PT - JOURNAL ARTICLE AU - J H Jacoby AU - H Shabshelowitz AU - J D Fernstrom AU - R J Wurtman TI - The mechanism by which methiothepin, a putative serotonin receptor antagonist, icnreses brain 5-hydroxyindole levels. DP - 1975 Nov 01 TA - Journal of Pharmacology and Experimental Therapeutics PG - 257--264 VI - 195 IP - 2 4099 - http://jpet.aspetjournals.org/content/195/2/257.short 4100 - http://jpet.aspetjournals.org/content/195/2/257.full SO - J Pharmacol Exp Ther1975 Nov 01; 195 AB - Brain tryptophan and 5-hydroxyindole levels are elevated in rats given methiothepin, a neuroleptic that appears to block serotonin receptors. The rise in brain tryptophan probably results from a drug-induced increase in the ratio of plasma tryptophan concentration to the sum of the neutral amino acids in plasma that compete with tryptophan for uptake into the brain; this change in the plasma amino acid pattern may be mediated in part by a methiothepin-induced rise in plasma insulin. Methiothepin also decreases the proportion of circulating tryptophan that is bound to albumin. Unlike exogenous tryptophan, methiothepin fails to increase 5-hydroxyin-doles caudal to the site of a spinal cord transection. Therefore, the mechanism by which methiothepin elevates 5-hydroxyindole levels involves not only increased brain tryptophan levels but also continued impulse flow along serotonergic neurons.