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. 1980 Jun 7;280(6228):1363–1366. doi: 10.1136/bmj.280.6228.1363

Possible role of prostaglandin E1 in the affective disorders and in alcoholism.

D F Horrobin, M S Manku
PMCID: PMC1601822  PMID: 7388546

Abstract

Prostaglandin (PG)E1 may play an important part in the affective disorders, with an excess being present in mania and a deficiency in depression. Platelets from manic patients produce more PGE1 than normal while those from depressive patients produce less. Ethyl alcohol stimulates PGE1 production whereas lithium inhibits it. Alcoholics will tend to have raised PGE1 concentrations while drinking, but, because precursor supplies are limited, when alcohol concentrations fall PGE1 concentrations may fall sharply leading to depression. PGE1 biosynthesis may be affected by nutritional factors including essential fatty acids, pyridoxine, vitamin C, and zinc. Nutritional approaches may be of value in both depression and alcoholism.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abdulla Y. H., Hamadah K. Effect of ADP on PGE1 formation in blood platelets from patients with depression, mania and schizophrenia. Br J Psychiatry. 1975 Dec;127:591–595. doi: 10.1192/bjp.127.6.591. [DOI] [PubMed] [Google Scholar]
  2. Adams P. W., Wynn V., Folkard J., Seed M. Influence of oral contraceptives, pyridoxine (vitamin B6), and tryptophan on carbohydrate metabolism. Lancet. 1976 Apr 10;1(7963):759–764. doi: 10.1016/s0140-6736(76)91607-x. [DOI] [PubMed] [Google Scholar]
  3. Brenner R. R. Metabolism of endogenous substrates by microsomes. Drug Metab Rev. 1977;6(2):155–212. doi: 10.3109/03602537708997479. [DOI] [PubMed] [Google Scholar]
  4. Brenner R. R. The oxidative desaturation of unsaturated fatty acids in animals. Mol Cell Biochem. 1974 Mar 8;3(1):41–52. doi: 10.1007/BF01660076. [DOI] [PubMed] [Google Scholar]
  5. Crawford M. A., Casperd N. M., Sinclair A. J. The long chain metabolites of linoleic avid linolenic acids in liver and brain in herbivores and carnivores. Comp Biochem Physiol B. 1976;54(3):395–401. doi: 10.1016/0305-0491(76)90264-9. [DOI] [PubMed] [Google Scholar]
  6. Cunnane S. C., Manku M. S., Horrobin D. F. The pineal and regulation of fibrosis: pinealectomy as a model of primary biliary cirrhosis: roles of melatonin and prostaglandins in fibrosis and regulation of T lymphocytes. Med Hypotheses. 1979 Apr;5(4):403–414. doi: 10.1016/0306-9877(79)90107-5. [DOI] [PubMed] [Google Scholar]
  7. Feinstein M. B., Becker E. L., Fraser C. Thrombin, collagen and A23187 stimulated endogenous platelet arachidonate metabolism: differential inhibition by PGE1, local anesthetics and a serine-protease inhibitor. Prostaglandins. 1977;14(6):1075–1093. doi: 10.1016/0090-6980(77)90286-6. [DOI] [PubMed] [Google Scholar]
  8. Garretts M., Molokhia M. Acrodermatitis enteropathica without hypozincemia. J Pediatr. 1977 Sep;91(3):492–494. doi: 10.1016/s0022-3476(77)81333-4. [DOI] [PubMed] [Google Scholar]
  9. Horrobin D. F., Ally A. I., Karmali R. A., Karmazyn M., Manku M. S., Morgan R. O. Prostaglandins and schizophrenia: further discussion of the evidence. Psychol Med. 1978 Feb;8(1):43–48. doi: 10.1017/s0033291700006619. [DOI] [PubMed] [Google Scholar]
  10. Horrobin D. F. Dopamine supersensitivity, endorphin excess, and prostaglandin E1 deficiency: three aspects of the same schizophrenic elephant. Schizophr Bull. 1978;4(4):487–488. doi: 10.1093/schbul/4.4.487. [DOI] [PubMed] [Google Scholar]
  11. Horrobin D. F., Durand L. G., Manku M. S. Prostaglandin E1 modifies nerve conduction and interferes with local anaesthetic action. Prostaglandins. 1977 Jul;14(1):103–108. doi: 10.1016/0090-6980(77)90158-7. [DOI] [PubMed] [Google Scholar]
  12. Horrobin D. F. Interactions between prostaglandins and calcium: the importance of bell-shaped dose-response curves. Prostaglandins. 1977 Oct;14(4):667–677. doi: 10.1016/0090-6980(77)90194-0. [DOI] [PubMed] [Google Scholar]
  13. Horrobin D. F., Manku M. S., Mtabaji J. P. A new mechanism of tricyclic antidepressant action. Blockade of prostaglandin-dependent calcium movements. Postgrad Med J. 1977;53 (Suppl 4):19–23. [PubMed] [Google Scholar]
  14. Horrobin D. F., Mtabaji J. P., Manku M. S. Physiological cortisol levels block the inhibition of vascular reactivity produced by prolactin. Endocrinology. 1976 Aug;99(2):406–410. doi: 10.1210/endo-99-2-406. [DOI] [PubMed] [Google Scholar]
  15. Horrobin D. F. Schizophrenia as a prostaglandin deficiency disease. Lancet. 1977 Apr 30;1(8018):936–937. doi: 10.1016/s0140-6736(77)92228-0. [DOI] [PubMed] [Google Scholar]
  16. Horrobin D. F. Schizophrenia: Reconciliation of the dopamine, prostaglandin, and opioid concepts and the role of the pineal. Lancet. 1979 Mar 10;1(8115):529–531. doi: 10.1016/s0140-6736(79)90948-6. [DOI] [PubMed] [Google Scholar]
  17. Klevay L. M., Reck S. J., Barcome D. F. Evidence of dietary copper and zinc deficiencies. JAMA. 1979 May 4;241(18):1916–1918. doi: 10.1001/jama.1979.03290440038025. [DOI] [PubMed] [Google Scholar]
  18. Kline N. S., Wren J. C., Cooper T. B., Varga E., Canal O. Evaluation of lithium therapy in chronic and periodic alcoholism. Am J Med Sci. 1974 Jul;268(1):15–22. doi: 10.1097/00000441-197407000-00002. [DOI] [PubMed] [Google Scholar]
  19. Knapp H. R., Oelz O., Whorton A. R., Oates J. A. Effects of feeding ethyl-dihomo-gamma-linolenate on rabbit renomedullary lipid composition and prostaglandin production in vitro. Lipids. 1978 Nov;13(11):804–808. doi: 10.1007/BF02533480. [DOI] [PubMed] [Google Scholar]
  20. Mallinson C. N., Bloom S. R., Warin A. P., Salmon P. R., Cox B. A glucagonoma syndrome. Lancet. 1974 Jul 6;2(7871):1–5. doi: 10.1016/s0140-6736(74)91343-9. [DOI] [PubMed] [Google Scholar]
  21. Manku M. S., Horrobin D. F., Cunnane S. C., Ally A. I., Karmazyn M., Karmali R. A., Morgan R. O., Nicolaou K. C., Barnette W. E. Prostaglandins E1, E2 and I2: evidence for three distinct actions in vascular smooth muscle. Biochem Biophys Res Commun. 1978 Jul 14;83(1):295–299. doi: 10.1016/0006-291x(78)90430-8. [DOI] [PubMed] [Google Scholar]
  22. Manku M. S., Horrobin D. F., Karmazyn M., Cunnane S. C. Prolactin and zinc effects on rat vascular reactivity: possible relationship to dihomo-gamma-linolenic acid and to prostaglandin synthesis. Endocrinology. 1979 Mar;104(3):774–779. doi: 10.1210/endo-104-3-774. [DOI] [PubMed] [Google Scholar]
  23. Manku M. S., Oka M., Horrobin D. F. Differential regulation of the formation of prostaglandins and related substances from arachidonic acid and from dihomogammalinolenic acid. I. Effects of ethanol. Prostaglandins Med. 1979 Aug;3(2):119–128. doi: 10.1016/0161-4630(79)90079-x. [DOI] [PubMed] [Google Scholar]
  24. Manku M. S., Oka M., Horrobin D. F. Differential regulation of the formation of prostaglandins and related substances from arachidonic acid and from dihomogammalinolenic acid. II. Effects of vitamin C. Prostaglandins Med. 1979 Aug;3(2):129–137. doi: 10.1016/0161-4630(79)90080-6. [DOI] [PubMed] [Google Scholar]
  25. Miyamoto T., Yamamoto S., Hayaishi O. Prostaglandin synthetase system--resolution into oxygenase and isomerase components. Proc Natl Acad Sci U S A. 1974 Sep;71(9):3645–3648. doi: 10.1073/pnas.71.9.3645. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Mtabaji J. P., Manku M. S., Horrobin D. F. Actions of the tricyclic antidepressant clomipramine on responses to pressor agents. Interactions with prostaglandin E2. Prostaglandins. 1977 Jul;14(1):125–132. doi: 10.1016/0090-6980(77)90161-7. [DOI] [PubMed] [Google Scholar]
  27. Nissen H. M., Andersen H. On the activity of prostaglandin-dehydrogenase system in the kidney. A histochemical study during hydration-dehydration and salt-repletion-salt-depletion. Histochemie. 1969;17(3):241–247. doi: 10.1007/BF00309868. [DOI] [PubMed] [Google Scholar]
  28. Prasad A. S. Clinical, biochemical, and pharmacological role of zinc. Annu Rev Pharmacol Toxicol. 1979;19:393–426. doi: 10.1146/annurev.pa.19.040179.002141. [DOI] [PubMed] [Google Scholar]
  29. Sandstead H. H. Zinc nutrition in the United States. Am J Clin Nutr. 1973 Nov;26(11):1251–1260. doi: 10.1093/ajcn/26.11.1251. [DOI] [PubMed] [Google Scholar]
  30. Smith S. Z., Scheen S. R., Wine L. J. Acrodermatitis enteropathica induced by iatrogenic zinc deficiency. South Med J. 1978 Dec;71(12):1582–1583. doi: 10.1097/00007611-197812000-00043. [DOI] [PubMed] [Google Scholar]
  31. WITTEN P. W., HOLMAN R. T. Polyethenoid fatty acid metabolism. VI. Effect of pyridoxine on essential fatty acid conversions. Arch Biochem Biophys. 1952 Dec;41(2):266–273. doi: 10.1016/0003-9861(52)90455-4. [DOI] [PubMed] [Google Scholar]
  32. Whorton A. R., Sweetman B. J., Oates J. A. Application of high performance liquid chromatography and gas chromatography-mass spectrometry to analysis of prostaglandin E1 in biological media. Anal Biochem. 1979 Oct 1;98(2):455–463. doi: 10.1016/0003-2697(79)90167-2. [DOI] [PubMed] [Google Scholar]

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