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Serotonergic perturbations in dystonia disorders-a systematic review

Smit, M. ; Bartels, A. L. ; van Faassen, M. ; Kuiper, A. ; Niezen-Koning, K. E. ; Kema, I. P. ; Dierckx, R. A. ; de Koning, T. J. LU and Tijssen, M. A. (2016) In Neuroscience and Biobehavioral Reviews 65. p.264-275
Abstract

Dystonia is a hyperkinetic movement disorder characterized by sustained or intermittent muscle contractions. Emerging data describe high prevalences of non-motor symptoms, including psychiatric co-morbidity, as part of the phenotype of dystonia. Basal ganglia serotonin and serotonin-dopamine interactions gain attention, as imbalances are known to be involved in extrapyramidal movement and psychiatric disorders.We systematically reviewed the literature for human and animal studies relating to serotonin and its role in dystonia. An association between dystonia and the serotonergic system was reported with decreased levels of 5-hydroxyindolacetic acid, the main metabolite of serotonin. A relation between dystonia and drugs affecting the... (More)

Dystonia is a hyperkinetic movement disorder characterized by sustained or intermittent muscle contractions. Emerging data describe high prevalences of non-motor symptoms, including psychiatric co-morbidity, as part of the phenotype of dystonia. Basal ganglia serotonin and serotonin-dopamine interactions gain attention, as imbalances are known to be involved in extrapyramidal movement and psychiatric disorders.We systematically reviewed the literature for human and animal studies relating to serotonin and its role in dystonia. An association between dystonia and the serotonergic system was reported with decreased levels of 5-hydroxyindolacetic acid, the main metabolite of serotonin. A relation between dystonia and drugs affecting the serotonergic system was described in 89 cases in 49 papers. Psychiatric co-morbidity was frequently described, but likely underestimated as it was not systematically examined.Currently, there are no good (pharmaco)therapeutic options for most forms of dystonia or associated non-motor symptoms. Further research using selective serotonergic drugs in appropriate models of dystonia is required to establish the role of the serotonergic system in dystonia and to guide us to new therapeutic strategies.

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author
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publishing date
type
Contribution to journal
publication status
published
subject
keywords
5-HIAA, Dystonia, Neurotransmitters, Non-motor, Psychiatric disorder, Serotonin
in
Neuroscience and Biobehavioral Reviews
volume
65
pages
264 - 275
publisher
Elsevier
external identifiers
  • scopus:84962786620
  • pmid:27073048
ISSN
0149-7634
DOI
10.1016/j.neubiorev.2016.03.015
language
English
LU publication?
no
id
fa91162b-e4a6-4b30-9fe1-acca3173c657
date added to LUP
2020-02-26 09:57:08
date last changed
2024-04-17 05:35:00
@article{fa91162b-e4a6-4b30-9fe1-acca3173c657,
  abstract     = {{<p>Dystonia is a hyperkinetic movement disorder characterized by sustained or intermittent muscle contractions. Emerging data describe high prevalences of non-motor symptoms, including psychiatric co-morbidity, as part of the phenotype of dystonia. Basal ganglia serotonin and serotonin-dopamine interactions gain attention, as imbalances are known to be involved in extrapyramidal movement and psychiatric disorders.We systematically reviewed the literature for human and animal studies relating to serotonin and its role in dystonia. An association between dystonia and the serotonergic system was reported with decreased levels of 5-hydroxyindolacetic acid, the main metabolite of serotonin. A relation between dystonia and drugs affecting the serotonergic system was described in 89 cases in 49 papers. Psychiatric co-morbidity was frequently described, but likely underestimated as it was not systematically examined.Currently, there are no good (pharmaco)therapeutic options for most forms of dystonia or associated non-motor symptoms. Further research using selective serotonergic drugs in appropriate models of dystonia is required to establish the role of the serotonergic system in dystonia and to guide us to new therapeutic strategies.</p>}},
  author       = {{Smit, M. and Bartels, A. L. and van Faassen, M. and Kuiper, A. and Niezen-Koning, K. E. and Kema, I. P. and Dierckx, R. A. and de Koning, T. J. and Tijssen, M. A.}},
  issn         = {{0149-7634}},
  keywords     = {{5-HIAA; Dystonia; Neurotransmitters; Non-motor; Psychiatric disorder; Serotonin}},
  language     = {{eng}},
  month        = {{06}},
  pages        = {{264--275}},
  publisher    = {{Elsevier}},
  series       = {{Neuroscience and Biobehavioral Reviews}},
  title        = {{Serotonergic perturbations in dystonia disorders-a systematic review}},
  url          = {{http://dx.doi.org/10.1016/j.neubiorev.2016.03.015}},
  doi          = {{10.1016/j.neubiorev.2016.03.015}},
  volume       = {{65}},
  year         = {{2016}},
}