There is consistent preclinical evidence that brain 5-HT and 5-HIAA co
ncentrations are abnormal during natural ageing (Kabuto et al., 1995).
Furthermore, plasma/CSF 5-HT and 5-HIAA concentrations are reduced in
both vascular and Alzheimer's type dementia, which may be due to abno
rmal progressive cell degeneration (Parnetti et al., 1994). However, e
ffects of natural ageing on plasma 5-HT, 5-HIAA and 5-HT turnover rema
in unclear. Therefore, we investigated the relationship between 5-HT t
urnover and age in 44 subjects (M:F = 22:22; age range: 21-63 years).
We determined plasma 5-HT and 5-HIAA, after an overnight fasting and b
lind to subject status, by an HPLC-fluorescent detection method (Bearc
roft et al., 1995), and 5-HT turnover was calculated as [5-HIAA]divide
d by[5-HT]. These results indicate that 5-HT turnover is positively co
rrelated with natural ageing, suggesting that ageing may alter 5-HT sy
stem in humans. However, further large scale studies are required to c
onfirm these results and to investigate their significance. (C) 1997 J
ohn Wiley & Sons, Ltd.