Abstract
Atypical antipsychotics increase dopamine (DA) release in the medial prefrontal cortex (mPFC), an effect possibly involved in the superior effects of atypical versus classical antipsychotics on cognitive/negative symptoms. We examined the role of 5-HT1A receptors in the mPFC on the modulation of dopaminergic activity and the mesocortical DA release in vivo. The highly selective 5-HT1A agonist BAY x 3702 (BAY; 10-40 μg/kg, i.v.) increased the firing rate and burst firing of DA neurons in the ventral tegmental area (VTA) and DA release in the VTA and mPFC. The increase in DA release in both areas was potentiated by nomifensine coperfusion. The selective 5-HT1A antagonist WAY-100635 reversed the effects of BAY in both areas, and the changes in the VTA were prevented by frontocortical transection.
The application of BAY in rat and mouse mPFC by reverse dialysis increased local extracellular DA at a low concentration (3 μm) and reduced it at a higher concentration (30 μm). Both effects disappeared in 5-HT1A knock-out mice. In the presence of bicuculline, BAY reduced DA release at all concentrations. The atypical antipsychotics clozapine, olanzapine, and ziprasidone (but not haloperidol) enhanced DA release in the mPFC of wild-type but not 5-HT1A knock-out mice after systemic and local (clozapine and olanzapine) administration in the mPFC. Likewise, bicuculline coperfusion prevented the elevation of DA release produced by local clozapine or olanzapine application. These results suggest that the activation of mPFC 5-HT1A receptors enhances the activity of VTA DA neurons and mesocortical DA release. This mechanism may be involved in the elevation of extracellular DA produced by atypical antipsychotics.
- antipsychotic
- dopamine
- prefrontal cortex
- schizophrenia
- serotonergic1A receptor
- ventral tegmental area
Introduction
The ventral tegmental area (VTA) gives rise to the mesocortical and mesolimbic dopamine (DA) systems, involved in higher brain functions such as cognition, memory, reward, and behavioral control (Glowinski et al., 1984; Williams and Goldman-Rakic, 1995; Robbins, 2000; Tzschentke and Schmidt, 2000; Schultz, 2004). Psychotic and cognitive/negative symptoms in schizophrenia seem to be associated with an overactivity of the mesolimbic pathway and a hypofunction of the mesocortical pathway, respectively (Carlsson, 1988; Weinberger et al., 1994; Laruelle et al., 1996; Abi-Dargham et al., 2000). Classical neuroleptics used to treat schizophrenia block DA D2 receptors (Seeman and Lee, 1975; Creese et al., 1976), an action that also evokes extrapyramidal motor symptoms and hyperprolactinemia. With few exceptions (e.g., amisulpride), second-generation (atypical) antipsychotics display a preferential 5-HT2 versus DA D2 receptor affinity and occupancy in the brain (Meltzer, 1999), although “atypicality” may encompass more than one mechanism (Roth et al., 2003).
Among the various aminergic receptors, there is growing interest in 5-HT1A receptors as potential targets for antipsychotic drug action (Millan, 2000). These receptors seem to contribute to the ability of atypical (but not classical) antipsychotics to increase cortical DA release, an effect potentially involved in the improvement of negative symptoms and cognitive dysfunction in schizophrenia (Rollema et al., 1997, 2000; Kuroki et al., 1999; Ichikawa et al., 2001a).
5-HT1A receptors are located in 5-HT neurons of the raphe nuclei, where they function as autoreceptors, and in cortical and limbic areas (Pazos and Palacios, 1985; Pompeiano et al., 1992). Their activation results in membrane hyperpolarization and reduction in neuronal activity (Sprouse and Aghajanian, 1986; Araneda and Andrade, 1991; Amargós-Bosch et al., 2004). Likewise, 5-HT1A receptors modulate 5-HT release by presynaptic and postsynaptic mechanisms (Sharp et al., 1989; Adell et al., 1993; Celada et al., 2001). Interestingly, DA cell firing and DA release have been shown to be modulated by 5-HT1A receptor agonists (Arborelius et al., 1993a,b; Prisco et al., 1994; Lejeune and Millan, 1998; Sakaue et al., 2000). However, the mechanism(s) involved and the localization of the 5-HT1A receptors responsible for this effect have not been fully elucidated.
The activity of VTA DA neurons is modulated, among other areas, by the medial prefrontal cortex (mPFC) (Thierry et al., 1979, 1983; Tong et al., 1996, 1998; Carr and Sesack, 2000a,b). This control is exerted via direct excitatory afferents as well as indirectly, through the laterodorsal tegmentum (LDT)/pedunculopontine tegmentum (PPTg) or the nucleus accumbens/ventral pallidum (VP) pathway (Tzschenke and Schmidt, 2000; Adell and Artigas, 2004; Omelchenko and Sesack, 2005) (Fig. 1). The PFC is highly enriched in pyramidal neurons expressing 5-HT1A receptors (also present in GABA interneurons) (Santana et al., 2004), in close overlap with projection neurons to the VTA (Thierry et al., 1979, 1983). Based on this anatomical and functional evidence, we conducted the present study under the working hypothesis that 5-HT1A receptors in the mPFC may modulate VTA DA neuron activity and DA release in the mesocortical pathway. Additionally, we examined whether atypical antipsychotics increase cortical DA release through this mechanism.
Materials and Methods
Animals and treatments. Male albino Wistar rats weighing 250-320 g and C57BL/6 mice 10-12 weeks of age at the time of experiments were used (Iffa Credo, Lyon, France). 5-HT1A receptor knock-out KO(-/-) mice (referred onward as KO) had the same genetic background than their wild-type (WT) counterparts (C57BL/6) and were engendered as generated previously at Princeton University (Princeton, NJ) (Parks et al., 1998). From this initial source, a stable colony was grown in the animal facility of the University of Barcelona School of Medicine (Barcelona, Spain). Animals were kept in a controlled environment (12 h light/dark cycle and 22 ± 2°C room temperature) with food and water provided ad libitum. Animal care followed the European Union regulations (Official Journal of the European Communities L358/1, December 18, 1986) and was approved by the Institutional Animal Care and Use Committee. For the rat, stereotaxic coordinates (in millimeters) were taken from bregma and duramater according to the atlas of Paxinos and Watson (1998). For mice, coordinates were taken from bregma and top of skull according to the atlas of Franklin and Paxinos (1997).
Bicuculline, clozapine, haloperidol, apomorphine, nomifensine, and WAY-100635 were from Research Biochemicals (Natick, MA). R-(-)-2-(4-[(chroman-2-ylmethyl)-amino]-butyl)-1,1-dioxo-benzo[d] isothiazolone hydrochloride (BAY) (De Vry et al., 1998) was from Bayer (Wuppertal, Germany), olanzapine was from Eli Lilly (Indianapolis, IN), and ziprasidone was from Pfizer (Groton, CT). BAY was administered intravenously at 10-80 μg/kg (free base), and WAY-100635 was administered intravenously at the dose of 30-100 μg/kg. Except for ziprasidone, which was used in an injectable preparation (Zeldox), drugs were dissolved in saline at the appropriate concentrations and injected (up to 1 ml/kg) through the femoral vein. For the assessment of local or distal effects in microdialysis experiments, drugs were dissolved in the perfusion fluid or water [except clozapine (dissolved in acetic acid) and olanzapine (dissolved in HCl)] and diluted to appropriate concentrations in artificial CSF (aCSF). Concentrated solutions (pH adjusted to 6.5-7.4 with NaHCO3 when necessary) were stored at -80°C, and working solutions were prepared daily by dilution in aCSF at the stated concentrations and applied by reverse dialysis (uncorrected for drug recovery). Control rats and mice were perfused with aCSF. The bars in the figures show the period of drug application (corrected for the void volume of the system).
Single-unit recordings. We examined the responses of VTA DA neurons to the systemic administration of drugs. Rats were anesthetized (chloral hydrate, 400 mg/kg, i.p.) and positioned in a David Kopf stereotaxic frame. Thereafter, chloral hydrate was continuously administered intraperitoneally at a dose of 50-70 mg/kg/h using a perfusion pump (Fa et al., 2003). Body temperature was maintained at 37°C with a heating pad. DA neurons were recorded extracellularly with glass micropipettes pulled from 2 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 4-10 MΩ. Single-unit extracellular recordings were amplified with a Neurodata IR283 (Cygnus Technology, Delaware Water Gap, PA), postamplified and filtered with a Cibertec (Madrid, Spain) amplifier and computed on-line using a DAT 1401 plus interface system Spike2 software (Cambridge Electronic Design, Cambridge, UK).
Descents in the VTA were performed at anteroposterior (AP) -5.0 to -5.6, lateral (L) -0.5 to -1, and dorsoventral (DV) -7.5 to -9.0 to record DA neurons in both the parabraquial and paranigral subdivisions. The identification of DA neurons and burst-firing analysis was performed according to the criteria of Grace and Bunney (1984), as used previously (Celada et al., 1999). Briefly, neurons were considered dopaminergic if they possessed the following characteristics: 1) action potential duration >2.5 ms; 2) typical biphasic or triphasic waveform often with a notch in the initial rising phase; 3) slow firing rate (recorded neurons fired at 1-5 spikes/s in control rats); and 4) frequent presence of bursts. The structure of bursts was defined as starting with a first interspike interval of <80 ms and ending with an interspike interval of ≥160 ms (Grace and Bunney, 1984). Recorded neurons in control rats had a 14.1 ± 2.7% of spikes fired in bursts during baseline conditions. Additional pharmacological identification was performed with intravenous apomorphine, followed by haloperidol reversal whenever possible.
Groups of rats were subjected to transection of the prefrontal cortex. This was performed under chloral hydrate (400 mg/kg, i.p.) anesthesia using a fine metal needle (0.6 mm diameter), which was positioned at AP +1.0, DV -6.8, and L +0.8 and moved stereotaxically to L+ 4.8. In the right hemisphere, the needle was placed with an angle of 20° to reach AP +1.0, DV -6.8, and L +1.2 to avoid damaging the sinus. The transection of the cortical afferents to the midbrain was performed by moving the needle between +1.2 and -4.8 mm. The brain areas affected by the needle descent can be seen in plate 84 of the Paxinos and Watson (1998) atlas for rate brain (see Results). Recordings of VTA DA neurons were conducted 1 h after the transection.
In vivo microdialysis. Microdialysis procedures in rats and mice were conducted essentially as described previously by Bortolozzi et al. (2003) and Amargós-Bosch et al. (2004). Rats were anesthetized with sodium pentobarbital (60 mg/kg, i.p.) and implanted with 4 mm concentric dialysis probes (Cuprophan) in the mPFC at AP +3.2, L -0.8, and DV -6.0. Groups of rats were also implanted with a second microdialysis probe (tip, 1.5 mm) in the VTA (coordinates AP -5.3, L -2.1, and DV -8.9, with a vertical angle of 10° that placed the probe tip at L -0.6 and DV -8.7). Microdialysis experiments in freely moving rats were performed >20 h after surgery. Probes were perfused with aCSF pumped at 1.5 μl/min. After an initial 100 min stabilization period, four baseline samples were collected (20 min each) before local (reverse dialysis) or systemic drug administration, and successive dialysate samples were collected. In anesthetized rats, the flow rate was set at 3 μl/min, and fractions were collected every 10 min.
For mice, the manufacture of the probes was adapted from that described previously for rats. Surgical and microdialysis procedures were identical to those described for rats (freely moving), except for the dose of anesthesia (sodium pentobarbital, 40 mg/kg, i.p.), the length of dialysis membrane (2 mm), and the brain coordinates (in millimeters) of the mPFC: AP, +2.2; L, -0.2; DV, -3.4.
The concentration of DA in dialysate samples was determined by HPLC, using a modification of a method described previously (Ferré et al., 1994). Brain dialysates were collected on microvials containing 5 μl of 10 mm perchloric acid and rapidly injected into the HPLC. DA was amperometrically detected at 5-7.5 min with a limit of detection of 3 fmol/sample using an oxidation potential of +0.75 V. In one experiment, we also examined the effect of BAY on dialysate 5-HT concentration, which was determined following described procedures (Amargós-Bosch et al., 2004). In this case, 5-HT was detected amperometrically at +0.6 V.
Microdialysis experiments were also conducted in rats subjected to cortical transection. These animals were subjected to the same procedure used in single-unit recordings, except that the surgical procedure was done 1 d before (e.g., at the time of probe implants, under pentobarbital anesthesia).
Histology. After experimental procedures were completed, animals were killed by an overdose of anesthetic. The brains were removed and frozen in dry ice before being sectioned (70 μm) with a cryostat in the sagittal or coronal planes, as appropriate. In some cases, recording electrodes were filled with Pontamine sky blue to verify the recording site. Brain sections were then stained with neutral red, according to standard procedures, to examine the correctness of the transections. In microdialysis experiments, sections were examined to verify the correct placement of probes in the VTA or mPFC.
Data and statistical analysis. Changes in the firing rate or the proportion of burst firing in DA neurons were assessed using repeated-measures ANOVA or paired Student's t test, as appropriate. These values were quantified by averaging the values during 3 min in basal conditions and 1-2 min after intravenous administration (omitting the first minute).
Microdialysis results are expressed as femtomoles per fraction (uncorrected for recovery) and are shown in figures as percentages of basal values (individual means of four predrug fractions). Statistical analysis was performed using ANOVA for repeated measures of the DA values during specified periods. Data are expressed as the mean ± SEM. Statistical significance has been set at the 95% confidence level (two tailed).
Results
Effects of BAY on DA cell firing: dependence on cortical integrity
The intravenous administration of the selective 5-HT1A agonist BAY (10-80 μg/kg, i.v.; cumulative doses) slightly enhanced the firing rate and markedly increased the burst firing of VTA DA neurons in naive, chloral hydrate-anesthetized rats (p < 0.0005 for burst firing; n = 7; one-way, repeated-measures ANOVA). A post hoc t test revealed a significant effect of all BAY doses (Fig. 2). Because 1) 5-HT1A receptors are highly expressed in the mPFC (Amargós-Bosch et al., 2004) and 2) BAY increased the firing rate of pyramidal neurons projecting to the VTA (Díaz-Mataix et al., 2005), we examined the possible involvement of 5-HT1A receptors in the mPFC on the effect of BAY on DA neuron activity.
For this purpose, a group of rats was subjected to frontocortical transection (see Materials and Methods). Sham-operated rats for these experiments (n = 4) were subjected to the same surgical procedure, with the exception that the descent of the needle was omitted. The basal firing rate did not differ between sham and naive rats (3.7 ± 0.4 vs 3.5 ± 0.5 spikes/s; n = 4 and 7, respectively). Likewise, burst firing did not differ between both groups (14 ± 4vs16 ± 6% in sham-operated and naive rats; n = 4 and 7, respectively). The effect of the administration of BAY (10-80 μg/kg, i.v.) on the firing rate and burst firing was comparable on both groups (p < 0.02, effect of the dose on firing rate, nonsignificant effects of group, and group-by-dose interaction; p < 0.0001, effect of the dose on burst firing, nonsignificant effects of group, and group-by-dose interaction) (Fig. 2C,D). Therefore, the data from both groups were pooled and used together as a single control group (n = 11).
When considering the effect on the entire control group, BAY (10-80 μg/kg, i.v.) significantly increased the firing rate (n = 11; p < 0.03, dose effect; one-way ANOVA; significant differences of the intravenous doses of 40 and 80 μg/kg vs baseline; post hoc t test). Likewise, BAY markedly increased the burst firing in control rats (n = 11; p < 0.0001, dose effect; one-way ANOVA; significant differences of all doses vs baseline; post hoc t test) (Fig. 2, Table 1). The administration of the selective 5-HT1A receptor antagonist WAY-100635 (30-100 μg/kg, i.v.) significantly reduced the elevation in the firing rate (p < 0.05) and burst firing produced by BAY (p < 0.0005 vs 80 μg/kg BAY, i.v.; nonsignificant difference between WAY-100635 and baseline periods; Student's paired t test). (Fig. 2). The administration of WAY-100635 alone did not significantly alter the activity of VTA DA neurons (Fig. 2E).
The administration of BAY (10-80 μg/kg, i.v.; cumulative doses) to cortically transected rats did not elevate the firing rate or burst firing. Two-way ANOVA revealed a significant effect of treatment (p < 0.0001) and group (p < 0.02) on the firing rate compared with control rats (n = 7 and 11, respectively). The effect of BAY on DA burst firing in cortically transected rats was not statistically significant, whereas two-way ANOVA revealed a significant difference between controls and decorticated rats (p < 0.0001, treatment effect; p < 0.0001, treatment-by-group interaction) (Fig. 2).
In addition to the group used to assess the effect of BAY, other groups of decorticated rats were used to examine the effect of ziprasidone and haloperidol (see below). We assessed the effect of cortical transection on the spontaneous activity of VTA DA neurons using the data from all control and decorticated rats. When comparing naive and sham-operated rats, we found no difference in the overall firing rate (naive: 2.9 ± 0.3 spikes/s, n = 20; sham: 3.3 ± 0.4 spikes/s, n = 10) or in burst firing (naive: 13.0 ± 3.7%, n = 20; sham: 16.3 ± 3.0%, n = 10), and therefore the data were pooled and used together as a control group. Cortical transection had no significant effect on the overall firing rate (3.0 ± 0.2 spikes/s in controls, n = 30; 2.6 ± 0.4 spikes/s in decorticated rats, n = 20). However, spontaneous burst firing was significantly reduced by cortical transection (14.1 ± 2.7% in controls, n = 30; 3.0 ± 1.2% in decorticated rats, n = 20; p < 0.002 Student's t test).
Effect of BAY on extracellular DA concentration in the mesocortical pathway
We used in vivo microdialysis to examine the effect of local and systemic drug administration on the DA release in the mPFC and VTA of rats. Baseline DA values in dialysates obtained in various experimental conditions are shown in Table 2.
We examined the effect of BAY on DA release in the mesocortical pathway. In the first series of experiments, to mimic the conditions of electrophysiological recordings, rats were anesthetized with chloral hydrate, and the drug was administered intravenously through the femoral vein. Rats were implanted with two dialysis probes in the mPFC and VTA. In the first experiment, the administration of BAY (10-40 μg/kg, i.v.) increased extracellular DA to 153 ± 11% of baseline in the mPFC and to 118 ± 6% in the VTA (p < 0.001, time effect for mPFC; p < 0.04, time effect for VTA; repeated-measures ANOVA; n = 7 in each area) (Fig. 3). Given that 1) BAY increased burst firing of DA neurons and 2) changes in phasic DA release are strongly dependent on reuptake blockade (Floresco et al., 2003), we repeated these experiments in the presence of nomifensine (10 μm) in the aCSF used to perfuse the dialysis probes.
The addition of nomifensine to the aCSF increased the baseline DA values 4-fold in the mPFC and 2.5-fold in the VTA (Table 2). In these conditions, the administration of BAY elevated extracellular DA to 228 ± 16% in the mPFC and to 132 ± 6% in the VTA (p < 0.0001 for both regions; time effect; repeated-measures ANOVA; n = 8 for mPFC; n = 5 for VTA; VTA samples from three rats were lost during HPLC analysis). When considering the absolute DA values, the maximal DA elevation produced by BAY in the mPFC was 7.9 ± 1.4 fmol/fraction in the standard dialysis fluid and 48.0 ± 2.9 fmol/fraction in the dialysis fluid containing 10 μm nomifensine. Two-way ANOVA revealed a significant effect of nomifensine on the elevation of DA release induced by BAY (p < 0.0001; significant effect of time and of time-by-group interaction) (Fig. 3). WAY-100635 injected intravenously at the dose of 50 μg/kg was unable to reverse the elevation of extracellular DA induced by BAY (n = 3). Therefore, a higher dose was used in subsequent experiments. In a group of five rats, WAY-100635 (100 μg/kg, i.v.) significantly reversed the effect of BAY in the mPFC (p < 0.0001; time effect; repeated-measures ANOVA), although it did not reach statistical significance in the VTA, likely because of the small effect size of BAY in this region and the limited number of rats used in the VTA (n = 3).
In additional experiments, we examined the effect of the cortical transection on the BAY-induced elevation of the extracellular DA concentration in the VTA of anesthetized rats. The intravenous administration of BAY (10, 20, and 40 μg/kg, i.v.) elevated DA concentration to a maximal value of 144 ± 20% of baseline in sham-operated rats (p < 0.001; time effect; repeated-measures ANOVA). This effect was not statistically different from that seen in naive rats (n = 5; p < 0.0001, time effect; nonsignificant effect of group or time-by-group interaction) (Fig. 3B,C). When considering all rats together, BAY elevated the DA concentration to a maximal value of 139 ± 12% of baseline (n = 12). This effect was totally abolished in rats subjected to cortical transection. Two-way ANOVA revealed a significant difference between the effect of BAY on cortically transected rats (n = 6) compared with controls (sham and naive; n = 12; p < 0.02, time effect; p < 0.001, group effect; p < 0.001, time-by-group interaction) (Fig. 3C).
Local effect of BAY on extracellular DA concentration in rat and mouse mPFC
Subsequent experiments in rats and mice were conducted in freely moving animals. The local application of BAY in rat mPFC at a low concentration (3 μm; five fractions) significantly increased the extracellular DA concentration to 158 ± 12% of baseline (p < 0.0001; time effect; repeated-measures ANOVA; n = 5). However, increasing the dose to 10 μm abolished this effect (103-114% of baseline), and the perfusion of 30 μm BAY (five fractions at each concentration) significantly reduced DA release to 51 ± 7% of baseline (p < 0.0001; time effect; repeated-measures ANOVA; n = 5) (Fig. 4A).
Likewise, the perfusion of 3 and 30 μm in the mPFC for the entire experimental period resulted in a sustained increase (maximal effect, 178 ± 18%) and decrease (maximal effect, 39 ± 6%), respectively, in the DA release in the mPFC (p < 0.0005 for 3 μm; p < 0.0001 for 30 μm; repeated-measures ANOVA; n = 6 and 5, respectively). The perfusion of aCSF for the entire experimental period did not alter dialysate DA concentrations (n = 5) (Fig. 4B). In contrast to DA, the local perfusion of 3 μm BAY induced a sustained reduction in 5-HT release in the mPFC (maximal reduction to 57 ± 4% of baseline; p < 0.001; repeated-measures ANOVA; n = 5; data not shown) as reported previously in the range 1-100 μm (Casanovas et al., 1999).
The biphasic concentration-response curve suggested the involvement of different populations of 5-HT1A receptors at lower and higher concentrations of BAY that would control the mesocortical DA release in an opposite condition. Because 5-HT1A receptors have been reported to be expressed by GABAergic interneurons in the mPFC (Santana et al., 2004), we examined the effect of BAY in rat mPFC during the coperfusion of bicuculline (30 μm) to block local GABAA-mediated inputs onto pyramidal neurons. The perfusion of 30 μm bicuculline resulted in a stable increase in DA release during the entire experimental period (Table 2). In rats whose probes were perfused with aCSF containing bicuculline, BAY significantly reduced DA release at all concentrations, reaching 21 ± 4% of baseline at 30 μm (p < 0.0001; repeated-measures ANOVA) (Fig. 4C).
The perfusion of 3, 10, and 30 μm BAY in the mPFC of WT mice affected DA release similarly to rats. At the lower concentration, BAY elevated extracellular DA to 176 ± 12% of baseline, whereas at 30 μm, it reduced DA release to a maximal effect of 46 ± 11% of baseline (p < 0.0001; repeated-measures ANOVA; n = 4). Unlike in rats, the perfusion of 10 μm appeared to slightly reduce DA release. Neither of these effects was observed when BAY was perfused in the mPFC of 5-HT1A KO mice, indicating that the effects of the lower and higher concentrations of BAY were attributable to the activation of 5-HT1A receptors in the mPFC (Fig. 5).
The local perfusion of WAY-100635 (3, 10, and 30 μm; four fractions each) produced a moderate reduction in the extracellular DA concentration at the higher dose (96 ± 7, 100 ± 8, and 75 ± 8% at 3, 10, and 30 μm; n = 8; p < 0.02; repeated-measures ANOVA). However, as observed previously (Ichikawa et al., 2001a), the subcutaneous administration of WAY-100635 (0.3 mg/kg; a dose that fully blocks 5-HT1A receptors) (Forster et al., 1995) did not alter extracellular DA (105 ± 2% of baseline; n = 4; data not shown).
Effects of antipsychotics on extracellular DA in the mPFC of WT and KO mice
The intraperitoneal administration of saline did not alter the extracellular DA concentration in the mPFC of WT and 5-HT1A KO mice (Fig. 6). Likewise, haloperidol administration (0.1 mg/kg, i.p.) failed to alter the extracellular DA concentration in the mPFC of WT (n = 9) and 5-HT1A KO (n = 7) mice. However, the intraperitoneal administration of clozapine (5 mg/kg; n = 5 for WT and KO mice), olanzapine (3 mg/kg; n = 5 for WT; n = 6 for KO), and ziprasidone (10 mg/kg; n = 6 for WT and KO mice) increased extracellular DA significantly more in the mPFC of WT than of 5-HT1A KO mice. Actually, these doses of clozapine and olanzapine did not significantly elevate extracellular DA in KO mice, whereas ziprasidone moderately increased the DA concentration in KO mice, but this effect was markedly lower than that observed in WT mice. Two-way ANOVA revealed a significant effect of the genotype on clozapine (p < 0.00001, time effect; p < 0.002, group effect; p < 0.00001, time-by-group interaction), olanzapine (p < 0.0001, time effect; p < 0.00001, group effect; p < 0.00001, time-by-group interaction), and ziprasidone (p < 0.00001, time effect; p < 0.03, group effect; p < 0.00001, time-by-group interaction) (Fig. 6). A lower dose of olanzapine (1 mg/kg) increased extracellular DA to 138 ± 12% in WT mice (n = 7) but not in KO mice (maximal effect, 106 ± 4%; n = 6; data not shown).
Likewise, the local application of clozapine (300 μm) and olanzapine (100 μm) in the mPFC of WT mice steadily increased in the local DA release (Fig. 7). Clozapine perfusion increased DA release to 280 ± 57% and olanzapine to 180 ± 24% of baseline (p < 0.0001; time effect for both drugs; repeated-measures ANOVA; n = 6 and 5, respectively). The perfusion of haloperidol (30 μm) elevated DA release to 129 ± 10% in the first fraction, but the effect faded rapidly (p = 0.09; repeated-measures ANOVA; n = 5) (Fig. 9). The elevations in prefrontal DA release produced by clozapine or olanzapine were abolished in 5-HT1A KO mice (n = 5 for each drug) (Fig. 7). Two-way ANOVA revealed a significant effect of the genotype on the effect of clozapine (p < 0.003, group effect; p < 0.0001, time effect; p < 0.0001, time-by-group interaction) and olanzapine (p < 0.0002, group effect; p < 0.0001, time effect; p < 0.0001, time-by-group interaction). In contrast, the effect of haloperidol did not differ between WT and KO mice (Fig. 7). We could not test the local effects of ziprasidone on extracellular DA because the vehicle used (a cyclodextrin) resulted in the clogging of the microdialysis membranes.
Effects of atypical antipsychotics on extracellular DA in rat mPFC
The local application of clozapine (300 μm) in rat mPFC increased the local extracellular DA concentration (maximal effect, 179 ± 29% of baseline; p < 0.0001, time effect; one-way, repeated-measures ANOVA; n = 5). Likewise, the local application of olanzapine (300 μm) elevated extracellular DA to 197 ± 23% of baseline (p < 0.0001, time effect; one-way, repeated-measures ANOVA; n = 5). The effect of clozapine was abolished in the presence of bicuculline (n = 9; p < 0.03, group effect; p < 0.0001, time effect; p < 0.0001, time-by-group interaction; two-way, repeated-measures ANOVA). Likewise, the coperfusion of bicuculline totally suppressed the elevation of extracellular DA produced by olanzapine (n = 7; p < 0.0002, group effect; p < 0.0001, time effect; p < 0.0001, time-by-group interaction) (Fig. 8).
Effect of ziprasidone and haloperidol on VTA DA cell activity in the rat: dependence on cortical integrity
The above results suggested that the increase in the activity of mesocortical DA neurons by atypical antipsychotics involved the activation of 5-HT1A receptors in the prefrontal cortex (see below for extended discussion). As a first test of this hypothesis, we examined the effect of the intravenous administration of haloperidol and ziprasidone on the activity of VTA DA cells in control rats and in rats subjected to cortical transection.
The effect of the administration of haloperidol (0.1-0.2 mg/kg, i.v.) on the firing rate and burst firing was comparable in control rats and in rats subjected to cortical transection (p < 0.005, effect of the treatment on firing rate, nonsignificant effects of group, and group-by-dose interaction; p < 0.005, effect of the treatment on burst firing, nonsignificant effects of group, and group-by-dose interaction) (Fig. 9, Table 3). These results indicate that 1) VTA DA neurons are able to discharge in bursts in absence of cortical inputs and 2) the effect of haloperidol did not depend on such cortical inputs.
Ziprasidone (0.15-0.30 mg/kg, i.v.) also increased the overall firing rate and burst firing in control rats, but, unlike haloperidol, this ability was lost in decorticated rats (Fig. 9, Table 3).Two-way ANOVA revealed a significant difference between controls and decorticated rats (p < 0.002, treatment effect on firing rate; p < 0.002, treatment-by-group interaction; p < 0.006, treatment effect on burst firing; p < 0.02, effect of group; p < 0.007, group-by-dose interaction).
Discussion
The present results suggest that the activity of DA neurons in the VTA and the mesocortical DA release are modulated by 5-HT1A receptors in the mPFC. The increase in mPFC DA release produced by the atypical antipsychotics clozapine, olanzapine, and ziprasidone, but not haloperidol, seems to involve 5-HT1A receptor activation. The action of a low BAY concentration and that of atypical antipsychotics seems to involve GABAergic interneurons, as judged from the bicuculline reversal.
Modulation of DA neuron activity by 5-HT1A receptors
The mPFC projects to the VTA as assessed by electrophysiological and tracing methods (Thierry et al., 1979; Carr and Sesack, 2000a,b), and mPFC stimulation induced burst firing in VTA DA neurons (Gariano and Groves, 1988; Tong et al., 1996). Likewise, chemical and electrical stimulation of the mPFC enhanced DA neuron activity and DA release in the VTA (Murase et al., 1993; Bortolozzi et al., 2005). The reduction in spontaneous bursting activity of DA neurons by cortical transection is consistent with these findings and suggests a direct or indirect excitatory influence of mPFC on VTA DA neurons (Fig. 1).
Previous reports show a complex influence of 5-HT on midbrain DA pathways, mainly involving 5-HT1A (Arborelius et al., 1993a,b; Prisco et al., 1994; Ichikawa et al., 1995; Kuroki et al., 1996; Lejeune and Millan, 1998; Rollema et al., 2000; Sakaue et al., 2000) and 5-HT2A/2C (Ichikawa et al., 2001b; Lucas et al., 2001; Porras et al., 2002) receptors. Here, we show that 5-HT1A receptors in the mPFC are deeply involved in the modulation of dopaminergic activity. An additional role of raphe 5-HT1A autoreceptors was suggested, yet it appears controversial (Prisco et al., 1994; Sakaue et al., 2000). Our results clearly support the involvement of prefrontal (postsynaptic) 5-HT1A receptors, because BAY did not alter DA cell activity or DA release in the VTA in cortically transected rats. Indeed, 5-HT1A receptors are densely expressed in mPFC areas that project to the VTA (Thierry et al., 1979; Amargós-Bosch et al., 2004), which provides an anatomical substrate for the present observations. Moreover, BAY increased DA cell firing at doses higher than those suppressing 5-HT cell firing (Casanovas et al., 2000) in accordance with the lower sensitivity of postsynaptic versus presynaptic 5-HT1A receptors (Sprouse and Aghajanian, 1987).
5-HT1A receptor activation in the mPFC induced by local application of agonists or raphe stimulation results in cellular hyperpolarization and reduction in neuronal activity (Araneda and Andrade, 1991; Ashby et al., 1994; Puig et al., 2005). However, the systemic administration of 5-HT1A agonists, such as 8-OH-DPAT (Borsini et al., 1995) or BAY (Díaz-Mataix et al., 2005), increased the activity of prefrontal neurons. The latter study was conducted in pyramidal neurons activated antidromically from the VTA, which supports the notion that BAY enhances cortical excitatory inputs into DA neurons (Fig. 10). The reasons for such an increase in pyramidal cell activity after the systemic (but not local) administration of 5-HT1A agonists are unclear and may involve the activation of 5-HT1A receptors in local inhibitory neurons (Santana et al., 2004) or in areas (e.g., hippocampus) projecting to mPFC GABAergic neurons (Tierney et al., 2004).
Irrespectively of the mechanism(s) involved, BAY increased the activity of pyramidal neurons in mPFC and DA neurons in the VTA alike. This parallelism, together with the dramatic effect of cortical transection on the effects of BAY, supports the involvement of mPFC 5-HT1A receptors. It is yet unknown whether the increase in DA cell activity is mediated by direct mPFC→VTA afferents (Thierry et al., 1979; Carr and Sesack, 2000a) or whether a more complex circuitry is involved (Fig. 1). In particular, the inputs from the PPTg/LDT and VP have been shown to modulate, respectively, phasic and tonic inputs onto VTA DA neurons (Floresco et al., 2003). The increase in burst firing produced by BAY and the sensitivity of extracellular DA to nomifensine (see below) are consistent with an increase in phasic inputs. The inability of WAY-100635 to modulate baseline DA cell activity also agrees with the absence of tonic inputs involving 5-HT1A receptors.
Modulation of DA release by 5-HT1A receptors in the mPFC
BAY also increased DA release in the VTA and mPFC in the experimental conditions used for DA cell recordings (intravenous administration to anesthetized rats). The simultaneous increase in burst firing and DA release is consistent with previous reports (Chergui et al., 1994). Moreover, BAY increased extracellular DA more markedly in the presence of nomifensine. In agreement with a recent report (Floresco et al., 2003), this further suggests that BAY increases phasic inputs onto DA neurons. The effect of nomifensine seen in the mPFC was smaller than in the nucleus accumbens (Floresco et al., 2003), perhaps because of the lower density of DA fibers and DA transporter in the mPFC (Sesack et al., 1998) and/or the distinct stimuli used in both studies. Moreover, the smaller effect of nomifensine in the VTA possibly reflects differences between terminal and somatodendritic DA release.
BAY application in the mPFC affected local DA release in a bell-shaped manner, suggesting the involvement of more than one receptor population. 8-OH-DPAT also increased DA release in the mPFC when perfused at 10 μm, but no additional doses were used (Sakaue et al., 2000). The use of 5-HT1A receptor KO mice allowed us to clearly establish that both the stimulatory and inhibitory effects of BAY were 5-HT1A receptor mediated. Prefrontal 5-HT1A receptors are involved in the long-loop modulation of the 5-HT system via descending afferents to the raphe nuclei (Ceci et al., 1994; Hajós et al., 1999; Celada et al., 2001). The fact that the 5-HT release in the mPFC is reduced by BAY at 1-100 μm (Casanovas et al., 1999; this study) suggests a differential regulation of 5-HT and DA neurons by mPFC 5-HT1A receptors.
5-HT1A receptors are localized to cell bodies and/or axon hill-ocks of pyramidal neurons (Azmitia et al., 1996; Kia et al., 1996; Riad et al., 2000; De Felipe et al., 2001; Czyrak et al., 2003), excluding the possibility that changes in DA release are mediated by terminal receptors. The presence of 5-HT1A receptors in mPFC GABAergic interneurons (Santana et al., 2004), together with the reversal of the stimulatory effect of BAY by bicuculline, suggests that low BAY concentrations preferentially activate 5-HT1A receptors in GABA interneurons. This may eventually result in disinhibition of pyramidal neurons projecting to the VTA. A higher BAY concentration may overcome this effect, activating directly pyramidal 5-HT1A receptors and reducing the prefrontal excitatory output to DA neurons. Although such cellular difference in 5-HT1A receptor sensitivity remains to be established, previous reports are consistent with this possibility (Sprouse and Aghajanian, 1986, 1987; Beck et al., 1992), perhaps because of a different expression level in different neuronal populations (Hoyer and Boddeke, 1993).
Atypical antipsychotics and 5-HT1A receptors
Previous studies showed that the systemic administration of atypical antipsychotics (but not haloperidol) increased extracellular DA in the mPFC by a 5-HT1A-dependent mechanism (Rollema et al., 1997, 2000; Kuroki et al., 1999; Ichikawa et al., 2001a). Here, we show that this effect depends on the activation of 5-HT1A receptors in the mPFC. Interestingly, drugs displaying high (ziprasidone), very low (clozapine), or negligible (olanzapine) in vitro affinity for 5-HT1A receptors (Arnt and Skarsfeldt, 1998) share a common pattern of in vivo action to modulate prefrontal DA release. Although the effect of ziprasidone is likely attributable to the direct activation of 5-HT1A receptors, this is not the case for clozapine or olanzapine, although clozapine (6 mg/kg) displaced ∼40% of the [11C]-WAY-100635 labeling in monkey brain (positron emission tomography scan) despite its ∼700 nm in vitro affinity (Chou et al., 2003). In addition to a partial occupancy in the case of olanzapine, other mechanisms must be involved. Given the high coexpression of 5-HT1A and 5-HT2A receptors in the mPFC (∼80%) (Amargós-Bosch et al., 2004), it might be thought that the concurrent blockade of 5-HT2A receptors could shift the physiological balance of 5-HT activation toward 5-HT1A receptors. However, this possibility seems unlikely because the selective 5-HT2A receptor antagonist M100907 did not increase DA release (Bortolozzi et al., 2005). Thus, the exact way in which clozapine and olanzapine interact with 5-HT1A-mediated neurotransmission remains to be determined. However, the effect of these drugs (and that of 3 μm BAY) was cancelled by bicuculline, which points toward 5-HT1A receptors in GABA interneurons. This action might eventually result in an increased excitatory cortical output to the VTA to enhance DA neuron activity, as observed previously with atypical antipsychotics (Gessa et al., 2000). The fact that the increase in DA neuron activity produced by ziprasidone (but not by haloperidol) was cancelled by cortical transection is consistent with this view. Hence, haloperidol (but not ziprasidone) can increase DA neuron activity in the absence of cortical inputs.
In summary, the present results show that 5-HT1A receptors in the mPFC are deeply involved in the modulation of DA neuron activity and of DA release in the PFC and VTA, an effect mediated via direct mPFC→VTA inputs or long loops. This adds to previously reported targets for antipsychotic drugs such as catecholamine autoreceptor blockade, which also modulate DA cell activity and DA release (Gessa et al., 2000). Altogether, these results may help to elucidate the mechanisms involved in the elevation of mesocortical DA release produced by atypical antipsychotics.
Footnotes
This work was supported by Ministerio de Ciencia y Tecnologia de España Grant SAF 2004-05525 and by Lilly, the Centro de Investigación de Enfermedades Neurológicas network [Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS)-ISCIII RTIC C03/06], and Generalitat de Catalunya (2001-SGR00355). P.C. and A.B. were recipients of a Ramón y Cajal contract from the Ministry of Science and Technology. M.C.S. was a recipient of a postdoctoral fellowship from Fundación Carolina. L.D.-M. was a recipient of a predoctoral fellowship from IDIBAPS. We thank Leticia Campa and Judith Ballart for skillful technical assistance
Correspondence should be addressed to Dr. Francesc Artigas, Department of Neurochemistry, Institut d' Investigacions Biomèdiques de Barcelona Consejo Superior de Investigaciones Científicas, IDIBAPS, Rosselló, 161, 6th Floor, 08036 Barcelona, Spain. E-mail: fapnqi{at}iibb.csic.es.
M. C. Scorza's present address: Instituto de Investigaciones Biológicas Clemente Estable, 11600 Montevideo, Uruguay.
Copyright © 2005 Society for Neuroscience 0270-6474/05/2510831-13$15.00/0
↵* L.D.-M., M.C.S., and A.B. contributed equally to this work.