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Previous Article | Next Article 
The Journal of Neuroscience, December 15, 2001, 21(24):9856-9866
Control of Serotonergic Function in Medial Prefrontal
Cortex by Serotonin-2A Receptors through a Glutamate-Dependent
Mechanism
Raúl
Martín-Ruiz1,
M. Victoria
Puig1,
Pau
Celada1,
David A.
Shapiro2,
Bryan L.
Roth2,
Guadalupe
Mengod1, and
Francesc
Artigas1
1 Department of Neurochemistry, Institut d'
Investigacions Biomèdiques de Barcelona (Consejo Superior de
Investigaciones Científicas), Institut d'Investigacions
Biomèdiques August Pi i Sunyer, 08036 Barcelona, Spain, and
2 Departments of Biochemistry, Neurosciences and
Psychiatry, Case Western Reserve University Medical School, Cleveland,
Ohio 44106
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ABSTRACT |
We examined the in vivo effects of the hallucinogen
4-iodo-2,5-dimethoxyamphetamine (DOI). DOI suppressed the firing rate of 7 of 12 dorsal raphe (DR) serotonergic (5-HT) neurons and partially inhibited the rest (ED50 = 20 µg/kg, i.v.), an
effect reversed by M100907 (5-HT2A antagonist) and
picrotoxinin (GABAA antagonist). DOI (1 mg/kg, s.c.)
reduced the 5-HT release in medial prefrontal cortex (mPFC) to 33 ± 8% of baseline, an effect also antagonized by M100907. However, the
local application of DOI in the mPFC increased 5-HT release (164 ± 6% at 100 µM), an effect antagonized by tetrodotoxin,
M100907, and BAY × 3702 (5-HT1A agonist) but not by
SB 242084 (5-HT2C antagonist). The 5-HT increase was also reversed by NBQX (AMPA-KA antagonist) and
1S,3S-ACPD (mGluR 2/3 agonist) but not by
MK-801 (NMDA antagonist). AMPA mimicked the 5-HT elevation produced by
DOI. Likewise, the electrical-chemical stimulation of thalamocortical
afferents and the local inhibition of glutamate uptake increased the
5-HT release through AMPA receptors. DOI application in mPFC increased
the firing rate of a subgroup of 5-HT neurons (5 of 10), indicating an
enhanced output of pyramidal neurons. Dual-label fluorescence confocal
microscopic studies demonstrated colocalization of 5-HT1A
and 5-HT2A receptors on individual cortical pyramidal neurons.
Thus, DOI reduces the activity of ascending 5-HT neurons through a
DR-based action and enhances serotonergic and glutamatergic transmission in mPFC through 5-HT2A and AMPA receptors.
Because pyramidal neurons coexpress 5-HT1A and
5-HT2A receptors, DOI disrupts the balance between
excitatory and inhibitory inputs and leads to an increased activity
that may mediate its hallucinogenic action.
Key words:
5-hydroxytryptamine; 5-HT1A receptors; 5-HT2A receptors; AMPA; DOI; dorsal raphe nucleus; GABA; glutamate; hallucinogens; medial prefrontal cortex; microdialysis; mGluR; NMDA; single-unit recordings; thalamus
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INTRODUCTION |
The prefrontal cortex plays a
crucial role in higher brain functions (Fuster, 1997 ). It receives a
dense innervation from the brainstem aminergic nuclei, including the
serotonergic dorsal and median raphe nuclei of the midbrain (Azmitia
and Segal, 1978 ). The prefrontal cortex contains a very large density
of 5-HT1A and 5-HT2A
receptors located on pyramidal neurons. Likewise, GABAergic interneurons are enriched in 5-HT2A and
5-HT3 receptors (Pompeiano et al., 1992 , 1994 ;
Kia et al., 1996 ; Willins et al., 1997 ; Jakab and Goldman-Rakic, 1998 ,
2000 ). Although the exact role of serotonergic neurotransmission in
prefrontal cortex remains largely unknown (Robbins, 2000 ) serotonergic
agents acting on cortical receptors are hallucinogenic [nonselective
5-HT2A agonists such as D-lysergic acid diethylamide-25 (LSD) or 4-iodo-2,5-dimethoxyamphetamine (DOI)]
or have proven effective in the treatment of depression and
schizophrenia (5-HT uptake inhibitors, 5-HT1A
agonists/5-HT2A antagonists) (Kroeze and Roth,
1998 ; Meltzer, 1999 ).
5-HT exerts complex actions on pyramidal neurons of the medial
prefrontal cortex (mPFC). Previous work showed that 5-HT hyperpolarizes and depolarizes layer V pyramidal neurons by acting on
5-HT1A and 5-HT2 receptors,
respectively (Araneda and Andrade, 1991 ), although no direct anatomical
evidence for the colocalization of both receptors on individual
pyramidal neurons has thus far been presented. More recently,
Aghajanian and Marek (1997) demonstrated that the focal application of
5-HT on apical dendrites of pyramidal neurons in the mPFC evoked EPSCs
by a 5-HT2A receptor-dependent mechanism.
Likewise, the hallucinogen DOI, a partial
5-HT2A/2C receptor agonist, enhanced late EPSCs
evoked by the electrical stimulation of afferent fibers (Aghajanian and
Marek, 1999a ). These effects are most likely mediated by a
release of glutamate, triggered by the activation of
5-HT2A receptors, and the subsequent activation
of AMPA receptors (Aghajanian and Marek, 1997 , 1999a ,b ).
The apparent presence of 5-HT1A and
5-HT2A receptors in layer V pyramidal neurons
suggests that they could be involved in the control of subcortical
structures. The mPFC is one of the few forebrain areas projecting
densely to the serotonergic dorsal raphe nucleus (DR) (Aghajanian and
Wang, 1977 ; Sesack et al., 1989 ; Hajós et al., 1998 ; Peyron et
al., 1998 ). Additionally, the electrical stimulation of the mPFC
modulates the activity of 5-HT neurons in a complex manner (Hajós
et al., 1998 ; Celada et al., 2001 ). Moreover, the activation of
postsynaptic 5-HT1A receptors in the mPFC reduced
the local release of 5-HT (Casanovas et al., 1999 ) and the firing rate
of dorsal raphe 5-HT neurons (Celada et al., 2001 ). These data suggest
that pyramidal neurons containing 5-HT1A
receptors may participate in the distal control of serotonergic
activity. Because 5-HT1A and
5-HT2A receptors may colocalize in layer V
pyramidal neurons projecting to the DR, 5-HT2A
receptors could be involved in this control. Therefore, in the present
study we examined the actions of the hallucinogen DOI, a
5-HT2A/2C agonist, on the serotonergic system
using in vivo microdialysis and single-unit recordings. The
results obtained indicate that 5-HT2A receptor
activation has profound effects on serotonergic neurons, likely via an
enhancement of the AMPA-mediated neurotransmission in medial prefrontal cortex.
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MATERIALS AND METHODS |
Animals. Male albino Wistar rats (Iffa Credo, Lyon,
France) weighing 280-320 gm and kept in a controlled environment (12 hr light/dark cycle and 22 ± 2°C room temperature) with food
and water provided ad libitum, were used in in
vivo experiments. Animal care followed the European Union
regulations (O.J. of E.C. L358/1 18/12/1986).
Drugs and reagents. 5-HT oxalate,
8-hydroxy-2-(di-n-propylamino)tetralin (8-OH-DPAT),
-amino-3-hydroxy-5-methyli-4-soxazole-4-propionate [(S)-AMPA],bicuculline, cyclothiazide,
1-[2,5-dimethoxy-4-iodophenyl-2-amino-propane (DOI),
L-trans-pyrrolidine-2,4-dicarboxylic
acid (L-trans-PDC), (+)MK-801
(dizolcipine), NBQX,
2,3-dihydroxy-6-nitro-7-sulfamoyl-benzo(f)quinoxaline, picrotoxininin,
6-chloro-5-methyl-1-[6-(2-methylpy-ridin-3-yloxy) pyridin-3-yl
carbamoyl] indoline (SB 242084), tetrodotoxin (TTX), and
N-(2-(4-(2-methoxyphenyl)-1-piperazinyl)ethyl)-N-(2-pyridyl) cyclohexanecarboxamide · 3HCl (WAY-100635), were from Sigma/Research Biochemicals (Natick, MA).
1S,3S-aminecyclopentane dicarboxylic acid
(1S,3S-ACPD) was from Tocris (Bristol, UK).
BAY × 3702, {R-(-)-2-237 4-[(chroman-2-ylmethyl)-amino]-butyl
253-1,1-dioxo-benzo[d]isothiazolone · HCl}, citalopram · HBr, LY 379268 {( )-2-oxa-4-amino-bicyclo[3.1.0]hexane-4,6-dicarboxylate]}, and M100907
[R-(+)- -(2,3-dime-thoxyphenil)-1-[4-fluorophenylethyl]-4-piperidinemethanol] were from Bayer AG, Lundbeck A/S, Eli Lilly & Co. (Indianapolis, IN), and Marion Merrel Dow (Strasbourg, France), respectively. A
mouse monoclonal 5-HT2A antibody and a guinea pig
polyclonal 5-HT1A antibody were obtained from
PharMingen (San Diego, CA). Other materials and reagents were from
local commercial sources. For the assessment of local effects, drugs
were dissolved in the perfusion fluid and applied by reverse dialysis
at the stated concentrations. Concentrated solutions (1 mM; pH adjusted to 6.5-7 with
NaHCO3 when necessary) were stored frozen
( 80°C), and working solutions were prepared daily by dilution.
Concentrations are expressed as free bases. Control rats were perfused
for the entire experiment with artificial CSF. The bars in the
figures show the period of drug application (corrected for the void
volume of the system). In experiments involving systemic
administration, the drugs were administered subcutaneously or
intravenously at the doses stated.
Surgery and microdialysis procedures. An updated description
of the microdialysis procedures used can be found in Adell and Artigas
(1998) . Briefly, anesthetized rats (pentobarbital; 60 mg/kg, i.p.) were
stereotaxically implanted with one concentric microdialysis probe
equipped with a Cuprophan membrane in medial prefrontal cortex
[anteroposterior (AP) +3.4, lateral (L) 0.8, dorsoventral (DV)
6.0; probe tip: 4 mm] (coordinates in millimeters; Paxinos
and Watson, 1986 ). On the next day, microdialysis experiments were
performed in freely moving rats. The probes were perfused at 1.5 µl/min with artificial CSF (aCSF) (in mM: 125
NaCl, 2.5 KCl, 1.26 CaCl2, and 1.18 MgCl2) containing 1 µM
citalopram. After a 1 hr stabilization period, four fractions were
collected to obtain basal values before local (reverse dialysis) or
systemic administration of drugs. Successive 20 min (30 µl) dialysate
samples were collected. In most experiments, the partial
5-HT2A/2C receptor agonist DOI was applied alone
for 2 hr (six fractions). This was followed by the application of DOI
in combination with other drugs for another 2 hr period. In experiments
assessing the effect of L-trans-PDC on
5-HT release, the drug was perfused alone or in combination with other
agents for 2 hr after collection of baseline values.
Three microdialysis experiments were conducted in chloral
hydrate-anesthetized animals. In one of them, we examined the effect of
the electrical stimulation of the midline thalamus projecting to mPFC,
to modulate the release of 5-HT in the latter area. Microdialysis probes were implanted as above. Stimulating bipolar electrodes were
used. The isolating material was peeled off ~1 mm above the tip, the
poles were separated 100-150 µm, and electrodes were stereotaxically
placed and secured with dental cement, as for microdialysis probes. The
tip of the electrodes was aimed at the top part of the centromedial
thalamic nucleus (AP 3.6, L 0.7, DV 6.5). In this manner, the
stimulated area was between DV 6.5 and DV 5.5, thus affecting the
mediodorsal nucleus and part of the centromedial nucleus (plate 32;
Paxinos and Watson, 1986 ). The lesion of this thalamic area has been
shown to attenuate the EPSCs induced by 5-HT in layer V mPFC pyramidal
neurons (Marek et al., 2001 ). On the next day, rats were
anesthetized with chloral hydrate as in single-unit recording
experiments (see below). After a 2 hr stabilization period, electrical
stimulation was performed (5 Hz, 1.5 mA, 0.3 msec square pulses) for 20 min with a Grass S-48 stimulator unit S-48 connected to a Grass
SIU isolation unit, and dialysate fractions were collected for
one more hour. In some rats, the stimulating electrode was implanted,
but no current was passed.
The second experiment examined the effects of the application of
bicuculline in the midline thalamus (to disinhibit afferent fibers to
mPFC) on the 5-HT release in mPFC. These rats were implanted with two
dialysis probes, in mPFC (as above) and in the thalamus (coordinates:
AP 3.2, L 0.5, DV 6.5; probe tip, 1.5 mm). In this location, the
administration of bicuculline by reverse dialysis through the thalamic
probe was also intended to affect both the centromedial and mediodorsal
thalamic nuclei. The third experiment assessed the effects of the
systemic administration of DOI (1 mg/kg, s.c.) on 5-HT release in the
mPFC of chloral hydrate-anesthetized rats, to mimic the experimental
conditions of single-unit recordings. At the end of the experiments,
rats were killed by an overdose of sodium pentobarbital. The placement
of the dialysis probes was examined by perfusion of Fast green dye and
visual inspection of the probe track after cutting the brain at the
appropriate levels. In experiments involving the electrical or chemical
stimulation of thalamic afferents to mPFC, the placement of the
thalamic probes or electrodes was verified histologically with Neutral
Red staining.
The concentration of 5-HT in dialysate samples was determined by HPLC,
as described (Adell and Artigas, 1998 ). 5-HT was separated using a
Beckman (San Ramon, CA) 3 µm particle size column and detected with a
Hewlett Packard 1049 electrochemical detector at +0.6 V. Retention time
was between 3.5 and 4 min, and the limit of detection was typically 1 fmol/sample.
Single-unit recordings. We examined the effect of the
systemic administration of DOI on the firing activity of identified 5-HT neurons in the dorsal raphe nucleus (DR). Single-unit
extracellular recordings were performed as previously described (Sawyer
et al., 1985 ; Celada et al., 1996 ). Briefly, rats were anesthetized
(chloral hydrate, 400 mg/kg, i.p.) and positioned in a stereotaxic
apparatus. Additional doses of chloral hydrate (80 mg/kg) were
administered intravenously. Body temperature was maintained at 37°C
throughout the experiment with a heating pad. All wound margins and
points of contact between the animal and the stereotaxic apparatus were infiltrated with lidocaine solution (5%). To minimize pulsation, the
atlanto-occipital membrane was punctured to release some CSF. For
recordings in the DR, a burr hole of ~4 × 4 mm was drilled over
lambda, and the sagittal sinus was ligated, cut, and reflected. Single
units in the DR were recorded extracellularly with glass micropipettes
pulled from 2.0 mm capillary glass (World Precision Instruments,
Sarasota, FL) on a Narishige (Tokyo, Japan) PE-2 pipette puller.
Microelectrodes were filled with 2 M NaCl.
Typically, impedance was between 4 and 10 M . Descents were performed
along the midline. Recorded 5-HT neurons were found 5.0-5.8 mm below the brain surface and were identified according to previously described
electrophysiological criteria (Wang and Aghajanian, 1977 ). They
exhibited a regular spontaneous firing rate with frequencies from 0.4 to 2.2 Hz, and 2-5 msec biphasic or triphasic extracellular waveform.
Single-unit potentials were amplified with a Neurodata IR283 (Cygnus
Technology Inc., Delaware Water Gap, PA), postamplified, and filtered
with a Cibertec amplifier (Madrid, Spain) and computed on-line using a
DAT 1401plus interface system Spike2 software (Cambridge Electronic
Design, Cambridge, UK). After recording stable baseline spontaneous
activity for at least 5 min, DOI was administered (0.025-0.4 mg/kg,
i.v.; cumulative doses) every 2 min. Once a maximal effect of DOI was
attained, either M100907 (100 µg/kg, i.v.; Haddjeri et al., 1999 ) or
the GABAA receptor antagonist picrotoxinin (1 mg/kg, i.v.) were injected. In some neurons, 8-OH-DPAT and WAY 100635, 5-HT1A receptor agonist and antagonist,
respectively, were injected after M100907 or picrotoxinin to further
confirm the serotonergic identity of the recorded cell. Only one neuron
per rat was recorded.
Additional experiments were performed to examine the effects of the
local application of DOI in mPFC on the firing rate of 5-HT neurons in
the DR. DOI (200 µM, dissolved in aCSF) was infused through a 32 gauge stainless steel cannula (Small Parts Inc., Miami,
FL) implanted in the mPFC (tip coordinates: AP +3.4, L 0.8, DV
4.5). The cannula was attached to a 10 µl Hamilton syringe by a
Teflon tubing. A microinfusion pump (Bioanalytical Systems Inc., West
Lafayette, IN) was used. After recording baseline spontaneous activity
for at least 5 min, 200 nl of DOI was infused over the course of 1 min.
This volume has been reported to diffuse to a maximum effective
diameter of 0.4-0.6 mm (Myers, 1971 ). In some rats, a second DOI
infusion was administered 5 min later.
Data and statistical analysis. Microdialysis results are
expressed as femtomoles per fraction (uncorrected for recovery) and shown in figures as percentages of basal values (individual means of
four predrug fractions). Statistical analysis of drug effects on
dialysate 5-HT was performed using one- or two-way ANOVA for repeated measures of raw data with time as repeated factor and dose or
pretreatment as independent factor. The effects of drugs or chemical
stimulation on the 5-HT output were analyzed by one- or two-way ANOVA
of raw data followed by post hoc Duncan test. Changes in
firing rate were quantified by averaging the values in the second
minute after drug injection and expressed as percentage of baseline.
ED50 values were calculated with the GraphPad
(San Diego, CA) Prism program. Data are expressed as the mean ± SEM. Statistical significance has been set at the 95% confidence level (two-tailed).
Cell culture and monoclonal antibody production. Stably
transfected Chinese Hamster Ovary (CHO) cells expressing the
5-HT1A receptor were obtained from J. Raymond
(Medical University of South Carolina, Charleston, SC). A
monoclonal 5-HT1A receptor antibody was prepared
as follows. Female BALB/c mice were immunized intraperitoneally with 50 µg of a synthetic peptide (NKRTPRRAAALISLC) conjugated to
Limulus polyphemus hemocyanin and emulsified in Freund's
adjuvant. Immune spleens were harvested after ~3 months and fused
with SP2/0 myeloma cells at a ratio of four spleen cells per myeloma
using phenylethyleneglycol. Antibody-producing colonies were
detected by ELISA as follows: immunizing peptide conjugated to BSA (10 µg/ml) was immobilized to COSTAR 9017 EIA/RIA plates in 100 µl of coating buffer (50 mM
carbonate-bicarbonate, pH 9.6) and incubated overnight at room
temperature. Wells were blocked with 2% milk in PBS (blocking buffer)
1 hr, followed by addition of antibody in culture supernatant or in
blocking buffer for 90 min. Antibodies were detected using a horse
anti-mouse polyclonal antibody linked to horseradish peroxidase (Vector
Laboratories, Burlingame, CA; 1:2000 in blocking buffer) followed by
spectrophotometric detection at 405 nm using the
2,2'-azino-bis(3-ethylbenzthiazoline-6-sulfonic acid) substrate system
(Sigma, St. Louis, MO). Hybridomas were subjected to three rounds of
limiting dilution cloning, after which antibody was produced in bulk by
generation of ascites in histocompatible mice. Immunoreactivity of the
antibodies was confirmed both by ELISA (as described above) and by
immunohistochemical staining using CHO cells (control) or CHO cells
stably expressing the 5-HT1A receptor. Briefly,
cells on microscope coverslips in 24 well microtiter plates were
serum-starved overnight at 37°C and 5% CO2,
then fixed in 4% paraformaldehyde and maintained at room temperature.
Cells were permeabilized 20 min with 0.1% Triton X-100 and blocked
with 2% milk for 1 hr. Anti-5-HT1A antibody supernatants were incubated with the cells for 90 min, followed by
incubation for 1 hr with a Texas Red-labeled goat anti-mouse secondary
reagent (Vector Laboratories). Cells were then mounted for confocal
microscopy as previously described (Willins et al., 1997 , 1999 ).
Confocal immunofluorescence studies. Rats were prepared for
immunofluorescence studies as previously detailed (Willins et al.,
1997 , 1999 ), and free-floating 40 µm sections of mPFC were prepared
as described previously (Willins et al., 1997 , 1999 ). Free-floating
sections were then incubated in blocking buffer (PBS containing
0.2% Triton X-100, 5% nonfat dry milk, and 1% goat serum) for 1 hr
at room temperature. Sections were then incubated for 1 hr at room
temperature with a 1:3000 dilution of polyclonal 5-HT2A-selective antibody (Berry et al., 1996 )
and a 1:10 dilution of a monoclonal 5-HT1A
antibody in blocking buffer. Additional sections were incubated with a
commercial monoclonal 5-HT2A receptor antibody
(1:500; PharMingen) and a commercial guinea pig polyclonal 5-HT1A receptor antibody (1:2000; PharMingen).
Sections were then incubated overnight at 4°C with constant
agitation. After extensive washing with PBS, sections were incubated
with a 1:200 dilution of secondary antibodies (BODIPY-FL-anti-mouse and
Texas Red anti-rabbit or Texas Red anti-guinea pig) for 1 hr at room
temperature followed by extensive washing with PBS and mounting for
confocal microscopy as previously detailed (Willins et al., 1997 ,
1999 ). Controls included incubation of sections with secondary antibody alone.
Dual-label confocal microscopy was performed using a Zeiss Model 410 confocal microscope as previously described (Willins et al., 1997 ,
1999 ), and images were processed using Adobe Photoshop.
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RESULTS |
Baseline 5-HT values
The basal concentration of 5-HT in dialysates from medial
prefrontal cortex was 17.5 ± 0.8 fmol/fraction (n = 105) in freely moving rats and 17.0 ± 1.1 fmol/fraction
(n = 24) in chloral hydrate-anesthetized rats.
Effects of the local application of DOI in medial
prefrontal cortex
The local application of 1, 10, and 100 µM DOI (2 hr
each) increased the 5-HT output in a concentration-dependent manner. Maximal increases at each concentration were, respectively 119 ± 20, 137 ± 16, and 209 ± 29% of baseline (n = 5) (Fig. 1A). One-way ANOVA showed a significant effect of DOI application
(p < 0.00001). In subsequent experiments, we
used the concentration of DOI that elicited maximal effects (100 µM).

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Figure 1.
A, Concentration-dependent increase
of 5-HT in dialysates from medial prefrontal cortex evoked by the local
application of 1, 10, and 100 µM of the partial
5-HT2A/2C receptor agonist DOI (filled
circles; n = 5). The bar graph in the
inset shows the average increase in 5-HT obtained from
the last four (stabilized) fractions at each DOI concentration
(+p < 0.05 vs baseline).
B, Effect of the continuous application of 100 µM DOI (filled squares;
n = 7). Control rats (n = 6)
received artificial CSF throughout the experiment. Bars show the period
of drug application. +p < 0.05 versus
baseline; Duncan test post-ANOVA.
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The perfusion of 100 µM DOI (n = 7)
significantly increased the 5-HT output when compared with the control
group (artificial CSF; n = 7) (p < 0.02, treatment effect; p < 0.00001, time effect; p < 0.00001 time × treatment interaction) (Fig.
1B). Maximally elevated 5-HT values were observed
soon (40 min) after DOI application and remained elevated over the
entire period of application. The mean increase produced by 100 µM DOI in all perfusion experiments was
164 ± 6% of baseline (average of fractions 7-10;
n = 69).
The effect of DOI was completely antagonized by the coperfusion of 1 µM TTX, which reduced 5-HT values below baseline (from 185 ± 10 to 30 ± 6% of baseline; n = 4;
p < 0.00001) (Fig. 2). Likewise, the 5-HT increase produced by 100 µM
DOI was significantly attenuated by the coperfusion of 100 µM of the selective
5-HT2A receptor antagonist M100907 (DOI: 181 ± 8% of baseline; DOI + M100907: 119 ± 13% of baseline;
n = 8; p < 0.00001) (Fig.
3A). A higher M100907
concentration (300 µM) elicited a greater
reduction of the 5-HT output (from 163 ± 1% to 42 ± 6% of
baseline, n = 6; p < 0.00001) (Fig.
3A). In contrast, the selective 5-HT2C
receptor antagonist SB 242084 did not reverse the 5-HT elevation
produced by DOI and increased the 5-HT output further, from 178 ± 22% to 224 ± 25% of baseline (n = 6;
p < 0.00001) (Fig. 3B).

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Figure 2.
The perfusion of tetrodotoxin (TTX; 1 µM) reversed the increase in 5-HT output induced by the
local application of DOI 100 µM (n = 4). Bars show the period of drug application. The effect of DOI alone
is shown by a dotted line.
+p < 0.05 versus baseline (DOI alone);
*p < 0.05 versus DOI alone (DOI + drug); Duncan
test post-ANOVA.
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Figure 3.
A, The application of the selective
5-HT2A receptor antagonist M100907 (100 and 300 µM; filled triangles and
circles, n = 8 and 4, respectively)
antagonized the increase in 5-HT output induced by the local
application of DOI 100 µM. B, Lack of
antagonism of the effect of DOI by the selective
5-HT2C receptor antagonist SB 242084 (100 µM;
filled circles, n = 6). This drug
significantly potentiated the 5-HT increase elicited by DOI (shown by a
dotted line). +p < 0.05 versus baseline (DOI alone); *p < 0.05 versus DOI
alone (DOI + drug); Duncan test post-ANOVA.
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The perfusion of the noncompetitive NMDA receptor antagonist MK-801
(300 µM) did not significantly modify the effect of DOI (n = 7) (Fig.
4A). In contrast, the
application of the AMPA-KA receptor antagonist NBQX (300 µM) significantly reduced the effect of DOI
(from 182 ± 15% to 122 ± 13% of baseline;
n = 6; p < 0.00001) (Fig.
4B). The perfusion of the preferential mGluR 2/3
agonist 1S,3S-ACPD (300 µM) modestly reversed the effect of DOI on 5-HT output only in the last two fractions (n = 5;
p < 0.00001) (Fig. 4C). A higher
concentration of 1S,3S-ACPD (1 mM) elicited a more marked antagonism and almost
completely reversed the effect of DOI, from 190 ± 15 to 112 ± 6% of baseline (n = 5; p < 0.00001) (Fig. 4C). In contrast, the application of the
selective mGluR 2/3 agonist LY 379268, perfused at three different
concentrations (300 µM, 1 mM, and 3 mM) failed to
significantly reduce the 5-HT increase induced by the local application
of DOI. The average effect of LY 379268 was 96 ± 16, 97 ± 12, and 107 ± 10% at 300 µM, 1 mM, and 3 mM, respectively
(n = 4-5, data expressed as percentage of the 5-HT
values during DOI alone). The effect of DOI was mimicked by the local
application of AMPA (300 µM), which induced a
maximal elevation of 5-HT to 188 ± 15% of baseline
(p < 0.001, treatment effect; p < 0.00001, time effect; p < 0.00001, time × treatment interaction compared with controls; n = 6)
(Fig. 4D).

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Figure 4.
A, The application of the
noncompetitive NMDA receptor antagonist MK-801 (300 µM)
did not reverse the increase in 5-HT output induced by DOI 100 µM (n = 7). B,
Antagonism by the AMPA-KA antagonist NBQX (300 µM) of
the effect of DOI (n = 7). C, The
mGluR 2/3 agonist 1S,3S-ACPD (300 µM, filled triangles; 1 mM,
filled circles; n = 5 each) reversed
the 5-HT elevation induced by DOI. D, The perfusion of
300 µM AMPA elevated the 5-HT similarly to DOI
(n = 6; filled circles). The effect
of DOI alone is shown by a dotted line.
+p < 0.05 versus baseline (DOI or
AMPA); *p < 0.05 versus DOI alone (DOI + drug);
Duncan test post-ANOVA.
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The increase in 5-HT output produced by the application of DOI was
strongly antagonized by the coperfusion of the selective 5-HT1A receptor agonist BAY × 3702 (De Vry
et al., 1998 ; Casanovas et al., 2000 ) (30 µM; from
189 ± 30 to 60 ± 13% of baseline; n = 5;
p < 0.00001) (Fig.
5).

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Figure 5.
The selective 5-HT1A receptor
agonist BAY × 3702 (30 µM) reversed the DOI-induced
increase in 5-HT output (n = 5). The effect of DOI
alone is shown by a dotted line.
+p < 0.05 versus baseline (DOI alone);
*p < 0.05 versus DOI alone (DOI + drug); Duncan
test post-ANOVA.
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Localization of 5-HT1A and 5-HT2A receptors
on individual mPFC pyramidal neurons
The opposite effects of 5-HT1A and
5-HT2A receptor activation in mPFC on 5-HT
release are in keeping with previous data on pyramidal neuron
excitability (Araneda and Andrade, 1991 ). However, despite abundant
literature on the localization of either type in cortical neurons (see
introductory remarks), it is unclear whether both receptors are
coexpressed in pyramidal neurons. To address this question, we prepared
a monoclonal 5-HT1A receptor antibody suitable
for immunochemical studies. In preliminary studies (D. A. Shapiro and B. L. Roth, unpublished observations) we
observed that the monoclonal 5-HT1A receptor
antibody specifically labeled 5-HT1A receptors
stably expressed in CHO cells but did not visualize untransfected CHO
cells. As shown in Figure
6A-F,
5-HT1A and 5-HT2A receptors
were abundantly colocalized on individual mPFC pyramidal neurons.
Control experiments using secondary antibodies alone showed no specific
immunofluorescence (Fig. 6I). Additional studies using commercially available antibodies directed against distinct epitopes of the 5-HT1A and
5-HT2A receptors (Fig. 6G,H)
also showed extensive colocalization of 5-HT1A
and 5-HT2A receptors in individual cortical
pyramidal neurons.

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Figure 6.
Colocalization of 5-HT2A and
5-HT1A receptors in individual cortical neurons.
A shows a representative mPFC section depicting
individual cortical neurons expressing 5-HT1A-like
immunoreactivity; B shows the same section with
5-HT2A-like immunoreactivity; C depicts an
overlay showing colocalization of 5-HT2A and
5-HT1A receptor-like immunoreactivity in individual
cortical neurons. Magnification, 400×. D shows a
high-power (1000×) view of individual cortical neurons expressing
5-HT1A-like immunoreactivity; E shows the
same section with 5-HT2A-like immunoreactivity;
F depicts an overlay of 5-HT1A and
5-HT2Alike immunoreactivity. G shows a
low-power (400×) view of cortical neurons visualized with a guinea pig
5-HT1A receptor antibody, whereas H shows
the same section visualized with a monoclonal 5-HT2A
receptor antibody, with colocalization indicated by
arrowheads. I shows a typical section
incubated only with secondary antibodies (400×).
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Effects of increased glutamatergic transmission in mPFC on
serotonergic function
The above microdialysis results suggested that DOI increased 5-HT
release in mPFC indirectly, possibly by (1) enhancing a glutamatergic
tone on 5-HT nerve terminals (local effect) and/or (2) by enhancing the
activity of ascending 5-HT neurons in the DR through descending
excitatory inputs. We therefore examined the effects of directly
increasing the glutamatergic activity in mPFC on the local 5-HT release.
We first studied whether the 5-HT-increasing effects of DOI could be
mimicked by endogenous glutamate. To this end, we electrically stimulated the mediodorsal and centromedial thalamic nuclei (5 Hz, 1.5 mA, 0.3 msec) for 20 min and collected dialysate fractions from the
ipsilateral mPFC. The electrical stimulation of these nuclei elevated
the 5-HT output in mPFC to a maximum of 179 ± 31% of baseline
(p < 0.00001; n = 6) (Fig.
7A). Sham stimulation did not
alter 5-HT levels (n = 6) (Fig. 7A).
Likewise, in dual probe microdialysis experiments, the application of
bicuculline (300 µM and 1 mM) by reverse dialysis in the mediodorsal and
centromedial thalamic nuclei doubled the 5-HT release in mPFC
(n = 8; p < 0.0007) (Fig.
7B).

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Figure 7.
A, The electrical stimulation of a
midline thalamic area affecting the mediodorsal nucleus and a small
part of the centromedial nucleus (5 Hz, 1.5 mA, 0.3 msec pulses; shown
by a bar) for 20 min increased the 5-HT release in the mPFC of chloral
hydrate-anesthetized rats (filled triangles;
n = 6). Control rats were implanted with
microdialysis probes and thalamic electrodes, but no current was passed
(n = 6; open circles).
*p < 0.05 versus baseline; Duncan test post-ANOVA.
B, In dual probe microdialysis experiments, the
application of bicuculline (BIC; 300 µM and 1 mM, shown by a bar; n = 8) by reverse
dialysis in the centromedial and mediodorsal thalamic nuclei
significantly increased the 5-HT release in mPFC. The variability of
the 5-HT increase was relatively large, possibly because of slight
differences in the location of probes. *p < 0.05 versus baseline; Duncan test post-ANOVA. C, Effects of
the local application of the glutamate uptake inhibitor
L-trans-PDC, alone or in combination with
NBQX, MK-801, and cyclothiazide on the 5-HT release in mPFC (n = 4-5).
L-trans-PDC (4 mM) significantly
increased the 5-HT release. This effect was prevented by the
coperfusion of NBQX but not by MK-801 (300 µM each).
Cyclothiazide (300 µM), a drug that prevents the
desensitization of AMPA receptors, did not affect the time course or
potentiate the effect of L-trans-PDC,
suggesting that the marked tachiphylaxis of the effect is possibly
caused by a presynaptic adaptive change in glutamate synthesis and
release resulting from prolonged inhibition of reuptake.
+p < 0.05 versus baseline;
*p < 0.05 versus
L-trans-PDC alone; Duncan test
post-ANOVA.
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|
Moreover, the local (in mPFC) application of the glutamate uptake
inhibitor L-trans-PDC markedly increased the
local 5-HT release (n = 4; p < 0.000001) (Fig. 7C). The time course of the effect differed
from that elicited by AMPA (Fig. 4D) and showed a
marked tachyphylaxis. However, the 5-HT increase was fully prevented by
the coapplication of 300 µM NBQX
(p < 0.00005 vs
L-trans-PDC alone) (Fig.
7C) but not by 300 µM MK-801, thus
supporting the involvement of AMPA-KA receptors. The coapplication of
300 µM cyclothiazide to prevent a putative
desensitization of the glutamate receptors involved in this effect
failed to modify the effect of
L-trans-PDC, suggesting that the
transient nature of the 5-HT increase was likely attributable to
presynaptic adaptive mechanisms after glutamate uptake blockade.
Effects of DOI on the firing rate of 5-HT neurons in the DR
The systemic administration of DOI to chloral
hydrate-anesthetized rats induced a dose-dependent reduction of the
firing rate of 5-HT neurons in the DR (Fig.
8). Two putative subgroups of neurons
were identified, according to the maximal effect of DOI. In 7 of 12 neurons recorded, DOI fully suppressed the serotonergic activity at low
doses. In the rest (n = 5), the effect of DOI on
serotonergic cell firing was partial, with a maximal decrease to
~40% of baseline. The administration of additional doses of DOI did
not result in a further reduction. In some neurons, higher doses of DOI
appeared to elicit a slight increase in firing rate, as shown in Figure
8B. In both subgroups, the effect of DOI was reversed
by the administration of M100907 (100 µg/kg, i.v.) (Fig. 8B,D). The calculated ED50 value was
20 µg/kg intravenously for all neurons (19 and 22 µg/kg, i.v., for
neurons with full and partial inhibitory response, respectively). When
examined, the administration of the 5-HT1A
receptor agonist 8-OH-DPAT suppressed serotonergic cell firing in both
subgroups of neurons (Fig. 8C,D). The further
administration of WAY 100635 (10 µg/kg, i.v.) returned firing rate to
baseline (Fig. 8D). The inhibitory effect of DOI on
serotonergic cell firing was also reversed by the administration of the
GABAA receptor antagonist picrotoxinin (1 mg/kg,
i.v.) (Fig. 8E).

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Figure 8.
Effects of the intravenous administration of DOI
on serotonergic neurons of the DR. A-E, Integrated
firing rate histograms showing the effect of DOI on five different 5-HT
neurons. A-C depict neurons with full
(A) and partial (B, C) inhibitory
responses to the administration of cumulative doses of DOI (25-50
µg/kg, i.v. in A; 25-400 µg/kg, i.v. in
B, C). The effect of DOI was antagonized
by M100907 (100 µg/kg, i.v.; examples in B and
D). The serotonergic nature of neurons with partial or
full response to DOI is illustrated by its sensitivity to 8-OH-DPAT
(C, D). D shows the inhibitory effect of
DOI (25-50 µg/kg, i.v.). After reversal by M100907 (100 µg/kg,
i.v.), 8-OH-DPAT (DPAT; 0.25-2 µg/kg, i.v.) fully
suppressed firing activity, and the 5-HT1A receptor
antagonist WAY 100635 (WAY; 10 µg/kg, i.v.) returned
firing rate to baseline. E shows the reversal of the
effect of DOI (25-200 µg/kg, i.v.) by the GABAA
antagonist picrotoxinin (PTX; 1 mg/kg, i.v.). The graph in
F shows the dose-response curves for DOI in 5-HT
neurons. The neurons with partial and full inhibitory responses to DOI
administration had comparable ED50 values (19 and 22 µg/kg, i.v.; n = 7 and 5, respectively). The
dotted line shows the dose-response curve for all
neurons (n = 12).
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To assess whether the increased mPFC release of 5-HT induced by local
DOI application was caused by the activation of pyramidal neurons
projecting to the DR (thus enhancing the activity of ascending 5-HT
neurons), we locally infused DOI in the mPFC while recording 5-HT
neurons in the DR. In 5 of 10 serotonergic neurons in the DR, the
application of DOI in mPFC (200 µM, 200 nl applied in 1 min) enhanced their firing rate (to 194 ± 45% of baseline;
range, 137-371%; p < 0.02) (Fig.
9A). One additional neuron had
a marginal increase (115% of baseline), and the rest
were unaffected by the application of DOI in mPFC (Fig. 9B).
The effects of a second dose of DOI (5 min after the first one) were
examined in seven neurons. Of these, three responded with a further
increase in DR firing (from 155 to 260% of baseline). The infusion of
vehicle in mPFC did not affect the firing rate of DR 5-HT neurons (data not shown).

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Figure 9.
Integrated firing rate histograms of DR
serotonergic neurons after the application of DOI in mPFC (200 µM, 200 nl, shown by a 1 min bar). The neuron in
A responded with an increase in firing rate after the
first and second application of DOI (note the persistence of the
increased firing rate), whereas the neuron in B was
unaffected by the application of two consecutive doses of DOI. The
distal effect of DOI on 5-HT cell firing cannot be accounted for by
drug diffusion to the DR because of the small amount of tissue affected
by DOI application (0.2 µl) and the inhibitory effect of DOI on 5-HT
neurons when acting on DR 5-HT2A receptors (Liu et al.,
2000 ).
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Effect of the systemic administration of DOI on 5-HT release in
medial prefrontal cortex
The systemic administration of DOI (1 mg/kg, s.c.) to chloral
hydrate-anesthetized rats reduced the extracellular 5-HT concentration in the mPFC to a maximal effect of 33 ± 8% of baseline 2 hr
after administration (n = 4; p < 0.00001)
(Fig. 10). The effect of DOI was
reversed by the administration of M100907 (0.5 mg/kg, s.c.) which
returned 5-HT levels to above baseline (127 ± 6%; p
< 0.00001) (Fig. 10).

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Figure 10.
The systemic administration of DOI (1 mg/kg,
s.c.) markedly reduced the 5-HT output in mPFC of chloral
hydrate-anesthetized rats (n = 4). The selective
5-HT2A receptor antagonist M100907 (0.5 mg/kg, s.c.) fully
reversed the effect of DOI. Arrows mark injections.
+p < 0.05 versus baseline;
*p < 0.05 versus DOI alone; Duncan test
post-ANOVA.
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|
 |
DISCUSSION |
The present results show that the stimulation of
5-HT2A receptors by the hallucinogen DOI markedly
affects serotonergic transmission. Systemic DOI administration reduced
the activity of DR 5-HT neurons and their release by mPFC terminals.
Conversely, the selective activation of prefrontal
5-HT2A receptors raised the local 5-HT release
and the firing of a subgroup of 5-HT neurons.
Despite the low density of 5-HT2A receptors in
the DR and adjacent areas (Pompeiano et al., 1994 ; Fay and Kubin,
2000 ), bath application of 5-HT and DOI increased a
5-HT2A receptor-dependent GABA input onto 5-HT
neurons in midbrain slices (Liu et al., 2000 ). Thus, the activation by
DOI of 5-HT2A receptors on GABAergic afferents to
5-HT neurons might mediate its inhibitory effect on 5-HT neurons (Wright et al., 1990 ; Garratt et al., 1991 ; this work) inasmuch as the
activation of prefrontal 5-HT2A receptors induced
the opposite effect. The involvement of 5-HT2A
and GABAA receptors in the DOI-induced inhibition
of serotonergic cell firing is supported by the reversal induced by
M100907 and picrotoxinin. Interestingly, DOI partially inhibited the
firing activity of some 5-HT neurons, whereas fully suppressed other
5-HT neurons, with comparable ED50 values. This difference suggests either a partial agonist action of DOI or the
involvement of two 5-HT2A receptor populations
(e.g., in midbrain and mPFC) with opposed effects on the cell firing of
some neurons.
Unlike its systemic administration (Wright et al., 1990 ; Gobert and
Millan, 1999 ; this work) the local application of DOI enhanced the 5-HT
release in mPFC. We exclude a direct releasing action of DOI on
serotonergic nerve endings (fenfluramine-like) because this is
insensitive to TTX (Carboni and Di Chiara, 1989 ). Moreover, 5-HT
neurons do not express 5-HT2A receptors
(Pompeiano et al., 1994 ; Fay and Kubin, 2000 ) (J. Serrats, R. Cortés, and G. Mengod, unpublished observations). Some
cells in the DR (not known to be serotonergic) express
5-HT2C receptors (Clemett et al., 2000 ). However,
the lack of antagonism by SB 242084 excludes the involvement of
5-HT2C receptors in the effect of DOI.
Several lines of evidence suggest that DOI increases the 5-HT release
in mPFC indirectly, through the stimulation of glutamate release and
subsequent activation of AMPA-KA receptors (Fig.
11). First, the 5-HT increase was
reversed by NBQX but not by MK-801 and was mimicked by AMPA
application. Second, several strategies aimed at increasing
glutamatergic neurotransmission in the mPFC, such as the perfusion of
the glutamate reuptake inhibitor L-trans-PDC (also enhancing striatal 5-HT release; Abellán et al., 2000 ) or
the electrical-chemical stimulation of thalamic afferents to the mPFC
elevated the 5-HT release. Third, as with DOI, the effect of
L-trans-PDC was antagonized by NBQX
but not by MK-801. Finally, the effect of DOI was reversed by the mGluR
2/3 agonist 1S,3S-ACPD. The failure of the more
selective agonist LY 379268 to counteract the DOI-induced 5-HT increase
may be attributed to different in vivo pharmacological
properties and/or involvement of other mGluR subtypes in the action of
ACPD. Thus, LY 379268 increased 5-HT turnover and release in mPFC by
itself (Cartmell et al., 2000 , 2001 ), an effect that would oppose the
expected reduction in 5-HT resulting from a decrease in glutamate. This
difference warrants further investigation on the mGluR subtype involved
in the control of 5-HT release in mPFC.

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Figure 11.
Scheme of the putative presynaptic and
postsynaptic actions of DOI. In the mPFC, DOI increases 5-HT release.
This effect involves the activation of prefrontal 5-HT2A
receptors, possibly on glutamatergic afferents from midline thalamus.
The role of 5-HT2A receptors on pyramidal neurons and GABA
interneurons has not been elucidated. The activation of prefrontal
5-HT2A receptors enhances the release of glutamate, which
acts on pyramidal AMPA receptors and increases impulse flow in layer V
pyramidal neurons projecting to the DR, thus resulting in an increased
serotonergic activity and 5-HT release in mPFC. Additionally, glutamate
might activate terminal AMPA-KA receptors in 5-HT terminals and
increase 5-HT release in a local manner. This might imply axo-axonic
contacts between glutamatergic and serotonergic axons, not yet
established anatomically but for which there is functional evidence
(see Discussion). The activation of inhibitory 5-HT1A
receptors on pyramidal neurons counteracts the effects of DOI and
decreases 5-HT release, likely by reducing DOI excitatory effects on
descending inputs to the DR, because the selective activation of
prefrontal 5-HT1A receptors reduces the firing rate of DR
5-HT neurons (Celada et al., 2001 ). The firing-suppressant
action of systemic DOI administration on DR 5-HT neurons is possibly
accounted for by an action on local GABAergic elements inhibiting 5-HT
neurons (Liu et al., 2000 ). This effect would also account for the
inhibition of 5-HT release observed after systemic administration of
DOI.
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A critical step in the proposed mechanism is the actual assessment of
the effect of DOI on glutamate release. However, extracellular glutamate concentrations are not representative of the
transmitter-synaptic pool (Timmerman and Westerink, 1997 ) and depend
to a large extent on a cysteine-glutamate exchanger (Baker and
Kalivas, 2000 ). Our own data agree with this view, because
extracellular glutamate was largely insensitive to manipulations known
to alter synaptic transmission (M.V. Puig, A. Adell, P. Celada, and F. Artigas, unpublished observations).
The present results accord with previous in vitro work in
mPFC slices showing that the activation of local
5-HT2A receptors increases spontaneous EPSCs in
layer V pyramidal neurons by an AMPA-dependent mechanism (Aghajanian
and Marek, 1997 , 1999b , 2000 ; Marek et al., 2000 ). However, none of
these previous studies reported overt depolarization in pyramidal
neurons by 5-HT or DOI. In contrast, we observed that the stimulation
of 5-HT2A receptors in mPFC by DOI increased the
firing of identified 5-HT neurons in the DR. Likewise, in pilot
experiments, systemic DOI administration activated projection neurons
in the mPFC (Puig, Celada, and Artigas, unpublished observations). This strongly suggests that DOI increases impulse flow
in pyramidal neurons, including those projecting to the DR. The
discrepancy between the present results and those of Aghajanian and
Marek (2000) may be attributable to methodological differences, perhaps reflecting the loss of active glutamatergic inputs in the slice
preparation used by these authors.
The cellular source or sources of glutamate and the precise
localization or localizations of 5-HT2A receptors
accounting for this effect are debated. 5-HT2A
receptors occur in three different populations in frontal cortex:
pyramidal neurons (major 5-HT2A-containing neurons), GABAergic interneurons, and axon terminals (Willins et al.,
1997 ; Jakab and Goldman-Rakic, 1998 , 2000 ; Xu and Pandey, 2000 ). Layer
V contains the somata of pyramidal neurons and dense bundles of apical
dendrites, highly enriched in 5-HT2A receptors (Willins et al., 1997 ; Jakab and Goldman-Rakic, 1998 ; Xu and Pandey, 2000 ) (Fig. 6). GABA interneurons are the main target of 5-HT terminals
in monkey prefrontal cortex (Smiley and Goldman-Rakic, 1996 ) and DOI
increases extracellular GABA in rat brain (Abi-Saab et al., 1999 ).
However, 5-HT2A receptors on thalamic afferents have been suggested to mediate DOI effects. Hence, µ-opioid agonists and lesions of the medial thalamus attenuated the 5-HT-induced EPSCs in
layer V pyramidal neurons (Marek and Aghajanian, 1998 ; Marek et al.,
2001 ), which suggests a presynaptic site of action. Moreover,
the systemic administration of DOI increased Fos expression in
superficial layer V and above, an effect also dependent on the
integrity of thalamic inputs onto mPFC (Scruggs et al., 2000 ). However,
most Fos-expressing neurons were nonpyramidal, whereas 5-HT induces
spontaneous EPSCs in layer V pyramidal neurons by activation of
5-HT2A receptors (Lambe et al., 2000 ), which
makes uncertain the relationship between both observations. The present data suggest that glutamate from thalamic afferents to mPFC enhances 5-HT release, although it remains to be determined whether this is the
glutamate source involved in the local DOI effects.
Indeed, a preferential action of DOI on terminal
5-HT2A receptors would leave the dense population
of pyramidal 5-HT2A receptors without a
significant role. Interestingly, the DOI-induced increase in 5-HT
release was potently counteracted by coperfusion of the selective
5-HT1A receptor agonist BAY × 3702. 5-HT1A and 5-HT2A receptors
colocalize on cortical pyramidal neurons (Fig.
6A-I) and have opposite effects on their
excitability (Araneda and Andrade, 1991 ). The apparent absence of
5-HT1A receptors on 5-HT terminals (Pompeiano et
al., 1992 ; Kia et al., 1996 ) excludes a presynaptic action of BAY × 3702. Pyramidal neurons in mPFC project to and control the activity
of DR 5-HT neurons (see introductory remarks). Thus, DOI and BAY × 3702 may modulate the release of 5-HT in mPFC by increasing and
decreasing, respectively, the activity of descending excitatory
pathways to DR neurons projecting in turn to the mPFC (Fig. 11). Thus,
the application of DOI and 8-OH-DPAT in mPFC increased and decreased,
respectively, the firing rate of DR 5-HT cells (Celada et al.,
2001 ; this work). However, the present study cannot determine whether
the effect of DOI on pyramidal activity is direct (via pyramidal
5-HT2A receptors) or indirect (via terminal
5-HT2A receptors, increase in glutamate and
activation of AMPA receptors on pyramidal neurons) (Fig. 11).
Additionally, the activation of terminal AMPA receptors increases
transmitter release in vivo and in vitro (Ohta et
al., 1994 ; Whitton et al., 1994 ; Maione et al., 1997 , Tao et al., 1997 ;
Lockhart et al., 2000 ). This raises the possibility that a
second (local) mechanism may also modulate 5-HT release independently
of DR activation.
5-HT2A receptors play a crucial role in the
filtering of inputs reaching the somata of pyramidal neurons because
their activation increases neuronal excitability. The activation by DOI
of prefrontal 5-HT2A receptors increases the
excitability of pyramidal neurons. At the same time, its action on
(possibly) midbrain 5-HT2A receptors (Liu et al.,
2000 ) reduces 5-HT cell firing and 5-HT release, which should result in
a diminished activation of inhibitory pyramidal 5-HT1A receptors. Hence, the net balance of both
effects would be an increased firing activity of projection neurons in
layer V, as preliminarily observed (Puig, Celada, and Artigas,
unpublished observations). This effect may mediate the hallucinogenic
action of DOI. Hence, the blockade of
5-HT2A receptors or the direct or functional
5-HT1A receptor agonism exerted by atypical
antipsychotics (Meltzer, 1999 ; Ichikawa et al., 2001 ) might be viewed
as an attempt to restore the physiological balance between excitatory
and inhibitory inputs onto prefrontal pyramidal neurons. Given the
opposing roles of 5-HT1A and
5-HT2A receptors on the output of layer V
pyramidal neurons, compounds with 5-HT2A
antagonism and 5-HT1A agonism may be particularly
useful to treat hallucinations and, more generally, positive symptoms
in schizophrenia. Likewise, their direct action at
5-HT1A receptors might also improve
negative (deficit) symptoms.
Further work is required to clarify the relative role of local and
distal mechanisms in the control of 5-HT release by prefrontal 5-HT1A/2A receptors and the precise localization
of 5-HT2A receptors responsible for this effect
of DOI.
 |
FOOTNOTES |
Received July 9, 2001; revised Sept. 18, 2001; accepted Sept. 26, 2001.
This work was supported by National Institutes of Health Grants
FIS 01/1147 and SAF01-2133 (F.A.), KO2MH01366 and RO1MH61887 (B.L.R.),
and a National Alliance for Research on Schizophrenia and Depression
Young Investigator Award to D.A.S. M.V.P. is recipient of a
predoctoral fellowship from the Institut d'Investigacions Biomèdiques August Pi i Sunyer. Financial support from Bayer S.A.
is also acknowledged. We thank the pharmaceutical companies for the
generous supply of drugs. The technical help of Leticia Campa is
gratefully acknowledged.
R.M.R. and M.V.P. contributed equally to this work.
Correspondence should be addressed to Dr. Francesc Artigas, Department
of Neurochemistry, Institut d' Investigacions Biomèdiques de
Barcelona (Consejo Superior de Investigaciones Científicas), Institut d'Investigacions Biomèdiques August Pi i Sunyer,
Rosselló, 161, Sixth floor, 08036 Barcelona, Spain. E-mail:
fapnqi{at}iibb.csic.es.
 |
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