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Differential mechanisms underlie the regulation of serotonergic transmission in the dorsal and median raphe nuclei by mirtazapine: a dual probe microdialysis study

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05 October 2020 Editor's Note: The authors have made unintentional errors in data analysis and consequently in some of the figures. They have hence re-analyzed their data and will submit a Corrigendum which will be subject to peer-review before publication. We apologize to the readership for any inconvenience caused.

A Correction to this article was published on 05 December 2020

This article has been updated

Abstract

Rationale

Blockade of α2 adrenoceptors and histamine H1 receptors plays important roles in the antidepressant and hypnotic effects of mirtazapine.

Objectives

However, it remains unclear how mirtazapine’s actions at these receptors interact to affect serotonergic transmission in the dorsal (DRN) and median (MRN) raphe nuclei.

Method

Using dual-probe microdialysis, we determined the roles of α2 and H1 receptors in the effects of mirtazapine on serotonergic transmission in the DRN and MRN and their respective projection regions, the frontal (FC) and entorhinal (EC) cortices.

Results

Mirtazapine (<30 μM) failed to alter extracellular serotonin levels when perfused alone into the raphe nuclei, but when co-perfused with a 5-HT1A receptor antagonist, mirtazapine increased serotonin levels in the DRN, MRN, FC, and EC. Serotonin levels in the DRN and FC were decreased by blockade and increased by activation of H1 receptors in the DRN. Serotonin levels in the MRN and EC were not affected by H1 agonists/antagonists perfused in the MRN. The increase in serotonin levels in the DRN and FC induced by DRN H1 receptor activation was attenuated by co-perfusion with mirtazapine. Furthermore, the increase in serotonin levels (DRN/FC) induced by DRN α2 adrenoceptor blockade was attenuated by concurrent DRN H1 blockade, whereas the increase in serotonin levels (MRN/EC) induced by MRN α2 adrenoceptor inhibition was unaffected by concurrent MRN H1 receptor blockade.

Conclusion

These results suggest that enhanced serotonergic transmission resulting from α2 adrenoceptor blockade is offset by subsequent activation of 5-HT1A receptors and, in the DRN but not MRN, H1 receptor inhibition. These pharmacological actions of mirtazapine may explain its antidepressant and hypnotic actions.

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Change history

  • 05 October 2020

    Editor's Note: The authors have made unintentional errors in data analysis and consequently in some of the figures. They have hence re-analyzed their data and will submit a Corrigendum which will be subject to peer-review before publication. We apologize to the readership for any inconvenience caused.

  • 05 December 2020

    The authors have made unintentional errors in data analysis and consequently in four figures.

References

  • Adell A, Celada P, Abellan MT, Artigas F (2002) Origin and functional role of the extracellular serotonin in the midbrain raphe nuclei. Brain Res Brain Res Rev 39:154–180

    Article  CAS  Google Scholar 

  • Alexander SP, Mathie A, Peters JA (2011) Guide to receptors and channels (GRAC), 5th edition. Br J Pharmacol 164(Suppl 1):S1–S324

    Article  CAS  Google Scholar 

  • Bengtsson HJ, Kele J, Johansson J, Hjorth S (2000) Interaction of the antidepressant mirtazapine with alpha2-adrenoceptors modulating the release of 5-HT in different rat brain regions in vivo. Naunyn Schmiedebergs Arch Pharmacol 362:406–412

    Article  CAS  Google Scholar 

  • Benmansour S, Owens WA, Cecchi M, Morilak DA, Frazer A (2002) Serotonin clearance in vivo is altered to a greater extent by antidepressant-induced downregulation of the serotonin transporter than by acute blockade of this transporter. J Neurosci 22:6766–6772

    Article  CAS  Google Scholar 

  • Cipriani A, Furukawa TA, Salanti G, Geddes JR, Higgins JP, Churchill R, Watanabe N, Nakagawa A, Omori IM, McGuire H, Tansella M, Barbui C (2009) Comparative efficacy and acceptability of 12 new-generation antidepressants: a multiple-treatments meta-analysis. Lancet 373:746–758

    Article  CAS  Google Scholar 

  • Cohrs S, Meier A, Neumann AC, Jordan W, Ruther E, Rodenbeck A (2005) Improved sleep continuity and increased slow wave sleep and REM latency during ziprasidone treatment: a randomized, controlled, crossover trial of 12 healthy male subjects. J Clin Psychiatry 66:989–996

    Article  CAS  Google Scholar 

  • Cohrs S, Rodenbeck A, Guan Z, Pohlmann K, Jordan W, Meier A, Ruther E (2004) Sleep-promoting properties of quetiapine in healthy subjects. Psychopharmacology (Berl) 174:421–429

    CAS  Google Scholar 

  • Croom KF, Perry CM, Plosker GL (2009) Mirtazapine: a review of its use in major depression and other psychiatric disorders. CNS Drugs 23:427–452

    Article  CAS  Google Scholar 

  • de Boer T (1995) The effects of mirtazapine on central noradrenergic and serotonergic neurotransmission. Int Clin Psychopharmacol 10(Suppl 4):19–23

    Article  Google Scholar 

  • de Boer T (1996) The pharmacologic profile of mirtazapine. J Clin Psychiatry 57(Suppl 4):19–25

    PubMed  Google Scholar 

  • Fava M (2004) Daytime sleepiness and insomnia as correlates of depression. J Clin Psychiatry 65(Suppl 16):27–32

    PubMed  Google Scholar 

  • Haas HL, Sergeeva OA, Selbach O (2008) Histamine in the nervous system. Physiol Rev 88:1183–1241

    Article  CAS  Google Scholar 

  • Imai H, Steindler DA, Kitai ST (1986) The organization of divergent axonal projections from the midbrain raphe nuclei in the rat. J Comp Neurol 243:363–380

    Article  CAS  Google Scholar 

  • Ishida T, Obara Y, Kamei C (2009) Effects of some antipsychotics and a benzodiazepine hypnotic on the sleep-wake pattern in an animal model of schizophrenia. J Pharmacol Sci 111:44–52

    Article  CAS  Google Scholar 

  • Komossa K, Depping AM, Gaudchau A, Kissling W, Leucht S (2010) Second-generation antipsychotics for major depressive disorder and dysthymia. Cochrane Database Syst Rev (12):CD008121.

  • Meltzer HY, Li Z, Kaneda Y, Ichikawa J (2003) Serotonin receptors: their key role in drugs to treat schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry 27:1159–1172

    Article  CAS  Google Scholar 

  • Millan MJ, Gobert A, Rivet JM, Adhumeau-Auclair A, Cussac D, Newman-Tancredi A, Dekeyne A, Nicolas JP, Lejeune F (2000) Mirtazapine enhances frontocortical dopaminergic and corticolimbic adrenergic, but not serotonergic, transmission by blockade of alpha2-adrenergic and serotonin2C receptors: a comparison with citalopram. Eur J Neurosci 12:1079–1095

    Article  CAS  Google Scholar 

  • Monti JM (2011) Serotonin control of sleep-wake behavior. Sleep Med Rev 15:269–281

    Article  Google Scholar 

  • Nakayama K, Sakurai T, Katsu H (2004) Mirtazapine increases dopamine release in prefrontal cortex by 5-HT1A receptor activation. Brain Res Bull 63:237–241

    Article  CAS  Google Scholar 

  • Ohoyama K, Yamamura S, Hamaguchi T, Nakagawa M, Motomura E, Shiroyama T, Tanii H, Okada M (2011) Effects of novel atypical antipsychotic, blonanserin, on extracellular neurotransmitter level in rat prefrontal cortex. Eur J Pharmacol 653(1–3):47–57

    Article  CAS  Google Scholar 

  • Paxinos G, Watson C (1998) The rat brain in stereotoxic coordinates, 4th edn. Academic, San Dieg

    Google Scholar 

  • Petty F, Davis LL, Kabel D, Kramer GL (1996) Serotonin dysfunction disorders: a behavioral neurochemistry perspective. J Clin Psychiatry 57(Suppl 8):11–16

    PubMed  Google Scholar 

  • Raap DK, Evans S, Garcia F, Li Q, Muma NA, Wolf WA, Battaglia G, Van De Kar LD (1999) Daily injections of fluoxetine induce dose-dependent desensitization of hypothalamic 5-HT1A receptors: reductions in neuroendocrine responses to 8-OH-DPAT and in levels of Gz and Gi proteins. J Pharmacol Exp Ther 288:98–106

    CAS  PubMed  Google Scholar 

  • Richelson E, Souder T (2000) Binding of antipsychotic drugs to human brain receptors focus on newer generation compounds. Life Sci 68:29–39

    Article  CAS  Google Scholar 

  • Sakai K, Crochet S (2000) Serotonergic dorsal raphe neurons cease firing by disfacilitation during paradoxical sleep. Neuroreport 11:3237–3241

    Article  CAS  Google Scholar 

  • Schatzberg AF, Kremer C, Rodrigues HE, Murphy GM Jr (2002) Double-blind, randomized comparison of mirtazapine and paroxetine in elderly depressed patients. Am J Geriatr Psychiatry 10:541–550

    Article  Google Scholar 

  • Shen J, Chung SA, Kayumov L, Moller H, Hossain N, Wang X, Deb P, Sun F, Huang X, Novak M, Appleton D, Shapiro CM (2006) Polysomnographic and symptomatological analyses of major depressive disorder patients treated with mirtazapine. Can J Psychiatry 51:27–34

    Article  Google Scholar 

  • Takekita Y, Kato M, Wakeno M, Sakai S, Suwa A, Nishida K, Okugawa G, Kinoshita T (2012) A 12-week randomized, open-label study of perospirone versus aripiprazole in the treatment of Japanese schizophrenia patients. Prog Neuropsychopharmacol Biol Psychiatry 40:110–114

    Article  Google Scholar 

  • Tanahashi S, Ueda Y, Nakajima A, Yamamura S, Nagase H, Okada M (2012a) Novel delta1-receptor agonist KNT-127 increases the release of dopamine and l-glutamate in the striatum, nucleus accumbens and median pre-frontal cortex. Neuropharmacology 62:2057–2067

    Article  CAS  Google Scholar 

  • Tanahashi S, Yamamura S, Nakagawa M, Motomura E, Okada M (2011a) Clozapine, but not haloperidol, enhances glial d-serine and l-glutamate release in rat frontal cortex and primary cultured astrocytes. Br J Pharmacol 165(5):1543–1555

    Article  Google Scholar 

  • Tanahashi S, Yamamura S, Nakagawa M, Motomura E, Okada M (2011b) Effect of lamotrigine and carbamazepine on corticotropin-releasing factor-associated serotonergic transmission in rat dorsal raphe nucleus. Psychopharmacology (Berl) 220(3):599–610

    Article  Google Scholar 

  • Tanahashi S, Yamamura S, Nakagawa M, Motomura E, Okada M (2012b) Dopamine D2 and serotonin 5-HT1A receptors mediate the actions of aripiprazole in mesocortical and mesoaccumbens transmission. Neuropharmacology 62:765–774

    Article  CAS  Google Scholar 

  • Tatsumi M, Groshan K, Blakely RD, Richelson E (1997) Pharmacological profile of antidepressants and related compounds at human monoamine transporters. Eur J Pharmacol 340:249–258

    Article  CAS  Google Scholar 

  • Thase ME (1999) Antidepressant treatment of the depressed patient with insomnia. J Clin Psychiatry 60(Suppl 17):28–31, discussion 46–8

    CAS  PubMed  Google Scholar 

  • Tsuno N, Besset A, Ritchie K (2005) Sleep and depression. J Clin Psychiatry 66:1254–1269

    Article  Google Scholar 

  • Van der Mey M, Windhorst AD, Klok RP, Herscheid JD, Kennis LE, Bischoff F, Bakker M, Langlois X, Heylen L, Jurzak M, Leysen JE (2006) Synthesis and biodistribution of [11C]R107474, a new radiolabeled alpha2-adrenoceptor antagonist. Bioorg Med Chem 14:4526–4534

    Article  Google Scholar 

  • Watanabe N, Omori IM, Nakagawa A, Cipriani A, Barbui C, Churchill R, Furukawa TA (2011) Mirtazapine versus other antidepressive agents for depression. Cochrane Database Syst Rev (12):CD006528.

  • Westenberg HG (1999) Pharmacology of antidepressants: selectivity or multiplicity? J Clin Psychiatry 60(Suppl 17):4–8, discussion 46–8

    CAS  PubMed  Google Scholar 

  • Wilson S, Argyropoulos S (2005) Antidepressants and sleep: a qualitative review of the literature. Drugs 65:927–947

    Article  CAS  Google Scholar 

  • Winokur A, DeMartinis NA 3rd, McNally DP, Gary EM, Cormier JL, Gary KA (2003) Comparative effects of mirtazapine and fluoxetine on sleep physiology measures in patients with major depression and insomnia. J Clin Psychiatry 64:1224–1229

    Article  CAS  Google Scholar 

  • Yamamura S, Abe M, Nakagawa M, Ochi S, Ueno S, Okada M (2011) Different actions for acute and chronic administration of mirtazapine on serotonergic transmission associated with raphe nuclei and their innervation cortical regions. Neuropharmacology 60:550–560

    Article  CAS  Google Scholar 

Download references

Acknowledgments

This study was supported by a grant-in-aid for Scientific Research from the Japanese Ministry of Education, Science and Culture (22390224 and 23659564) and a grant from the Japan Epilepsy Research Foundation. We thank A/Prof. F.G. Issa (http://www.word-medex.com.au) for the careful reading and editing of the manuscript.

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The authors declare no conflict of interest.

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Correspondence to Motohiro Okada.

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Kouji Fukuyama and Motohiro Okada contributed equally to this work.

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Fukuyama, K., Tanahashi, S., Hamaguchi, T. et al. Differential mechanisms underlie the regulation of serotonergic transmission in the dorsal and median raphe nuclei by mirtazapine: a dual probe microdialysis study. Psychopharmacology 229, 617–626 (2013). https://doi.org/10.1007/s00213-013-3122-9

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  • DOI: https://doi.org/10.1007/s00213-013-3122-9

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