2007
DOI: 10.1016/j.biopsych.2006.05.022
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Reduced Serotonin-1A Receptor Binding in Social Anxiety Disorder

Abstract: The lower 5-HT1A binding in the amygdala and mesiofrontal areas of SAD patients is consistent with 1) preclinical findings of elevated anxiety in 5-HT1A knockout mice, 2) a previous PET study in healthy volunteers showing an inverse correlation between 5-HT1A BP and state anxiety, and 3) another human PET study in patients with panic disorder showing reduced 5-HT1A binding, thus corroborating the potential validity of 5-HT1A receptors as targets in the treatment of human anxiety disorders.

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Cited by 262 publications
(198 citation statements)
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“…A receptor binding study using positron emission tomography confirmed that postsynaptic 5HT 1A receptor levels were reduced in untreated anxiety patients compared with controls (Lanzenberger et al, 2007). Interestingly, a recent study demonstrated a positive correlation between theta rhythms generated during locomotion and the anxiety level in 5HT 1A Ϫ/Ϫ mice (Gordon et al, 2005).…”
Section: Discussionmentioning
confidence: 84%
“…A receptor binding study using positron emission tomography confirmed that postsynaptic 5HT 1A receptor levels were reduced in untreated anxiety patients compared with controls (Lanzenberger et al, 2007). Interestingly, a recent study demonstrated a positive correlation between theta rhythms generated during locomotion and the anxiety level in 5HT 1A Ϫ/Ϫ mice (Gordon et al, 2005).…”
Section: Discussionmentioning
confidence: 84%
“…Furthermore, our experiments identified specific misregulated genes probably involved in these behavioural alterations. In particular, the changes in 5-HT1A receptor expression are considered an important determinant of predisposition to mental illness 33 and, although the mechanisms underlying the variable expression of this locus between individuals remain unclear, transcriptional dysregulation has been suggested as a probable candidate 34 . 5-HT2A and 5-HT1B receptors are also of great relevance for behavioural disorders 35,36 .…”
Section: Discussionmentioning
confidence: 99%
“…It can be noted that social interaction seems especially sensitive to DRN 5-HT manipulations (e.g., [9,34]) and to peripheral 5-HT treatments after different inescapable stress procedures [16,17]. Furthermore, reduced binding of the 5-HT1A autoreceptor, a biomarker of 5-HT sensitization, within the midbrain raphe has been correlated with social anxiety disorder [20]. These findings parallel the current data in that activation or sensitization of serotonergic cells, as would be the result of low 5-HT1A binding and IS, enhances anxious behavior in a social setting.…”
Section: Discussionmentioning
confidence: 99%