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Central Nervous System Serotonin Function and Cardiovascular Responses to Stress

Redford B. Williams, MD, Douglas A. Marchuk, PhD, Kishore M. Gadde, MD, John C. Barefoot, PhD, Katherine Grichnik, MD, Michael J. Helms, BS, Cynthia M. Kuhn, PhD, James G. Lewis, PhD, Saul M. Schanberg, MD, PhD, Mark Stafford-Smith, MD, Edward C. Suarez, PhD, Greg L. Clary, MD, Ingrid K. Svenson, BSc and Ilene C. Siegler, PhD

From the Departments of Psychiatry and Behavioral Sciences (R.B.W., J.C.B., G.L.C., K.M.G., M.J.H., I.C.S., E.C.S.), Anesthesiology (K.G., M.S.-S.), Pharmacology and Cancer Biology (C.M.K., S.M.S.), Pathology (J.G.L.), and Genetics (D.A.M., I.K.S.), Duke University Medical Center, Durham, North Carolina.



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Fig. 1. CSF 5HIAA levels (mean ± SEM) in subjects with l/l, l/s, and s/s 5HTTLPR genotypes. Subjects with l/l and l/s do not differ, and level of l/l and l/s subjects combined is higher than that of s/s subjects. p = .006, one-way ANOVA.

 


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Fig. 2. A, MAP (mean ± SEM) during rest and stress periods. Subjects with high (Hi, based on median split) levels of 5HIAA show a larger increase in MAP than subjects with low (Lo) 5HIAA levels (two-way ANOVA, group-by-period interaction: p < .001). B, Subjects with l/l or l/s genotype show larger MAP increases than s/s subjects (two-way ANOVA, group-by-period interaction: p < .0001).

 





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