PMID- 8555377 OWN - NLM STAT- MEDLINE DCOM- 19960228 LR - 20221207 IS - 0006-3223 (Print) IS - 0006-3223 (Linking) VI - 38 IP - 10 DP - 1995 Nov 15 TI - Plasma amino acid ratios related to brain serotonin synthesis in response to food intake in bulimia nervosa. PG - 659-68 AB - Fifteen bulimic women (BN) and 19 healthy female controls (CO) were studied. The subjects were cross-over treated with either fluoxetine (FXT) or placebo during 4 days. They received, in randomized order, a breakfast containing pure carbohydrate (CHO) or a protein-rich (PROT) breakfast following day 3 and 4 of each treatment period. Twenty-nine different food items were offered for lunch. The fasting serum glucose and insulin concentrations and the fasting plasma tryptophan (Trp)/large neutral amino acid (LNAA) ratio were slightly higher in BN. The changes of these metabolic parameters in response to a CHO or PROT breakfast were similar in both groups. Across breakfast type, the plasma (Trp)/(LNAA) ratio at 120 min after breakfast was higher in BN. Total caloric intake at lunchtime was less in BN. In CO, less carbohydrate was selected at lunchtime following the CHO breakfast, an effect that was abolished by FXT. Breakfast type or FXT did not have any apparent effect on food intake at lunchtime in BN. This might indicate that bulimic subjects are less sensitive to serotoninergic stimuli than control subjects. FAU - Pijl, H AU - Pijl H AD - Department of General Internal Medicine, University Hospital Leiden, The Netherlands. FAU - Cohen, A F AU - Cohen AF FAU - Verkes, R J AU - Verkes RJ FAU - Koppeschaar, H P AU - Koppeschaar HP FAU - Iestra, J A AU - Iestra JA FAU - Schoemaker, H C AU - Schoemaker HC FAU - Frolich, M AU - Frolich M FAU - Onkenhout, W AU - Onkenhout W FAU - Meinders, A E AU - Meinders AE LA - eng PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - Biol Psychiatry JT - Biological psychiatry JID - 0213264 RN - 0 (Amino Acids) RN - 0 (Blood Glucose) RN - 0 (Dietary Carbohydrates) RN - 0 (Dietary Proteins) RN - 0 (Insulin) RN - 0 (Serotonin Uptake Inhibitors) RN - 01K63SUP8D (Fluoxetine) RN - 333DO1RDJY (Serotonin) RN - 8DUH1N11BX (Tryptophan) SB - IM MH - Adult MH - Amino Acids/*blood MH - Analysis of Variance MH - Blood Glucose/drug effects/metabolism MH - Brain/*metabolism MH - Bulimia/*metabolism MH - Cross-Over Studies MH - Dietary Carbohydrates/administration & dosage/pharmacology MH - Dietary Proteins/administration & dosage/pharmacology MH - Double-Blind Method MH - Energy Intake MH - Feeding Behavior/*drug effects MH - Female MH - Fluoxetine/*pharmacology MH - Humans MH - Insulin/blood MH - Serotonin/*biosynthesis MH - Selective Serotonin Reuptake Inhibitors/*pharmacology MH - Tryptophan/blood EDAT- 1995/11/15 00:00 MHDA- 1995/11/15 00:01 CRDT- 1995/11/15 00:00 PHST- 1995/11/15 00:00 [pubmed] PHST- 1995/11/15 00:01 [medline] PHST- 1995/11/15 00:00 [entrez] AID - 0006-3223(95)00043-7 [pii] AID - 10.1016/0006-3223(95)00043-7 [doi] PST - ppublish SO - Biol Psychiatry. 1995 Nov 15;38(10):659-68. doi: 10.1016/0006-3223(95)00043-7.