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The Journal of Neuroscience, March 15, 2001, 21(6):2178-2185
Functional Consequences of 5-HT Transporter Gene Disruption on
5-HT1A Receptor-Mediated Regulation of Dorsal Raphe and
Hippocampal Cell Activity
Clotilde Mannoury la
Cour1,
Claudette
Boni1,
Naïma
Hanoun1,
Klaus-Peter
Lesch2,
Michel
Hamon1, and
Laurence
Lanfumey1
1 Institut National de la Santé et de la
Recherche Médicale U288, Neuropsychopharmacologie
Moléculaire, Cellulaire et Fonctionnelle, Faculté de
Médecine Pitié-Salpêtrière, 75634 Paris Cedex
13, France, and 2 Department of Psychiatry, University of
Würzburg, 97080 Würzburg, Germany
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ABSTRACT |
The consequences of the absence of 5-HT reuptake on the functional
properties of 5-HT1A receptors were examined in the dorsal raphe nucleus and the hippocampus of knock-out mice lacking the serotonin transporter (5-HTT). Extracellular recordings showed that
application of selective 5-HT reuptake inhibitors such as paroxetine
and citalopram onto brainstem slices resulted in a concentration-dependent inhibition of 5-HT neuron firing in the dorsal
raphe nucleus of wild-type 5-HTT+/+ mice, but not 5-HTT / mutants.
By contrast, the 5-HT1A receptor agonists ipsapirone and
5-carboxamidotryptamine inhibited the discharge in both groups. However, the potency of these agonists was markedly decreased (by ~55- and ~6-fold, respectively) in 5-HTT / compared with 5-HTT+/+ animals. Similarly, intracellular recordings showed that the
potency of 5-carboxamidotryptamine to hyperpolarize 5-HT neurons in the
dorsal raphe nucleus was significantly lower in 5-HTT / than in
5-HTT+/+ animals. These data contrasted with those obtained with
hippocampal slices in which 5-carboxamidotryptamine was equipotent to
hyperpolarize CA1 pyramidal neurons in both mutant and wild-type mice.
As expected from their mediation through 5-HT1A receptors, the effects of ipsapirone and 5-carboxamidotryptamine were
competitively inhibited by the selective 5-HT1A antagonist
WAY 100635 in both groups. These data showed that 5-HTT gene knock-out
induced a marked desensitization of 5-HT1A autoreceptors in
the dorsal raphe nucleus without altering postsynaptic
5-HT1A receptor functioning in the hippocampus.
Similarities between these changes and those evoked by chronic
treatment with 5-HT reuptake inhibitors emphasize the existence of
regional differences in 5-HT1A receptor regulatory mechanisms.
Key words:
5-HT transporter knock-out mice; 5-HT1A
receptors; dorsal raphe nucleus; hippocampus; desensitization; in
vitro electrophysiology
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INTRODUCTION |
The involvement of the
serotoninergic system in major psychiatric diseases, in particular mood
disorders such as depression, is a well established clinical feature
(Asberg et al., 1976 ; Cryan and Leonard, 2000 ). Accordingly, to date,
the most frequently used antidepressants are the selective serotonin
reuptake inhibitors (SSRIs), which act on the
Na+/Cl -dependent
5-HT transporter (5-HTT) (Graham et al., 1989 ; Lesch, 1997 ). In the
CNS, 5-HTT seems to be essentially localized on serotoninergic neurons,
at the level of somas, dendrites, axons, and terminals (Hensler et al.,
1994 ; Sur et al., 1996 ; Tao-Cheng and Zhou, 1999 ), and only a minor
glial expression of this protein has also been reported by some authors
(Hirst et al., 1998 ; Pickel and Chan, 1999 ). In any case, it is well
established that the 5-HTT is responsible for the primary mechanism of
5-HT inactivation in the CNS (Lesch, 1997 ; Masson et al., 1999 ).
Elucidation of the murine 5-HTT gene sequence (Chang et al., 1996 )
allowed the generation of an animal model with targeted disruption of
this gene by homologous recombination (Bengel et al., 1998 ). Indeed,
the deletion of exon 2 results in an inactive gene and the complete
absence of 5-HT reuptake activity in the homozygous 5-HTT / mice. No
apparent developmental alterations were noted in the null mutant mice,
suggesting that major compensatory mechanisms occur in these animals
during embryonic and subsequent neurodevelopment (Bengel et al., 1998 ).
However, marked depletions of 5-HT and of its metabolite
5-hydroxyindoleacetic acid in brain evidenced that adaptive changes in
5-HT neurotransmission do occur in 5-HTT / mutants (Bengel et al.,
1998 ; Li et al., 1999 ; Fabre et al., 2000 ).
Previous studies using biochemical and neuroendocrinological approaches
further investigated adaptive changes in 5-HT neurotransmission in
5-HTT / mutants with particular attention to 5-HT receptors. Indirect evidence of desensitization and downregulation of
5-HT1A autoreceptors in the dorsal raphe nucleus
(DRN) (Li et al., 1999 ; Fabre et al., 2000 ) and
5-HT2A receptors in the striatum and cerebral cortex (Rioux et al., 1999 ) has thus been reported in knock-out mice.
Interestingly, similar changes in these receptors have previously been
shown to occur after chronic blockade of 5-HT reuptake by SSRI (Chaput
et al., 1986 ; Sanders-Bush et al., 1989 ; Jolas et al., 1994 ; Kreiss and
Lucki, 1995 ; Le Poul et al., 1995 , 2000 ), thereby suggesting that the
5-HTT / mutant mouse can be considered as a model of whole-life
treatment with these drugs. Interestingly, Le Poul et al. (2000)
recently reported that adaptive changes in 5-HT1A
receptors after chronic SSRI treatment in rats concerned 5-HT1A autoreceptors in the DRN but not
postsynaptic 5-HT1A receptors in the hippocampus.
These data led us to investigate further the functional status of
5-HT1A receptors in these two areas in 5-HTT / mutants versus wild-type mice. For this purpose, both extracellular and
intracellular electrophysiological recordings of
5-HT1A expressing neurons in brain slices were
used to quantitatively assess their responses to
5-HT1A receptor stimulation.
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MATERIALS AND METHODS |
Animals
Experiments were performed using homozygous 5-HTT / ,
heterozygous 5-HTT+/ , and wild-type 5-HTT+/+ littermates born from heterozygous mutants of C57BL6 genetic background. Genotyping was
performed as described by Bengel et al. (1998) . Animals were used at 2 months of age when their body weight in each genotype equally ranged
between 20 and 25 gm. After weaning and sexing, males and females were
housed separately in groups of six to eight animals per cage and
maintained under standard laboratory conditions (22 ± 1°C; 60%
relative humidity; 12 hr light/dark cycle; food and water available
ad libitum). In addition, some experiments were performed
using CD1, C57BL6, and c129 control mice provided by the Centre
d'Elevage R. Janvier (Le Genest-St. Isle, France) and IFFA Credo
(Lyon, France), respectively.
Procedures involving animals and their care were conducted in
conformity with the institutional guidelines that are in compliance with national and international laws and policies (council directive number 87-848, 19 October 1987, Ministère de l'Agriculture et de la Forêt, Service Vétérinaire de la Santé et
de la Protection Animale, permissions #0299 to M.H. and #6269 to
L.L.).
Electrophysiology experiments
Preparation of slices of DRN and dorsal hippocampus.
Mice were decapitated, and the brains were rapidly removed and immersed in an ice-cold Krebs' solution, bubbled continuously with an
O2 and CO2 mixture
(95:5%). A block of tissue containing the DRN or the dorsal
hippocampus was cut into sections (350- to 400-µm-thick) in the same
ice-cold Krebs' solution using a vibratome (Corradetti et al., 1998 ).
Brainstem or hippocampus slices were then immediately incubated at room
temperature (20-23°C) for at least 1 hr in an artificial CSF
(ACSF) of the following composition (mM): NaCl 126, KCl 3.5, NaH2PO4 1.2, MgCl2 1.3, CaCl2 2, NaHCO3 25, D-glucose 11, maintained at pH 7.3 by continuous bubbling with
O2-CO2 mixture. A slice of
either the DRN or the CA1 hippocampal area was then placed on a nylon
mesh, completely submerged in a small chamber, and superfused
continuously with oxygenated ACSF (34°C) at a constant flow rate of
2-3 ml/min (Corradetti et al., 1998 ).
Extracellular recordings of serotoninergic neurons in the dorsal
raphe nucleus. Extracellular recordings were made with glass microelectrodes filled with 2 M NaCl (10-15
M ). Cells were identified as 5-HT neurons according to the following
criteria: biphasic action potentials and slow and regular pattern of
discharge (1.5-2.5 spikes/sec) (Trulson and Frederickson, 1987 ; Jacobs
and Azmitia, 1992 ). Firing was evoked in the otherwise silent neurons
by adding the 1-adrenoceptor agonist
phenylephrine (3 µM) to the superfusing ACSF
(VanderMaelen and Aghajanian, 1983 ). Baseline activity was recorded for
5-10 min before the application of drugs via a three-way tap system
that allowed complete exchange of fluids within 2 min of arrival of a
new solution. The electrical signals were fed into a high-input
impedance amplifier (VF180; BioLogic, Claise, France), an
oscilloscope, and an electronic ratemeter triggered by individual
action potentials connected to an analog-to-digital converter and a
personal computer (Haj-Dahmane et al., 1991 ). The integrated firing
rate was computed and recorded graphically as consecutive 10 sec
samples. The effect of a given drug was evaluated by comparing the mean
discharge frequency during the 2 min before its addition to the
superfusing ACSF with that recorded at the peak of the action of the
drug, i.e., 3-10 min after starting the drug infusion. When an agonist
was applied in the presence of an antagonist, the effect of the agonist
was compared with the baseline firing rate and with the discharge
frequency recorded during superfusion with the antagonist alone.
Intracellular recordings of serotoninergic neurons in the dorsal
raphe nucleus and pyramidal neurons in the hippocampus. 5-HT neurons in the DRN and pyramidal cells in the CA1 area of the hippocampus were recorded in current-clamp mode with 3 M KCl-filled electrodes (50-80 M ), while
brain slices were superfused with ACSF (Corradetti et al., 1998 ).
Electrical signals were amplified with an Axoclamp 2A (Axon
Instruments, Foster City, CA) and displayed on an oscilloscope and a
chart recorder. Traces were stored in a digital tape recorder (DTR
1202; BioLogic; 48 kHz sampling frequency) and a computer using pClamp6
software (3-10 kHz sampling frequency; Axon Instruments) for off-line
measurements. Only neurons with stable resting membrane
potential (range, 50 to 90 mV) and input resistance
(Rin; range, 40-140 M for CA1
neurons and 100-500 M for DRN cells) throughout the recording
session were included in the analysis. Membrane potential in response
to hyperpolarizing and depolarizing current pulses of 50/100 pA
increments (range, 900 to +500 pA) was measured before, during, and
after tissue superfusion with drugs added to the ACSF. To draw
concentration-response curves for the 5-HT1
agonist 5-carboxamidotryptamine (5-CT), the membrane potential was
recorded while slices were superfused with increasing
concentrations of this ligand. Preliminary experiments (data not shown)
demonstrated that for a given cell, consecutive applications of
increasing concentrations of 5-CT produced cumulative concentration-dependent responses with a maximal effect equal to that
obtained with application of a single saturating concentration. Nonlinear regression fitting was performed using Prism 2.0 (GraphPad) software facilities for the determination of concentration-dependent hyperpolarization and decrease in Rin
caused by 5-CT.
Statistical analyses
All data are given as means ± SEM. Extracellular and
intracellular recording data were analyzed by one-way ANOVA and, in
case of significance (p < 0.05), the
F test for significant treatment effects was followed by the
two-tailed Student's t test to compare the experimental
groups with their controls. A value of p < 0.05 was
considered to be statistically significant.
Chemicals
The following drugs were used: ipsapirone
(Bayer-Troponwerke, Cologne, Germany), 5-CT (Research Biochemicals,
Natick, MA), paroxetine (Smith-Kline Beecham, Harlow, UK),
citalopram (Lundbeck, Copenhagen, Denmark), and
N-[2-[4-(2-methoxyphenyl)-1-piperazinyl]ethyl]-N-(2-pyridinyl)cyclohexane carboxamide (WAY 100635; Wyeth-Ayerst, Princeton, NJ).
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RESULTS |
In both the DRN and the hippocampus, electrophysiological
recordings under the various pharmacological conditions tested did not
reveal any significant differences between males and females of the
homozygous 5-HTT / , heterozygous 5-HTT+/ , or wild-type phenotype.
Accordingly, both males and females were used indifferently in the
experiments reported herein.
Extracellular recordings of DRN 5-HT neurons
Basal firing rate
Because generation of the 5-HTT / knock-out model
required the use of three different strains of mice (c129, CD1, and
C57BL6) (Bengel et al., 1998 ), some heterogeneity in the genetic
background might have still existed, thereby accounting for possible
variations in the electrophysiological characteristics of DRN 5-HT
neurons in 5-HT / mutants compared with wild-type animals of these
strains. To directly assess this possibility, the spontaneous discharge frequency of DRN 5-HT neurons was compared in paired control 5-HTT+/+ mice and in c129, CD1, and C57BL6 mice. Indeed, the baseline firing rate of 5-HT neurons was similar in the four groups: c129, 1.72 ± 0.19 spikes/sec (mean ± SEM, n = 8); CD1,
1.87 ± 0.17 spikes/sec (n = 7); C57BL6, 1.49 ± 0.11 spikes/sec (n = 12), and 5-HTT+/+, 1.89 ± 0.15 spikes/sec (n = 12). Furthermore, the baseline
firing rate of DRN 5-HT neurons was also not significantly different from these values in heterozygous 5-HTT+/ , 1.88 ± 0.19 spikes/sec (n = 6) and homozygous 5-HTT / mutants,
1.66 ± 0.18 spikes/sec (n = 10).
Effects of the SSRIs paroxetine and citalopram
Like that previously reported under similar conditions in rats (Le
Poul et al., 1995 ), addition of increasing concentrations of paroxetine
into the ACSF superfusing brainstem slices resulted in a
5-HT1A receptor-mediated concentration-dependent
inhibition of the firing of DRN 5-HT neurons in wild-type 5-HTT+/+ mice
(Fig. 1). A similar effect was noted in
heterozygous 5-HTT+/ mutants, and indeed the
EC50 of paroxetine in these animals, 2.10 ± 0.43 µM (mean ± SEM, n = 7), did
not significantly differ from that in wild-type controls, 3.70 ± 0.73 µM (n = 7) (Fig. 1). By
contrast, the same treatment applied to brainstem slices from
5-HTT / mice produced only a minor (less than or equal to 15%),
concentration-independent, reduction in the firing rate of DRN 5-HT
cells, even at paroxetine concentration as high as 200 µM (Fig. 1).

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Figure 1.
Effects of paroxetine and citalopram on the
firing of 5-HT neurons in the DRN of 5-HTT knock-out and wild-type
mice. A, Integrated firing rate histograms (in spikes
per 10 sec) showing the effects of increasing concentrations of
paroxetine (top) or citalopram (bottom)
on the electrical activity of DRN 5-HT neurons in brainstem slices from
5-HTT / and 5-HTT+/+ mice. B,
Concentration-dependent inhibition by paroxetine (top)
or citalopram (bottom) of the firing of DRN 5-HT neurons
in 5-HTT / and/or 5-HTT+/ mutants compared with 5-HTT+/+ wild-type
mice. Paroxetine- or citalopram-induced inhibition is expressed as a
percentage of the baseline firing rate. Each point is the mean ± SEM of data obtained from three to seven individual cells. The
dotted lines illustrate the determination of
EC50 values (abscissa).
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Similar findings were obtained with citalopram, which potently
inhibited, in a concentration-dependent manner, the discharge of DRN
5-HT neurons in wild-type mice (EC50 = 0.26 ± 0.06 µM, n = 5), but remained
essentially inactive in homozygous 5-HTT / mutants (less than or
equal to 10% in the firing rate at 0.1-30 µM citalopram) (Fig. 1).
Effect of 5-HT1A autoreceptor stimulation
As expected from the stimulation of somatodendritic
5-HT1A autoreceptors (Haj-Dahmane et al., 1991 ),
the addition of the 5-HT1A receptor agonist
ipsapirone into the ACSF superfusing brainstem slices resulted
in a concentration-dependent inhibition of the firing of DRN 5-HT
neurons in wild-type 5-HTT+/+ mice (Fig.
2). Similar effects were noted in c129,
CD1, and C57BL6 mice, and the EC50 value of
ipsapirone was not significantly different in these four murine
strains: c129, 61.3 ± 6.1 nM (mean ± SEM,
n = 9); CD1, 54.1 ± 3.5 nM
(n = 9); C57BL6, 44.9 ± 6.1 nM (n = 9); and 5-HTT+/+,
63.1 ± 7.4 nM (n = 10).

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Figure 2.
Concentration-dependent inhibition by
ipsapirone or 5-CT of the electrical activity of DRN 5-HT neurons in
5-HTT knock-out and wild-type mice. Prevention by WAY 100635. A, Integrated firing rate histograms (in spikes per 10 sec) showing the inhibitory effect of ipsapirone and its prevention by
WAY 100635, on the electrical activity of DRN 5-HT cells in 5-HTT /
and 5-HTT+/ mutants compared with 5-HTT+/+ wild-type mice
(top). The effect of 5-CT (bottom), and
its prevention by WAY 100635, are illustrated in 5-HTT+/+ and
5-HTT / mice. Histograms are from different neurons.
B, Concentration-dependent inhibition by ipsapirone
(top) or 5-CT (bottom) of the firing of
DRN 5-HT neurons in 5-HTT+/+, 5-HTT / , and/or 5-HTT+/ mice.
Agonist-induced inhibition is expressed as a percentage of the baseline
firing rate. Each point is the mean ± SEM of data obtained from
three to seven individual cells. The dotted lines
illustrate the increase in the EC50 values (abscissa) of
ipsapirone and 5-CT in 5-HTT / compared with 5-HTT+/+ mice.
*p < 0.05; **p < 0.01;
***p < 0.001 as compared with the corresponding
inhibition in 5-HTT+/+ and 5-HTT+/ mice.
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Ipsapirone also inhibited the discharge of DRN 5-HT cells in the
5-HTT+/ and 5-HTT / mutants, but within higher concentration ranges than in wild-type animals. Although the increase in the EC50 value of ipsapirone in heterozygous
5-HTT+/ mice (EC50 = 115.3 ± 7.3 nM; n = 9) was not significant, that in
homozygous 5-HTT / mutants (EC50 = 3.5 ± 1.1 µM; n = 10) was highly
significant (p < 0.001), indicating an
~55-fold decrease in the potency of the 5-HT1A
receptor agonist in the latter group compared with wild-type controls.
In spite of these differences, complete blockade of the discharge of
DRN 5-HT cells could be achieved in the three groups, but with
different concentrations of ipsapirone (1 µM in
5-HTT+/+ and 5-HTT+/ mice, 100 µM in
5-HTT / mice) (Fig. 2). Similar results were found with 5-CT as
5-HT1 agonist. Thus, 5-CT (1 nM to 10 µM) induced a
concentration-dependent decrease in the firing rate of DRN 5-HT neurons
with a significantly (p < 0.001) lower potency
in knock-out (EC50 = 52.7 ± 3.6 nM; n = 10) than in wild-type
mice (EC50 = 9.05 ± 1.26 nM; n = 10). However, the
relative decrease in 5-CT potency in the mutants (by approximately sixfold) was less than that noted for ipsapirone, as illustrated by the
shift to the right of concentration-response curves, which was of much
larger amplitude with the latter compared with the former agonist (Fig.
2). In any case, as expected from their mediation through
5-HT1A autoreceptors, the inhibitory effects of
both ipsapirone and 5-CT were prevented by the selective
5-HT1A antagonist WAY 100635 (1-3
nM) in both wild-type and mutant mice (Fig.
2).
Effects of 5-HT1A receptor blockade by WAY 100635
Further characterization of ipsapirone-WAY 100635 interactions
consisted of investigating the concentration-dependent inhibition of
DRN 5-HT neuron firing by ipsapirone in the absence or the presence of
a fixed concentration (2 nM) of the
5-HT1A receptor antagonist. Data in Figure
3 show that WAY 100635 produced a shift to the right of the ipsapirone curve in wild-type as well as mutant mice, as expected from competitive inhibition of the effect of ipsapirone by WAY 100635. Calculation of the IC50
value of WAY 100635 from these curves yielded 0.065 ± 0.015, 0.078 ± 0.021, and 0.140 ± 0.035 nM (means ± SEM; n 5 for each value) in 5-HTT+/+, 5-HTT+/ ,
and 5-HTT / mice, respectively.

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Figure 3.
Competitive inhibition by WAY 100635 of the
negative effect of ipsapirone on the firing of DRN 5-HT neurons in
5-HTT / and 5-HTT+/ mutants compared with 5-HTT+/+ wild-type mice.
Experiments were as described in the legend to Figure 2 except that the
effects of various concentrations of ipsapirone were tested in the
absence (black symbols) or the presence (open
symbols) of 2 nM WAY 100635. Inhibition caused by
ipsapirone is expressed as a percentage of baseline firing rate. Each
point is the mean ± SEM of data obtained from five to seven
individual cells. *p < 0.05;
**p < 0.01; ***p < 0.001 as
compared with corresponding data in the absence of WAY 100635.
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In a second series of experiments, the concentration-dependent
prevention by WAY 100635 (5 pM-5 nM) of the
inhibitory effect of a fixed concentration of ipsapirone (300 nM) on the discharge of DRN 5-HT neurons was compared in
5-HTT+/+ and 5-HTT / mice. Calculations of the
IC50 of the 5-HT1A
antagonist yielded values in the same range as those calculated from
the previous series of experiments and did not significantly differ
between wild-type (0.093 ± 0.032 nM;
n = 5) and knock-out (0.045 ± 0.014 nM; n = 4) animals.
Intracellular recordings of DRN 5-HT neurons and hippocampal
pyramidal neurons
DRN 5-HT neurons
In the absence of drugs, 5-HT cells recorded in 5-HTT+/+
(n = 6) as well as in null mutants (n = 5), exhibited similar membrane potential and
Rin ranging from 66 to 83 mV and
158 to 255 M , respectively. Bath-applied ipsapirone evoked both a
concentration-dependent membrane hyperpolarization (with a maximal
response of 4.50 ± 0.76 mV, n = 4, in the
presence of 300 nM ipsapirone) and a decrease in
Rin (down to 62% of baseline value)
of DRN 5-HT neurons in wild-type mice (Fig.
4A). By contrast,
neither the membrane potential nor the
Rin of DRN 5-HT neurons in slices from
5-HTT / mutants were affected by ipsapirone, even at a concentration
as high as 30 µM (Fig. 4A).
Different results were obtained with the other agonist tested, 5-CT,
because this compound, in contrast to ipsapirone, produced a
concentration-dependent membrane hyperpolarization of DRN 5-HT neurons
in both knock-out and wild-type mice (Fig. 4B,C). As
expected from the higher agonist efficacy of 5-CT compared with
ipsapirone (Bockaert et al., 1987 ; Hoyer et al., 1994 ), maximal membrane hyperpolarization induced by the former agonist was
(~2.5-fold) larger than that observed with the latter in wild-type
animals (Fig. 4C). Concentration-dependent curves showed no
difference in 5-CT-induced maximal membrane hyperpolarization in
5-HTT / versus 5-HTT+/+ mice; however, the potency of this agonist
was significantly (p < 0.001) less in the
mutants (EC50 = 89.6 ± 2.9 nM; n = 3) than in wild-type
(EC50 = 11.9 ± 1.0 nM; n = 3) animals (Fig.
4C) In both groups, the effects of 5-CT (300 nM) were completely prevented by WAY 100635 (10 nM), which, on its own, affected neither the
membrane potential nor the Rin of DRN
5-HT cells (Fig. 4B; data not shown).

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Figure 4.
Differential effects of ipsapirone and 5-CT
on intracellularly recorded DRN 5-HT neurons in 5-HTT knock-out and
wild-type mice. A, Chart recordings of membrane
potential of a DRN 5-HT neuron in a brainstem slice from a 5-HTT+/+
(top) versus a 5-HTT / (bottom) mouse.
Each successive concentration of ipsapirone was applied for 4 min.
B, Same as in A, except that 5-CT (300 nM for 4 min) was substituted for ipsapirone.
Bottom recording shows the prevention by 10 nM WAY 100635 of 5-CT-induced hyperpolarization of the same
cell as that corresponding to the middle recording. Downward
and upward rapid deflections in A and B
are electrotonic cell membrane responses to constant current steps
( 200 to +200 pA) injected through the recording electrode. Similar
data were obtained in at least five cells in each group.
C, Concentration-response curves of 5-CT-induced
hyperpolarization of DRN 5-HT neurons in 5-HTT+/+ and 5-HTT / mice.
Each point is the mean ± SEM of data obtained in three to five
cells for each concentration of 5-CT. Dotted lines point
to the EC50 values (abscissa). **p < 0.01; *p < 0.05 compared with respective
hyperpolarization in the 5-HTT+/+ group.
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Hippocampal pyramidal neurons
Like that noted for DRN 5-HT cells, no significant differences
were found in the membrane potential (range, 53 to 78 mV) and the
Rin value (range, 48-133 M ) of CA1
pyramidal cells between 5-HTT / mutant and 5-HTT+/+ wild-type mice.
The addition of increasing concentrations (30 nM
to 1 µM) of 5-CT into the ACSF superfusing hippocampal slices from wild-type mice elicited a hyperpolarization of
cell membrane (maximal response, 6.55 ± 0.41 mV with 300 nM 5-CT; n = 8) and a decrease in
Rin value ( 44.2% with 300 nM 5-CT) (Fig.
5A,B). These effects were
reversible with recovery of predrug values within ~15 min after
removal of 5-CT from the superfusing ACSF (Fig. 5A). As
illustrated in Figure 5B, 5-CT-induced effects were clearly
concentration-dependent, with an EC50 value of
41.0 ± 4.0 nM (n = 6).
Similar effects were noted on CA1 pyramidal cells in hippocampal slices
from 5-HTT / animals, and indeed the maximal hyperpolarization
( 6.05 ± 0.50 mV; n = 9) and decrease in
Rin ( 43.7%) in response to 300 nM 5-CT (Fig. 5), and the potency of this drug
(EC50 = 51.1 ± 5.0 nM; n = 9) to trigger these
effects, were not significantly different in the homozygous mutants
compared with wild-type mice.

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Figure 5.
5-CT-induced hyperpolarization of
hippocampal CA1 pyramidal neurons of 5-HTT knock-out and wild-type
mice. Prevention by WAY 100635. A, Chart recordings of
membrane potential of a CA1 pyramidal neuron intracellularly recorded
in a hippocampal slice from a 5-HTT+/+ or a 5-HTT / mouse. 5-CT (300 nM) was applied for 4 min. Full recovery of predrug value
of membrane potential was observed ~15 min after cessation of 5-CT
application. Downward and upward rapid deflections are electrotonic
cell membrane responses to constant current steps ( 900 to + 500 pA)
injected through the recording electrode. B,
Concentration-response curves of 5-CT-induced hyperpolarization of
hippocampal CA1 neurons in 5-HTT+/+ and 5-HTT / mice. Each point is
the mean ± SEM of data obtained in four to seven cells for each
concentration of 5-CT. Dotted lines point to the
EC50 values (abscissa). C,
Concentration-response curves of the antagonism by WAY 100635 of 5-CT
(300 nM)-evoked hyperpolarization of hippocampal CA1
neurons in 5-HTT+/+ and 5-HTT / mice. Data are expressed as
percentage of the response in the absence of WAY 100635 (100% = 5.8 to 6.7 mV; response range for n = 9 individual cells in each group). Each point is the mean ± SEM of
data obtained in three or four cells for each concentration of WAY
100635. The dotted lines indicate the IC50
values of WAY 100635 (abscissa) against 5-CT-evoked
hyperpolarization.
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As expected from effects mediated through 5-HT1A
receptor stimulation, both the membrane hyperpolarization and the
decrease in Rin value caused by 300 nM 5-CT could be completely prevented by bath
application of 10 nM of the selective
5-HT1A receptor antagonist WAY 100635 (Fig.
5A). On its own, WAY 100635 affected neither the membrane
potential nor the Rin value of CA1
pyramidal neurons in homozygous mutant (Fig. 5A) as well as
wild-type (data not shown) mice. Concentration-dependent prevention by
WAY 100635 (0.3-10 nM) of the membrane
hyperpolarization induced by 300 nM 5-CT showed
no differences between wild-type (IC50 = 0.96 ± 0.04 nM; n = 3) and
knock-out (IC50 = 1.07 ± 0.06 nM; n = 3) mice (Fig. 5C).
 |
DISCUSSION |
The present study showed that the lack of 5-HT reuptake because of
the deletion of exon 2 in the 5-HTT gene (Bengel et al., 1998 ) induces
major alterations in central 5-HT neurotransmission. In particular, the
somatodendritic 5-HT1A autoreceptor, which exerts
a key role in the modulation of 5-HT tone (Hamon, 1997 ), is deeply
desensitized in the knock-out 5-HTT / mice. However, such a
functional adaptation does not extend to all
5-HT1A receptors in brain because those located
postsynaptically in the hippocampus were found to exhibit the same
characteristics in mutants as in wild-type animals.
Like that previously reported in rats (Rigdon and Wang, 1991 ; Le Poul
et al., 1995 ), the increase in extracellular 5-HT concentrations within
the DRN of brainstem slices exposed to SSRI (paroxetine, citalopram)
was found to trigger a 5-HT1A
autoreceptor-mediated inhibition of DRN 5-HT cell firing in wild-type
mice. This response offered a relevant model to further assess the lack
of 5-HTT in the knock-out animals, and indeed, as expected, neither
paroxetine nor citalopram were able to produce a
concentration-dependent inhibition of DRN 5-HT cell firing in
5-HTT / mutants. These electrophysiological data further confirmed
previous autoradiographic and biochemical results showing the complete
absence of the SSRI molecular target, i.e., the 5-HTT, in the
homozygous mutants (Bengel et al., 1998 ; Fabre et al., 2000 ). In
contrast, experiments performed with tissues from heterozygous
5-HTT+/ mice showed that paroxetine inhibited DRN 5-HT cell firing
with the same potency in these mutants as in wild-type animals,
although the density of 5-HT transporter binding sites was only half in
the former compared with the latter group (Fabre et al., 2000 ).
Interestingly, Bengel et al. (1998) reported that in vitro
synaptosomal [3H]5-HT uptake was also
unchanged in 5-HTT+/ compared with wild-type animals. It can thus be
hypothesized that adaptive changes in 5-HTT intrinsic activity very
probably occur to compensate for the (partial) loss of 5-HTT protein in
heterozygous 5-HTT+/ mutants.
One of the most interesting observations made in our studies is that
spontaneous 5-HT neuron firing in brainstem slices was not altered in
5-HTT / mutants compared with wild-type mice. Because the
electrophysiological activity of DRN 5-HT cells is negatively
controlled by extracellular 5-HT acting at 5-HT1A
autoreceptors (Sprouse and Aghajanian, 1987 ; Haj-Dahmane et al., 1991 ),
one would have expected that the lack of 5-HT reuptake produces some reduction in their firing rate because of the resulting increase in
extracellular 5-HT levels in 5-HTT / mice. Indeed, using in vivo microdialysis, marked increases (by at least sixfold) in extracellular 5-HT levels were found in the substantia nigra (Fabre et
al., 2000 ) and the striatum (Andrews et al., 1998 ) of 5-HTT / compared with 5-HTT+/+ mice. No data have yet been published concerning extracellular 5-HT concentrations within the DRN, but it can be reasonably assumed that they are also markedly enhanced in 5-HTT / mice, especially because the DRN contains a high density of 5-HT reuptake sites (Bengel et al., 1997 ; Rattray et al., 1999 ).
Because the most probable explanation for the maintenance of normal
basal firing rate of DRN 5-HT cells in 5-HTT / mice is that
5-HT1A autoreceptor-mediated inhibitory control
is altered, we directly investigated the functional properties of DRN
5-HT1A autoreceptors in these mutants. Like that
previously observed in rats (Haj-Dahmane et al., 1991 ), bath
application of ipsapirone induced a concentration-dependent inhibition
of DRN 5-HT neuron firing in brainstem slices from mice of various
strains, including 5-HTT+/+ animals. With respect to the inhibitory
effect of ipsapirone, heterozygous 5-HTT+/ mice did not significantly
differ from wild-type mice (further supporting the idea that
compensatory changes occurred in these mutants, see above), whereas
homozygous 5-HTT / mutants were much less sensitive to the drug.
Indeed ipsapirone potency was ~55-fold lower in the latter animals
than in wild-type mice. Similar results were found using 5-CT, except
that the potency of this agonist to inhibit DRN 5-HT neuron firing was
decreased by only approximately sixfold in 5-HTT / compared with
5-HTT+/+ animals. This difference between the two agonists was as
expected from their respective efficacy at 5-HT1A
receptors, because it is well established (Kenakin, 1993 ) that
reductions in receptor number and/or coupling, such as those affecting
5-HT1A autoreceptors in 5-HTT / mice (Fabre et
al., 2000 ), decrease to a greater extent the response to a low-efficacy
(partial) agonist such as ipsapirone (Bockaert et al., 1987 ), than a
high-efficacy (full) agonist such as 5-CT (Hoyer et al., 1994 ).
Interestingly, in addition to that of 5-HT1A
receptor agonists, the potency of baclofen, a GABA-B receptor agonist,
to inhibit the discharge of DRN 5-HT neurons, was also found to be
decreased in 5-HTT / versus 5-HTT+/+ mice (Mannoury La Cour et al.,
2000 ). Because both 5-HT1A and GABA-B receptors
share the same pool of G-proteins (Andrade et al., 1986 ), it can be
inferred that possible alterations in this pool underlie their
concomitant desensitization.
Further analyses of the 5-HT1A-mediated responses
by intracellular recording of DRN 5-HT cells could not be performed
with ipsapirone because this partial 5-HT1A
agonist lost its capacity to hyperpolarize the cell membrane in
5-HTT / mutants. This led us to use the full
5-HT1 agonist, 5-CT, whose effects on the
membrane potential and Rin also
appeared to be completely prevented by WAY 100635, as expected from
their mediation through 5-HT1A receptors (Hamon,
1997 ). Indeed, 5-CT was still able to hyperpolarize the plasma membrane
of DRN 5-HT neurons in 5-HTT / mice, but with a significantly lower
potency than in wild-type animals. The differences between ipsapirone
and 5-CT revealed by these intracellular recording experiments were
also as expected from respective changes in the response to a partial
and a full agonist (Bockaert et al., 1987 ; Hoyer et al., 1994 ) after
alterations in their shared receptors (Kenakin, 1993 ) such as those
observed in DRN 5-HT1A autoreceptors (Fabre et
al., 2000 ).
Previous studies in rats have shown that chronic impairment of 5-HT
reuptake by long-term SSRI treatment also induces a significant desensitization of DRN 5-HT1A autoreceptors
(Chaput et al., 1986 ; Jolas et al., 1994 ; Kreiss and Lucki, 1995 ; Le
Poul et al., 1995 , 2000 ), thereby suggesting that similar mechanisms
are responsible for this adaptive phenomenon in both SSRI-treated
animals and 5-HTT knock-out mice. However, differences also exist
between these two experimental models because in contrast to that found in 5-HTT / mice (Fabre et al., 2000 ), DRN
5-HT1A autoreceptors are not downregulated in
SSRI-treated rats (Le Poul et al., 1995 , 2000 ). It has to be stressed,
however, that 5-HTT is usually inhibited for only 2-3 weeks in
pharmacological models, whereas it is completely inactivated for the
whole life in knock-out animals, including at critical periods during
development when 5-HT can play specific actions on brain maturation
(Emerit et al., 1992 ; Lotto et al., 1999 ).
Another key feature of chronic SSRI treatments is the
differential fate of hippocampal postsynaptic
5-HT1A receptors versus DRN
5-HT1A autoreceptors in rats subjected to such
treatments. Thus, in contrast to the latter receptors, those in the
hippocampus do not desensitize after chronic SSRI administration
(Haddjeri et al., 1998 ; Le Poul et al., 2000 ). To assess further the
possible relevance of 5-HTT gene knock-out as a model of chronic 5-HTT blockade by SSRI, we investigated the functional characteristics of
5-HT1A receptors on pyramidal cells in the CA1
area of the hippocampus in 5-HTT / mutants compared with wild-type
mice. 5-CT, rather than ipsapirone, was used in these experiments
because the partial agonist properties of the latter ligand produced
only minor, not reliably measurable, hyperpolarization of CA1 pyramidal neurons (L. Lanfumey, unpublished observations). Like that
observed in rats (Corradetti et al., 1998 ), 5-CT application onto mouse hippocampal slices produced both a hyperpolarization of the plasma membrane and a decreased Rin of CA1
pyramidal cells that could be completely prevented by WAY 100635, demonstrating their mediation through 5-HT1A
receptors. Comparison of the potency of 5-CT to induce these effects in
5-HTT / versus 5-HTT+/+ mice revealed no difference between the two
groups, indicating that postsynaptic 5-HT1A
receptors were not desensitized in the knock-out animals. In line with
these observations, Fabre et al. (2000) recently reported that
5-HT1A receptor-evoked
[35S]GTP- -S specific binding was
significantly decreased in the DRN but not the hippocampus in
5-HTT / compared with wild-type mice.
In conclusion, the present in vitro
electrophysiological investigations demonstrated that somatodendritic
5-HT1A autoreceptors in the DRN, but not
postsynaptic 5-HT1A receptors in the hippocampus, are desensitized in knock-out mice that lack 5-HT reuptake capacity. These adaptive changes closely resemble those induced by chronic SSRI
treatment, indicating that 5-HTT / mice can be considered as a model
to further investigate the molecular mechanisms underlying the
differential regulation of 5-HT1A autoreceptors
versus postsynaptic 5-HT1A receptors (Hamon,
1997 ). The functional desensitization of DRN
5-HT1A autoreceptors probably explains why the
basal firing rate of DRN 5-HT neurons remains at the same level as in
wild-type animals despite marked increases in extracellular 5-HT levels in the mutants. Whether these differential changes in
5-HT1A receptors in the DRN versus the
hippocampus also account for the behavioral alterations in 5-HTT /
mice (Wichems et al., 2000 ) should deserve further investigations.
 |
FOOTNOTES |
Received Aug. 7, 2000; revised Dec. 22, 2000; accepted Jan. 4, 2001.
This research was supported by the Institut National de la Santé
et de la Recherche Médicale and Bristol-Myers Squibb Foundation (Unrestricted Biomedical Research Grant Program). C.M.C. was a recipient of a Fondation pour la Recherche Médicale
fellowship during performance of this work. We are grateful to
pharmaceutical companies (Lundbeck, Pierre Fabre, SmithKline Beecham,
Troponwerke-Bayer, and Wyeth-Ayerst) for generous gifts of drugs.
Correspondence should be addressed to C. Mannoury la Cour,
Institut National de la Santé et de la Recherche Médicale U
288, Neuropsychopharmacologie Moléculaire, Cellulaire et
Fonctionnelle, Faculté de Médecine
Pitié-Salpêtrière 91, Boulevard de l'Hôpital, 75634 Paris Cedex 13, France. E-mail: mannoury{at}idf.ext.jussieu.fr.
 |
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