Adaptive mechanisms following antidepressant drugs: Focus on serotonin 5-HT2A receptors

Pharmacol Rep. 2019 Dec;71(6):994-1000. doi: 10.1016/j.pharep.2019.05.012. Epub 2019 May 21.

Abstract

Background: There is a strong support for the role of serotonin (5-HT) neurotransmission in depression and in the mechanism of action of antidepressants. Among 5-HT receptors, 5-HT2A receptor subtype seems to be an important target implicated in the above disorder.

Methods: The aim of the study was to investigate the effects of antidepressants, such as imipramine (15 mg/kg), escitalopram (10 mg/kg) and tianeptine (10 mg/kg) as well as drugs with antidepressant activity, including N-acetylcysteine (100 mg/kg) and URB597 (a fatty acid amide hydrolase inhibitor, 0.3 mg/kg) on the 5-HT2A receptor labeling pattern in selected rat brain regions. Following acute or chronic (14 days) drug administration, rat brains were analyzed by using autoradiography with the 5-HT2A receptor antagonist [3H]ketanserin.

Results: Single dose or chronic administration of imipramine decreased the radioligand binding in the claustrum and cortical subregions. The [3H]ketanserin binding either increased or decreased in cortical areas after acute N-acetylcysteine and URB597 administration, respectively. A similar shift towards reduction of the [3H]ketanserin binding was detected in the nucleus accumbens shell following either acute treatment with imipramine, escitalopram, N-acetylcysteine and URB597 or repeated administration of imipramine, tianeptine and URB597.

Conclusions: In conclusion, the present result indicate different sensitivity of brain 5-HT2A receptors to antidepressant drugs depending on schedule of drug administration and rat brain regions. The decrease of accumbal shell 5-HT2A receptor labeling by antidepressant drugs exhibiting different primary mechanism of action seems to be a common targeting mechanism associated with the outcome of depression treatment.

Keywords: 5-HT(2A) receptor; Antidepressant; Autoradiography; Depression.

MeSH terms

  • Acetylcysteine / pharmacology
  • Animals
  • Antidepressive Agents / pharmacology*
  • Autoradiography
  • Benzamides / pharmacology
  • Brain / metabolism
  • Carbamates / pharmacology
  • Citalopram / pharmacology
  • Imipramine / pharmacology
  • Ketanserin
  • Male
  • Nucleus Accumbens / metabolism*
  • Rats
  • Rats, Wistar
  • Receptor, Serotonin, 5-HT2A / metabolism*
  • Thiazepines / pharmacology

Substances

  • Antidepressive Agents
  • Benzamides
  • Carbamates
  • Receptor, Serotonin, 5-HT2A
  • Thiazepines
  • cyclohexyl carbamic acid 3'-carbamoylbiphenyl-3-yl ester
  • Citalopram
  • tianeptine
  • Ketanserin
  • Imipramine
  • Acetylcysteine