“…In vitro autoradiography and homogenate binding experiments in rats suggest that a decrease in SERT binding levels occur after pharmacologically induced chronic extracellular 5-HT depletion in two (Rattray et al, 1996;Rothman et al, 2003) of three studies (no change seen in the study by Dewar et al, 1992). Chronically elevated extracellular 5-HT levels have usually been achieved by chronic treatment with the specific selective serotonin reuptake inhibitor (SSRI) compounds sertraline, citalopram, and paroxetine, and, in 10 ( Kovachich et al, 1992;Pineyro et al, 1994;Benmansour et al, 1999;Horschitz et al, 2001;Benmansour et al, 2002;Gould et al, 2003Gould et al, , 2006Rossi et al, 2008) of 15 experimental settings (no change reported in the studies by Graham et al, 1987;Kovachich et al, 1992;Cheetham et al, 1993;Gobbi et al, 1997;Gould et al, 2006), decreased SERT levels have been found. It can be argued, however, that chronic blockade of the SERT may lead to regulation of its expression and that the primary cause for the SERT downregulation is unrelated to 5-HT levels.…”