title: A serotoninergic basis for hyperphagic eating changes in Alzheimer's disease.
abstract: Hyperphagia and associated eating changes occur frequently in Alzheimer's disease (AD) and lead to considerable morbidity. However, the neurochemical basis for these neuropsychiatric behaviours is at present unclear. In this study, we measured serotonin transporters, 5-HT(1A), 5-HT(2A), and 5-HT(4) receptors using radioligand binding assays in the postmortem temporal cortex of a cohort of controls and AD patients longitudinally assessed for hyperphagia. We found significant decreases in 5-HT(4) receptor densities in the hyperphagic, but not normophagic, AD group. Our data suggest that 5-HT(4) receptor deficits may be a specific neurochemical correlate of hyperphagia, and point to the potential pharmacotherapeutic utility of 5-HT(4) agonists for these behaviours in AD.
authors.affiliation: Dementia Research Laboratory, Department of Clinical Research, Singapore General Hospital, Singapore.
authors.forename: Shirley W
authors.initials: SW
authors.lastname: Tsang
authors.forename: Janet
authors.initials: J
authors.lastname: Keene
authors.forename: Tony
authors.initials: T
authors.lastname: Hope
authors.forename: Ian
authors.initials: I
authors.lastname: Spence
authors.forename: Paul T
authors.initials: PT
authors.lastname: Francis
authors.forename: Peter T-H
authors.initials: PT
authors.lastname: Wong
authors.forename: Christopher P
authors.initials: CP
authors.lastname: Chen
authors.forename: Mitchell K
authors.initials: MK
authors.lastname: Lai
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000150:complications* / Q000378:metabolism* / Q000523:psychology; D002102:Cadaver; D015331:Cohort Studies; D003627:Data Interpretation, Statistical; D005260:Female; D006801:Humans; D006963:Hyperphagia / Q000209:etiology* / Q000378:metabolism* / Q000523:psychology; D008297:Male; D019579:Neocortex / Q000378:metabolism; D011569:Psychiatric Status Rating Scales; D011869:Radioligand Assay; D044282:Receptor, Serotonin, 5-HT1A / Q000378:metabolism; D044402:Receptor, Serotonin, 5-HT2A / Q000378:metabolism; D044422:Receptors, Serotonin, 5-HT4 / Q000378:metabolism; D012701:Serotonin / Q000378:metabolism / Q000502:physiology*
chemical_list: D044402:Receptor, Serotonin, 5-HT2A; D044282:Receptor, Serotonin, 5-HT1A; D044422:Receptors, Serotonin, 5-HT4; D012701:Serotonin