This study examines the effect of a 5-HT 2C agonist (RO 60-0175, (s)-2-(chloro-5-fluoro-indol-1-yl)-1-methylethylamine) and a 5-HT 2C antagonist (RO 43-0440, benzofuran-2-carboxamidine) for neuroprotective activity in a rat model of global cerebral ischaemia. A mini-osmotic pump implanted subcutaneously delivered 0.25 mg/kg/hr. Seven days after ischaemia the rats were sacrificed and the damage in the CA1 pyramidal cell layer in hippocampus was estimated and the treated groups were compared with vehicle groups. Pretreatment with the 5-HT 2C agonist RO 60-0175 significantly increased the damage, whereas the 5-HT 2C antagonist RO 43-0440 had no effect on the cell damage. Measurement of the core temperature in a RO 60-0175-treated group of rats revealed no effect compared to a vehicle-treated group. Thus the aggravation of damage in the RO 60-0175-treated group cannot be explained by temperature effect. Our data do not indicate the 5-HT 2C receptor as a therapeutic target in cerebral ischaemia.Transient global cerebral ischaemia causes delayed neuronal damage in specific brain areas. Most prominent is the damage in the CA1 pyramidal cells in hippocampus occurring after 2-4 days. Excessive release of glutamate is believed to play an important role in the development of the neuronal damage. However, it has also been shown that extracellular serotonin level is increased in hippocampus during cerebral ischaemia (Globus et al. 1992). Several studies have shown the possibility of protecting neurones from ischaemic damage by stimulation or inhibition of different serotonergic receptors. The serotonin (5-HT) receptors can be divided into seven subfamilies, 5-HT 1 through 5-HT 7 . Both 5-HT 1A agonists and 5-HT 2A antagonists have been shown to have neuroprotective properties (Nakayama et al. 1988; Bielenberg & Burkhardt 1990;Block et al. 1990;Bode-Greuel et al. 1990;Prehn et al. 1991;Klisch & Bode-Greuel 1992;Prehn et al. 1993;Takagi et al. 1994;Piera et al. 1995). Inhibition of the serotonin transporter has been shown to protect against neuronal damage in rodent models of cerebral ischaemia (Nakata et al. 1992). On the other hand, a lesion of the serotonergic system with 5,7-dihydroxytryptamine aggravates the ischaemic damage (Nakata et al. 1997). Serotonin receptor stimulation has been found to be able to inhibit glutamate receptor activation (Maura et al. 1988). Marcoli et al. (1997) suggested that the 5-HT 2C receptor could mediate inhibition of cGMP response elicited by Nmethyl-D-aspartate (NMDA). As a member of the 5-HT 2 family, the 5-HT 2C receptor is coupled to the phosphoinositide hydrolysis pathway. 5-HT 2C receptors (formerly desig-
Materials and MethodsIschaemia. Male wistar rats (Møllegaard Breeding Center, Denmark) weighing 300-320 g were subjected to transient forebrain ischaemia using a modified 4-vessel occlusion model (Pulsinelli & Brierley 1979; Jørgensen & Diemer 1982). The surgical procedure was carried out over two days. On the first day the vertebral arteries were electrocauterized under ...