Clinical studies on the phenylethylamine hypothesis of affective disorder:
urine and blood phenylacetic acid and phenylalanine dietary supplements
by
Sabelli HC; Fawcett J; Gusovsky F; Javaid JI;
Wynn P; Edwards J; Jeffriess
H; Kravitz H
J Clin Psychiatry 1986 Feb; 47(2):66-70
ABSTRACT
To test the hypothesis that 2-phenylethylamine (PEA) modulates affect,
plasma levels and urinary excretion of its main metabolite, phenylacetic
acid (PAA), were studied in depressed and manic subjects, and the
mood-elevating effects of its precursor, L-phenylalanine, were studied in
depressed subjects. Mean total plasma PAA concentrations were 491.83 +/-
232.84 ng/ml in 12 healthy volunteers and 300.33 +/- 197.44 ng/ml in 23
drug-free patients with major depression. The 24-hour urinary PAA excretion
was also measured in 48 healthy volunteers (141.1 +/- 10.2 mg PAA/24 hr) and
in 144 patients with major depression (78.2 +/- 41.0 mg PAA/24 hr). The
results suggest that low plasma and urinary PAA may be state markers for
depression and are compatible with the PEA hypothesis. In further support,
phenylalanine elevated mood in 31 of 40 depressives.
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