BMJ 1996;312:1299 (18 May)

Letters

Other studies have been done in humans and monkeys

EDITOR,--Paul H A Steegmans and colleagues assert that theirs was the first study in humans to investigate the relation of serum cholesterol concentration to metabolism of serotonin and that only one study in monkeys has done so.1 However, two studies in humans bear on this issue, as does one study in primates that they fail to cite.

Ringo et al found a non-significant trend towards an increased cerebrospinal fluid concentration of 5-hydroxyindoleacetic acid (a central metabolite of serotonin thought to gauge turnover of serotonin) with high cholesterol concentration in psychiatric patients and staff.2 The 23% higher mean 5-hydroxyindoleacetic acid concentration in subjects with a high cholesterol concentration is comparable in size, though not significance, to the 19% higher (arithmetic) mean peripheral serotonin concentration in Steegmans and colleagues' study. Anderson et al found significantly reduced plasma tryptophan concentrations in people placed on diets to induce weight loss.3 Women, who were placed . . . [Full text of this article]


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