2004
DOI: 10.1038/sj.npp.1300474
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Inactivation of 5-HT2C Receptors Potentiates Consequences of Serotonin Reuptake Blockade

Abstract: The enhancement of central serotonin system function underlies the therapeutic effects of selective serotonin reuptake inhibitors (SSRIs), which have become the most commonly used class of antidepressant agents. However, many individuals experience depressive episodes that are resistant to SSRI treatment. Homeostatic mechanisms that limit the extent to which SSRIs enhance serotonergic neurotransmission have been implicated in this phenomenon. Here, we report a novel strategy for enhancing the efficacy of SSRIs… Show more

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Cited by 147 publications
(96 citation statements)
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References 34 publications
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“…Although 5-HT 2C receptor antagonists potentiated the actions of SSRIs, they had no effect on extracellular 5-HT levels or tail suspension responses when administered alone. These results corresponded well with independent findings using a line of 5-HT 2C receptor null mutant mice [165]. Although this mutation did not affect baseline extracellular 5-HT levels or tail suspension test (TST) behaviour, it enhanced fluoxetineinduced effects on 5-HT levels and immobility in the TST.…”
Section: -Ht 2c Recptors and Depressionsupporting
confidence: 78%
See 1 more Smart Citation
“…Although 5-HT 2C receptor antagonists potentiated the actions of SSRIs, they had no effect on extracellular 5-HT levels or tail suspension responses when administered alone. These results corresponded well with independent findings using a line of 5-HT 2C receptor null mutant mice [165]. Although this mutation did not affect baseline extracellular 5-HT levels or tail suspension test (TST) behaviour, it enhanced fluoxetineinduced effects on 5-HT levels and immobility in the TST.…”
Section: -Ht 2c Recptors and Depressionsupporting
confidence: 78%
“…[165,166]. Thus, agomelatine, the first melatonergic antidepressant with 5-HT 2C antagonist properties, was observed to produce a robust augmentation of citalopram-, fluoxetine-, and sertraline-induced elevations of hippocampal extracellular 5-HT levels [165,166]. The potentiation of SSRI-induced increases in hippocampal 5-HT levels was reproduced by the 5-HT 2C receptor-selective antagonists SB 242084 and RS 102221, but not by the 5-HT 2A receptor-selective antagonist MDL 100,907.…”
Section: -Ht 2c Recptors and Depressionmentioning
confidence: 99%
“…Interestingly, the augmentation of 5-HT with the combination of citalopram and 5-HT 2C receptor antagonists was of similar magnitude as previously reported for compounds that block 5-HT 1A and 5-HT 1B autoreceptors (Cremers et al, 2000a(Cremers et al, , b, 2001(Cremers et al, , 2004. However, the current mechanism of augmentation is more complex, as 5-HT 2C receptors are not located on serotonergic neurons (see below).…”
Section: Discussionsupporting
confidence: 79%
“…Our group recently reported on the acute augmentation of 5-HT levels by combining SSRIs with 5-HT 2C antagonists (Cremers et al, 2004). The 5-HT 2C receptor antagonist SB242084 was chosen as it has a 100-fold affinity over other 5-HT receptors (Kennett et al, 1997;Bromidge et al, 1997).…”
Section: Introductionmentioning
confidence: 99%
“…However, either 5-HT2C-R gene knockout or systemic treatment with the selective 5-HT2C-R antagonists SB 242084 or RS 102221 has been shown to both potentiate the antidepressant-related effects of SRIs in the tail suspension test and augment the increases in cortical and hippocampal ECF serotonin levels produced by SRI treatment (Cremers et al, 2004(Cremers et al, , 2007. On the other hand, systemic treatment with the novel 5-HT2C-R agonists WAY 163909, RO 600175 also exert antidepressant-like effects in a range of rodent assays (Cryan and Lucki, 2000;Martin et al, 1998;Rosenzweig-Lipson et al, 2007).…”
Section: -Ht2c Receptorsmentioning
confidence: 99%