Chapter 4 - Serotonin/dopamine interaction: Electrophysiological and neurochemical evidence
Introduction
Serotonin (5-HT) and dopamine (DA) systems interact in the nervous system of multiple organisms across the animal kingdom. The importance of this interaction has been revealed by the analysis of the mechanisms of action of numerous psychotropic drugs including antipsychotics and antidepressant drugs in the treatment of schizophrenia or depression (De Deurwaerdère and Di Giovanni, 2017; Di Giovanni et al., 2008). Thereafter, some pathophysiological data showed alterations in one or the other system or both in neurodegenerative diseases. While the evidence of their interaction was growing over the decades, the neurobiological context was moving with a better description of their neuronal pathways, the knowledge of the function of these neurons, and the discovery of numerous receptors for both neuromodulators. After years of intensive research, both systems are more than ever in the preoccupations of neurobiologists and clinicians to conceive newer treatments with drugs targeting integrative mechanisms rather than specific proteins, and to better act on the wide spectrum of symptoms characterizing the CNS diseases (Millan, 2006; Millan et al., 2015, Millan et al., 2016).
The understanding of the 5-HT/DA interaction today has greatly evolved from the search for the intimate mechanisms triggered by 5-HT along the nigrostriatal DA pathway to the consideration of a more widespread influence in the brain with specific links in each brain region. The concept of interaction between these two systems is complex and could be understood as the convergence of two neuromodulatory systems shaping and regulating the activity of central neurobiological networks. It is interfering with cognition, motor control, endocrine function, and likely participates to the personality traits and interindividual differences (Dalley et al., 2011). The combinations of their influences are therefore multiple which is well highlighted by the current understanding of the mechanisms of action of antipsychotic drugs, the antiparkinsonian drug l-DOPA, drugs of abuse, and antidepressant drugs.
The purpose of this chapter is to give a comprehensive report of this interaction mainly focused on the 5-HT mechanisms altering the activity of ascending DA pathways. We will present the anatomical basis of this interaction including the presentation of the neuroanatomical distribution of the two systems and their receptors. We will then present the electrophysiological and neurochemical evidence reporting the changes of DA neuron function in responses to the modification of 5-HT tone. Thereafter, we will focus on the influences of 5-HT receptors in considering for each of them their distribution, their impact on the activity of DA neurons in basal and activated conditions, and the contribution of these data to the development of therapeutic strategies of CNS diseases.
Section snippets
Neuroanatomical basis of the 5-HT/DA systems interaction
Monoaminergic systems diffusely innervate the brain. However, noticeable differences are characterizing the 5-HT and DA innervation. Whereas the 5-HT innervation covers the whole CNS, the DA innervation is much more heterogeneous, with a very high concentration of DA fibers in the striatum and the nucleus accumbens (NAc) and a very low concentration of terminals in the hippocampus and some cortical areas. To understand this neuroanatomical interaction, we have to consider that the biochemical
Global changes of 5-HT function upon DA neurotransmission
Different approaches have been tested to determine the impact of the 5-HT system on DA neurotransmission. More recently the chemogenetic—DREADD (Designer Receptor Exclusively Activated Designer Drug) (Valencia-Torres et al., 2017)—or optogenetic approaches (Wang et al., 2019) have been used to more selectively increase or decrease 5-HT neurons depending on the device, but it has been poorly used so far to investigate the influence of the 5-HT system on the function of DA neurotransmission.
Distribution of 5-HT1A receptors
The 5-HT1A receptor couples intracellular pathways via pertussis toxin (PTX)-sensitive heterotrimeric G proteins of the Gi/o family (Barnes and Sharp, 1999; Sharp and Barnes, 2020). 5-HT1AR stimulation inhibits adenylyl cyclase activity and open K+ channels, playing an inhibitory role on cells expressing the receptor. The distribution of 5-HT1A receptors, assessed using specific antibodies, radioligands, and complementary cDNA is marked by high heterogeneity in the brain. It is densely
Distribution of 5-HT1B receptors
The 5-HT1B receptor also couple intracellular signaling pathways via pertussis toxin-sensitive heterotrimeric G proteins of the Gi/o family (Barnes and Sharp, 1999; Millan et al., 2008). 5-HT1B receptors are typically expressed in the basal ganglia and notably the SN, VTA, globus pallidus, striatum, NAc, STN and cortex (Domenech et al., 1997; Hamon et al., 1990; Radja et al., 1991; Sari et al., 1997, 1999). In the basal ganglia, mRNAs are expressed by striatal neurons and the protein is highly
Distribution of 5-HT2A receptors
5-HT2A/2B/2C receptors interact with Gαq protein, thereby activating phospholipase C (PLC) to dissociate the inositol 1,4,5-trisphosphate (IP3)-di-acylglycerol (DAG) complex into IP3 and DAG (Berg et al., 1998; Hoyer et al., 1994, 2002). Beyond this canonical pathway, all 5-HT2 receptor subtypes have G-protein-dependent and independent effects that are specific for each subtype (De Deurwaerdere et al., 2020a).
The highest density of 5-HT2A receptors in the brain is found in the cortical regions
Distribution of 5-HT2B receptors
5-HT2B receptors were initially found in the fundus stomach (5-HT2F receptors) and were subsequently termed 5-HT2B receptors (Hoyer et al., 1994). They have similar pharmacology to 5-HT2A and 5-HT2C receptors (Di Giovanni and De Deurwaerdere, 2016). Whereas 5-HT2B receptor mRNAs were found in dog, cat, monkey and the human brain, notably at the level of the DRN, they were not found in the rat brain (Bonaventure et al., 2005; Bonhaus et al., 1995; Helton et al., 1994; Kursar et al., 1994;
Distribution of 5-HT2C receptors
The 5-HT2C receptor is one of the most complex 5-HT receptors due to the multiple described isoforms, regulatory mechanisms of expression, intracellular signaling pathways (Di Giovanni and De Deurwaerdere, 2016; Sharp and Barnes, 2020). Briefly, pre-transcriptional action leads to two different splice variants, one being the main source of several functional isoforms whereas the other one gives a truncated version of the receptor. Impressively, the coding sequence of the mRNA of the functional
Distribution of 5-HT3 receptors
The 5-HT3 receptor has some analogy with the nicotinic receptors. It is a cation ion channel composed of five subunits. The HT3A–E genes correspond to the five possible subunits that have been cloned (Barnes et al., 2009; Niesler et al., 2008; Sharp and Barnes, 2020). The newer cloned subunits of the 5-HT3C–E receptor are found in several mammals but not in rodents (Holbrook et al., 2009). The inherent molecular diversity associated with the assembly of these subunits is still not known (Abad
Distribution of 5-HT4 receptors
The 5-HT4 receptor was initially discovered in the brain as a “non-classical 5-HT receptor positively coupled to adenylate cyclase” (Bockaert et al., 1990; Dumuis et al., 1988b; Hoyer et al., 1994) and displayed to some extent pharmacology shared with the 5-HT3 receptor (Dumuis et al., 1988a). The 5-HT4 receptor has been cloned in 1995 (Gerald et al., 1995) and various slice variants [5-HT4a–4l] have been isolated (Vilaro et al., 2005a). Beyond the canonical activation of cAMP production and
Distribution of 5-HT6 receptors
5-HT6 receptors have been cloned by two groups in 1993 (Monsma et al., 1993; Ruat et al., 1993). It corresponds to a GPCR. Initially considered as positively coupled to Gs, it is associated with multiple distinct partners beyond Gs including Ca2 + signaling, Erk1/2 kinase, Cdk5, mTor, and several other partners (Chaumont-Dubel et al., 2020; Deraredj Nadim et al., 2016; Duhr et al., 2014; Riccioni et al., 2011). The distribution of 5-HT6 receptors indicated that their binding density is elevated
Conclusion
The regulation of DA systems by 5-HT has been the subject of debate for several decades. The data reported here support, in a general sense, the long-standing notion of DA–5-HT opponency. Nevertheless, the complexity of this interaction calls for a refinement of this view. Although DA and 5-HT are tightly related and have a similar degree of functional importance, compared with DA, we have a much less specific understanding of the mechanisms by which 5-HT affects behavior.
Multiple controls of
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