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The Journal of Neuroscience, September 1, 2002, 22(17):7730-7736
Substance P (Neurokinin 1) Receptor Antagonists Enhance
Dorsal Raphe Neuronal Activity
Rachel K.
Conley,
Michael J.
Cumberbatch,
Glenn S.
Mason,
David J.
Williamson,
Timothy
Harrison,
Karen
Locker,
Christopher
Swain,
Karen
Maubach,
Ruth
O'Donnell,
Michael
Rigby,
Louise
Hewson,
David
Smith, and
Nadia M. J.
Rupniak
Departments of Pharmacology and Medicinal Chemistry, Merck Sharp
and Dohme Neuroscience Research Centre, Harlow, Essex CM20 2QR,
United Kingdom
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ABSTRACT |
Substance P receptor [neurokinin 1 (NK1)]
antagonists (SPAs) represent a novel mechanistic approach to
antidepressant therapy with comparable clinical efficacy to selective
serotonin reuptake inhibitors (SSRIs). Because SSRIs are thought to
exert their therapeutic effects by enhancing central serotonergic
function, we have examined whether SPAs regulate neuronal activity in
the dorsal raphe nucleus (DRN), the main source of serotonergic
projections to the forebrain. Using in vivo
electrophysiological techniques in the guinea pig, we found that
administration of the highly selective NK1 receptor antagonist
1-(5-{[(2R,3S)-2-({(1R)-1-[3,5-bis(trifluoromethyl)phenyl]ethyl}oxy)-3-(4-phenyl)morpholin-4-yl]methyl}-2H-1,2,3-triazol-4-yl)-N,N-dimethylmethanamine (L-760735) caused an increase in DRN neuronal firing rate.
However, unlike chronic treatment with fluoxetine, there
was no detectable 5-HT1A autoreceptor desensitization.
In vitro electrophysiological investigation showed that
these effects were not mediated by a direct action in the DRN, an
observation supported by immunocytochemical analysis that identified
the lateral habenula (LHb) as a more likely site of action.
Subsequently, we found that local application of L-760735 into the LHb
increased firing in the DRN, which, together with our data showing that
L-760735 increased metabolic activity in the cingulate cortex,
amygdala, LHb, and DRN, indicates that the effects of L-760735 may be
mediated by disinhibition of forebrain structures acting via a habenulo
raphe projection. These findings support other evidence for an
antidepressant profile of SPAs and suggest that regulation of DRN
neuronal activity may contribute to their antidepressant mechanism of
action but in a manner that is distinct from monoamine reuptake inhibitors.
Key words:
dorsal raphe; NK1 receptors; lateral
habenula; depression; guinea pig; electrophysiology
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INTRODUCTION |
Abnormalities in central 5-HT
neurotransmission are associated with anxiety and depression.
Clinically effective antidepressant drugs such as the selective
serotonin reuptake inhibitors (SSRIs) fluoxetine and paroxetine are
thought to exert their therapeutic effects by facilitating 5-HT
function (Bel and Artigas, 1993 ). This is believed to occur, in part,
at the level of the dorsal raphe nucleus (DRN) where SSRIs cause a
functional desensitization of 5-HT1A
autoreceptors, leading to an increase in 5-HT neuronal activity (Blier
and de Montigny, 1994 ; Jolas et al., 1994 ). Because the DRN is the
major source of ascending 5-HT projections (Vertes, 1991 ), this is
believed to increase forebrain levels of 5-HT.
However, the therapeutic efficacy of SSRIs is limited by their
side-effect profile and the delay in clinical benefit associated with
their use, and so there is a pressing need for a new class of
antidepressant drug. This need may be fulfilled by neurokinin 1 (NK1) receptor antagonists. In preclinical
studies, pharmacological blockade or genetic deletion of
NK1 receptors has produced effects similar to
those produced by antidepressant drugs by attenuating behavioral and
neurochemical stress responses, including neonatal vocalization (Kramer
et al., 1998 ; Rupniak et al., 2000 ), aggression (Shaikh et al., 1993 ;
de Felipe et al., 1998 ), shock-induced sensitization of the acoustic
startle response (Krase et al., 1994 ), and activation of noradrenergic
(Hahn and Bannon, 1999 ) and dopaminergic (Barton et al., 1999 ) neurons
by restraint. Furthermore, in the clinic, the substance P (SP)
antagonist (SPA)
5-[(2(R)-[1(R)-[3,5-bis(trifluoromethyl)phenyl]ethoxy]- 3(S)-
(4-fluorophenyl)-4-morpholinyl)methyl]-2,4-dihydro-3H-1,2,4-tria-zol-3-one]
(MK869) has produced therapeutically beneficial effects in
patients with Major Depressive Disorder (Kramer et al., 1998 ). Because
MK869 has no appreciable affinity for monoamine receptors,
transporters, or monoamine oxidase and a different adverse event
profile from paroxetine, these observations indicate that SPAs may
provide a novel mechanistic approach to alleviate depression.
Anatomical evidence suggests a close link between SP and 5-HT systems
in the brain, raising the possibility that SPAs influence central 5-HT
function. For example, at the level of the DRN, SP is coexpressed with
5-HT in ~50% of neurons in humans (Baker et al., 1991 ; Sergeyev et
al., 1999 ) and macaques (Charara and Parent, 1998 ), whereas
experimental data from the rat indicate that SP regulates DRN neuronal
activity via an inhibitory projection from the lateral habenula (LHb)
(Neckers et al., 1979 ; Reisine et al., 1982 ), the principal relay in
descending projections from the forebrain to the DRN (see Fig.
1 for schematic). Together, the data
suggest that SPAs can influence DRN function, and so the present study
was designed to examine the effects of SPA treatment on DRN neuronal
activity using electrophysiological, neuroanatomical, and neurochemical
techniques. Experiments were performed in guinea pigs because
NK1 receptor pharmacology in this species
resembles that in humans (Beresford et al., 1991 ; Gitter et al., 1991 ); the SPA used was
1-(5-{[(2R,3S)-2-({(1R)-1-[3,5-bis(trifluoromethyl)phenyl]ethyloxy)-3-(4-phenyl)morpholin-4-yl]methyl}-2H-1,2,3-triazol-4-yl)-N,N-dimethylmethanamine (L-760735), a selective and brain penetrant analog of MK869 with high
affinity at the guinea pig NK1 receptor
(IC50, 0.34 nM). The
effects of L-760735 were compared with those of its low-affinity analog
1-(5-{[(2S,3R)-2-({(1S)-1-[3,5-bis(trifluoromethyl)phenyl]ethyl}oxy)-3-(4-fluorophenyl) morpholin-4-yl]methyl}-2H-1,2,3,-triazol-4-yl)N,N-dimethylmethanamine (L-770765) (IC50, 320 nM)
or its (S)-enantiomer
1-(5-{[(2S,3R)-2-({(1S)-1-[3,5-bis(trifluoromethyl)phenyl]ethyl}oxy)-3-(4-phenyl)morpholin-4-yl]methyl]-2H-1,2,3-triazol-4-yl)-N,N-dimethylmethanamine (L-781773) (IC50, 545 nM)
to control for nonspecific actions (Kramer et al., 1998 ).

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Figure 1.
Simple schematic of proposed circuit mediating
effects of SPAs on DRN activity. Each of the areas, with the exception
of the DRN, contains high levels of NK1 receptors in the
guinea pig and primate. All connections within this circuit are likely
to be reciprocal.
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MATERIALS AND METHODS |
In vitro electrophysiological recordings from the
DRN. Brain slices were prepared from male guinea pigs (~180 gm;
Dunkin Hartley; Harlan, Bicester, UK). Coronal slices (400 µm
thick) of the DRN were cut and then transferred to a recording chamber
under continuous flow (~2 ml/min) of artificial aerated (95%
O2 plus 5% CO2) CSF at 34°C [composition (in mM): 126 NaCl, 2.5 KCl, 1.2 NaH2PO4, 2.4 CaCl2.2 H2O, 1.3 MgCl2·6 H2O, 26 NaHCO3, and 10 D-glucose, pH 7.4]. Conventional techniques were used to make intracellular current-clamp recordings using microelectrodes filled with K-acetate (3 M).
In vivo electrophysiological recordings. Male Dunkin Hartley
guinea pigs (350-600 gm) were anesthetized with sodium pentobarbitone (60 mg/kg, i.p., followed by 40 mg/kg i.v. infusion), and
electrophysiological recordings were made from the DRN using glass
microelectrodes (filled with pontamine sky blue in 0.5 M Na-acetate; 9.5-10 mm caudal to bregma and
6-8 mm deep). Cells with characteristics of 5-HT neurons were
identified by their wide action potentials (1.5-2 msec), slow regular
firing rate (0.5-5 Hz), and inhibition by the
5-HT1A agonist
8-hydroxy-2(di-n-propylamino)tetralin (8-OH-DPAT) (10 or 30 µg/kg, i.v.; n = 23). In acute studies, either
L-760735 or L-770765 was administered (3 mg/kg, i.v.) after 10-15 min
of stable unit activity. The dose of 3 mg/kg for L-760735 was based on
dose-response studies in this species that establish this to be a
maximally efficacious dose (Kramer et al., 1998 ). In chronic studies
performed on the day after 28 d of once daily oral dosing with either vehicle, fluoxetine (10 mg · kg 1 · d 1),
or L-760735 (3 mg · kg 1 · d 1),
the spontaneous DRN single neuronal firing rate was recorded and used
to calculate the incidence of burst firing [more than or equal to two
spikes with an interspike interval of 10 msec as defined previously
(Hajos et al., 1995 )]. Cells were then tested with cumulative doses of
8-OH-DPAT (1-300 µg/kg, i.v.) until >70% inhibition was observed.
ID50 values were calculated (Prism; GraphPad Software, San Diego, CA) and compared using a one-way ANOVA followed by
Dunnett's t tests. In microiontophoretic studies, L-760735 was applied locally into the LHb (5.4 mm caudal and 1.1 mm lateral to
bregma, 5.7-5.8 mm ventral). The barrels of the pipette were filled
with 5 mM L-760735 or L-770765 (in 200 mM NaCl at pH 3.5; 0.5 V retaining voltage) and
pontamine sky blue (2% in 0.5 M Na-acetate).
Either L-760735 or L-770765 was iontophoresed into the LHb at currents
of up to +80 nA, and the effects on DRN neuronal activity were
recorded. After each experiment, pontamine sky blue was ejected ( 20
µA, 2-5 min) to mark the location of the DRN test cell and habenula
injection site; the brain was subsequently removed, frozen, and
sectioned (20 µm) to verify correct electrode placement.
Immunocytochemical determination of NK1
receptor expression. For the purposes of comparison between rodent
and primate species, the DRN and LHb from the guinea pig, primate, and
rat were examined for NK1 receptor expression.
DRN and LHb sections were blocked in 5% normal goat serum in PBS plus
0.3% Triton X-100 (PBS + Tx) for 1 hr before incubation with rabbit
anti-NK1 receptor (1:5000) overnight at +4°C.
Sections from rodent species were immunostained for
NK1 receptor using an antibody raised to a
synthetic 15 aa peptide sequence (SP receptor 393-407)
corresponding to the C terminus of the rat NK1
receptor (Vigna et al., 1994 ). For primate tissues, the fusion protein
antibody developed by Dr. R. Shigemoto (University of Kyoto, Kyoto,
Japan) was used because it has been used successfully with human brain
tissue (Cicchetti et al., 1996 ). Sections were washed in PBS + Tx and
incubated in biotinylated goat anti-rabbit IgG (1:200). After washes in
PBS + Tx and subsequent incubation in Elite ABC horseradish peroxidase
complex, sections were developed in 3,3-diaminobenzidine (0.25 mg/ml in
PBS) for 5 min. Once dried onto slides, sections were mounted and
examined using bright field illumination on a Leica (Milton
Keynes, UK) microscope.
Measurement of brain metabolic activity using
2-[14C(U)]deoxyglucose. To identify
other midbrain and forebrain regions that might be affected by
NK1 receptor blockade, regional increases in
metabolic activity were measured by 2-DG utilization after acute
administration of L-760735. Male guinea pigs were anesthetized (as
described above) and cannulated to allow maintenance of blood gases
within normal physiological range as described previously (Kurumaji and
McCulloch, 1989 ). Vehicle (n = 4), L-760735 (3 mg/kg; n = 5), or its less active enantiomer L-781773 (3 mg/kg; n = 6) was administered intravenously followed 5 min later by a 10 µCi injection of
2-[14C(U)]deoxyglucose (PerkinElmer Life
Sciences, Cambridge, UK). Serial blood samples were taken, and
the animal was killed 45 min later with an overdose of anesthetic;
brains were then removed, frozen, sectioned, and apposed to
autoradiograph film (Hyperfilm bmax; Amersham Biosciences, Little
Chalfont, UK). Glucose utilization was derived from the Sokoloff
equation (Sokoloff et al., 1977 ). Values of plasma 2-deoxyglucose,
glucose levels, and 14C local brain
concentrations read against known standards on an image analysis system
(AIS Imaging Research Inc., St. Catherines, Canada) were
inserted into the Sokoloff equation. Data are shown as mean ± SEM. Statistical analyses were performed using a Student's t test.
Effects of L-760735 on 5-HT receptors and transporters in
vitro. Radioligand-binding assays were performed by Panlabs
(Taipei, Taiwan) DiscoveryScreen using monoamine transporter
assays as described previously (Berger et al., 1990 ; Cesura et al.,
1990 ; Tejani-Butt et al., 1990 ; Boja et al., 1992 ).
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RESULTS |
Effects of L-760735 on DRN neuronal activity
in vitro
Guinea pig DRN neurons were identified by their position within
the in vitro slice and by their characteristic biophysical properties (membrane potential, 74 ± 4 mV; input resistance, 159 ± 33 M ; n = 8). In the presence of
tetrodotoxin (0.5 µM), direct application of
the 5-HT1A receptor agonist 8-OH-DPAT (1 µM) caused a large hyperpolarization of DRN
neurons ( 14 ± 2 mV; n = 4), consistent with the
direct activation of 5-HT1A autoreceptors. In contrast, SP
(500 nM; n = 7) or L-760735 (100 nM; n = 3) had no effect on
either the membrane potential or input resistance in the same neurons
(Fig. 2).

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Figure 2.
Effect of SP (0.5 µM), the
NK1 receptor antagonist L-760735 (100 nM), and
the 5-HT1A receptor agonist 8-OH-DPAT (1 µM)
on a guinea pig DRN neuron in vitro. The
trace is an intracellular recording of membrane potential,
the upward deflections are spontaneous action potentials
that were abolished in the presence of tetrodotoxin
(TTX, 0.5 µM), and the downward
deflections are responses to injection of negative current pulses
used to monitor neuronal input resistance. Although 8-OH-DPAT caused a
hyperpolarizing response consistent with the activation of
5-HT1A autoreceptors, SP and L-760735 had no effect on
membrane potential or input resistance, suggesting that NK1
receptors are not present in the guinea pig DRN.
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Effects of L-760735 on DRN neuronal activity
in vivo
Acute studies
Intravenous administration of L-760735 (3 mg/kg) caused an
approximate doubling of the firing rate (86 ± 12% increase;
n = 5) that lasted >1 hr; administration of the same
dose of L-770765 had no effect on DRN neuronal activity (+11 ± 5%; n = 4) (Fig. 3).
Burst firing was not observed after acute administration of L-760735
(percentage of events in bursts occurring before and after injection of
L-760735: 0.81 ± 0.45 and 1.1 ± 0.67, respectively; n = 6).

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Figure 3.
Effects of acute administration of the
5-HT1A receptor agonist 8-OH-DPAT (30 µg/kg) or the
NK1 receptor antagonist L-760735 (3 mg/kg) on DRN neuronal
firing. In cells that were inhibited by 8-OH-DPAT, L-760735 caused a
marked facilitation of firing rate, whereas L-770765 (the low-affinity
analog of L-760735) had no effect.
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Chronic studies
The spontaneous firing pattern of DRN neurons was
indistinguishable in guinea pigs that had been chronically treated with vehicle or with the SSRI fluoxetine (10 mg · kg 1 · d 1).
In contrast, the spontaneous firing rate and the number of action
potentials that occurred in burst events were markedly increased in
animals that had been chronically treated with L-760735 (3 mg · kg 1 · d 1)
(Fig. 4). DRN neuronal activity was dose
dependently inhibited by intravenous injection of 8-OH-DPAT (1-300
µg/kg); the dose-response curve to 8-OH-DPAT was the same in animals
that had been chronically treated with either vehicle or L-760735
(ID50 values of 7.9 and 8 µg/kg, respectively)
and in naive animals (ID50, 7.2 µg/kg). In
contrast, the dose-response curve to 8-OH-DPAT was shifted to the
right in the fluoxetine-treated group (ID50, 306 µg/kg) (Fig. 4), indicating 5-HT1A autoreceptor
desensitization.

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Figure 4.
Effects of chronic administration of vehicle, the
SSRI fluoxetine (10 mg · kg 1 · d 1), or
the NK1 receptor antagonist L-760735 (3 mg · kg 1 · d 1) for
28 d on DRN neuronal firing. a, b,
Spontaneous firing rates and incidence of burst firing activity
significantly increased after treatment with L-760735
(*p < 0.05, L-760735 vs vehicle; ANOVA followed
by Dunnett's t test). Veh, Vehicle;
Fluox, fluoxetine; 735, L-760735.
c, The dose-response curve to the 5-HT1A
receptor agonist 8-OH-DPAT was shifted to the right in animals treated
with fluoxetine ( ) compared with those treated with vehicle ( ) or
L-760735 ( ) (p < 0.01), indicating that
only fluoxetine caused 5-HT1A autoreceptor
desensitization.
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Iontophoretic studies
Microiontophoretic application of L-760735 into the LHb caused a
large (~2.5-fold) increase in DRN neuronal firing rate in 8 of 11 cells studied; there was no effect of L-760735 on the three other cells
examined. L-770765 was applied to five of the sites within the habenula
where L-760735 was active and was without effect (Fig.
5). Application of L-760735 into areas
adjacent to the LHb also had no effect.

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Figure 5.
Effects of intrahabenular application of the
NK1 receptor antagonist L-760735 on DRN neuronal firing.
L-760735 was iontophoresed into the LHb at currents of up to +80 nA.
a, The effects on a representative DRN cell.
b, The mean data (n = 5-11 cells
from 8 guinea pigs). The lower affinity analog L-770765 was ejected at
the same polarity and current as L-760735 as a control.
*p < 0.05 between the effects of L-760735 and
L-770765; Mann-Whitney U test. c, The
location of the microiontophoretic pipette tips in the LHb.
d, A recording from a representative DRN cell in
response to intrahabenular application of L-760735 followed by
L-770765.
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Expression of NK1 receptors in DRN and LHb
Immunocytochemistry revealed only sparse expression of
NK1 receptors in the guinea pig DRN; this pattern
of expression resembles that seen in primate brain (Fig.
6a-c) but is in marked
contrast to the rat, where there is a high density of
NK1 receptors (Vigna et al., 1994 ). Unlike in the
DRN, NK1 receptor immunoreactivity is prominent
in the LHb of the guinea pig and primate (Fig.
6d-f), where each displays somatodendritic labeling
characteristic of a postsynaptic localization.

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Figure 6.
Immunocytochemical determination of
NK1 receptor expression in the DRN and LHb of guinea pig
and rhesus monkey brain. The DRN of the guinea pig and cynomolgus
monkey (a, b), in contrast to the rat
(c), shows little NK1 receptor
immunoreactivity, with only scattered nonmonoaminergic cells labeled
(arrowhead, b). NK1 receptor
immunoreactivity is prominent in the LHb of the guinea pig
(d) and primate (e) but not
in the rat (f). Scale bars:
a-c, 200 µm; d-f, 250 µm.
MHb, Medial habenula; IV, fourth
ventricle; mlf, medial longitudinal fasiculus.
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Effects of L-760735 on brain metabolic activity
L-760735 (3 mg/kg) caused an increase in neuronal activity,
measured as regional increases in metabolic rate, in the amygdala, DRN,
LHb, and cingulate cortex when compared with animals treated with
vehicle. No changes were seen in the striatum or inferior colliculi.
The less active enantiomer L-781773 (3 mg/kg) produced no significant
increases in metabolism in the regions examined (Fig.
7).

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Figure 7.
Effects of the NK1 receptor antagonist
L-760735 on brain metabolic activity using
2-[14C(U)]deoxyglucose measurements. The changes
in glucose utilization of various brain regions are shown after acute
administration of vehicle (n = 4), L-760735 (3 mg/kg; n = 5), or its enantiomer L-771783 (3 mg/kg;
n = 6). Data are shown as mean ± SEM.
*p < 0.05, ANOVA followed by Dunnett's
t test. After treatment with L-760735, glucose
utilization significantly increased in the LHb and DRN, as well as
other areas associated with stress and fear processing, such as the
amygdala and cingulate cortex.
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Effects of L-760735 on 5-HT receptors and transporters
in vitro
L-760735 was not active in human and rodent assays of monoamine
oxidase A and B, the 5-HT transporter, or 5-HT1A,
5-HT2, 5-HT3, 5-HT4, 5-HT5,
5-HT6, and 5-HT7 receptors
(IC50, >3 µM).
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DISCUSSION |
These data show that a highly selective NK1
receptor antagonist can alter the firing pattern of DRN neurons in a
manner that is distinct from that seen with fluoxetine. Our findings
suggest that SPAs may regulate the firing of ascending 5-HT neurons in the DRN and alter activity in forebrain circuits involved in
integrating stress and fear processing. These actions may contribute to
the antidepressant effects of SPA treatment.
The first series of in vitro electrophysiological
experiments investigated whether the SPA L-760735 had direct actions on 5-HT neurons in the DRN. The membrane potential of 5-HT neurons, identified by their hyperpolarizing response to the
5-HT1A receptor agonist 8-OH-DPAT, was unaffected
by application of SP or L-760735 to the DRN slices. These observations,
supported by data from the immunocytochemical study, suggest that
NK1 receptors are not present on 5-HT neurons in
the guinea pig DRN.
A series of in vivo electrophysiological experiments was
then performed to examine the effect of L-760735 on the spontaneous activity of neurons in the DRN of anesthetized guinea pigs. Both acute
and chronic treatment with L-760635 significantly increased the firing
rate of DRN neurons, an observation that is consistent with data from
NK1R / mice (Santarelli et al., 2001 ). Recent studies with NK1R /
mice have also identified clear desensitization of
5-HT1A autoreceptors, evidenced by a reduction in
the potency of 8-OH-DPAT to inhibit both DRN neuronal firing and
hypothermia and by a reduction in
8-OH-[3H]DPAT binding (Froger et al.,
2001 ; Santarelli et al., 2001 ). However, in the present study, chronic
treatment with L-760735 did not produce any detectable desensitization
of 5-HT1A autoreceptors as measured by
8-OH-DPAT-induced neuronal inhibition. This discrepancy may reflect
species or methodological differences or a developmental adaptation in
the NK1R / rather than a true desensitization of the autoreceptor.
Additional studies are required to examine other markers of
5-HT1A autoreceptor function in guinea pigs after
chronic SPA treatment.
After chronic treatment with L-760735, DRN neurons also displayed an
increased incidence of burst firing. This observation may explain why
the SPA-induced increase in spontaneous firing in the DRN did not lead
to 5-HT1A autoreceptor desensitization. Previous
work has shown that low-frequency stimulation evokes 5-HT release in
the DRN that is associated with 5-HT1A
autoreceptor control, whereas the release evoked by the same number of
stimuli delivered at high frequencies (bursts at 50 Hz) is relatively unaffected (O'Connor and Kruk, 1991 ). Thus, phases of high-frequency bursting activity may produce peaks in 5-HT concentration that, although larger in amplitude than those produced during tonic activity,
are rapidly normalized by the 5-HT reuptake mechanism during the
interburst interval and are less likely to contribute to activation of
5-HT1A autoreceptors.
Having shown that L-760735 had no direct effect on neuronal firing in
the DRN, we performed an immunocytochemical study to identify those
brain regions with high densities of NK1
receptors in which L-760735 might act to modulate DRN activity.
Immunocytochemistry revealed only sparse expression of
NK1 receptors in the guinea pig DRN. Similarly,
low levels of NK1 receptors were detected in the
primate DRN, in contrast to the high levels seen in the rat DRN
(Saffroy et al., 1994 ), further supporting the guinea pig as a species
with NK1 receptor pharmacology and CNS
distribution that closely resembles that in primates. These
observations suggest that SPAs are unlikely to have direct effects on
DRN neurons in humans, and hence, changes in DRN neuronal firing
induced by SPAs are likely to result from blockade of
NK1 receptors elsewhere in the brain. Unlike the
DRN, several midbrain and forebrain structures that mediate stress
responses have high densities of NK1 receptors, and among these is the LHb, an area of particular interest because it
provides the main link between the forebrain and the DRN (Sutherland, 1982 ). The immunocytochemical experiments in the present study confirmed that high levels of NK1 receptors are
expressed in the LHb of the guinea pig and primate, and furthermore,
the 2-DG experiments revealed that treatment with L-760735 caused a
large increase in activity in the LHb, as well as the DRN. Based on
these observations, we speculated that direct application of L-760735
into the LHb might increase DRN neuronal firing in the anesthetized
guinea pig. Indeed, in an in vivo electrophysiological
study, we found that microiontophoretic application of L-760735 into
the LHb caused a large increase in DRN neuronal firing rate, whereas
application of L-760735 into areas adjacent to the LHb had no effect.
Extrinsic modulation of DRN function by the LHb has been reported
previously (Wang and Aghajanian, 1977a ) and has been confirmed recently
in the human brain (Morris et al., 1999 ). Efferents from the LHb form
the main forebrain projection to the DRN and exert a functional
inhibitory tone on neuronal activity (Wang and Aghajanian, 1977a ;
Reisine et al., 1982 ; Ferraro et al., 1996 ). In turn, ascending 5-HT
projections from the DRN can modulate stress responses in target
forebrain regions that send outputs to the LHb. For example, electrical
stimulation of the DRN inhibits neurons in the amygdala (Wang and
Aghajanian, 1977b ), and direct injection of 5-HT into the medial
amygdala reduces defensive rage (Rodgers, 1977 ), possibly via an
SP-containing projection to the medial hypothalamus (Shaikh et al.,
1993 ). To complete the circuit, the main inputs to the LHb arise from
the amygdala and other serotonergic regions in the forebrain, such as
the hypothalamus and reticulopontine nucleus (Sutherland, 1982 ; Felton
et al., 1999 ), thus providing the pathways for a feedback loop
involving forebrain regions that express NK1 receptors, coordinate stress responses, and regulate activity in the
LHb and DRN (Fig. 1). The in vivo electrophysiological and
2-DG data from the present study show that SPA treatment increases neuronal activity in the amygdala, LHb, and DRN, lending support to the
potential involvement of this circuit in the antidepressant actions of SPAs.
A proportion of inputs to the LHb could also arise directly from the
DRN, because it has been reported that 5-HT neurons innervate the
ventricular surface of the habenula in the human brain (Richards et
al., 1981 ). Because many 5-HT neurons in the human brain also contain
SP, SPAs may block the effects of SP released via the forebrain-habenula loop. Moreover, because only 50% of ascending DRN
5-HT neurons coexpress SP in the human brain (Sergeyev et al., 1999 ),
SPAs may provide a regionally specific regulation of 5-HT neuronal
function that is distinct from the global changes in 5-HT systems
produced by SSRIs that may contribute to mechanism-based side effects.
The 2-DG experiments in the present study also showed that SPA
treatment increased metabolic activity in the cingulate cortex. Previous work has identified that changes in cingulate activity correlate with responsiveness to established antidepressant therapies in patients with Major Depressive Disorder (Pizzagalli et al., 2001 ).
The observation that L-760735 increased activity in several brain
regions suggests that SPAs may act at multiple levels in the forebrain
and midbrain to regulate circuits involved in stress and fear processing.
The final series of experiments showed that L-760735 had no affinity
for a range of 5-HT receptors or transporters in vitro and
was not active in assays of monoamine oxidase A and B. These observations confirm that the effects of L-760735 on 5-HT neuronal activity were not mediated by direct interactions with 5-HT receptors or transporters and were not secondary to changes in monoamine metabolism.
In summary, our findings show that SPAs are able to modify DRN neuronal
activity by a mechanism that is distinct from that of established
antidepressant drugs. An increase in DRN neuronal firing rate was seen
after both acute and chronic administration of L-760735, indicating
that endogenous SP participates in a functional inhibition of this
nucleus, as has been suggested by previous studies (Neckers et al.,
1979 ; Reisine et al., 1982 ). These observations are consistent with
reports of an increase in DRN neuronal firing in NK1R / mice
(Santarelli et al., 2001 ). The increased neuronal discharge rate was
accompanied by a change in the firing pattern of DRN neurons to a burst
firing mode. This pattern of firing has been reported previously in DRN
5-HT neurons (Hajos et al., 1995 ; Hajos and Sharp, 1996 , 1997 ) and is
thought to be associated with more efficacious synaptic transmission
(Gartside et al., 2000 ). It has been shown recently that the
neuropeptide brain-derived neurotrophic factor also causes burst firing
(Celada et al., 1996 ) and an increase in 5-HT release (Siuciak et al.,
1996 ) in the DRN and has antidepressant-like properties in animal
assays (Altar, 1999 ).
In addition to their direct actions in the amygdala and its efferent
projections through which stress responses are coordinated, the effects
of SPAs on DRN neuronal activity provide a second mechanism by which
these compounds could exert psychotherapeutic actions to alleviate
depression. A significant advantage of SPAs is that they do not cause a
5-HT hyperstimulation syndrome, and so the dose may be escalated with
greater safety and less risk of side effects than for monoamine
reuptake inhibitors.
 |
FOOTNOTES |
Received April 10, 2002; revised June 10, 2002; accepted June 12, 2002.
We thank Dr. R. Shigemoto (University of Kyoto, Kyoto, Japan) for his
NK1 receptor fusion protein antibody, F. Kuenzi for writing
the Spike2 analysis scripts, F. J. Kelleher and R. Frankshun for
the synthesis of L-760735 and L-770765, and A. Wheeldon, N. Clarke, and
G. Bentley for technical assistance.
Correspondence should be addressed to Nadia M. J. Rupniak, Merck
Sharp and Dohme Neuroscience Research Centre, Terlings Park, Harlow,
Essex CM20 2QR, UK. E-mail: Nadia_Rupniak{at}merck.com.
 |
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