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Journal of Pharmacology And Experimental Therapeutics Fast Forward
First published on May 18, 2005; DOI: 10.1124/jpet.105.087080


0022-3565/05/3143-953-960$20.00
JPET 314:953-960, 2005
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CARDIOVASCULAR

(+)-Norfenfluramine-Induced Arterial Contraction Is Not Dependent on Endogenous 5-Hydroxytryptamine or 5-Hydroxytryptamine Transporter

Wei Ni, Claudia S. Wilhelm, Michael Bader, Dennis L. Murphy, Keith Lookingland, and Stephanie W. Watts

Department of Pharmacology and Toxicology, Michigan State University, East Lansing, Michigan (W.N., K.L., S.W.W.); Max Delbrück Center for Molecular Medicine, Berlin-Buch, Germany (C.S.W., M.B.); and Laboratory of Clinical Science, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland (D.L.M.)

(+)-Norfenfluramine, the major metabolite of fenfluramine, causes vasoconstriction dependence on the 5-hydroxytryptamine (5-HT)2A receptor in rat. (+)-Norfenfluramine was reported as a 5-hydroxytryptamine transporter (5-HTT) substrate and 5-HT releaser. Because the arterial 5-HTT exists and is functional in the rat, we hypothesized that (+)-norfenfluramine causes vasoconstriction by releasing 5-HT from vascular smooth muscle via 5-HTT. The released 5-HT, in turn, activates the 5-HT2A receptor. Isometric contractility experiments showed that (+)-norfenfluramine-induced mouse aortic contraction was reduced by the 5-HTT inhibitor fluoxetine (1 µM) but not by fluvoxamine (1 µM). Tryptophan hydroxylase (TPH)-deficient (Tph1/–) mice lack peripheral 5-HT. (+)-Norfenfluramine (10 nM–100 µM)-contracted aorta from wild-type and Tph1–/– mice with equivalent potency (–log EC50 [M], wild type = 5.73 ± 0.02, Tph1–/– = 5.62 ± 0.09), and these contractions were inhibited by the 5-HT2A receptor antagonist ketanserin (3 nM) by a similar magnitude in aorta from wild-type and Tph1–/– mice (wild type = 19.4, Tph1–/– = 15.4-fold rightward shift versus control), as did fluoxetine (1 µM) (wild type = 22.4, Tph1–/– = 28.8-fold rightward shift versus control). To further test the role of 5-HTT in (+)-norfenfluramine-induced aortic contraction, the 5-HTT-targeted mutation mouse was used. (+)-Norfenfluramine induced similar aortic contraction in wild-type and 5-HTT-targeted mutation mice, and these contractions were inhibited by fluoxetine (1 µM). Thus, (+)-norfenfluramine vasoconstriction is not dependent on 5-HTT-mediated release of endogenous 5-HT but by activating membrane 5-HT2A receptors directly. Understanding of the mechanism by which (+)-norfenfluramine induces vasoconstriction is important to characterize and understand the function of the serotonergic system in peripheral arterial vasculature.


Received March 31, 2005; accepted May 12, 2005.

Address correspondence to: Dr. Wei Ni, Department of Pharmacology and Toxicology, B445 Life Sciences Bldg., Michigan State University, East Lansing, MI 48824-1317. E-mail: niwei{at}msu.edu




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