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Vol. 286, Issue 2, 967-976, August 1998
Department of Pharmacology (L.C.D., A.F.) and Physiology (G.M.T.), University of Texas Health Science Center at San Antonio, San Antonio, Texas; Departments of Pharmacology and Psychiatry (G.A.G.), Neuroscience Training Program and Rocky Mountain Center for Sensor Technology, University of Colorado Health Sciences Center, Denver, Colorado; and Audie Murphy Memorial Veterans Administration Hospital (A.F.), San Antonio, Texas
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Abstract |
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The effects of blockade of serotonin (5-HT) and norepinephrine (NE) transporters (SERT and NET, respectively) on the removal of locally applied 5-HT from extracellular fluid (ECF) were examined using in vivo chronoamperometry. Male Sprague-Dawley rats were anesthetized with chloralose/urethane, and a Nafion-coated, carbon fiber electrode attached to a multibarrel micropipette was positioned into either the dentate gyrus or CA3 region of the dorsal hippocampus. Pressure ejection of 5-HT elicited reproducible electrochemical signals of similar peak amplitude and time course in both structures. Local application of the selective serotonin reuptake inhibitors (SSRI) fluvoxamine and citalopram prolonged the clearance of 5-HT in both brain regions and also increased signal amplitude in the CA3 region. These effects were abolished in rats pretreated with 5,7-dihydroxytryptamine (5,7-DHT), a selective 5-HT neurotoxin. The NE uptake inhibitors desipramine (DMI) and protriptyline did not alter the 5-HT signal in the CA3 region but prolonged the clearance of 5-HT in the dentate gyrus; this effect was absent in rats pretreated with 6-hydroxydopamine (6-OHDA), a selective catecholamine neurotoxin. The prolongation of the removal of 5-HT from the ECF in the dentate gyrus caused by fluvoxamine or desipramine was of comparable magnitude and was dose dependent. Furthermore, per picomole of 5-HT applied, the signal amplitude and clearance time were significantly increased in the dentate gyrus of rats lesioned with either 5,7-DHT or 6-OHDA. Only 5,7-DHT treatment caused this effect in the CA3 region. From these data, it is inferred that in certain regions of brain (dentate gyrus), both the SERT and NET contribute to the active clearance of exogenously applied 5-HT.
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Introduction |
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The
SERT is responsible for terminating serotonergic neurotransmission by
high affinity uptake of serotonin (5-HT) from the synaptic cleft (Amara
and Kuhar, 1993
). Blockade of 5-HT transport by SSRIs ameliorates a
variety of neuropsychiatric disorders, including depression and certain
anxiety disorders (Owens and Nemeroff, 1994
; Frazer, 1997
). Repeated
administration of these drugs cause time-dependent changes in many
aspects of serotonergic neuronal function (Blier and de Montigny,
1994
). Drugs with selective effects on noradrenergic neurons in
vitro are also antidepressants (Frazer, 1997
), although some
attribute the efficacy of such drugs (e.g., DMI) to actions
on serotonergic function (e.g., enhancement of postsynaptic
serotonergic responsiveness) (Blier and de Montigny, 1994
).
There may be other mechanims by which noradrenergic drugs could affect
serotonergic function. For example, Shaskan and Snyder (1970)
described
the uptake of 5-HT into hypothalamic synaptosomes by at least two
transport processes. One process, termed uptake 1, exhibits high
affinity for 5-HT but a low capacity to transport 5-HT into the
intracellular space and is thought to be localized to 5-HT neurons. The
other process is termed uptake 2 and shows low affinity for 5-HT but
high transport capacity. This latter transport mechanism reflects
uptake into nonserotonergic, presumably catecholaminergic, neurons
(Shaskan and Snyder, 1970
). This phenomenon raises the possibility that
selective inhibitors of the NET, such as DMI, may raise extracellular
concentrations of 5-HT by blocking the uptake of this indoleamine into
noradrenergic neurons.
Previous studies examining the uptake of 5-HT by catecholaminergic
neurons have been carried out in vitro (Lichtensteiger et al., 1967
; Shaskan and Snyder, 1970
; Kuhar et
al., 1972
). More recent work has used the technique of in
vivo microdialysis to demonstrate that noradrenergic uptake
inhibitors such as DMI can, under certain conditions, raise the
concentration of 5-HT in ECF (Bel and Artigas, 1996
; Li et
al., 1996
). However, the mechanism or mechanisms by which this
occurs were not studied. To address this issue more directly, we used
the technique of in vivo chronoamperometry. In contrast to
the considerable body of work measuring dopamine in vivo by
fast voltammetric techniques, there has been relatively little
application of this methodology to the analysis of 5-HT. The majority
of voltammetric studies measuring extracellular 5-HT in vivo
have used slower recording (e.g., 2-5 min) procedures such
as differential pulse voltammetry (e.g., Pineyro et
al., 1994
; Rivot et al., 1995
). We recently verified
that high-speed chronoamperometry is a technique that can reliably
measure the clearance of 5-HT from ECF in a millisecond time range
(e.g., 100-200 msec) and that such clearance is a direct
quantitative measure of SERT activity in vivo (Daws et
al., 1997
; Luthman et al., 1997
). Thus
chronoamperometric measures of 5-HT clearance offer a unique approach
to examining functional changes in SERT activity in discrete brain
nuclei.
The present study aimed to further explore the mechanism or mechanisms
by which locally applied 5-HT is removed from the ECF in the dorsal
hippocampus. The hippocampus was selected because it is part of the
limbic system, which has been viewed as the "mood-controlling"
sytem in the brain. Moreover, it is a structure where antidepressant
drugs have been shown to cause both acute and regulatory effects (Blier
et al., 1990
). This aim was approached by characterizing the
effect of selective 5-HT or NE uptake inhibitors on the clearance of
5-HT in the dentate gyrus and CA3 region of intact rats and in rats
whose serotonergic or noradrenergic neurons had been destroyed by
neurochemical lesions. The results provide a demonstration of the
involvement of both the SERT and NET in removing exogenously applied
5-HT from the ECF in some but not all regions of the brain.
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Materials and Methods |
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Animals. Male Sprague-Dawley rats (Harlan, Indianapolis, IN), weighing 280 to 380 g, were used for all experiments. They were housed in either groups of three or individually, after recovering from surgery. The rats were maintained under a 12:12-hr light/dark cycle with food and water provided ad libitum. All animal procedures were in strict accordance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals. All efforts were made to minimize both the number of animals used and stress or discomfort to the animals during experimental procedures.
Electrochemical recordings. High-speed chronoamperometric recordings were made using an IVEC-10 system (Medical Systems, Greenvale, NY). Oxidation potentials consisted of 100-msec pulses of +0.55 V. Each pulse was separated by a 100-msec interval during which the resting potential was maintained at 0.0 V. Voltage at the active electrode was applied with respect to a Ag/AgCl reference electrode positioned in the ECF of the ipsilateral superficial cortex. The oxidation and reduction currents were digitally integrated during the last 80 msec of each 100-msec voltage pulse.
Electrode preparation and in vitro calibration.
Single carbon fiber electrodes with a 30-µm tip diameter and an
active recording area ranging from 95 to 175 µm in length (Quanteon,
Denver, CO) were used in all experiments. Before use in
vivo, each electrode was coated with Nafion (5% solution, Aldrich Chemical, Milwaukee, WI), a perfluorosulfonated ion exchange resin that
minimizes signal detection of and interference from anions such as
monoamine metabolites, uric acid and ascorbate (Gerhardt et
al., 1984
). Seven coats of Nafion were applied, with electrodes heated for 3 min at 200°C after each coat. Electrodes were then tested for sensitivity to ascorbate (250 µM) and calibrated with six
accumulating concentrations of 5-HT ranging from 0.5 to 3.0 µM. All
calibrations were performed at room temperature using 0.1 M PBS (pH
7.4). Only electrodes displaying a selectivity ratio for 5-HT over
ascorbate of >1000:1 and a linear response (r2
.997) to 5-HT (0.5-3.0 µM) were used. The detection limit for the
measurement of 5-HT was defined as the concentration that produced a
response with a signal-to-noise ratio of 3 and in these experiments
averaged 27 ± 2 nM (n = 70). Electrodes were also intermittently tested for sensitivity to 5-HIAA (10 µM) and uric acid
(50 µM). These compounds oxidize at similar potentials to 5-HT and
therefore are capable of contributing to the 5-HT signal (Cespuglio
et al., 1986
; Rivot et al., 1995
). As previously
reported (Daws et al., 1997
) these electrodes have excellent
selectivity for 5-HT over these compounds (e.g., 3082 ± 284:1 and 5116 ± 362:1, for 5-HIAA and uric acid
respectively; n = 10 electrodes).
In vivo experimental protocols.
Rats were
anesthetized by i.p. injection of chloralose (85 mg/kg) and urethane
(850 mg/kg) and, after tracheal intubation, placed into a stereotaxic
frame. Body temperature was maintained at 37 ± 1°C by a water
circulating heated pad. The scalp was incised and reflected, and the
skull and dura overlying the dorsal hippocampus were removed for
electrode placement into the dentate gyrus (stereotaxic coordinates,
AP,
3.8 mm from bregma; ML, 1.5 mm from midline; DV,
3.5 mm from
dura; Paxinos and Watson, 1986
) or CA3 region (AP,
4.1; ML, +3.3; DV,
3.6) of the dorsal hippocampus. A small burr hole was made over the
anterior cortex, and a Ag/AgCl reference electrode was placed in
contact with brain tissue.
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5,7-DHT and 6-OHDA lesions.
Rats were administered i.c.v.
either 5,7-DHT to destroy serotonergic neurons or 6-OHDA to destroy
noradrenergic neurons. Animals lesioned with 5,7-DHT were given
nomifensine (30 mg/kg i.p.) 30 min before the administration of 5,7-DHT
to prevent destruction of noradrenergic and dopaminergic neurons
(Gershanik et al., 1979
); those lesioned with 6-OHDA were
given zimelidine (25 mg/kg i.p.) (Gravel and de Montigny, 1987
) and GBR
12909 (30 mg/kg i.p.) (Nissbrandt et al., 1991
) 30 min
before administration of 6-OHDA to prevent destruction of serotonergic
and dopaminergic neurons. Animals were anesthetized with sodium
pentobarbital (65 mg/kg i.p.) and placed into a stereotaxic frame.
Neurotoxin was delivered bilaterally into the lateral ventricles using
a 28-gauge stainless steel injector, connected to a microsyringe pump
(stereotaxic coordinates: AP,
0.8 from bregma; ML, 1.5 from midline;
DV,
3.7 from skull). Ten microliters of PBS containing 100 µg of
neurotoxin and 100 µM ascorbic acid was infused, in series, into each
lateral ventricle. The infusion rate was 1 µl/min. The total amount
of 5,7-DHT or 6-OHDA delivered therefore was 200 µg. After completion
of the i.c.v. infusion, the injector was left in place for 5 min to
allow diffusion of the neurotoxin from the injector. Control rats were subjected to the same procedure but were injected with vehicle containing 100 µM ascorbic acid alone. The control rats were also pretreated with nomifensine (5,7-DHT sham) or zimelidine and GBR 12909 (6-OHDA sham) to mimic the pretreatment of the lesioned group. In
vivo electrochemical recordings were performed 2 to 4 weeks after
the lesioning procedure.
70°C. This tissue was then used to determine hippocampal levels of
5-HT and NE by HPLC coupled with electrochemical detection as described
by Hall et al. (1989)Data analyses.
In most instances, two signal parameters were
analyzed (1) the maximal amplitude of the signals resulting from local
application of 5-HT and (2) t40-80, the time (in
sec) for the signal to decline between 40% and 80% of the maximal
amplitude. The t40-80 value was used to
demonstrate drug-induced changes in the 5-HT signal as this parameter
is markedly affected by inhibitors of the uptake of dopamine (Cass
et al., 1993
) and 5-HT (Daws et al., 1997
). Only
oxidation currents were used for data analyses. Amplitude and time
course data were analyzed with paired, two-tailed t tests (pre-application vs. post-application of drug) or
t tests for independent samples (sham vs.
lesioned). The percentage change from predrug value for these
parameters was analyzed by Mann-Whitney U tests. A
two-tailed probability level of P < .05 was accepted as
statistically significant for all tests.
Drugs. Serotonin hydrochloride, desipramine hydrochloride, and 5,7-DHT creatinine sulfate were purchased from the Sigma Chemical (St Louis, MO). GBR 12909 dihydrochloride, zimelidine hydrochloride and 6-OHDA hydrobromide were purchased from Research Biochemicals International (Natick, MA). Citalopram hydrobromide was a gift from Lundbeck (København-Valby), fluvoxamine maleate was generously donated by Pharmacia and Upjohn (Kalamazoo, MI), nomifensine maleate was a gift from Hoechst-Roussel Pharmaceuticals (North Somerville, NJ) and protriptyline hydrochloride was kindly provided by Merck Research Labs (West Point, PA).
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Results |
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Intact rats. Figure 1 shows the oxidation and reduction currents for three applications of the same amount of exogenous 5-HT (12 ± 2 pmol) given at 7-min intervals into either the hilar region of the dentate gyrus or the CA3 region (strata radiatum) of the dorsal hippocampus. It is evident that reproducible electrochemical signals were obtained and that PBS had no effect on the electrochemical signal evoked by 5-HT. The oxidation and reduction currents, converted to micromolar concentrations using a calibration factor determined in vitro, are shown for three consecutive applications of 5-HT. Two consecutive applications of 5-HT were followed by PBS. Various parameters are obtained from the electrochemical signal produced by exogenous application of 5-HT. Peak amplitude is presented in micromolar units, whereas those parameters used to provide an index of the rate of removal of 5-HT are given in units of seconds. Such parameters include t50 and t80, the time it takes for the peak amplitude to be reduced by 50% or 80% respectively; t40-80, the time for the signal to decrease from 60% of its peaks value to 20%; and total time, the total time course of the signal. When the same amount of 5-HT was pressure ejected into either the dentate gyrus or the CA3 region, the electrochemical signals produced were essentially identical, as evident by the comparability of the parameters used to characterize the electrochemical signals (fig. 2).
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25 pmol, fluvoxamine and DMI increased the
t40-80 of the 5-HT signal in a comparable manner. Signal amplitude was not altered by any of the "doses" of
fluvoxamine or DMI used.
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Lesioned rats.
To determine whether the ability of 5-HT and NE
reuptake inhibitors to prolong the 5-HT signal in the dentate gyrus was
due to the presence of serotonergic and/or noradrenergic terminals, these were destroyed with 5,7-DHT or 6-OHDA, respectively. Rats treated
with 5,7-DHT had
90% depletion of hippocampal 5-HT, whereas their
content of NE was not different from that of sham-lesioned rats. Rats
treated with 6-OHDA had a
86% depletion of hippocampal NE, whereas
their content of 5-HT was not different from that of sham-lesioned rats
(table 2).
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Discussion |
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The present study demonstrated that the SERT is primarily responsible for the clearance of 5-HT in the CA3 region, whereas in the dentate gyrus both the SERT and the NET are capable of removing 5-HT from the ECF.
The clearance of 5-HT in the dentate gyrus or CA3 region of the dorsal
hippocampus was examined by measuring the disappearance of locally
applied, exogenous 5-HT. Although endogenously released transmitter can
be tentatively identified by the ratio of its reduction and oxidation
currents (Gratton et al., 1989
), additional neuropharmacological methods are required to fully determine the identity of the released compound or compounds. The subgranular zone of
the dentate hilar region receives primarily serotonergic innervation,
whereas noradrenergic innervation is prominent throughout the remainder
of the hilar region. The strata radiatum of the CA3 region is
predominantly innervated by serotonergic neurons with comparatively
little noradrenergic innervation (Swanson et al., 1987
).
However, regardless of this anatomic separation, it is not so distinct
as to eliminate the possibility that the electrochemical signal
resulting from, for example, the potassium-evoked release of endogenous
neurotransmitter (Gerhardt et al., 1987
) could be composed
of 5-HT and NE. Because of this, it would be difficult to use this
approach to make conclusions regarding clearance mechanisms for
endogenously released 5-HT (or NE) specifically. In addition, when the
release of endogenous transmitter is evoked, the measured response
represents a combination of both release and reuptake, such that the
two processes cannot be examined independently. Electrical stimulation
of cells innervating the area from which voltammetric recordings are
made has been successfully used to evoke the release of specific
monoamines such that release and reuptake components can be
distinguished (Mitchell et al., 1994
; Jackson and Wightman,
1995
; Garris et al., 1997
). However, the present study used
the local application of exogenous neurotransmitter paradigm because
the source and identity of the electrochemical signal are well defined
and clearance mechanisms alone can be studied without the need to
electrically stimulate cells and verify the identity of the released
substance.
Local application of 5-HT into the hilar region of the dentate gyrus or
the CA3 region of the dorsal hippocampus resulted in reproducible
electrochemical signals with reduction-oxidation ratios characteristic
of those found in vitro (compare with Gratton et
al., 1989
; Daws et al., 1997
; Luthman et
al., 1997
). This suggests that the signal recorded in
vivo is likely due exclusively to exogenously applied 5-HT. It is
unlikely that NE would contribute to the signal as it has recently been
reported that increases of extracellular 5-HT (either by exogenous
application of 5-HT or by administration of fluoxetine) inhibits the
release of NE in the hippocampus of the rat (Matsumoto et
al., 1995
). Signal amplitudes and clearance times of exogenous
5-HT were similar in the dentate gyrus and CA3 region of the
hippocampus suggesting that the clearance mechanism or mechanisms in
each region are comparably effective. Because there are fewer SERTs in
the dentate gyrus than in the CA3 (Hensler et al., 1994
), it
is possible that another mechanism or mechanisms contribute to the
removal of 5-HT from the ECF in the dentate gyrus.
To determine pharmacologically the involvement of the SERT in mediating
clearance of exogenously applied 5-HT in the dentate gyrus and the CA3
region, the SSRIs fluvoxamine and citalopram and the NE uptake
inhibitors DMI and protriptyline were used. These drugs show
25-fold
selectivity for inhibiting the reuptake of one of these
neurotransmitters in comparison to that of other biogenic amines (see
Frazer, 1997
). Citalopram has a 5-fold greater affinity for the SERT
than fluvoxamine does (Claassen, 1983
; Milne and Goa, 1991
); thus to
yield comparable results, a lower concentration of citalopram than
fluvoxamine was used. Similarly, protriptyline has a marginally lower
affinity for the NET than DMI does (Frazer, 1997
), and so a somewhat
higher concentration was applied. In the CA3 region, only the SSRIs
delayed the rate of removal of 5-HT from the ECF. This is shown by the
statistically significant increase produced by these drugs on
parameters used to measure the decline of the serotonin signal
(e.g., t40-80, total time) (table 1).
Both drugs had less of an effect on peak signal amplitude than on the
rate of removal of 5-HT, with only fluvoxamine producing a
statistically significant effect. This SSRI-induced inhibition of 5-HT
"clearance" indicates that the removal of 5-HT is regulated by the
SERT in the CA3 region. By contrast, the NE uptake inhibitors had no
significant effect on the rate of disappearance of locally applied 5-HT
from the CA3 region, implying that the NET is not involved in the
removal of 5-HT from the ECF in this area.
In the dentate gyrus, both the SSRIs and the selective NE uptake
inhibitors inhibited the rate of removal of 5-HT. There are several
possible explanations why selective norepinephrine uptake inhibitors
prolonged the 5-HT signal. That DMI and protriptyline cause release of
endogenous 5-HT can be eliminated as one possibility because local
application of the drugs by themselves did not lead to an increase in
the electrochemical signal. Also, it does not appear that the
concentration of DMI used was sufficiently high to inhibit the SERT.
The dose-response studies indicated comparable potency of DMI and
fluvoxamine at prolonging the clearance of exogenous 5-HT, yet DMI is
~60-fold less potent than fluvoxamine at inhibiting the reuptake of
5-HT (Frazer, 1997
). If DMI were inhibiting the uptake of 5-HT
exclusively into serotonergic neurons, it would be expected that it
would take much higher concentrations of DMI than fluvoxamine to do
this. The inability of DMI to prolong the rate of removal of 5-HT in
rats devoid of noradrenergic neurons is also not supportive of its
inhibitory effect being due to an action at the SERT. Rather, the
studies in rats with lesions of serotonergic or noradrenergic neurons
provide strong evidence that selective NE uptake inhibitors exert their
effect on the removal of 5-HT through their action on the NET. The
ability of DMI to prolong the 5-HT signal was absent in rats lesioned
with 6-OHDA- but retained in 5,7-DHT- or sham-lesioned rats. Similarly, the fluvoxamine-induced inhibition was not observed in rats treated with 5,7-DHT- but was readily apparent in 6-OHDA- or sham-lesioned rats. From these data it may be inferred that NE and 5-HT terminals are
requisite for DMI and fluvoxamine, respectively, to impede the rate of
removal of 5-HT from the ECF in the dentate gyrus of the hippocampus.
These data are consistent with earlier observations suggesting that
5-HT can be taken up by at least two transport processes (Lichtenstaiger et al., 1967
; Shaskan and Snyder, 1970
), one
residing on serotonergic neurons and the other on catecholaminergic
neurons. Shaskan and Snyder (1970)
described the transport of 5-HT by a high and low affinity process. The high affinity process, termed uptake
1, was found to be localized to 5-HT neurons, whereas the low affinity
process, termed uptake 2, reflected uptake into catecholaminergic neurons. They reported a Km value for 5-HT
for uptake 1 in either striatal or hypothalamic slices of 0.1 to 0.2 µM and Vmax values of 1.2 and 0.7 µmol/min/g in the striatum and hypothalamus, respectively. Uptake 2 was found to have a Km for 5-HT of
~8 µM. However, uptake 2 showed a much greater capacity to
transport 5-HT than uptake 1, with Vmax
values being 12- to 15-fold greater than the corresponding values for
uptake 1. Despite the much lower affinity of uptake 2 for 5-HT than
uptake 1, its much greater capacity means that appreciable accumulation
of 5-HT, even at low concentrations, could be due to uptake 2 (Shaskan
and Snyder, 1970
). These studies have been supported by others (Kuhar
et al., 1972
). More recently, it has also been demonstrated
that 5-HT can be taken up by the dopamine transporter in the striatum
(Jackson and Wightman, 1995
).
It may be noteworthy that there was no effect of fluvoxamine on peak
signal amplitude in the dentate gyrus, whereas it significantly increased signal amplitude in the CA3 region. This observation may be
explained by the existence of two transport processes in the dentate
gyrus (SERT and NET) and only one (SERT) in the CA3 region. Given that
5-HT signal amplitudes and the rate of removal of 5-HT were similar in
these brain regions, it is likely that uptake of 5-HT by both the SERT
and the NET in the dentate gyrus is comparable to that produced by the
SERT alone in the CA3. Given that SSRIs inhibit only the SERT, the
continued ability of the NET to remove 5-HT in the dentate gyrus may
reduce the likelihood of seeing an effect on amplitude. Alternatively,
if less high affinity uptake is taking place in the dentate gyrus than
in the CA3 region, then the effect of an uptake inhibitor would tend to
be less pronounced. This finding is analogous to that reported in other
electrochemical studies of the effect of the catecholamine uptake
inhibitor, nomifensine, on the signal amplitude of locally applied
catecholamines in the striatum and cerebellum. High affinity catecholamine uptake sites are less dense in the cerebellum than in the
striatum (Javitch et al., 1985
). Not only was the signal amplitude greater in the cerebellum than in the striatum per pmol catecholamine, but nomifensine increased signal amplitude in the striatum by >300%, whereas it produced a <50% increase in the cerebellum (Cass and Gerhardt, 1995
, Cass et al., 1995
).
Similarly, the signal produced by an equivalent amount of 5-HT pressure
ejected into the corpus callosum, a fiber tract relatively devoid of
SERT (Swanson et al., 1987
; Sur et al., 1996
),
produced electrochemical signals with 2-fold greater amplitudes and
prolongation of the time for removal of 5-HT than those observed in the
dentate gyrus; furthermore, fluvoxamine did not significantly alter the
5-HT signal in the corpus callosum (Daws et al., 1997
).
These data are consistant with models proposed by Cass et
al. (1993)
that (1) less transmitter is needed to produce a given
signal amplitude in brain regions with fewer transporters and (2) for a
particular signal amplitude, the time course of the signal is longer in
a region with fewer transporters. According to Shaskan and Snyder (1970)
, because "uptake 2" (presumably the NET) has a low affinity but high capacity to remove 5-HT from the ECF and changes in signal amplitude are more dependent on high affinity uptake (Cass et al., 1993
), increases in signal amplitude would not be predicted after blockade of the NET.
It could be argued that if 5-HT is being removed from the ECF in the dentate gyrus by both the SERT and the NET, then their simultaneous blockade should produce an increase in the signal amplitude of locally applied 5-HT. Preliminary studies where fluvoxamine and DMI were pressure ejected sequentially into the dentate gyrus revealed a 212 ± 15% (n = 5; L. C. Daws, G. M. Toney, G. A. Gerhardt and A. Frazer, unpublished observations) increase in 5-HT signal amplitudes, providing support for this hypothesis.
It is not clear why lesioning neurons with either 5,7-DHT or 6-OHDA caused a much greater effect on the amplitude of the signal caused by exogenous 5-HT than the effect caused by local application of uptake inhibitors. Although lesioning neurons with specific neurotoxins may eliminate >90% of transport sites (as indicated by the marked 5,7-DHT-induced reduction of the content of 5-HT measured in the present study), the local application of uptake inhibitors may not achieve such an effective reduction of the transport process. If so, then for the same amount of exogenously applied 5-HT, a greater increase in signal amplitude would be predicted in a lesioned rat than in one given an uptake inhibitor. Clearly further studies are needed to fully understand why neurotoxic lesion and uptake inhibition have such different effects on the dynamics of the electrochemical signal produced by exogenously administered 5-HT.
The present results show that in brain regions where there is both
serotonergic and noradrenergic innervation, 5-HT can be removed from
the ECF by both the SERT and the NET. Of fundamental importance is
whether the uptake of 5-HT by catecholaminergic neurons has either
physiological or pharmacological importance or is merely an artifact of
the "high" (>0.5 µM) concentrations used to demonstrate it.
Although this question can not be anwered precisely, the most current
estimate for a transmitter such as glutamate is that the synaptic
concentration exceeds 1 mM and that transmitter can travel several
micrometers away from the cleft so as to reach concentrations of >10
µM in the extrasynaptic space (Clements, 1996
). If this is true at
serotonergic synapses, then the concentrations of 5-HT could be
sufficiently high to allow it to be taken up by adjacent
catecholaminergic neurons. Furthermore, an SSRI may increase the amount
of 5-HT entering the extrasynaptic space, increasing the likelihood of
its uptake by adjacent catecholaminergic neurons. This scheme
envisions, then, that SSRIs enhance serotonergic neurotransmission by,
at least in part, a process akin to "spatial recruitment" and that such recruitment would be increased even further by blocking 5-HT uptake into catecholaminergic neurons. In other words, in areas of
brain receiving both a dense serotonergic and noradrenergic innervation, inhibition of 5-HT reuptake may permit 5-HT to
"escape" the synaptic space and come into contact with NE
transporters so as to be taken up by noradrenergic nerves. Such a
scheme is consistent with data presented by Bel and Artigas (1996)
, who used microdialysis to show that DMI potentiated fluoxetine-induced increases in extracellular 5-HT in the frontal cortex. In addition, evidence has been presented that in some areas of brain
(e.g., dentate gyrus), some 5-HT axons do not express the
SERT (Axt et al., 1995
). If so, and if these areas also
receive a rich noradrenergic innervation, then uptake of 5-HT into
noradrenergic nerves may be particularly important in such areas.
Relevant to the issue of physiological importance of 5-HT uptake by NE
nerves is whether noradrenergic reuptake inhibitors affect the
"basal" concentrations of 5-HT in ECF. This has been addressed
using microdialysis. DMI has been reported to increase the basal level
of 5-HT, but this is dependent on the brain region examined, the
duration of drug treatment and the route of drug administration
(e.g., Bel and Artigas, 1996
; Li et al., 1996
). These studies did not, however, evaluate whether the treatment paradigms in which DMI increased the extracellular concentration of
5-HT was due to its ability to block uptake of 5-HT into noradrenergic neurons. Given the limitations of spatial resolution with dialysis, it
is possible that changes in the concentration of 5-HT in discrete nuclei may have been obscured due to the large area from which the
dialysate is collected. By using the technique of in vivo chronoamperometry with single carbon fiber electrodes, the present study has shown that there are differences in the contribution of
noradrenergic neurons to the uptake of 5-HT within two discrete regions
of the hippocampus.
In conclusion, chronoamperometry offers a unique approach for examining
functional changes in transporter activity in vivo. That the
extracellular concentration of 5-HT is controlled in certain brain
regions by the SERT and the NET may be of considerable pharmacological
importance. This technology offers a useful tool for studying
alterations in SERT function as a consequence of acute and chronic
treatment with drugs (e.g. antidepressants). Moreover, the
present results may be useful in better defining the mechanism of
action of drugs with both 5-HT and NE uptake inhibiting abilities given
recent reports that they may lead to more rapid and effective treatment
of depressive disorders than SSRIs alone (Nelson et al.,
1991
; Anderson and Tomenson, 1994
).
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Acknowledgments |
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We extend our appreciation to Douglas Davis, Shane Delinks, Sabrina Fister and Susan Teicher for their excellent technical assistance.
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Footnotes |
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Accepted for publication April 20, 1998.
Received for publication December 16, 1997.
1 This work was supported by United States Public Health Service Grants NS09199, MH29094 and AG06434, National Science Foundation Grant BIR913392, the Veterans Administration and Pharmacia and Upjohn.
Send reprint requests to: Dr. Lynette C. Daws, Department of Pharmacology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio TX 78284-7764. E-mail: daws{at}uthscsa.edu
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Abbreviations |
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DMI, desipramine; 5, 7-DHT, 5,7-dihydroxytryptamine; ECF, extracellular fluid; Fluvox, fluvoxamine; HPLC, high-performance liquid chromatography; 5-HIAA, 5-hydroxyindoleacetic acid; 5-HT, 5-hydroxytryptamine (serotonin); i.c.v., intracerebroventricularly; i.p., intraperitoneally; NE, norepinephrine; NET, norepinephrine transporter; PBS, phosphate-buffered saline; 6-OHDA, 6-hydroxydopamine; SERT, serotonin transporter; SSRI, selective serotonin reuptake inhibitor.
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References |
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