Reevaluation of the indoleamine hypothesis of depression. Evidence for a reduction of functional activity of central 5-HT systems by antidepressant drugs

J Neural Transm. 1979;46(2):85-103. doi: 10.1007/BF01250331.

Abstract

The effects of antidepressant drugs on central 5-HT receptor activity were studied in rats and mice. Antidepressant drugs were evaluated for their ability to displace 3H-5-HT and 3H-d-LSD from membrane binding sites in the dorsal neocortex of rats in vitro and for their ability to block 5-HTP and d-LSD induced behavioral effects in mice. The degree of blockade of head-twitches in mice produced by the antidepressants was highly correlated with their affinity for 3H-d-LSD binding sites. A number of antidepressant drugs such as amitriptyline, nortriptyline, mianserine, doxepine, nomifensine and dibenzepine appear to possess marked 5-HT receptor blocking activity at some type of 5-HT receptors in brain. New antidepressant drugs such as zimelidine, which specifically inhibit 5-HT reuptake and do not block 5-HT receptor sites, may after chronic treatment also reduce the functional activity of 5-HT systems by producing adaptive changes in postsynaptic 5-HT mechanisms. Thus, a new indoleamine hypothesis of depression is presented: the therapeutic action of antidepressant drugs may in part be due to a reduced functional acitivity of some central 5-HT systems.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Antidepressive Agents / pharmacology*
  • Behavior, Animal / drug effects
  • Depression / physiopathology*
  • Humans
  • Kinetics
  • Lysergic Acid Diethylamide / metabolism*
  • Lysergic Acid Diethylamide / pharmacology
  • Male
  • Metergoline / pharmacology
  • Mice
  • Norepinephrine / metabolism*
  • Rats
  • Receptors, Serotonin / drug effects*
  • Serotonin / metabolism*

Substances

  • Antidepressive Agents
  • Receptors, Serotonin
  • Metergoline
  • Serotonin
  • Lysergic Acid Diethylamide
  • Norepinephrine