Date: Sat, 12 Aug 2000 14:15:18 -0400 To: From: Betty Martini Subject: Aspartame and Depression Here are a few comments on: Aspartame and Depression: Depression is obviously a highly complex phenomenon, but over the past several years there has been overwhelming evidence that one factor in the development of major depressive illness is decreased availability of serotonin. Serotonin is one of many so called neurotransmitters - chemical substances released into the synapse, or space, between brain cells. Information is transmitted from one cell to the other both chemically, via neurotransmitters such as serotonin, and electrically. Antidepressants such as Prozac work by increasing the availability of serotonin in the synapse. The synthesis, or manufacture of serotonin in the brain is very much dependent on the availability of an amino acid building block, L-tryptophan. Multiple studies demonstrate that tryptophan depletion is associated with the development of depressive symptoms. Work done in Richard Wurtman's laboratory has demonstrated that aspartame decreases the availability of L-tryptophan to the brain. The neurochemical impact of aspartame on the brain is fairly complicated. Not only does it decrease the availability of the building block for serotonin (L- tryptophan), but one of the two amino acids that comprise aspartame, phenylalanine, is a precursor for another very important neurotransmitter, norepinephrine. Papers which I published in 1986 and 1993 discuss what I believe is the clinical impact (accentuating depressive illness) of altering the balance between these 2 neurotransmitters (norepinephrine and serotonin). There is evidence that the therapeutic effect of antidepressants can be blocked by parachlorophenylalanine - a form of phenylalanine- one of the major constituents of aspartame. Administration of this substance has also been associated with aggression and binging. Aspartame and Weight Gain Food seeking behavior and satiety are driven by an area of the brain known as the hypothalamus. Stimulation of the medial hypothalamus in a laboratory rat leads to eating. Stimulation of the lateral hypothalamus leads to satiety and cessation of eating. Placing a lesion in the lateral hypothalamus produces an obese rat. The lateral hypothalamus is driven by serotonin. There are many papers in the current literature demonstrating that antidepressants which increase serotonin (but not antidepressants which act on other neurotransmitters) are useful in treating binge eating disorders. I believe that consuming large amounts of aspartame decreases the availability of serotonin and is thus analogous to placing a lesion in the lateral hypothalamus. Although much of this work is recent, clinical suggestions that aspartame can lead to a paradoxical increased appetite date back to Blunder's work of 1986. An evolving view in modern psychiatry is that although depression, obsessive compulsive disorder, panic disorder, impulse control disorders and eating disorders have historically been viewed as separate entities, in fact they should be viewed as a continuum of disorders all involving some degree of dysregulation of serotonin. I believe that at this time there is overwhelming evidence that aspartame contributes to this dysregulation. (By Ralph Walton, M.D.)