Skip to main content
Erschienen in: International Journal of Mental Health and Addiction 1/2009

01.01.2009

Increased CSF Homocysteine in Pathological Gamblers Compared with Healthy Controls

verfasst von: Conny Nordin, Ingemar Sjödin

Erschienen in: International Journal of Mental Health and Addiction | Ausgabe 1/2009

Einloggen, um Zugang zu erhalten

Abstract

Neurocognitive disturbances suggesting a frontal lobe dysfunction have been observed in pathological gamblers and alcohol dependents. Given that a high homocysteine level has been suggested to be a mediating factor in alcohol-related cognitive decline, we have determined homocysteine and cobalamine in cerebrospinal fluid (CSF) obtained from 11 pathological male gamblers and 11 healthy male controls. Compared with healthy controls, pathological gamblers displayed higher CSF levels of homocysteine while the opposite was the case with CSF cobalamine. Smoking decreased the levels of homocysteine while the concentrations of cobalamine were increased. Homocysteine is a sulphur-containing amino acid exerting cytotoxic effects in living cells. The metabolism of homocysteine to methionine is mediated by cobalamine and folate. Human studies suggest that homocysteine plays a role in brain damage and cognitive and memory decline. The relationship between pathological gambling, homocysteine, cobalamine, folate (not determined in the study) and cognitive processing warrants further investigation.
Literatur
Zurück zum Zitat American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC: American Psychiatric Association. American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC: American Psychiatric Association.
Zurück zum Zitat American Psychiatric Association (2005). Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC: American Psychiatric Association. American Psychiatric Association (2005). Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC: American Psychiatric Association.
Zurück zum Zitat Cloninger, R., Przybeck, T., Svrakic, D., & Wetzel, R. (1994). The Temperament and Character Inventory (TCI): A Guide for its Development and Use. St. Louis: Center for Psychobiology of Personality. Cloninger, R., Przybeck, T., Svrakic, D., & Wetzel, R. (1994). The Temperament and Character Inventory (TCI): A Guide for its Development and Use. St. Louis: Center for Psychobiology of Personality.
Zurück zum Zitat First, M., Gibbon, M., Spitzer, R., & Williams, J. (1997a). Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Washington D.C: American Psychiatric Press. First, M., Gibbon, M., Spitzer, R., & Williams, J. (1997a). Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Washington D.C: American Psychiatric Press.
Zurück zum Zitat First, M., Gibbon, M., Spitzer, R., Williams, J., & Benjamin, L. (1997b). Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). Washington D.C.: American Psychiatric Press. First, M., Gibbon, M., Spitzer, R., Williams, J., & Benjamin, L. (1997b). Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). Washington D.C.: American Psychiatric Press.
Zurück zum Zitat Haidemenos, A., Kontis, D., Gazi, A., Kallai, E., Allin, M., & Lucia, B. (2007). Plasma homocysteine, folate and B12 in chronic schizophrenia. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 31, 1289–1296. doi:10.1016/j.pnpbp.2007.05.011.CrossRef Haidemenos, A., Kontis, D., Gazi, A., Kallai, E., Allin, M., & Lucia, B. (2007). Plasma homocysteine, folate and B12 in chronic schizophrenia. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 31, 1289–1296. doi:10.​1016/​j.​pnpbp.​2007.​05.​011.CrossRef
Zurück zum Zitat Hill, T., & Lewicki, P. (2006). Statistics. Methods and Applications. A Comprehensive Reference for Science, Industry, and Data Mining. Tulsa: StatSoft. Hill, T., & Lewicki, P. (2006). Statistics. Methods and Applications. A Comprehensive Reference for Science, Industry, and Data Mining. Tulsa: StatSoft.
Zurück zum Zitat Hyland, K., & Bottiglieri, T. (1992). Measurement of total plasma and cerebrospinal fluid homocysteine by fluorescence following high-performance liquid chromatogrtaphy and precolumn derivatization with o-phthaldialdehyde. J Chromatogr A, 579, 55–62. doi:10.1016/0378-4347(92)80362-T.CrossRef Hyland, K., & Bottiglieri, T. (1992). Measurement of total plasma and cerebrospinal fluid homocysteine by fluorescence following high-performance liquid chromatogrtaphy and precolumn derivatization with o-phthaldialdehyde. J Chromatogr A, 579, 55–62. doi:10.​1016/​0378-4347(92)80362-T.CrossRef
Zurück zum Zitat Lehmann, M., Regland, B., Blennow, K., & Gottfries, C. G. (2003). Vitamin B12-B6-folate treatment improves blood-brain barrier function in patients with hyperhomocysteinaemia and mild cognitive impairment. Dementia and Geriatric Cognitive Disorders, 16, 145–150. doi:10.1159/000071002.PubMedCrossRef Lehmann, M., Regland, B., Blennow, K., & Gottfries, C. G. (2003). Vitamin B12-B6-folate treatment improves blood-brain barrier function in patients with hyperhomocysteinaemia and mild cognitive impairment. Dementia and Geriatric Cognitive Disorders, 16, 145–150. doi:10.​1159/​000071002.PubMedCrossRef
Zurück zum Zitat McCaddon, A. (2006). Homocysteine and cognition–a historical perspective. Journal of Alzheimer’s Disease, 9, 361–380.PubMed McCaddon, A. (2006). Homocysteine and cognition–a historical perspective. Journal of Alzheimer’s Disease, 9, 361–380.PubMed
Zurück zum Zitat Moretti, R., Terre, P., Antonello, R., Cattaruzza, T., Cazzato, G., & Bava, A. (2004). Vitamin B12 and folate depletion in cognition: a review. Neurol India, 52, 310–318.PubMed Moretti, R., Terre, P., Antonello, R., Cattaruzza, T., Cazzato, G., & Bava, A. (2004). Vitamin B12 and folate depletion in cognition: a review. Neurol India, 52, 310–318.PubMed
Zurück zum Zitat Nijst, T., Wevers, R. A., Schoonderwaldt, H. C., Hommes, O. R., & de Haan, A. F. (1990). Vitamin B12 and folate concentrations in serum and cerebrospinal fluid of neurological patients with special reference to multiple sclerosis and dementia. Journal of Neurology, Neurosurgery and Psychiatry, 53, 951–954.CrossRef Nijst, T., Wevers, R. A., Schoonderwaldt, H. C., Hommes, O. R., & de Haan, A. F. (1990). Vitamin B12 and folate concentrations in serum and cerebrospinal fluid of neurological patients with special reference to multiple sclerosis and dementia. Journal of Neurology, Neurosurgery and Psychiatry, 53, 951–954.CrossRef
Zurück zum Zitat Nordin, C., & Eklundh, T. (1999). Altered CSF 5-HIAA disposition in pathologic male gamblers. CNS Spectrums, 4, 25–33.PubMed Nordin, C., & Eklundh, T. (1999). Altered CSF 5-HIAA disposition in pathologic male gamblers. CNS Spectrums, 4, 25–33.PubMed
Zurück zum Zitat Obeid, R., Kasoha, M., Knapp, J.-P., Kostopoulos, P., Becker, G., Fassbender, K., et al. (2007a). Folate and methylation status in relation to phosphorylated tau protein (181P) and beta-amuloid (1–42) in cerebrospinal fluid. Clinical Chemistry, 53, 1129–1136. doi:10.1373/clinchem.2006.085241.PubMedCrossRef Obeid, R., Kasoha, M., Knapp, J.-P., Kostopoulos, P., Becker, G., Fassbender, K., et al. (2007a). Folate and methylation status in relation to phosphorylated tau protein (181P) and beta-amuloid (1–42) in cerebrospinal fluid. Clinical Chemistry, 53, 1129–1136. doi:10.​1373/​clinchem.​2006.​085241.PubMedCrossRef
Zurück zum Zitat Obeid, R., McCaddon, A., & Herrman, W. (2007b). The role of hyperhomocysteinemia amd B-vitamin deficiency in neurological and psychiatric diseases. Clinical Cchemistry and Laboratory Medicine, 45, 1590–1606. doi:10.1515/CCLM.2007.356.CrossRef Obeid, R., McCaddon, A., & Herrman, W. (2007b). The role of hyperhomocysteinemia amd B-vitamin deficiency in neurological and psychiatric diseases. Clinical Cchemistry and Laboratory Medicine, 45, 1590–1606. doi:10.​1515/​CCLM.​2007.​356.CrossRef
Zurück zum Zitat Patterson 2nd, J., Holland, J., & Middleton, R. (2006). Neuropsychological performance, impulsivity, and comorbid psychiatric illness in patients with pathological gambling undergoing treatment at the CORE inpatient Treatment Center. South Med J, 99, 36–43. doi:10.1097/01.smj.0000197583.24072.f5.PubMedCrossRef Patterson 2nd, J., Holland, J., & Middleton, R. (2006). Neuropsychological performance, impulsivity, and comorbid psychiatric illness in patients with pathological gambling undergoing treatment at the CORE inpatient Treatment Center. South Med J, 99, 36–43. doi:10.​1097/​01.​smj.​0000197583.​24072.​f5.PubMedCrossRef
Zurück zum Zitat Roy, A., Adinoff, B., Roerich, L., Lamparski, D., Custer, R., Lorenz, V., et al. (1988). Pathological gambling. A psychobiological study. Archives of General Psychiatry, 45, 369–373.PubMed Roy, A., Adinoff, B., Roerich, L., Lamparski, D., Custer, R., Lorenz, V., et al. (1988). Pathological gambling. A psychobiological study. Archives of General Psychiatry, 45, 369–373.PubMed
Zurück zum Zitat Russo, C., Morabito, F., Luise, F., Piromalli, A., Battaglia, L., Vinci, A., et al. (2007). Hyperhomoyateinemia is associated with cognitive impairment in multiple sclerosis. Journal of Neurology, 255, 64–69. doi:10.1007/s00415-007-0668-7.PubMedCrossRef Russo, C., Morabito, F., Luise, F., Piromalli, A., Battaglia, L., Vinci, A., et al. (2007). Hyperhomoyateinemia is associated with cognitive impairment in multiple sclerosis. Journal of Neurology, 255, 64–69. doi:10.​1007/​s00415-007-0668-7.PubMedCrossRef
Zurück zum Zitat Wilhelm, J., Bayerlein, K., Hillemacher, T., Realbach, U., Frieling, H., Kromolan, B., et al. (2006). Short-term cognition deficits during early alcohol withdrawal are associated with elevated plasma homocysteine levels in patients with alcoholism. Journal of Neural Transmission, 113, 357–363. doi:10.1007/s00702-005-0333-1.PubMedCrossRef Wilhelm, J., Bayerlein, K., Hillemacher, T., Realbach, U., Frieling, H., Kromolan, B., et al. (2006). Short-term cognition deficits during early alcohol withdrawal are associated with elevated plasma homocysteine levels in patients with alcoholism. Journal of Neural Transmission, 113, 357–363. doi:10.​1007/​s00702-005-0333-1.PubMedCrossRef
Metadaten
Titel
Increased CSF Homocysteine in Pathological Gamblers Compared with Healthy Controls
verfasst von
Conny Nordin
Ingemar Sjödin
Publikationsdatum
01.01.2009
Verlag
Springer-Verlag
Erschienen in
International Journal of Mental Health and Addiction / Ausgabe 1/2009
Print ISSN: 1557-1874
Elektronische ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-008-9172-2

Weitere Artikel der Ausgabe 1/2009

International Journal of Mental Health and Addiction 1/2009 Zur Ausgabe

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.