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  Vol. 52 No. 11, November 1995 TABLE OF CONTENTS
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Seasonal Variation in Plasma L-Tryptophan Availability in Healthy Volunteers

Relationships to Violent Suicide Occurrence

Michael Maes, MD, PhD; Simon Scharpé, PhD; Robert Verkerk, RT; Peter D'Hondt, MD; Dirk Peeters, MD; Paul Cosyns, MD; Paul Thompson, PhD; Frans De Meyer, PhD; Annick Wauters, MS; Hugo Neels, PhD

Arch Gen Psychiatry. 1995;52(11):937-946.


Abstract

Objective
To investigate the seasonal variation in levels of plasma L-tryptophan and competing amino acids (CAAs) in healthy humans in relation to climatic variables, total serum protein levels, and violent suicide occurrence.

Methods
Twenty-six healthy volunteers (13 men and 13 women; mean [±SD] age, 38.7±13.4 years) had monthly blood samplings for assays of L-tryptophan, valine, leucine, isoleucine, tyrosine, and phenylalanine during 1 calendar year.

Results
Significant annual rhythms were detected in L-tryptophan, the L-tryptophan/CAA ratio, phenylalanine, valine, and leucine, and semiannual rhythms in L-tryptophan values and in L-tryptophan/CAA ratios. Plasma L-tryptophan and the L-tryptophan/CAA ratio were significantly lower in the spring than in the other seasons. The peak-trough differences in the yearly variation expressed as a percentage of the mean were 17.1% and 16.1% for L-tryptophan values and L-tryptophan/CAA ratios, respectively. The amplitude of the yearly variation in all CAAs was low, ie, less than 7%. An important part of the variance in L-tryptophan availability (ie, 12% to 14%) could be explained by the composite effects of present and past climatic factors; higher ambient temperature and relative humidity in the face of lower air pressure are the most important predictors of low L-tryptophan availability. Important and positive time relationships were noted between total serum protein level and all amino acid concentrations, and a significant time relationship was also noted between the seasonal variation in L-tryptophan availability and the occurrence of violent suicide in Belgium.

Conclusion
Our results show a bimodal seasonal pattern in the availability of plasma L-tryptophan that matches seasonal patterns in the prevalence of violent suicide in the local population and depression in other studies.



Author Affiliations

Affiliations of the authors are given in the acknowledgment section at the end of the article.



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