SEROTONIN 5 HYDROXYTRYPTAMINE
Before
the identification of 5-hydroxytryptamine (5-HT), it was known that when blood
is allowed to clot, a vasoconstrictor (tonic) substance is released from the
clot into the serum. This substance was called serotonin. Independent studies
established the existence of a smooth muscle stimulant in intestinal mucosa. This
was called enteramine. The synthesis of 5-hydroxytryptamine in 1951 led to the
identification of serotonin and enteramine as the same metabolite of
5-hydroxytryptophan.
Serotonin
is an important neurotransmitter, a local hormone in the gut, a component of
the platelet clotting process, and is thought to play a role in migraine
headache and several other clinical conditions, including carcinoid syndrome. This syndrome is an unusual
manifestation of carcinoid tumor, a neoplasm of enterochromaffin cells. In
patients whose tumor is not surgically resectable, a serotonin antagonist may
constitute a useful treatment.
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