Pharmacopsychiatry 2004; 37(5): 200-205
DOI: 10.1055/s-2004-827244
Original Paper
© Georg Thieme Verlag KG Stuttgart · New York

The Impact of the Selective Monoamine Reuptake Inhibitors Reboxetine and Citalopram on Visually-Evoked Event-Related Potentials in Depressed Patients

G. Hetzel1 , O. Moeller1 , A. Erfurth1 , N. Michael1 , M. Rothermundt1 , V. Arolt1 , S. Evers2
  • 1Department of Psychiatry, University of Muenster, Muenster, Germany
  • 2Department of Neurology, University of Muenster, Muenster, Germany
Further Information

Publication History

Received: 20.2.2003 Revised: 16.5.2003

Accepted: 3.7.2003

Publication Date:
10 September 2004 (online)

Objective: The aim of our study was to assess the possible relationship between event-related potentials (ERP) and serotonergic or noradrenergic activity in depression. Therefore, we were interested in the impact of different monoamine reuptake inhibitors on ERP.

Methods: Thirty-six inpatients with major depression were treated with either reboxetine (n = 17) or citalopram (n = 19) in a prospective randomized study. Before and after four weeks of treatment, visually-evoked ERP were investigated. Twenty-two patients completed the study. Monoaminergic function was determined by oral reboxetine and citalopram challenge tests.

Results: P3 latency significantly decreased after a four-week treatment with either drug. There was no significant difference in the decrease of P3 latency between both drugs. We detected a significant inverse correlation between serotonergic hypofunction before treatment and the P3 latency (r = -0.739, p = 0.001).

Conclusions: These results show that, in depressed patients, the P3 latency is decreased by antidepressive treatment. Furthermore, the results suggest that P3 latency might depend on the serotonergic rather than the noradrenergic system.

References

  • 1 Attenburrow M J, Mitter P R, Whale R, Terao T, Cowen P J. Low-dose citalopram as a 5-HT neuroendocrine probe.  Psychopharmacology. 2001;  155 323-326
  • 2 Bange F, Bathien N. Visual cognitive dysfunction in depression: an event-related potential study.  Electroencephalogr Clin Neurophysiol. 1998;  108 472-481
  • 3 Bergmann J F, Laneury J P, Duchene P. Pharmacokinetics of reboxetine in healthy, elderly volunteers.  Eur J Drug Metab Pharmacokinet. 2000;  25 195-198
  • 4 Blackwood D H, Whalley L J, Christie J E, Blackburn I M, St Clair D M, McInnes A. Changes in auditory P3 event-related potential in schizophrenia and depression.  Br J Psychiatry. 1987;  150 154-160
  • 5 Bruder G E, Towey J P, Stewart J W, Friedman D, Tenke C, Quitkin F M. Event-related potentials in depression: influence of task, stimulus hemifield and clinical features on P3 latency.  Biol Psychiatry. 1991;  30 233-246
  • 6 D’Ardhuy X L, Boeijinga P H, Renault B, Luthringer R, Rinaudo G, Soufflet L, Toussaint M, Macher J. Effects of serotonin-selective and classical antidepressants on the auditory P300 cognitive potential.  Neuropsychobiology. 1999;  40 207-213
  • 7 Debener S, Strobel A, Kurschner K, Kranczioch C, Hebenstreit J, Maercker A, Beauducel A, Brocke B. Is auditory-evoked potential augmenting/reducing affected by acute tryptophan depletion?.  Biol Psychol. 2002;  59 121-133
  • 8 Dierks T, Frolich L, Ihl R, Maurer K. Event-related potentials and psychopharmacology. Cholinergic modulation of p 300.  Pharmacopsychiatry. 1994;  27 72-74
  • 9 Ehlers C L, Wall T L, Chaplin R I. Long latency event-related potentials in rats: effects of dopaminergic and serotonergic depletions.  Pharmacol Biochem Behav. 1991;  38 789-793
  • 10 Evers S, Böckermann I, Nyhuis P W. The impact of transcranial magnetic stimulation on cognitive processing: an event-related potential study.  Neuroreport. 2001;  12 2915-2918
  • 11 Evers S, Quibeldey F, Grotemeyer K H, Suhr B, Husstedt I W. Dynamic changes of cognitive habituation and serotonin metabolism during the migraine interval.  Cephalalgia. 1999;  19 485-491
  • 12 Evers S, Suhr B, Grotemeyer K H. Effects of sumatriptan on visually evoked event-related potentials. In: Olesen J, Moskowitz MA, editors Experimental headache models. Philadelphia; Lippincott-Raven 1995: 289-292
  • 13 Gallinat J, Bottlender R, Juckel G, Munke-Puchner A, Stolz G, Kuss H J. The Loudness dependency of the auditory-evoked N1/P2-component as a predictor of the acute SSRI response in depression.  Psychopharmacology. 2000;  148 404-411
  • 14 Gangadhar B N, Ancy J, Janakiramaiah N, Umapathy C. P300 amplitude in nonbipolar, melancholic depression.  J Affect Disord. 1993;  28 57-60
  • 15 Halgren E, Squires N K, Wilson C L, Rohrbaugh J W, Babb T L, Crandall P H. Endogenous potentials generated in the Human hippocampal formation and amygdala by infrequent events.  Science. 1980;  210 803-805
  • 16 Hansenne M, Ansseau M. P300 event-related potential and serotonin-1A activity in depression.  Eur Psychiatry. 1999;  14 143-147
  • 17 Hegerl U, Juckel G. Intensity dependence of auditory-evoked potentials as an indicator of central serotonergic neurotransmission: a new hypothesis.  Biol Psychiatry. 1993;  33 173-187
  • 18 Hegerl U, Juckel G. Auditory-evoked dipote source activity: indicator of central serotonergic dysfunction in psychiatric patients?.  Pharmacopsychiatry. 1994;  27 75-78
  • 19 Hegerl U, Juckel G, Möller H J. Ereigniskorrelierte Hirnpotentiale als Indikatoren neurochemischer Dysfunktion bei psychiatrischen Patienten. Nervenarzt 1996 67: 360-368
  • 20 Hegerl U, Gallinat J, Juckel G. Event-related potentials: Do they reflect central serotonergic neurotransmission and do they predict clinical response to serotonin agonists?.  J Affect Disord. 2001;  62 93-100
  • 21 Heinz A, Jones D W, Bissette G, Hommer D, Ragan P, Knable M, Wellek S, Linnoila M, Weinberger D R. Relationship between Cortisol and Serotonin Metabolites and Transporters in Alcoholism.  Pharmacopsychiatry. 2002;  35 127-134
  • 22 Hennig J, Lange N, Haag A. Reboxetine in a neuroendocrine challenge paradigm: evidence for high cortisol responses in healthy volunteers scoring high on subclinical depression.  Int J Neuropsychopharmacol. 2000;  3 193-201
  • 23 Himani A, Tandon O P, Bhatia M S. A study of P300 event-related evoked potential in the patients of major depression.  Indian J Physiol Pharmacol. 1999;  43 367-372
  • 24 Humbert T. Neuroendocrine effects of benzodiazepines.  Ann Med Psychol (Paris). 1994;  152 161-171
  • 25 Ito J, Yamos S, Fukuda H, Mimori Y, Nakamura S. The P300 event-related potentials in depression of the Alzheimer type. Correlations between P300 and monoamine metabolites.  Electroencephalogr Clin Neurophysiol. 1990;  77 178
  • 26 Kapitany T, Schindl M, Schindler S D. The citalopram challenge test in patients with major depression and in healthy controls.  Psychiatry Res. 1999;  88 75-88
  • 27 Kragh-Sorensen P, Overo K F, Petersen O L, Jensen K, Parnas W. The kinetics of citalopram: single and multiple dose studies in man.  Acta Pharmacol Toxicol. 1981;  48 53-60
  • 28 Kühn K U, Quednow B B, Bagli M, Meyer K, Feuchtl A, Westheide J, Frahnert C, Maier W, Rao M L. Allelic Variants of the Serotonin2c Receptor and Neuroendocrinological Responses to the Serotonin2c Receptor Agonist m-Chlorophenylpiperazine in Healthy Male Volunteers.  Pharmacopsychiatry. 2002;  35 226-230
  • 29 Meador K J, Hendricks N, Nichols M E, Oberzan R, Moore E E, Loring D W. Combined cholinergic and serotonergic effects on the P3 cognitive potential.  Electroencephalogr Clin Neurophysiol. 1993;  87 110
  • 30 Moeller O, Hetzel G, Rothermundt M, Michael N, Nyhuis P W, Suslow T, Arolt V, Erfurth A. Oral citalopram and reboxetine challenge tests before and after selective antidepressant treatment.  J Psychiatr Res. 2003;  37 261-262
  • 31 Montgomery S A, Asberg M. A new depression scale designed to be sensitive to change.  Br J Psychiatry. 1979;  134 382-389
  • 32 Mulert C, Juckel G, Augustin H, Hegerl U. Comparison between the analysis of the loudness dependency of the auditory N1/P2 component with LORETA and dipole source analysis in the prediction of treatment response to the selective reuptake inhibitor citalopram in major depression.  Clin Neuropysiol. 2002;  113 1566-1572
  • 33 Nelson C A, Collins P F, Torres F. P300 brain activity in seizure patients preceding temporal lobectomy.  Arch Neurol. 1991;  48 141-147
  • 34 Okada Y C, Kaufman L, Williamson S J. The hippocampal formation as a source of the slow endogenous potentials.  Electroencephalogr Clin Neurophysiol. 1983;  55 417-426
  • 35 Paige S R, Fitzpatrick D F, Kline J P, Balogh S E, Hendricks S E. Event-related potential amplitude/intensity slopes predict response to antidepressants.  Neuropsychobiology. 1994;  30 197-201
  • 36 Paige S R, Hendricks S E, Fitzpatrick D F, Balogh S, Burke W J. Amplitude/intensity functions of auditory event-related potentials predict resposiveness to bupropion in major depression disorder.  Psychopharmacol Bull. 1995;  31 243-248
  • 37 Pascual-Leone A, Rubio B, Pallardo F, Catala M D. Rapid-rate transcranial magnetic stimulation of left dorsolateral prefrontal cortex in drug-resistant depression.  Lancet. 1996;  348 233-237
  • 38 Pineda J A, Foote S L, Neville H J. Effects of locus coeruleus lesions on auditory, long-latency, event-related potentials in monkey.  J Neurosci. 1989;  9 81-93
  • 39 Proietti-Cecchini A, Afra J, Schoenen J. Intensità dependence of the cortical auditory evoked potentials as a surrogate marker of central nervous system serotonin transmission in man.  Cephalalgia. 1997;  17 849-854
  • 40 Sanz M, Molina V, Martin-Loeches M, Calcedo A, Rubia F J. Auditory P300 event related potential and serotonin reuptake inhibitor treatment in obsessive-compulsive disorder patients.  Psychiatry Res. 2001;  101 75-81
  • 41 Simson R, Vaughn H G, Ritter W. The scalp topography of potentials in auditory and visual discrimination tasks.  Electroencephalogr Clin Neurophysiol. 1977;  42 528-535
  • 42 Szabo S, Blier P. Effect of the selective noradrenergic reuptake inhibitor reboxetine on the firing activity of noradrenaline and serotonin neurons.  Eur J Neurosci. 2001;  13 2077-2087
  • 43 Szabo S, Blier P. Effects of the selective norepinephrine reuptake inhibitor reboxetine on norepinephrine and serotonin transmission in the rat hippocampus.  Neuropsychopharmacology. 2001;  25 845-857
  • 44 Ueda N, Yoshimura R, Shinkai K, Nakamura J. Plasma Levels of Catecholamine Metabolites Predict the Response to Sulpiride or Fluvoxamine in Major Depression.  Pharmacopsychiatry. 2002;  35 175-181
  • 45 Vandoolaeghe E, van Hunsel F, Nuyten D, Maes M. Auditory event related potentials in major depression: prolonged P300 latency and increased P200 amplitude.  J Affect Disord . 1998;  48 105-113
  • 46 Von Knorring L, Perris C. Biochemistry of the augmenting/reducing response in visual evoked potentials.  Neuropsychology. 1981;  7 1-8
  • 47 Wittchen H -O, Pfister H. Diagnostisches Expertensystem für psychische Störungen DIA-X. Frankfurt; SWETS Test Services 1997
  • 48 Yanai I, Fujikawa T, Osada M, Yamawaki S, Touhouda Y. Changes in auditory P300 in patients with major depression and silent cerebral infarction.  J Affect Disord . 1997;  46 263-271
  • 49 Yingling C D, Hosobuchi Y. A subcortical correlate of P300 in man.  Electroencephalogr Clin Neurophysiol. 1984;  59 72-76

Guenter Hetzel, MD

Department of Psychiatry

University of Muenster

Albert-Schweitzer-Str. 11

48129 Muenster

Germany

Phone: +49 251/8356678

Fax: +49 251/8356612

Email: hetzelg@uni-muenster.de

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