HYPODENSITY OF PLATELET SEROTONIN UPTAKE SITES IN POSTTRAUMATIC-STRESS-DISORDER - ASSOCIATED CLINICAL-FEATURES

We have previously reported that binding to blood platelets of paroxet ine, a selective serotonin (5-HT) reuptake inhibitor which binds to 5- HT uptake sites, is decreased in patients with posttraumatic stress di sorder (PTSD). Specifically, we found a lower number of platelet H-3-p aroxetine binding sites (B-max) and a lower dissociation constant (K-d ) for H-3-paroxetine binding in combat veterans with PTSD compared to normal control subjects. In the current study we assessed the relation ship of platelet H-3-paroxetine binding to clinical features in 41 Vie tnam combat veterans with SCID-diagnosed PTSD. The results indicated t hat B-max of platelet H-3-paroxetine binding was negatively correlated with both state and trait anxiety, as well as with depressive and ove rall PTSD symptoms. However, there was no evidence that platelet H-3-p aroxetine binding differed as a function of comorbid psychiatric diagn oses including major depression, other anxiety disorders, and substanc e abuse in these patients.