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Vol. 286, Issue 3, 1239-1247, September 1998
Neurobiological Psychiatry Unit, McGill University, Montréal, Québec, Canada H3A 1A1
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Abstract |
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The present studies evaluated the effects of acute and long-term administration of the 5-HT1A agonist BAY x 3702 on the responsiveness of dorsal raphe 5-HT neurons and of dorsal hippocampus CA3 pyramidal neurons. BAY x 3702 potently reduced the firing activity of 5-HT neurons and of CA3 pyramidal neurons when applied by microiontophoresis and this inhibitory effect of BAY x 3702 was fully antagonized by low intravenous doses of the 5-HT1A antagonist WAY 100635. Concurrent microiontophoretic application of BAY x 3702 did not antagonize the suppressant effect of 5-HT on firing activity of 5-HT and CA3 pyramidal neurons. Sustained administration of BAY x 3702 for 2 days (1 and 1.25 mg/kg/day using osmotic minipumps implanted subcutaneously) markedly decreased the firing rate of dorsal raphe 5-HT neurons. This was followed by a full recovery to normal after only 7 days of treatment. The postsynaptic 5-HT1A receptors in the hippocampus, contrary to the presynaptic 5-HT1A receptors, were not desensitized after a 14-day treatment. In conclusion, BAY x 3702 acted as a full and potent agonist both at somatodendritic 5-HT1A autoreceptors and at postsynaptic 5-HT1A receptors. Long-term administration of BAY x 3702 resulted in a desensitization of the somatodendritic 5-HT1A autoreceptors, but in an unaltered responsiveness of 5-HT1A receptors on pyramidal neurons. These results suggest that sustained administration of BAY x 3702 enhances neurotransmission at postsynaptic 5-HT1A receptors.
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Introduction |
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Serotonin
(5-HT)1A receptors are located both on 5-HT
neurons as well as on postsynaptic neurons (Vergé et
al., 1985
). They exert an inhibitory effect on the firing activity
of both populations of neurons. Interestingly, electrophysiological
experiments have shown that long-term administration of
5-HT1A agonists affects presynaptic and
postsynaptic 5-HT1A receptors in a differential manner: the somatodendritic 5-HT1A autoreceptors
are desensitized, whereas postsynaptic 5-HT1A
receptors in the hippocampus remain normosensitive (Blier and de
Montigny, 1987
). The desensitization of 5-HT1A
autoreceptors allows a normalization of 5-HT neuron firing activity,
and consequently of 5-HT release in postsynaptic target areas. This
therefore leads to an enhancement of the tonic activation of
postsynaptic 5-HT1A receptors because in the
presence of the exogenous 5-HT1A receptor agonist
the degree of activation of normosensitive postsynaptic
5-HT1A receptors is increased (Haddjeri et
al., 1997
). This enhancement of 5-HT neurotransmission might underlie the therapeutic response of different types of anxiolytic and
antidepressant treatments. Conversely, some investigators have
suggested that the therapeutic effects of 5-HT1A
agonists is due to the activation of somatodendritic
5-HT1A autoreceptors, resulting in an attenuation
of 5-HT neuron firing activity leading to a decrease in 5-HT release,
and from their antagonistic effect at postsynaptic
5-HT1A receptors, all three effects contributing to acutely reduce 5-HT neurotransmission (Meller et al.,
1990
; De Vry et al., 1991
; Sommermeyer et al.,
1993
). However, clinical investigations do not lend support to the
latter hypothesis because the therapeutic effects of
5-HT1A agonists in anxiety and depression take 1 to 2 weeks before becoming clinically significant (Wilcox et
al., 1996
). Furthermore, the antagonistic effect of
5-HT1A agonists at postsynaptic
5-HT1A receptors is unlikely to occur in clinical
use because when 5-HT1A agonists are administered systemically using a minipump delivery for 14 days, the effect of
microiontophoretically applied 5-HT is not altered on
CA3 pyramidal neurons in the dorsal hippocampus
(Blier and de Montigny, 1987
; Dong et al., 1997
).
The 5-HT1A agonists that have been used
clinically are all partial 5-HT1A agonists in the
dorsal hippocampus and full agonists in the dorsal raphe (de Montigny
et al., 1984
; Jenkins et al., 1990
; Robinson
et al., 1990
). In contrast, BAY x 3702 is a newly developed
selective 5-HT1A receptor agonist with
neuroprotective, as well as antidepressant and anxiolytic properties in
animal models (De Vry et al., 1997
). In addition,
biochemical results suggest that BAY x 3702 may be a full
5-HT1A receptor agonist (De Vry et
al., 1998
).
The present in vivo electrophysiological experiments were performed to evaluate the effects of acute and those of long-term administration of BAY x 3702 on the responsiveness of somatodendritic 5-HT1A autoreceptors of dorsal raphe 5-HT neurons and on postsynaptic 5-HT1A receptors of dorsal hippocampus pyramidal neurons. The latter experiments were deemed of great interest because the effects of a full 5-HT1A agonist on the sensitivity of postsynaptic 5-HT1A receptors had not yet been examined because such drugs were not available.
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Materials and Methods |
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Animals. Electrophysiological experiments were performed in male Sprague-Dawley rats (250-300 g) anaesthetized with chloral hydrate (400 mg/kg, i.p.) and supplemental doses being given throughout the experiment to maintain constant anaesthesia. Animals were kept in standard laboratory conditions (12:12 light/dark cycle with free access to food and water, at a room temperature of 21 ± 2°C). They were placed in a stereotaxic apparatus and their body temperature was maintained at 37°C throughout the experiments.
Treatment. The rats (weight: 150-200 g) were anaesthetized with fluothane in a vehicle containing a 2:1 O2/N2O mixture, and osmotic Alzet 2 ML2 minipumps (Alza, Palo Alto, CA, USA) with BAY x 3702 at a delivery rate of 0.5, 1.0 or 1.25 mg/kg/day were implanted subcutaneously. Control rats were implanted with osmotic minipumps containing physiological saline. All electrophysiological experiments were carried out with the minipump in place in order to mimic the clinical condition: patients undergo an improvement of their depressive condition while taking medication and not upon withdrawal. In fact, patients often rapidly relapse if their medication is stopped immediately after achieving remission. Treatment periods were of 2, 7 and 14 days.
Preparation of electrophysiological experiment.
The
extracellular recordings were carried out using single- or
five-barrelled glass micropipettes (R & D Scientific Glass, Spencerville, MD). The single micropipettes were used for recording dorsal raphe 5-HT neurons and their tips were of 1-3 µm in diameter. The five-barrelled micropipettes were used to record
CA3 hippocampus pyramidal and dorsal raphe 5-HT
neuron, with their tips broken back to 8-12 and 4-7 µm,
respectively, under microscopic control. The impedance of the central
barrel used for unitary recording typically ranged between 5-7 M
for dorsal raphe 5-HT neuron recordings and 2-5 M
for pyramidal
neuron recordings. All glass micropipettes were preloaded with
fibreglass strands in order to promote capillary filling with a 2 M
NaCl solution.
Recording of dorsal raphe 5-HT neurons.
The glass
micropipettes were positioned 1 mm anterior to lambda on the midline
and lowered into the dorsal raphe, usually attained at a depth of
between 5.5 and 6.5 mm from the brain surface. The dorsal raphe 5-HT
neurons were identified according to the criteria of Aghajanian (1978)
,
i.e. a slow (0.5-2.5 Hz) and regular firing rate and a
long-duration (0.8-1.2 msec) positive action potential. In order to
appraise possible changes of firing activity of 5-HT neurons during the
course of sustained administration of BAY x 3702, five descents were
carried out through the dorsal raphe in each control and treated rat
using single micropipette (Blier and de Montigny, 1983
). The number of
spontaneously active 5-HT neurons and their average firing rate were
assessed for each of the five descents. The ED50
values for the selective 5-HT1A receptor agonists
BAY x 3702 and 8-OH-DPAT were determined and dose-response curves
constructed by injecting a single dose to one rat while recording from
one 5-HT neuron. Microiontophoresis was also performed with
five-barrelled micropipettes in order to assess the sensitivity of the
somatodendritic 5-HT1A autoreceptor. The side
barrels contained the following solutions: BAY x 3702 (5 mM in NaCl 200 mM, pH 4), 5-HT creatinine sulphate (20 mM in NaCl 200 mM, pH 4),
8-OH-DPAT (5 mM in NaCl 200 mM, pH 4),
-aminobutyric acid (GABA; 50 mM in 200 mM NaCl, pH 4), quisqualate (0.75 mM in 200 mM, pH 8).
Quisqualate was applied (0 to
5 nA) to maintain 5-HT neurons within
their physiological firing rate during co-application of 5-HT agonists.
A side-barrel filled with 2 M NaCl was used for automatic current
balancing.
Recording from CA3 dorsal hippocampus
pyramidal neurons.
The five barrelled micropipette was lowered at
4.2 mm lateral and 4.2 mm anterior to lambda into the
CA3 region of dorsal hippocampus. Three of the
side-barrels contained one of the following solutions: 5-HT creatinine
sulphate (5 mM in NaCl 200 mM, pH 4), 8-OH-DPAT (5 mM in NaCl 200 mM,
pH 4) or BAY x 3702 (5 mM in NaCl 200 mM, pH 4), acetylcholine (ACh; 20 mM in NaCl 200 mM, pH 4). The fourth barrel, used for automatic current
balancing, was filled with a 2 M NaCl solution. All drugs were ejected
as cations and retained with a current of
10 nA. The same ejecting
currents were used before and after each intravenous injection (through a lateral tail vein) of the selective 5-HT1A
antagonist WAY 100635 (Fletcher et al., 1996
). The pyramidal
neurons were identified by their large amplitude (0.5-1.2 mV) and
long-duration (0.8-1.2 msec) simple action potentials, alternating
with complex spike discharges (Kandel and Spencer, 1961
). Because most
hippocampus pyramidal neurons are not spontaneously active under
chloral hydrate anaesthesia, a small ejection current of ACh (0-5 nA)
was used to activate them within their physiological firing rate (8-15 Hz; Ranck, 1975
). This exogenous activation of these neurons does not
interfere with the detection of altered neuronal responsiveness produced by antidepressant treatments since alterations can be put into
evidence using both this approach and a low cerveau
isolé without anaesthesia (de Montigny and Aghajanian, 1978
;
de Montigny, 1984
; de Montigny et al., 1984
). The
responsiveness of neurons to microiontophoretic application of the
drugs was expressed as the number of spikes suppressed. The value was
calculated by an on-line computer. Microiontophoretic ejection periods
(5-HT, BAY x 3702 and GABA) were kept constant at 50 sec, and 8-OH-DPAT
ejection periods were kept constant at 40 sec. The number of spikes
suppressed by the ejections of 8-OH-DPAT and BAY x 3702 was calculated
as the spikes missing below baseline in a 90-second interval from the
beginning of the microiontophoretic application (Chaput et al., 1986
).
Drugs.
5-HT creatinine sulfate, ACh and quisqualate
were purchased from Sigma Chemicals (St. Louis, MO, USA); 8-OH-DPAT
from RBI (Natick, MA, USA), and GABA from Calbiochem (Los Angeles, CA), BAY x 3702 ((
)-(R)-2-[4-[[(3,4-dihydro-2H-1-benzopyran-2-yl)methyl]amino]butyl]-11,2-benzisothiazol-3(2H)-one 1,1-dioxide monohydrochloride or
(
)-(R)-2-[4-[(chroman-2-ylmethyl)-amino]butyl]-1,1-dioxo-1,2-benzisothiazol-3(2H)-one monohydrochloride) was provided by Troponwerke (Wuppertal, Germany), and WAY 100635 by
Wyeth Research (Princeton, NJ).
Statistical analysis.
All results are expressed as mean ± S.E.M. In all the cases, the n refers to the number of
neurons tested. Pearson's r and ED50 values for
the dose-response curves were calculated by simple linear regression
analysis. The degree of statistical significance of the difference
between ED50 values of saline-treated and BAY x
3702-treated rats was calculated with 95% confidence limit method. IT50 value analysis was also used in our
microiontophoretic experiments (I being the current in nA, and
T50 the time required to suppress the firing
activity by 50%). This value is expressed as nanocoulombs (nC; de
Montigny et al., 1980
; de Montigny and Aghajanian, 1977
). Both values were calculated by an on-line computer. Microiontophoretic ejection periods were kept constant at 50 sec, and 8-OH-DPAT ejection periods were kept constant at 40 sec. Statistical comparisons between
control and treatment groups were carried out by using the two-tailed
Student's t-test.
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Results |
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Effect of acute BAY x 3702 administration on the firing frequency of 5-HT neurons in the dorsal raphe. In order to assess the effectiveness of BAY x 3702 in reducing the firing activity of 5-HT neurons, a single dose was administered intravenously to 12 rats. As illustrated in figure 1A, small doses of BAY x 3702 dose-dependently reduced the spontaneous firing activity of 5-HT neurons recorded in the dorsal raphe at the dose range of 0.1-1.0 µg/kg (fig. 1B). The ED50 of this suppressant effect of intravenous BAY x 3702 on the firing activity of 5-HT neurons was of 0.45 ± 0.05 µg/kg. The firing activity of dorsal raphe 5-HT neurons was also reduced by microiontophoretic applications of BAY x 3702 and 5-HT (fig. 2). BAY x 3702 produced a much greater suppressant effect of firing activity than ipsapirone when applied by microiontophoresis onto the same neuron using the same concentration (ipsapirone: 26 ± 6, BAY x 3702: 125 ± 29 spikes suppressed, P < 0.01, n = 8). Consistently with the results obtained with systemic administration, BAY x 3702 was very potent in suppressing firing activity of 5-HT neurons, as evidenced by the 1 nA current producing a mean inhibitory effect of 70% in 11 neurons (see fig. 2). Using the IT50 method to assess the potency of BAY x 3702, a value of 24 ± 4 nC (n = 11) was obtained. The suppressant effect of the intravenous BAY x 3702 was blocked by WAY 100635 (0.25 mg/kg, i.v.; n = 6). Concurrent application of BAY x 3702 did not produce any alteration of the effectiveness of 5-HT in suppressing 5-HT neuron firing activity (5-HT alone: 7.9 ± 1.1, 5-HT with BAY x 3702: 7.3 ± 1.1 spikes suppressed, P > 0.05, n = 11), applied through the same micropipette (fig. 2). Quisqualate was used to maintain the firing activity of 5-HT neurons when concurrent application of BAY x 3702 was carried out.
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Effect of acute BAY x 3702 administration on the firing activity of
CA3 pyramidal neurons in the dorsal
hippocampus.
Partial 5-HT1A agonists,
applied microiontophoretically, reduce the firing activity of dorsal
hippocampus pyramidal neurons by increasing membranal hyperpolarization
(Sprouse and Aghajanian, 1986
; Blier and de Montigny, 1990
; Godbout
et al., 1991
). In order to compare the potency of BAY x 3702 with that of ipsapirone, they were applied by microiontophoresis onto
the same neurons using the same concentration. BAY x 3702 produced
a much greater suppressant effect of firing activity than ipsapirone
(fig. 3; ipsapirone: 92 ± 17, BAY x
3702: 2889 ± 450 spikes suppressed, P < 0.01, n = 10). Using the IT50 method to
assess the potency of BAY x 3702, a value of 41 ± 3 nC
(n = 17) was obtained. The intravenous administration
of the 5-HT1A antagonist WAY 100635 at a dose of
0.25 mg/kg completely blocked the suppressant effect of BAY x 3702, and
restored above the baseline firing activity after application of BAY x
3702 which had produced a prolonged suppression of firing
(n = 4; fig. 4). However,
the concurrent application of BAY x 3702 did not produce any reduction
of the effectiveness of 5-HT in inhibiting pyramidal neurons firing
activity (5-HT alone: 764 ± 38, 5-HT with BAY x 3702: 732 ± 37 spikes suppressed, P > 0.05, n = 10), even
with ejection currents producing a marked reduction of firing activity
that required restoration of baseline firing activity through a high
ACh current (fig. 4).
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Effect of sustained BAY x 3702 administration on the firing activity of dorsal raphe 5-HT neurons. At a dose of 0.5 mg/kg/day, sustained administration of BAY x 3702 delivered for 2 days by minipumps altered neither the mean number of active 5-HT neurons per descent nor their rate of firing (Table 1). At a regimen of 1.0 mg/kg/day, the number of spontaneously active neurons per trajectory was not different from that obtained in the controls, but their mean firing rate was significantly lower (Table 1). However, using a daily dose of 1.25 mg/kg of BAY x 3702, both the number of spontaneously active 5-HT neurons per descent and their mean firing rate were markedly decreased (fig. 5; table 1). The number of 5-HT neurons recorded per descent was back to normal in 7-day treated rats with the highest dose, as well as their firing rate (fig. 5C; table 1). After a 14-day treatment with 1.25 mg/kg/day, both the firing activity and the number of 5-HT neurons per descent remained within the normal range (fig. 5D; table 1).
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Effect of long-term BAY x 3702 treatment on the responsiveness of dorsal raphe 5-HT neurons to microiontophoretic applications of 5-HT, 8-OH-DPAT and GABA. Direct microiontophoretic application of 5-HT, 8-OH-DPAT and GABA was carried out in order to determine whether the responsiveness of somatodendritic 5-HT1A autoreceptors was attenuated following the 14-day BAY x 3702 treatment (fig. 6). The responsiveness of dorsal raphe 5-HT neurons to microiontophoretically-applied 5-HT and 8-OH-DPAT was significantly reduced following the BAY x 3702 treatment, whereas the responsiveness of the same neurons to GABA was unaltered (figs. 6 and 7). The latter result confirmed that the long-term BAY x 3702 treatment decreased the sensitivity of 5-HT neurons to 5-HT1A agonists and not to all nonspecific hyperpolarizing stimuli.
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Effect of intravenous administration of 8-OH-DPAT on the firing
activity of 5-HT neurons in control and BAY x 3702-treated rats..
Long-term treatment with 5-HT1A agonists
desensitizes somatodendritic 5-HT1A autoreceptors
without altering the effect of the systemic administration of 8-OH-DPAT
on 5-HT neuron firing activity (Blier and de Montigny, 1987
; Schechter
et al., 1990
; Dong et al., 1997
). It has thus
been proposed that low intravenous doses of 8-OH-DPAT do not exert
their suppressant effect on 5-HT neuron firing activity through a
direct activation of somatodendritic 5-HT1A
autoreceptor, but rather by activating postsynaptic
5-HT1A receptor involved in a negative feedback
loop controlling 5-HT neuron firing activity (Blier and de Montigny,
1987
; Ceci et al., 1994
). In order to determine if the
responsiveness of these postsynaptic 5-HT1A
receptors activated by low intravenous doses of a
5-HT1A agonist was modified differentially by 14 days of BAY x 3702 administration, dose-response curves for 8-OH-DPAT
were constructed in 11 treated rats and 7 controls (fig.
8C). The ED50 value
in BAY x 3702 treated rats (8.3 ± 1.1 µg/kg i.v.) was
significantly different from that obtained in rats treated with saline
for 14 days (2.3 ± 0.3 µg/kg, i.v.). The intravenous injection
of 0.25 mg/kg WAY 100635 readily reversed the suppressant effect of the
5-HT agonists LSD and 8-OH-DPAT on the firing rate of 5-HT neurons in 5 controls and 5 treated rats (fig. 8, A and B).
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Effect of long-term BAY x 3702 treatment on the firing activity of
CA3 dorsal hippocampus pyramidal neurons.
BAY x 3702 did not alter the effectiveness of
microiontophoretically-applied 5-HT and 8-OH-DPAT in suppressing the
firing activity of pyramidal neurons of the CA3
dorsal hippocampus in the rats treated for 14 days using sustained
administration (fig. 9). The average
microiontophoretic ejection currents of ACh used to activate
CA3 pyramidal neurons were not different in
control group (1.13 ± 0.1 nA, n = 22) and group
of treated rats (1.12 ± 0.1 nA, n = 22). In order
to assess the degree of tonic activation of postsynaptic
5-HT1A receptors, the highly selective
5-HT1A antagonist WAY 100635 was injected
intravenously in control and BAY x 3702 14-day treated rats.
Should a treatment produce an enhanced activation of these receptors, a
disinhibition should result from their antagonism given that they exert
an inhibiting effect on pyramidal neuron firing activity. As previously
observed (Haddjeri et al., 1997
; Rueter et al.,
1998
), WAY 100635 (0.25 mg/kg, i.v.) did not enhance firing activity in
four control rats. Similarly, it also did not enhance pyramidal neuron
firing activity after the 14-day BAY x 3702 treatment in 5 rats,
despite attenuating significantly the effectiveness of
microiontophoretic administration of 5-HT (fig.
10).
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Discussion |
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The present in vivo electrophysiological studies show that BAY x 3702 potently reduced the firing activity of 5-HT neurons in the dorsal raphe and of CA3 pyramidal neurons in the dorsal hippocampus by activating 5-HT1A receptors because its inhibiting effect was reversed and prevented by the selective 5-HT1A antagonist WAY 100635. BAY x 3702 acted as a full agonist at both pre- and postsynaptic 5-HT1A receptors. Its long-term administration resulted in a desensitization of somatodendritic 5-HT1A autoreceptors (resulting in the normalization of firing activity of 5-HT neurons), but in an unaltered responsiveness of 5-HT1A receptors on pyramidal neurons.
The firing activity of the dorsal raphe 5-HT neurons can be reduced by
acute intravenous administration of 5-HT1A
agonists (Blier and de Montigny, 1987
; Sprouse and Aghajanian, 1987
).
BAY x 3702, like partial 5-HT1A agonists
(e.g. gepirone, ipsapirone), can inhibit completely 5-HT
neuron firing activity recorded extracellularly with very small
intravenous doses. The potency of BAY x 3702 was also much greater than
that of ipsapirone on both 5-HT and pyramidal neurons. The recovery of
firing activity of 5-HT neurons and of pyramidal neurons was also much
prolonged after microiontophoretic application of BAY x 3702 (figs.
1-4). This prolonged recovery suggests that the dissociation of BAY x
3702 from the 5-HT1A receptors occurs very
slowly, as exemplified in figure 4 where the
5-HT1A antagonist WAY 100635 readily reversed the
residual inhibitory effect of BAY x 3702 (fig. 4). Using the
IT50 method to compare the effectiveness of BAY x
3702 to suppress firing activity, it was showed that this agent was
more potent in the raphe than in the hippocampus, like other agents
with partial 5-HT1A agonistic property being more
potent in raphe than in the hippocampus (Blier and de Montigny, 1987
;
Dong et al., 1997
). The concurrent microiontophoretic application of BAY x 3702 did not antagonize the suppressant
effectiveness of 5-HT on the firing activity of the dorsal raphe 5-HT
neurons and of the CA3 pyramidal neurons (figs. 2
and 4). This indicates that BAY x 3702 is a full
5-HT1A receptor agonist at pre- and postsynaptic
5-HT1A receptors. In contrast, selective
5-HT1A agonists have exhibited different 5-HT
activity, resulting from their intrinsic agonistic activity effects in
the same paradigm used in the present study (Blier and de Montigny,
1987
; de Montigny et al., 1991
; Godbout et al.,
1991
; Hadrava et al., 1995
; Dong et al., 1997
). The rank order the apparent antagonistic activities of the
5-HT1A agonists tested, as assessed by the degree
of suppression (%) of the effect of 5-HT on the firing rate of
pyramidal neurons in the CA3 dorsal hippocampus,
is as follows: 8-OH-DPAT (92%) > flesinoxan (85%)
gepirone (70%) > tandospirone (57%) > ipsapirone (31%) > BAY x 3702 (0%). In all
instances, these data were obtained with an ejection current of the
5-HT1A agonist adjusted to produce a 50-80%
suppression of the firing activity of dorsal hippocampus CA3 pyramidal neurons, the latter being restored
by increasing the ejection current of quisqualate or of ACh. BAY x 3702 therefore displayed full intrinsic activity at
5-HT1A receptors in the dorsal hippocampus.
Sustained administration of BAY x 3702 (1.25 mg/kg/day) for 2 days produced a marked decrease of the firing activity of dorsal raphe 5-HT neurons and of the number of spontaneously active 5-HT neurons per micropipette descent through the dorsal raphe nucleus (fig. 5, table 1). This was followed by a gradual recovery of both parameters which were back to normal after 7 days of treatment, unlike other 5-HT1A agonists, MAOIs and SSRIs, which have been shown to significantly attenuate these parameters even after such a treatment period. This difference might be related to the greater potency of this drug.
A previous study showed that the 5-HT1A agonist
ipsapirone (10 mg/kg, i.p. twice daily) reduces the density of
5-HT1A binding sites labelled with
[3H]8-OH-DPAT in the dorsal raphe nucleus, but
not in the dorsal hippocampus (Fanelli and McMonagle-Strucko, 1992
).
However, no change in the density of 5-HT1A
receptor binding sites was detected by Schechter et al.,
(1990)
in any of the brain areas examined after a two-week treatment
with a lower dose of ipsapirone (5 mg/kg, i.p., twice a day). The
latter investigators also found that somatodendritic
5-HT1A autoreceptors were nonetheless
desensitized in the dorsal raphe by this low dose of ipsapirone. Hence,
taken together, these results indicate that high doses of a
5-HT1A agonist can down-regulate the density of
somatodendritic 5-HT1A autoreceptors in the
dorsal raphe. However, a functional desensitization can also occur in
the absence of any detectable alteration of the binding parameters of
these receptors, as was also the case with the SSRI cericlamine (Jolas
et al., 1994
). In fact, it has been suggested that SSRIs
desensitize 5-HT1A autoreceptors by decreasing the amount of Gi/o proteins (Li et al., 1996
). It is thus
likely that 5-HT1A agonists also desensitize the
5-HT1A autoreceptor by the same mechanism.
BAY x 3702 given in a sustained fashion markedly reduced the
response of 5-HT neurons to both the intravenous and microiontophoretic administration of 8-OH-DPAT (figs. 6-8). In contrast, similar
treatments with partial 5-HT1A agonists modified
only the effect of microiontophoretically-applied 8-OH-DPAT on the
firing activity of dorsal raphe 5-HT neurons (Blier and de Montigny,
1987
). A first possibility to envisage for these different results is
the marked potency of BAY x 3702 when compared to other
5-HT1A agonists. A second possibility is that BAY
x 3702 is a full 5-HT1A agonist. Interestingly,
Ceci et al., (1994)
have shown that the dose-response curve
of the suppressant effect of 8-OH-DPAT on the firing rate of dorsal
raphe 5-HT neurons was shifted to the right by about 10-fold following an acute fronto-cortical deafferentation. Therefore, it may be proposed
that the desensitization 5-HT1A receptors may
also be occurring in the frontal cortex, consequentially decreasing the negative-feed loop controlling firing activity of dorsal raphe 5-HT
neurons. Indeed, it was recently observed that long-term SSRIs
administration attenuated the responsiveness of orbitofrontal cortex
neurons to microiontophoretically-applied 8-OH-DPAT (El Mansari
et al., 1997
). Since the acute systemic
5-HT1A agonist challenge in long-term BAY x 3702 treated rats does not result in a marked decrease of the firing
activity of 5-HT neurons in the dorsal raphe, as it does in gepirone or
ipsapirone treated rats, BAY x 3702 may thus be expected to produce a
greater enhancement of 5-HT transmission, and possibly a greater
therapeutic effect, than the two latter drugs.
The postsynaptic 5-HT1A receptors in the hippocampus, contrary to the somatodendritic 5-HT1A autoreceptors, were not desensitized during sustained administration of BAY x 3702 even though the compound exhibited a full agonistic property in acute experiments (fig. 9). The lack of desensitization of these receptors following long-term treatment was thus identical to results previously obtained with 5-HT1A partial agonists.
WAY 100635 blocked the postsynaptic 5-HT1A
receptor activated by microiontophoretic application of 5-HT and BAY x
3702. However, WAY 100635 did not enhance hippocampus neuronal firing
in rats treated with BAY x 3702 for 14 days, unlike previous results
obtained in rats treated with gepirone (Haddjeri et al.,
1997
). A first possibility to account for these divergent results is
that, because of the marked potency and presumably the long
dissociation constant of BAY x 3702, WAY 100635 was not able to
displace BAY x 3702 from the receptor sites. This interpretation might
be consistent with the above mentioned data showing that WAY 100635 increases hippocampus firing activity in gepirone- but not
flesinoxan-treated rats. Flesinoxan is a very potent
5-HT1A agonist which, like BAY x 3702 but unlike
gepirone and ipsapirone, exerts a prolonged inhibitory effect on the
firing activity of pyramidal neurons. A second possibility is that BAY
x 3702 potently activates 5-HT1A receptors
located on the dendrites of pyramidal neurons (Chaput and de Montigny,
1988
; Haddjeri et al., 1997
). These receptors, which can be
activated by electrical stimulations of the ascending 5-HT pathway, are
blocked by the 5-HT1A antagonist BMY 7378 but not
by WAY 100635. Another line of evidence for the lack of effect of WAY
100635 on certain hippocampus 5-HT1A receptors is
that intravenously injected WAY 100635 does not reverse the inhibitory effect of microiontophoretic application of the
5-HT1A agonist BIMT-17 on pyramidal neurons,
whereas, the 5-HT1A antagonist BMY 7378 does
(Rueter et al., 1997
). These data suggest that WAY 100635 does not block the postsynaptic 5-HT1A receptors
apposed to 5-HT terminals on the dendrites of pyramidal neurons
(intra-synaptic receptors; Oleskevitch and Descarries, 1990
), but does
block some 5-HT1A receptors on the cell body of
the same neurons (extra-synaptic 5-HT1A
receptors) where the recording and microiontophoretic applications are
done. In contrast, BMY 7378 would antagonize equally well both
populations.
In conclusion, the present results indicate that BAY x 3702 acts
as a full and potent agonist at somatodendritic
5-HT1A autoreceptors and at postsynaptic
5-HT1A receptors. The desensitization of
somatodendritic 5-HT1A autoreceptors may lead to
an enhancement of 5-HT neurotransmission in the hippocampus because the
ensuing normalized release of 5-HT, together with the presence of BAY x
3702 throughout the brain, would produce a greater degree of activation
of these normosensitive postsynaptic 5-HT1A
receptors. These properties of BAY x 3702 should endow this compound
with anxiolytic and antidepressant properties in humans. Given that
this drug also desensitizes the postsynaptic
5-HT1A receptors which exert an inhibitiory
effect on 5-HT neuronal firing, it might be expected to have more
robust clinical effects than its less potent predecessors endowed with only partial 5-HT1A agonistic properties. In
addition, it has been proposed that 5-HT1A
agonists may prevent to a significant extent cerebral damage following
ischemia (Bielenberg and Burkhardt, 1990
). BAY x 3702 has been reported
to exert a neuroprotective effect in animal models of cerebral ischemia
(De Vry et al., 1997
). Therefore, this drug has therapeutic
potential in psychiatric and neurological disorders.
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Footnotes |
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Accepted for publication April 21, 1998.
Received for publication January 28, 1998.
1 This work was supported in part by the Medical Research Council of Canada (MRC) grants (MT-11014 and MA-6444 to P.B. and C. de M., respectively) and Bayer, Germany. P.B. was in receipt of a Scientist Award from the MRC.
Send reprint requests to: Dr. Jianming Dong, Neurobiological Psychiatry Unit, McGill University, 1033 Pine Avenue West, Montréal, Québec, Canada H3A 1A1. E-mail: midd{at}musica.mcgill.ca
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