Jeong HJ, Lam K, Mitchell VA, Vaughan CW. Serotonergic modulation of neuronal activity in rat midbrain periaqueductal gray. J Neurophysiol 109: 2712-2719, 2013. First published March 20, 2013 doi:10.1152/jn.00790.2012 modulates pain and anxiety from within the midbrain periaqueductal gray (PAG). In the present study, the effects of 5-HT-and 5-HT 1/2 subtype-selective ligands on rat PAG neurons were examined using whole cell patchclamp recordings in brain slices. In voltage clamp, 5-HT produced outward and inward currents in distinct subpopulations of neurons that varied throughout different subregions of the PAG. The 5-HT 1A agonist R(ϩ)-8-OH-DPAT (1 M) produced outward currents in subpopulations of PAG neurons. By contrast, sumatriptan (1 M) and other 5-HT 1B , -D , and -F subtype agonists had little or no postsynaptic activity. The 5-HT 2A/C agonists DOI (3 M) and TCB-2 (1 M) produced inward currents in subpopulations of PAG neurons, and DOI enhanced evoked inhibitory postsynaptic currents via a presynaptic mechanism. In current clamp, both R(ϩ)-8-OH-DPAT and sumatriptan produced an excitatory increase in evoked mixed postsynaptic potentials (PSPs). In addition, R(ϩ)-8-OH-DPAT, but not sumatriptan, directly hyperpolarized PAG neurons. By contrast, the 5-HT 2 agonist DOI depolarized subpopulations of neurons and produced an inhibitory decrease in evoked mixed PSPs. These findings indicate that 5-HT 1A and 5-HT 1B/D ligands have partly overlapping inhibitory effects on membrane excitability and synaptic transmission within the PAG, which are functionally opposed by 5-HT 2A/C actions in specific PAG subregions.