Hillary Voet, Joseph Zohar

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

We have conducted a pharmacological challenge experiment in 10 medication-free obsessive compulsive (OC) disorder (OCD) patients. We used a placebo-controlled paradigm for m-chlorophenylpiperazine (mCPP) and sumatriptan challenges. Endocrine, physiological and behavioral variables were assessed at baseline and over a 3-hour period after the challenge. Both cortisol and prolactin were significantly elevated in OCD patients following mCPP administration. Both mCPP and sumatriptan caused significant OC symptom exacerbation with the response to sumatriptan being more robust. We conclude that the 5-HT1Dβ receptor may play a role in the pathophysiology of OCD.

Original languageEnglish
Pages (from-to)200-205
Number of pages6
JournalNeuropsychobiology
Volume50
Issue number3
DOIs
StatePublished - 2004
Externally publishedYes

Keywords

  • 5-HT receptor
  • Obsessive compulsive disorder
  • Pharmacological challenge
  • Sumatriptan
  • m-chlorophenylpiperazine

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