Serotonin 2C receptor antagonists induce fast-onset antidepressant effects

Mol Psychiatry. 2014 Oct;19(10):1106-14. doi: 10.1038/mp.2013.144. Epub 2013 Oct 29.

Abstract

Current antidepressants must be administered for several weeks to produce therapeutic effects. We show that selective serotonin 2C (5-HT2C) antagonists exert antidepressant actions with a faster-onset (5 days) than that of current antidepressants (14 days) in mice. Subchronic (5 days) treatment with 5-HT2C antagonists induced antidepressant behavioral effects in the chronic forced swim test (cFST), chronic mild stress (CMS) paradigm and olfactory bulbectomy paradigm. This treatment regimen also induced classical markers of antidepressant action: activation of cAMP response element-binding protein (CREB) and induction of brain-derived neurotrophic factor (BDNF) in the medial prefrontal cortex (mPFC). None of these effects were induced by subchronic treatment with citalopram, a prototypical selective serotonin reuptake inhibitor (SSRI). Local infusion of 5-HT2C antagonists into the ventral tegmental area was sufficient to induce BDNF in the mPFC, and dopamine D1 receptor antagonist treatment blocked the antidepressant behavioral effects of 5-HT2C antagonists. 5-HT2C antagonists also activated mammalian target of rapamycin (mTOR) and eukaryotic elongation factor 2 (eEF2) in the mPFC, effects recently linked to rapid antidepressant action. Furthermore, 5-HT2C antagonists reversed CMS-induced atrophy of mPFC pyramidal neurons. Subchronic SSRI treatment, which does not induce antidepressant behavioral effects, also activated mTOR and eEF2 and reversed CMS-induced neuronal atrophy, indicating that these effects are not sufficient for antidepressant onset. Our findings reveal that 5-HT2C antagonists are putative fast-onset antidepressants, which act through enhancement of mesocortical dopaminergic signaling.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antidepressive Agents / pharmacology*
  • Brain-Derived Neurotrophic Factor / metabolism
  • Chronic Disease
  • Citalopram / pharmacology
  • Cyclic AMP Response Element-Binding Protein / metabolism
  • Depressive Disorder / drug therapy
  • Depressive Disorder / pathology
  • Depressive Disorder / physiopathology
  • Disease Models, Animal
  • Elongation Factor 2 Kinase / metabolism
  • Female
  • Mice, Inbred BALB C
  • Olfactory Bulb / physiopathology
  • Prefrontal Cortex / drug effects
  • Prefrontal Cortex / pathology
  • Prefrontal Cortex / physiopathology
  • Pyramidal Cells / drug effects
  • Pyramidal Cells / pathology
  • Pyramidal Cells / physiopathology
  • Receptor, Serotonin, 5-HT2C / metabolism
  • Receptors, Dopamine D1 / antagonists & inhibitors
  • Receptors, Dopamine D1 / metabolism
  • Selective Serotonin Reuptake Inhibitors / pharmacology
  • Serotonin 5-HT2 Receptor Antagonists / pharmacology*
  • Stress, Psychological
  • TOR Serine-Threonine Kinases / metabolism
  • Time Factors

Substances

  • Antidepressive Agents
  • Brain-Derived Neurotrophic Factor
  • Creb1 protein, mouse
  • Cyclic AMP Response Element-Binding Protein
  • Receptor, Serotonin, 5-HT2C
  • Receptors, Dopamine D1
  • Serotonin 5-HT2 Receptor Antagonists
  • Serotonin Uptake Inhibitors
  • Citalopram
  • mTOR protein, mouse
  • TOR Serine-Threonine Kinases
  • Eef2k protein, mouse
  • Elongation Factor 2 Kinase