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Effect of CCK-4 on a 35% carbon dioxide challenge in healthy volunteers
Authors:Pols H  Griez E  Bourin M  Schruers K
Affiliation:

a University of Maastricht, Department of Psychiatry and Neuropsychology,, Maastricht, The Netherlands

b University of Nantes, Faculty of Medicine, Department of Pharmacology, Nantes, France

c Academic Anxiety Center, Maastricht, The Netherlands

Abstract:
1. 1. The purpose of this study was to determine whether a subthreshold dose of CCK-4 would enhance the vulnerability of healthy subjects to a 35% carbon dioxide challenge.
2. 2. 27 subjects, with no prior or present psychiatric disorder and in good physical condition were challenged with a vital capacity breath of a 35% carbon dioxide mixture, immediately after an intravenous injection of 5 μg CCK-4 or placebo, according to a random order double blind crossover design.
3. 3. Subjects reported significantly less panic symptoms upon carbon dioxide after premedication with CCK-4 than after placebo.
4. 4. Both CCK-4 and carbon dioxide may act on the same neuronal pathways, but seem to inhibit rather than potentiate each other effects.
Keywords:carbon dioxide   cholecystokinin   panic
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