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The Role of 5-HT2C Receptors in the Pathophysiology and Treatment of Depression

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5-HT2C Receptors in the Pathophysiology of CNS Disease

Part of the book series: The Receptors ((REC,volume 22))

Abstract

There is considerable evidence supporting the involvement of serotonin-2C (5-HT2C) receptors in the pathophysiology of depression. First, 5-HT2C receptors play an important role in the regulation of monoamine transmission. Second, abnormalities in expression and functioning of 5-HT2C receptors have been observed in depressed patients and in animal models of depression. Third, a large body of evidence indicates that 5-HT2C receptors mediate certain behavioral functions that are disturbed in depression. Finally, some compounds acting on 5-HT2C receptors are effective in the treatment of depression. This chapter aims to summarize these four lines of evidence for the involvement of 5-HT2C receptors in pathophysiology and treatment of depression.

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References

  • Alex KD, Pehek EA (2007) Pharmacologic mechanisms of serotonergic regulation of dopamine neurotransmission. Pharmacol Ther 113:296–320.

    Article  PubMed  CAS  Google Scholar 

  • Alex KD, Yavanian GJ, McFarlane HG, et al (2005) Modulation of dopamine release by striatal 5-HT2C receptors. Synapse 55:242–251.

    Article  PubMed  CAS  Google Scholar 

  • American Psychiatric Association (2000). Diagnostic and statistical manual (DSM) IV.

    Google Scholar 

  • Berendsen HH, Broekkamp CL (1997) Indirect in vivo 5-HT1A-agonistic effects of the new antidepressant mirtazapine. Psychopharmacology 133:275–282.

    Article  PubMed  CAS  Google Scholar 

  • Blackburn TP, Baxter GS, Kennett GA, et al (1993) BRL 46470A: a highly potent, selective and long acting 5-HT3 receptor antagonist with anxiolytic-like properties. Psychopharmacology 110:257–264.

    Article  PubMed  CAS  Google Scholar 

  • Blier P, Pineyro G, el Mansari M, et al (1998) Role of somatodendritic 5-HT autoreceptors in modulating 5-HT neurotransmission. Ann N Y Acad Sci 861:204–216.

    Article  PubMed  CAS  Google Scholar 

  • Bockaert J, Claeysen S, Becamel C, et al (2006) Neuronal 5-HT metabotropic receptors: fine-tuning of their structure, signaling, and roles in synaptic modulation. Cell Tissue Res 326: 553–572.

    Article  PubMed  CAS  Google Scholar 

  • Boothman LJ, Allers KA, Rasmussen K, et al (2003) Evidence that central 5-HT2A and 5-HT2B/C receptors regulate 5-HT cell firing in the dorsal raphe nucleus of the anaesthetised rat. Br J Pharmacol 139:998–1004.

    Article  PubMed  CAS  Google Scholar 

  • Boothman L, Raley J, Denk F, et al (2006) In vivo evidence that 5-HT(2C) receptors inhibit 5-HT neuronal activity via a GABAergic mechanism. Br J Pharmacol 149:861–869.

    Article  PubMed  CAS  Google Scholar 

  • Burns CM, Chu H, Rueter SM, et al (1997) Regulation of serotonin-2C receptor G-protein coupling by RNA editing. Nature 387:303–308.

    Article  PubMed  CAS  Google Scholar 

  • Cervo L, Samanin R (1995) 5-HT1A receptor full and partial agonists and 5-HT2C (but not 5-HT3) receptor antagonists increase rates of punished responding in rats. Pharmacol Biochem Behav 52:671–676.

    Article  PubMed  CAS  Google Scholar 

  • Chenu F, El Mansari M, Blier P (2009) Long-term administration of monoamine oxidase inhibitors alters the firing rate and pattern of dopamine neurons in the ventral tegmental area. Int J Neuropsychopharmacol 12:475–485.

    Article  PubMed  CAS  Google Scholar 

  • Cremers TI, Giorgetti M, Bosker FJ, et al (2004) Inactivation of 5-HT(2C) receptors potentiates consequences of serotonin reuptake blockade. Neuropsychopharmacology 29:1782–1789.

    Article  PubMed  CAS  Google Scholar 

  • Cremers TI, Rea K, Bosker FJ, et al (2007) Augmentation of SSRI effects on serotonin by 5-HT2C antagonists: mechanistic studies. Neuropsychopharmacology 32:1550–1557.

    Article  PubMed  CAS  Google Scholar 

  • Cussac D, Newman-Tancredi A, Duqueyroix D, et al (2002) Differential activation of Gq/11 and Gi(3) proteins at 5-hydroxytryptamine(2C) receptors revealed by antibody capture assays: influence of receptor reserve and relationship to agonist-directed trafficking. Mol Pharmacol 62:578–589.

    Article  PubMed  CAS  Google Scholar 

  • Di Giovanni G, Di Matteo V, Di Mascio M, et al (2000) Preferential modulation of mesolimbic vs. nigrostriatal dopaminergic function by serotonin (2C/2B) receptor agonists: a combined in vivo electrophysiological and microdialysis study. Synapse 35:53–61.

    Article  PubMed  Google Scholar 

  • Di Giovanni G, Di Matteo V, La Grutta V, et al (2001) m-Chlorophenylpiperazine excites non-dopaminergic neurons in the rat substantia nigra and ventral tegmental area by activating serotonin-2C receptors. Neuroscience 103:111–116.

    Article  PubMed  Google Scholar 

  • Di Mascio M, Di Giovanni G, Di Matteo V, et al (1999) Decreased chaos of midbrain dopaminergic neurons after serotonin denervation. Neuroscience 92:237–243.

    Article  PubMed  Google Scholar 

  • Di Matteo V, Di Giovanni G, Di Mascio M, et al (2000) Biochemical and electrophysiological evidence that RO 60-0175 inhibits mesolimbic dopaminergic function through serotonin(2C) receptors. Brain Res 865:85–90.

    Article  PubMed  Google Scholar 

  • Dremencov E (2009) Aiming at new targets for the treatment of affective disorders. Curr Drug Targets 10:1049.

    Article  CAS  Google Scholar 

  • Dremencov E, Gur E, Lerer B, et al (2002) Effects of chronic antidepressants and electroconvulsive shock on serotonergic neurotransmission in the rat hypothalamus. Prog Neuropsychopharmacol Biol Psychiatry 26:1029–1034.

    Article  PubMed  CAS  Google Scholar 

  • Dremencov E, Gur E, Lerer B, et al (2003) Effects of chronic antidepressants and electroconvulsive shock on serotonergic neurotransmission in the rat hippocampus. Prog Neuropsychopharmacol Biol Psychiatry 27:729–739.

    Article  PubMed  CAS  Google Scholar 

  • Dremencov E, Gispan-Herman I, Rosenstein M, et al (2004) The serotonin-dopamine interaction is critical for fast-onset action of antidepressant treatment: in vivo studies in an animal model of depression. Prog Neuropsychopharmacol Biol Psychiatry 28:141–147.

    Article  PubMed  CAS  Google Scholar 

  • Dremencov E, Newman ME, Kinor N, et al (2005) Hyperfunctionality of serotonin-2C receptor-mediated inhibition of accumbal dopamine release in an animal model of depression is reversed by antidepressant treatment. Neuropharmacology 48:34–42.

    Article  PubMed  CAS  Google Scholar 

  • Dremencov E, Weizmann Y, Kinor N, et al (2006) Modulation of dopamine transmission by 5HT2C and 5HT3 receptors: a role in the antidepressant response. Curr Drug Targets 7:165–175.

    Article  PubMed  CAS  Google Scholar 

  • Dremencov E, El Mansari M, Blier P (2007a) Distinct electrophysiological effect of paliperidone and risperidone on the firing activity of rat serotonin and norepinephrine neurons. Psychopharmacology 194:63–72.

    Article  PubMed  CAS  Google Scholar 

  • Dremencov E, El Mansari M, Blier P (2007b) Noradrenergic augmentation of escitalopram response by risperidone: electrophysiologic studies in the rat brain. Biol Psychiatry 61: 671–678.

    Article  PubMed  CAS  Google Scholar 

  • Dremencov E, El Mansari M, Blier P (2009) Effects of sustained serotonin reuptake inhibition on the firing of dopamine neurons in the rat ventral tegmental area. J Psychiatry Neurosci 34:223–229.

    PubMed  Google Scholar 

  • Englander MT, Dulawa SC, Bhansali P, et al (2005) How stress and fluoxetine modulate serotonin 2C receptor pre-mRNA editing. J Neurosci 25:648–651.

    Article  PubMed  CAS  Google Scholar 

  • Fone KC, Shalders K, Fox ZD, et al (1996) Increased 5-HT2C receptor responsiveness occurs on rearing rats in social isolation. Psychopharmacology 123:346–352.

    Article  PubMed  CAS  Google Scholar 

  • Gleeson S, Ahlers ST, Mansbach RS, et al (1989) Behavioral studies with anxiolytic drugs. VI. Effects on punished responding of drugs interacting with serotonin receptor subtypes. J Pharmacol Exp Ther 250:809–817.

    PubMed  CAS  Google Scholar 

  • Goodwin GM, Emsley R, Rembry S, et al (2009) Agomelatine prevents relapse in patients with major depressive disorder without evidence of a discontinuation syndrome: a 24-week randomized, double-blind, placebo-controlled trial. J Clin Psychiatry 70:1128–1137.

    Article  PubMed  Google Scholar 

  • Green AR, Heal DJ, Goodwin GM (1986) The effects of electroconvulsive therapy and antidepressant drugs on monoamine receptors in rodent brain--similarities and differences. Ciba Found Symp 123:246–267.

    PubMed  CAS  Google Scholar 

  • Griebel G, Misslin R, Pawlowski M, et al (1991) m-Chlorophenylpiperazine enhances neophobic and anxious behaviour in mice. Neuroreport 2:627–629.

    Article  PubMed  CAS  Google Scholar 

  • Gurevich I, Tamir H, Arango V, et al (2002) Altered editing of serotonin 2C receptor pre-mRNA in the prefrontal cortex of depressed suicide victims. Neuron 34:349–356.

    Article  PubMed  CAS  Google Scholar 

  • Hrdina PD, Vu TB (1993) Chronic fluoxetine treatment upregulates 5-HT uptake sites and 5-HT2 receptors in rat brain: an autoradiographic study. Synapse 14:324–331.

    Article  PubMed  CAS  Google Scholar 

  • Hrdina PD, Demeter E, Vu TB, et al (1993) 5-HT uptake sites and 5-HT2 receptors in brain of antidepressant-free suicide victims/depressives: increase in 5-HT2 sites in cortex and amygdala. Brain Res 614:37–44.

    Article  PubMed  CAS  Google Scholar 

  • Hyttel J (1982) Citalopram--pharmacological profile of a specific serotonin uptake inhibitor with antidepressant activity. Prog Neuropsychopharmacol Biol Psychiatry 6:277–295.

    Article  PubMed  CAS  Google Scholar 

  • Kaplan HI, Sadock BJ (1995) Comprehensive textbook of psychiatry. VI, 2804, Baltimore, MD: Williams & Wilkins, p I-122.

    Google Scholar 

  • Kennett GA, Wood MD, Glen A, et al (1994) In vivo properties of SB 200646A, a 5-HT2C/2B receptor antagonist. Br J Pharmacol 111: 797–802.

    Article  PubMed  CAS  Google Scholar 

  • Kennett GA, Bailey F, Piper DC, et al (1995) Effect of SB 200646A, a 5-HT2C/5-HT2B receptor antagonist, in two conflict models of anxiety. Psychopharmacology 118: 178–182.

    Article  PubMed  CAS  Google Scholar 

  • Martin JR, Ballard TM, Higgins GA (2002) Influence of the 5-HT2C receptor antagonist, SB-242084, in tests of anxiety. Pharmacol Biochem Behav 71:615–625.

    Article  PubMed  CAS  Google Scholar 

  • McGrew L, Chang MS, Sanders-Bush E (2002) Phospholipase D activation by endogenous 5-hydroxytryptamine 2C receptors is mediated by Galpha13 and pertussis toxin-insensitive Gbetagamma subunits. Mol Pharmacol 62:1339–1343.

    Article  PubMed  CAS  Google Scholar 

  • McKeith IG, Marshall EF, Ferrier IN, et al (1987) 5-HT receptor binding in post-mortem brain from patients with affective disorder. J Affect Disord 13:67–74.

    Article  PubMed  CAS  Google Scholar 

  • Mikuni M, Meltzer HY (1984) Reduction of serotonin-2 receptors in rat cerebral cortex after subchronic administration of imipramine, chlorpromazine, and the combination thereof. Life Sci 34:87–92.

    Article  PubMed  CAS  Google Scholar 

  • Millan MJ (2006) Multi-target strategies for the improved treatment of depressive states: Conceptual foundations and neuronal substrates, drug discovery and therapeutic application. Pharmacol Ther 110:135–370.

    Article  PubMed  CAS  Google Scholar 

  • Millan MJ, Gobert A, Lejeune F, et al (2003) The novel melatonin agonist agomelatine (S20098) is an antagonist at 5-hydroxytryptamine2C receptors, blockade of which enhances the activity of frontocortical dopaminergic and adrenergic pathways. J Pharmacol Exp Ther 306:954–964.

    Article  PubMed  CAS  Google Scholar 

  • Mongeau R, Blier P, de Montigny C (1997) The serotonergic and noradrenergic systems of the hippocampus: their interactions and the effects of antidepressant treatments. Brain Res Brain Res Rev 23:145–195.

    Article  PubMed  CAS  Google Scholar 

  • Moreau JL, Bos M, Jenck F, et al (1996) 5HT2C receptor agonists exhibit antidepressant-like properties in the anhedonia model of depression in rats. Eur Neuropsychopharmacol 6:169–175.

    Article  PubMed  CAS  Google Scholar 

  • Niswender CM, Copeland SC, Herrick-Davis K, et al (1999) RNA editing of the human serotonin 5-hydroxytryptamine 2C receptor silences constitutive activity. J Biol Chem 274:9472–9478.

    Article  PubMed  CAS  Google Scholar 

  • Rajkumar R, Pandey DK, Mahesh R, et al (2009) 1-(m-Chlorophenyl)piperazine induces depressogenic-like behaviour in rodents by stimulating the neuronal 5-HT(2A) receptors: proposal of a modified rodent antidepressant assay. Eur J Pharmacol 608:32–41.

    Article  PubMed  CAS  Google Scholar 

  • Redrobe JP, Bourin M (1997) Partial role of 5-HT2 and 5-HT3 receptors in the activity of antidepressants in the mouse forced swimming test. Eur J Pharmacol 325:129–135.

    Article  PubMed  CAS  Google Scholar 

  • Rocha B, Rigo M, Di Scala G, et al (1994) Chronic mianserin or eltoprazine treatment in rats: effects on the elevated plus-maze test and on limbic 5-HT2C receptor levels. Eur J Pharmacol 262:125–131.

    Article  PubMed  CAS  Google Scholar 

  • Rosenzweig-Lipson S, Sabb A, Stack G, et al (2007) Antidepressant-like effects of the novel, selective, 5-HT2C receptor agonist WAY-163909 in rodents. Psychopharmacology 192:159–170.

    Article  PubMed  CAS  Google Scholar 

  • Sotty F, Folgering JH, Brennum LT, et al (2009) Relevance of dorsal raphe nucleus firing in serotonin 5-HT(2C) receptor blockade-induced augmentation of SSRIs effects. Neuropharmacology 57:18–24.

    Article  PubMed  CAS  Google Scholar 

  • Stahl SM, Fava M, Trivedi MH, et al (2010) Agomelatine in the treatment of major depressive disorder: an 8-week, multicenter, randomized, placebo-controlled trial. J Clin Psychiatry 71:616–626.

    Article  PubMed  CAS  Google Scholar 

  • Stefanski R, Ladenheim B, Lee SH, et al (1999) Neuroadaptations in the dopaminergic system after active self-administration but not after passive administration of methamphetamine. Eur J Pharmacol 371:123–135.

    Article  PubMed  CAS  Google Scholar 

  • Theile JW, Morikawa H, Gonzales RA, et al (2009) Role of 5-hydroxytryptamine2C receptors in Ca2 + -dependent, ethanol potentiation of GABA release onto ventral tegmental area dopamine neurons. J Pharmacol Exp Ther 329:625–633.

    Article  PubMed  CAS  Google Scholar 

  • Tremblay P, Blier P (2006) Catecholaminergic strategies for the treatment of major depression. Curr Drug Targets 7:149–158.

    Article  PubMed  CAS  Google Scholar 

  • van Mill JG, Hoogendijk WJ, Vogelzangs N, et al (2010) Insomnia and sleep duration in a large cohort of patients with major depressive disorder and anxiety disorders. J Clin Psychiatry 71:239–246.

    Article  PubMed  Google Scholar 

  • Westphal RS, Backstrom JR, Sanders-Bush E (1995) Increased basal phosphorylation of the constitutively active serotonin 2C receptor accompanies agonist-mediated desensitization. Mol Pharmacol 48:200–205.

    PubMed  CAS  Google Scholar 

  • World Health Organization (2002) The world health report 2002.

    Google Scholar 

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Correspondence to Eliyahu Dremencov or Thomas I. F. H. Cremers .

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Dremencov, E., Folgering, J.H.A., Hogg, S., Tecott, L., Cremers, T.I.F.H. (2011). The Role of 5-HT2C Receptors in the Pathophysiology and Treatment of Depression. In: Di Giovanni, G., Esposito, E., Di Matteo, V. (eds) 5-HT2C Receptors in the Pathophysiology of CNS Disease. The Receptors, vol 22. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-941-3_12

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