5-HT(2B) receptors are required for serotonin-selective antidepressant actions

Mol Psychiatry. 2012 Feb;17(2):154-63. doi: 10.1038/mp.2011.159. Epub 2011 Dec 13.

Abstract

The therapeutic effects induced by serotonin-selective reuptake inhibitor (SSRI) antidepressants are initially triggered by blocking the serotonin transporter and rely on long-term adaptations of pre- and post-synaptic receptors. We show here that long-term behavioral and neurogenic SSRI effects are abolished after either genetic or pharmacological inactivation of 5-HT(2B) receptors. Conversely, direct agonist stimulation of 5-HT(2B) receptors induces an SSRI-like response in behavioral and neurogenic assays. Moreover, the observation that (i) this receptor is expressed by raphe serotonergic neurons, (ii) the SSRI-induced increase in hippocampal extracellular serotonin concentration is strongly reduced in the absence of functional 5-HT(2B) receptors and (iii) a selective 5-HT(2B) agonist mimics SSRI responses, supports a positive regulation of serotonergic neurons by 5-HT(2B) receptors. The 5-HT(2B) receptor appears, therefore, to positively modulate serotonergic activity and to be required for the therapeutic actions of SSRIs. Consequently, the 5-HT(2B) receptor should be considered as a new tractable target in the combat against depression.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 8-Hydroxy-2-(di-n-propylamino)tetralin / adverse effects
  • Analysis of Variance
  • Animals
  • Bromodeoxyuridine / metabolism
  • Cell Differentiation / drug effects
  • Chromatography, High Pressure Liquid
  • Exploratory Behavior / drug effects
  • Fluoxetine / pharmacology*
  • Gene Expression Regulation / drug effects
  • Hippocampus / drug effects
  • Hypothermia / chemically induced
  • Ki-67 Antigen / metabolism
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Microdialysis
  • Neurogenesis / drug effects*
  • Reaction Time / drug effects
  • Receptor, Serotonin, 5-HT2B / deficiency
  • Receptor, Serotonin, 5-HT2B / physiology*
  • Selective Serotonin Reuptake Inhibitors / pharmacology*
  • Serotonin / metabolism
  • Serotonin Plasma Membrane Transport Proteins / deficiency
  • Serotonin Plasma Membrane Transport Proteins / metabolism*
  • Serotonin Receptor Agonists / adverse effects
  • Time Factors
  • Transcription Factors / deficiency

Substances

  • Fev protein, mouse
  • Ki-67 Antigen
  • Receptor, Serotonin, 5-HT2B
  • Serotonin Plasma Membrane Transport Proteins
  • Serotonin Receptor Agonists
  • Serotonin Uptake Inhibitors
  • Transcription Factors
  • Fluoxetine
  • Serotonin
  • 8-Hydroxy-2-(di-n-propylamino)tetralin
  • Bromodeoxyuridine