Serotonin(S-HT)-stimulated intracellular calcium(Ca) mobilization was
measured in the platelets of depressed patients to assess 5-HT2 recept
or function. The 5-HT-induced Ca response was significantly higher in
unmedicated patients with bipolar depression and melancholic major dep
ression than in those with nonmelancholic major depression and normal
controls. The enhanced Ca response to 5-HT failed to correlate with se
verity of depressive symptoms. In patients with bipolar disorder and m
elancholic major depression, there was no significant difference in 5-
HT-stimulated Ca response between the unmedicated group and those in r
emission. These results suggest that 5-HT2 receptor function is increa
sed in some types of depression, and raise the possibility that the en
hanced Ca response to 5-HT may be trait dependent rather than state de
pendent.