Dempsey Catherine M, Mackenzie Scott M, Gargus Andrew, Blanco Gabriela, Sze Ji Ying
Department of Anatomy and Neurobiology, College of Medicine, University of California, Irvine, 92697-4040, USA.
Genetics. 2005 Mar;169(3):1425-36. doi: 10.1534/genetics.104.032540. Epub 2005 Jan 16.
Drugs that target the serotonergic system are the most commonly prescribed therapeutic agents and are used for treatment of a wide range of behavioral and neurological disorders. However, the mechanism of the drug action remain a conjecture. Here, we dissect the genetic targets of serotonin (5HT), the selective 5HT reuptake inhibitor (SSRI) fluoxetine (Prozac), the tricyclic antidepressant imipramine, and dopamine. Using the well-established serotonergic response in C. elegans egg-laying behavior as a paradigm, we show that action of fluoxetine and imipramine at the 5HT reuptake transporter (SERT) and at 5HT receptors are separable mechanisms. Even mutants completely lacking 5HT or SERT can partially respond to fluoxetine and imipramine. Furthermore, distinct mechanisms for each drug can be recognized to mediate these responses. Deletion of SER-1, a 5HT1 receptor, abolishes the response to 5HT but has only a minor effect on the response to imipramine and no effect on the response to fluoxetine. In contrast, deletion of SER-4, a 5HT2 receptor, confers significant resistance to imipramine while leaving the responses to 5HT or fluoxetine intact. Further, fluoxetine can stimulate egg laying via the Gq protein EGL-30, independent of SER-1, SER-4, or 5HT. We also show that dopamine antagonizes the 5HT action via the 5HT-gated ion channel MOD-1 signaling, suggesting that this channel activity couples 5HT and dopamine signaling. These results suggest that the actions of these drugs at specific receptor subtypes could determine their therapeutic efficacy. SSRIs and tricyclic antidepressants may regulate 5HT outputs independently of synaptic levels of 5HT.
作用于血清素能系统的药物是最常用的治疗药物,用于治疗多种行为和神经疾病。然而,药物作用机制仍是一个推测。在此,我们剖析了血清素(5HT)、选择性5HT再摄取抑制剂(SSRI)氟西汀(百忧解)、三环类抗抑郁药丙咪嗪和多巴胺的基因靶点。以秀丽隐杆线虫产卵行为中成熟的血清素能反应为范例,我们表明氟西汀和丙咪嗪在5HT再摄取转运体(SERT)和5HT受体上的作用是可分离的机制。即使是完全缺乏5HT或SERT的突变体也能对氟西汀和丙咪嗪产生部分反应。此外,可以识别出每种药物介导这些反应的不同机制。5HT1受体SER-1的缺失消除了对5HT的反应,但对丙咪嗪的反应影响较小,对氟西汀的反应无影响。相比之下,5HT2受体SER-4的缺失赋予了对丙咪嗪的显著抗性,而对5HT或氟西汀的反应保持不变。此外,氟西汀可通过Gq蛋白EGL-30刺激产卵,独立于SER-1、SER-4或5HT。我们还表明,多巴胺通过5HT门控离子通道MOD-1信号拮抗5HT作用,表明该通道活性耦合了5HT和多巴胺信号。这些结果表明,这些药物在特定受体亚型上的作用可能决定其治疗效果。SSRI和三环类抗抑郁药可能独立于5HT的突触水平调节5HT输出。