
Am J Psychiatry 160:1887-1889, October 2003
© 2003 American Psychiatric Association
Reduction of Brain Dopamine Concentration With Dietary Tyrosine Plus Phenylalanine Depletion: An [11C]Raclopride PET Study
Andrew J. Montgomery, M.B.B.Chir., M.R.C.P., M.R.C.Psych.,
Sarah F.B. McTavish, M.B.B.Chir., D.M., M.R.C.Psych.,
Philip J. Cowen, M.B.B.S., M.D., F.R.C.Psych., and
Paul M. Grasby, M.B.B.S., M.D., F.R.C.P., M.R.C.Psych.
OBJECTIVE: Extracellular dopamine concentrations were estimated through measurement of [11C]raclopride binding with positron emission tomography after dietary manipulation of the dopamine precursors tyrosine and phenylalanine. METHOD: Healthy male subjects were scanned on two occasions: once after receiving a balanced amino acid drink and once after receiving a drink mixture from which tyrosine and phenylalanine were omitted. RESULTS: Dietary tyrosine and phenylalanine depletion increased [11C]raclopride binding in the striatum by a mean of 6%. The change in [11C]raclopride binding correlated significantly with the fall in the ratio of tyrosine and phenylalanine to large neutral amino acids. CONCLUSIONS: This is the first demonstration of an effect of a dietary manipulation on brain dopamine release in humans. This result provides support for the further investigation of the role of dietary manipulations in the treatment of neuropsychiatric disorders.
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