Skip to main content
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1990 Dec;53(12):1096–1098. doi: 10.1136/jnnp.53.12.1096

Cerebrospinal fluid S-adenosylmethionine in depression and dementia: effects of treatment with parenteral and oral S-adenosylmethionine.

T Bottiglieri 1, P Godfrey 1, T Flynn 1, M W Carney 1, B K Toone 1, E H Reynolds 1
PMCID: PMC488323  PMID: 2292704

Abstract

Cerebrospinal fluid (CSF) S-adenosylmethionine (SAM) levels were significantly lower in severely depressed patients than in a neurological control group. The administration of SAM either intravenously or orally is associated with a significant rise of CSF SAM, indicating that it crosses the blood-brain barrier in humans. These observations provide a rational basis for the antidepressant effect of SAM, which has been confirmed in several countries. CSF SAM levels were low in a group of patients with Alzheimer's dementia suggesting a possible disturbance of methylation in such patients and the need for trials of SAM treatment.

Full text

PDF
1097

Selected References

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

  1. Alarcon R. D., Tolbert L. C., Monti J. A., Morere D. A., Walter-Ryan W. G., Kemp B., Smythies J. R. One-carbon metabolism disturbances in affective disorders. A preliminary report. J Affect Disord. 1985 Nov;9(3):297–301. doi: 10.1016/0165-0327(85)90060-6. [DOI] [PubMed] [Google Scholar]
  2. Baldessarini R. J. Neuropharmacology of S-adenosyl-L-methionine. Am J Med. 1987 Nov 20;83(5A):95–103. doi: 10.1016/0002-9343(87)90860-6. [DOI] [PubMed] [Google Scholar]
  3. Bell K. M., Plon L., Bunney W. E., Jr, Potkin S. G. S-adenosylmethionine treatment of depression: a controlled clinical trial. Am J Psychiatry. 1988 Sep;145(9):1110–1114. doi: 10.1176/ajp.145.9.1110. [DOI] [PubMed] [Google Scholar]
  4. Bottiglieri T., Chary T. K., Laundy M., Carney M. W., Godfrey P., Toone B. K., Reynolds E. H. Transmethylation in depression. Ala J Med Sci. 1988 Jul;25(3):296–301. [PubMed] [Google Scholar]
  5. Carney M. W., Chary T. K., Bottiglieri T., Reynolds E. H. The switch mechanism and the bipolar/unipolar dichotomy. Br J Psychiatry. 1989 Jan;154:48–51. doi: 10.1192/bjp.154.1.48. [DOI] [PubMed] [Google Scholar]
  6. Carney M. W., Chary T. K., Bottiglieri T., Reynolds E. H., Toone B. K. Switch mechanism in affective illness and oral S-adenosylmethionine (SAM) Br J Psychiatry. 1987 May;150:724–725. doi: 10.1192/bjp.150.5.724. [DOI] [PubMed] [Google Scholar]
  7. Carney M. W., Edeh J., Bottiglieri T., Reynolds E. M., Toone B. K. Affective illness and S-adenosyl methionine: a preliminary report. Clin Neuropharmacol. 1986;9(4):379–385. doi: 10.1097/00002826-198608000-00005. [DOI] [PubMed] [Google Scholar]
  8. Carney M. W. Serum folate values in 423 psychiatric patients. Br Med J. 1967 Dec 2;4(5578):512–516. doi: 10.1136/bmj.4.5578.512. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Giulidori P., Stramentinoli G. A radioenzymatic method for S-adenosyl-L-methionine determination in biological fluids. Anal Biochem. 1984 Feb;137(1):217–220. doi: 10.1016/0003-2697(84)90373-7. [DOI] [PubMed] [Google Scholar]
  10. Janicak P. G., Lipinski J., Davis J. M., Comaty J. E., Waternaux C., Cohen B., Altman E., Sharma R. P. S-adenosylmethionine in depression. A literature review and preliminary report. Ala J Med Sci. 1988 Jul;25(3):306–313. [PubMed] [Google Scholar]
  11. Küfferle B., Grünberger J. Early clinical double-blind study with S-adenosyl-L-methionine: a new potential antidepressant. Adv Biochem Psychopharmacol. 1982;32:175–180. [PubMed] [Google Scholar]
  12. Ptashne M. How gene activators work. Sci Am. 1989 Jan;260(1):40–47. doi: 10.1038/scientificamerican0189-40. [DOI] [PubMed] [Google Scholar]
  13. Reynolds E. H., Carney M. W., Toone B. K. Methylation and mood. Lancet. 1984 Jul 28;2(8396):196–198. doi: 10.1016/s0140-6736(84)90482-3. [DOI] [PubMed] [Google Scholar]
  14. Reynolds E. H. Effects of folic acid on the mental state and fit-frequency of drug-treated epileptic patients. Lancet. 1967 May 20;1(7499):1086–1088. doi: 10.1016/s0140-6736(67)92654-2. [DOI] [PubMed] [Google Scholar]
  15. Reynolds E. H., Linnell J. C. Vitamin B12 deficiency, demyelination, and multiple sclerosis. Lancet. 1987 Oct 17;2(8564):920–920. doi: 10.1016/s0140-6736(87)91411-5. [DOI] [PubMed] [Google Scholar]
  16. Reynolds E. H., Stramentinoli G. Folic acid, S-adenosylmethionine and affective disorder. Psychol Med. 1983 Nov;13(4):705–710. doi: 10.1017/s0033291700051394. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES