Tryptophan, 5-hydroxyindoleacetic acid and indoleacetic acid in human cerebrospinal fluid: interrelationships and the influence of age, sex, epilepsy and anticonvulsant drugs

J Neurol Neurosurg Psychiatry. 1980 May;43(5):438-45. doi: 10.1136/jnnp.43.5.438.

Abstract

Tryptophan, 5-hydroxyindoleacetic acid and indoleacetic acid were measured in cerebrospinal fluid, taken during pneumoencephalography, from a large series of patients, the majority of whom were epileptics, most of them receiving anticonvulsants. CSF indoleacetic acid reflects CNS tyrptamine metabolism in the same way that CSF 5-hydroxyindoleacetic acid reflects CNS 5-hydroxytryptamine metabolism. Our data suggest that (i) the brain tryptophan content is an important factor in the control of both 5-hydroxytryptamine and tryptamine synthesis (ii) brain 5-hydroxytryptamine metabolism exhibits a U-shaped relationship with age (iii) the mean brain tryptophan content and rate of 5-hydroxytryptamine metabolism are greater for women than men (iv) indoleamine metabolism is unaffected in untreated epileptics compared with non-epileptics, but anticonvulsant drugs decrease the rate of 5-hydrosytryptamine metabolism.

MeSH terms

  • Adult
  • Age Factors
  • Anticonvulsants / pharmacology*
  • Anticonvulsants / therapeutic use
  • Brain / metabolism
  • Brain Chemistry
  • Epilepsy / cerebrospinal fluid*
  • Epilepsy / drug therapy
  • Female
  • Humans
  • Hydroxyindoleacetic Acid / cerebrospinal fluid*
  • Indoleacetic Acids / cerebrospinal fluid*
  • Male
  • Serotonin / biosynthesis
  • Serotonin / metabolism
  • Sex Factors
  • Tryptamines / biosynthesis
  • Tryptophan / cerebrospinal fluid*
  • Tryptophan / physiology

Substances

  • Anticonvulsants
  • Indoleacetic Acids
  • Tryptamines
  • Serotonin
  • Hydroxyindoleacetic Acid
  • Tryptophan