title: The effects of increased serotonergic activity on human sensory gating and its neural generators.
abstract: BACKGROUND
  Schizophrenia is a disabling illness with deficits in core mental functions such as sensory gating. The P50 amplitude is an (usually auditory) evoked brain potential that, in a so-called double-click paradigm, can be used to quantify sensory gating. Reports on serotonergic modulation of P50 suppression are sparse.
  
  
  OBJECTIVE
  The objective of this study was to study the effects of increased serotonergic activity on parameters of P50 suppression in healthy volunteers.
  
  
  METHODS
  In a double-blind placebo-controlled crossover design, 21 healthy male volunteers received either placebo or a dose of 10 mg of escitalopram (selective serotonin reuptake inhibitor), after which they were tested in a P50 suppression paradigm. Furthermore, an attempt was made to identify the neural generators of the P50 evoked potential.
  
  
  RESULTS
  Escitalopram did not affect P50 suppression but was found to increase P50 amplitude to the first (or conditioning) stimulus. Two bilateral sources located in the temporal cortex, two bilaterally located near the eyes, and one in a fronto-central location were identified, the latter correlating positively with the P50 amplitude.
  
  
  CONCLUSIONS
  In the current study, escitalopram did not affect P50 suppression in healthy male volunteers, which indicates that sensory gating is not affected by a nonspecific increase in serotonergic activity. Furthermore, a generator with a fronto-central location in the brain (possibly the anterior cingulate) was found to be the primary source of the P50 evoked potential.
authors.affiliation: Center for Neuropsychiatric Schizophrenia Research, Faculty of Health Sciences, University Psychiatric Center Glostrup, Copenhagen University, Ndr. Ringvej, 2600 Glostrup, Denmark.
authors.forename: Kristian S
authors.initials: KS
authors.lastname: Jensen
authors.forename: Bob
authors.initials: B
authors.lastname: Oranje
authors.forename: Malene
authors.initials: M
authors.lastname: Wienberg
authors.forename: Birte Y
authors.initials: BY
authors.lastname: Glenthøj
mesh_terms: D000161:Acoustic Stimulation; D000328:Adult; D000704:Analysis of Variance; D001921:Brain / Q000187:drug effects* / Q000502:physiology; D015283:Citalopram / Q000494:pharmacology*; D018592:Cross-Over Studies; D004311:Double-Blind Method; D004569:Electroencephalography; D005072:Evoked Potentials, Auditory / Q000187:drug effects*; D005625:Frontal Lobe / Q000502:physiology; D006185:Habituation, Psychophysiologic / Q000187:drug effects; D006801:Humans; D008297:Male; D009434:Neural Pathways / Q000187:drug effects / Q000502:physiology; D017367:Selective Serotonin Reuptake Inhibitors / Q000494:pharmacology*
chemical_list: D015283:Citalopram; D017367:Selective Serotonin Reuptake Inhibitors