Tryptophan Challenge in Healthy Controls and People with Schizophrenia: Acute Effects on Plasma Levels of Kynurenine, Kynurenic Acid and 5-Hydroxyindoleacetic Acid. 2022

Korrapati V Sathyasaikumar, and Francesca M Notarangelo, and Deanna L Kelly, and Laura M Rowland, and Stephanie M Hare, and Shuo Chen, and Chen Mo, and Robert W Buchanan, and Robert Schwarcz
Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD 21228, USA.

The pivotal tryptophan (TRP) metabolite kynurenine is converted to several neuroactive compounds, including kynurenic acid (KYNA), which is elevated in the brain and cerebrospinal fluid of people with schizophrenia (SZ) and may contribute to cognitive abnormalities in patients. A small proportion of TRP is metabolized to serotonin and further to 5-hydroxyindoleacetic acid (5-HIAA). Notably, KP metabolism is readily affected by immune stimulation. Here, we assessed the acute effects of an oral TRP challenge (6 g) on peripheral concentrations of kynurenine, KYNA and 5-HIAA, as well as the cytokines interferon-γ, TNF-α and interleukin-6, in 22 participants with SZ and 16 healthy controls (HCs) using a double-blind, placebo-controlled, crossover design. TRP raised the levels of kynurenine, KYNA and 5-HIAA in a time-dependent manner, causing >20-fold, >130-fold and 1.5-fold increases in kynurenine, KYNA and 5-HIAA concentrations, respectively, after 240 min. According to multivariate analyses, neither baseline levels nor the stimulating effects of TRP differed between participants with SZ and HC. Basal cytokine levels did not vary between groups, and remained unaffected by TRP. Although unlikely to be useful diagnostically, measurements of circulating metabolites following an acute TRP challenge may be informative for assessing the in vivo efficacy of drugs that modulate the neosynthesis of KYNA and other products of TRP degradation.

UI MeSH Term Description Entries

Related Publications

Korrapati V Sathyasaikumar, and Francesca M Notarangelo, and Deanna L Kelly, and Laura M Rowland, and Stephanie M Hare, and Shuo Chen, and Chen Mo, and Robert W Buchanan, and Robert Schwarcz
July 2018, Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology,
Korrapati V Sathyasaikumar, and Francesca M Notarangelo, and Deanna L Kelly, and Laura M Rowland, and Stephanie M Hare, and Shuo Chen, and Chen Mo, and Robert W Buchanan, and Robert Schwarcz
January 2012, Journal of psychiatry & neuroscience : JPN,
Korrapati V Sathyasaikumar, and Francesca M Notarangelo, and Deanna L Kelly, and Laura M Rowland, and Stephanie M Hare, and Shuo Chen, and Chen Mo, and Robert W Buchanan, and Robert Schwarcz
April 1999, Journal of neurochemistry,
Korrapati V Sathyasaikumar, and Francesca M Notarangelo, and Deanna L Kelly, and Laura M Rowland, and Stephanie M Hare, and Shuo Chen, and Chen Mo, and Robert W Buchanan, and Robert Schwarcz
May 2012, Schizophrenia bulletin,
Korrapati V Sathyasaikumar, and Francesca M Notarangelo, and Deanna L Kelly, and Laura M Rowland, and Stephanie M Hare, and Shuo Chen, and Chen Mo, and Robert W Buchanan, and Robert Schwarcz
August 2017, Pharmacological reports : PR,
Korrapati V Sathyasaikumar, and Francesca M Notarangelo, and Deanna L Kelly, and Laura M Rowland, and Stephanie M Hare, and Shuo Chen, and Chen Mo, and Robert W Buchanan, and Robert Schwarcz
December 2023, Cells,
Korrapati V Sathyasaikumar, and Francesca M Notarangelo, and Deanna L Kelly, and Laura M Rowland, and Stephanie M Hare, and Shuo Chen, and Chen Mo, and Robert W Buchanan, and Robert Schwarcz
April 1990, Biological psychiatry,
Korrapati V Sathyasaikumar, and Francesca M Notarangelo, and Deanna L Kelly, and Laura M Rowland, and Stephanie M Hare, and Shuo Chen, and Chen Mo, and Robert W Buchanan, and Robert Schwarcz
April 2018, Biomedical chromatography : BMC,
Korrapati V Sathyasaikumar, and Francesca M Notarangelo, and Deanna L Kelly, and Laura M Rowland, and Stephanie M Hare, and Shuo Chen, and Chen Mo, and Robert W Buchanan, and Robert Schwarcz
December 1971, Journal of mental deficiency research,
Korrapati V Sathyasaikumar, and Francesca M Notarangelo, and Deanna L Kelly, and Laura M Rowland, and Stephanie M Hare, and Shuo Chen, and Chen Mo, and Robert W Buchanan, and Robert Schwarcz
September 2018, Journal of pharmaceutical and biomedical analysis,
Copied contents to your clipboard!