5-HT1A receptor: Difference between revisions

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=== Neuromodulation ===
=== Neuromodulation ===


5-HT<sub>1A</sub> [[Receptor (biochemistry)|receptor]] [[agonist]]s are involved in [[Neuromodulation (medicine)|neuromodulation]]. They decrease [[blood pressure]] and [[heart rate]] via a central mechanism, by inducing [[peripheral]] [[vasodilation]], and by stimulating the [[vagus nerve]].<ref name="pmid1819150">{{cite journal | vauthors = Dabiré H | title = Central 5-hydroxytryptamine (5-HT) receptors in blood pressure regulation | journal = Therapie | volume = 46 | issue = 6 | pages = 421–9 | year = 1991 | pmid = 1819150 }}</ref> These effects are the result of activation of 5-HT<sub>1A</sub> receptors within the [[rostral ventrolateral medulla]].<ref name="pmid1819150"/> The [[sympatholytic]] [[antihypertensive]] [[drug]] [[urapidil]] is an [[α1-adrenergic receptor|α<sub>1</sub>-adrenergic receptor]] [[receptor antagonist|antagonist]] and 5-HT<sub>1A</sub> receptor agonist, and it has been demonstrated that the latter property contributes to its overall therapeutic effects.<ref name="pmid1855130">{{cite journal | vauthors = Ramage AG | title = The mechanism of the sympathoinhibitory action of urapidil: role of 5-HT1A receptors | journal = Br. J. Pharmacol. | volume = 102 | issue = 4 | pages = 998–1002  | date = April 1991 | pmid = 1855130 | pmc = 1917978 | doi = 10.1111/j.1476-5381.1991.tb12290.x }}</ref><ref name="pmid2569265">{{cite journal | vauthors = Kolassa N, Beller KD, Sanders KH | title = Involvement of brain 5-HT1A receptors in the hypotensive response to urapidil | journal = Am. J. Cardiol. | volume = 64 | issue = 7 | pages = 7D-10D | year = 1989 | pmid = 2569265 | doi = 10.1016/0002-9149(89)90688-7 }}</ref> Vasodilation of the [[blood vessel]]s in the [[skin]] via central 5-HT<sub>1A</sub> activation increases [[heat]] [[heat transfer|dissipation]] from the organism out into the environment, causing a decrease in [[body temperature]].<ref name="pmid16455061">{{cite journal | vauthors = Ootsuka Y, Blessing WW | title = Activation of 5-HT1A receptors in rostral medullary raphé inhibits cutaneous vasoconstriction elicited by cold exposure in rabbits | journal = Brain Res. | volume = 1073-1074 | pages = 252–61 | year = 2006 | pmid = 16455061 | doi = 10.1016/j.brainres.2005.12.031 }}</ref><ref name="pmid17702902">{{cite journal | vauthors = Rusyniak DE, Zaretskaia MV, Zaretsky DV, DiMicco JA | title = 3,4-Methylenedioxymethamphetamine- and 8-hydroxy-2-di-n-propylamino-tetralin-induced hypothermia: role and location of 5-hydroxytryptamine 1A receptors | journal = J. Pharmacol. Exp. Ther. | volume = 323 | issue = 2 | pages = 477–87 | year = 2007 | pmid = 17702902 | doi = 10.1124/jpet.107.126169 }}</ref>
5-HT<sub>1A</sub> [[Receptor (biochemistry)|receptor]] [[agonist]]s are involved in [[Neuromodulation (medicine)|neuromodulation]]. They decrease [[blood pressure]] and [[heart rate]] via a central mechanism, by inducing [[peripheral]] [[vasodilation]], and by stimulating the [[vagus nerve]].<ref name="pmid1819150">{{cite journal | vauthors = Dabiré H | title = Central 5-hydroxytryptamine (5-HT) receptors in blood pressure regulation | journal = Thérapie | volume = 46 | issue = 6 | pages = 421–9 | year = 1991 | pmid = 1819150 }}</ref> These effects are the result of activation of 5-HT<sub>1A</sub> receptors within the [[rostral ventrolateral medulla]].<ref name="pmid1819150"/> The [[sympatholytic]] [[antihypertensive]] [[drug]] [[urapidil]] is an [[α1-adrenergic receptor|α<sub>1</sub>-adrenergic receptor]] [[receptor antagonist|antagonist]] and 5-HT<sub>1A</sub> receptor agonist, and it has been demonstrated that the latter property contributes to its overall therapeutic effects.<ref name="pmid1855130">{{cite journal | vauthors = Ramage AG | title = The mechanism of the sympathoinhibitory action of urapidil: role of 5-HT1A receptors | journal = Br. J. Pharmacol. | volume = 102 | issue = 4 | pages = 998–1002  | date = April 1991 | pmid = 1855130 | pmc = 1917978 | doi = 10.1111/j.1476-5381.1991.tb12290.x }}</ref><ref name="pmid2569265">{{cite journal | vauthors = Kolassa N, Beller KD, Sanders KH | title = Involvement of brain 5-HT1A receptors in the hypotensive response to urapidil | journal = Am. J. Cardiol. | volume = 64 | issue = 7 | pages = 7D-10D | year = 1989 | pmid = 2569265 | doi = 10.1016/0002-9149(89)90688-7 }}</ref> Vasodilation of the [[blood vessel]]s in the [[skin]] via central 5-HT<sub>1A</sub> activation increases [[heat]] [[heat transfer|dissipation]] from the organism out into the environment, causing a decrease in [[body temperature]].<ref name="pmid16455061">{{cite journal | vauthors = Ootsuka Y, Blessing WW | title = Activation of 5-HT1A receptors in rostral medullary raphé inhibits cutaneous vasoconstriction elicited by cold exposure in rabbits | journal = Brain Res. | volume = 1073–1074 | pages = 252–61 | year = 2006 | pmid = 16455061 | doi = 10.1016/j.brainres.2005.12.031 }}</ref><ref name="pmid17702902">{{cite journal | vauthors = Rusyniak DE, Zaretskaia MV, Zaretsky DV, DiMicco JA | title = 3,4-Methylenedioxymethamphetamine- and 8-hydroxy-2-di-n-propylamino-tetralin-induced hypothermia: role and location of 5-hydroxytryptamine 1A receptors | journal = J. Pharmacol. Exp. Ther. | volume = 323 | issue = 2 | pages = 477–87 | year = 2007 | pmid = 17702902 | doi = 10.1124/jpet.107.126169 }}</ref>


Activation of central 5-HT<sub>1A</sub> receptors triggers the release or inhibition of [[norepinephrine]] depending on species, presumably from the [[locus coeruleus]], which then reduces or increases neuronal tone to the [[iris sphincter muscle]] by modulation of [[postsynaptic]] [[α2-adrenergic receptor|α<sub>2</sub>-adrenergic receptors]] within the [[Edinger-Westphal nucleus]], resulting in [[mydriasis|pupil dilation]] in [[rodent]]s, and [[miosis|pupil constriction]] in [[primate]]s including [[human]]s.<ref name="pmid15087245">{{cite journal | vauthors = Yu Y, Ramage AG, Koss MC | title = Pharmacological studies of 8-OH-DPAT-induced pupillary dilation in anesthetized rats | journal = Eur. J. Pharmacol. | volume = 489 | issue = 3 | pages = 207–13 | year = 2004 | pmid = 15087245 | doi = 10.1016/j.ejphar.2004.03.007 }}</ref><ref name="pmid8982715">{{cite journal | vauthors = Prow MR, Martin KF, Heal DJ | title = 8-OH-DPAT-induced mydriasis in mice: a pharmacological characterisation | journal = Eur. J. Pharmacol. | volume = 317 | issue = 1 | pages = 21–8 | year = 1996 | pmid = 8982715 | doi = 10.1016/S0014-2999(96)00693-0 }}</ref><ref name="pmid7697953">{{cite journal | vauthors = Fanciullacci M, Sicuteri R, Alessandri M, Geppetti P | title = Buspirone, but not sumatriptan, induces miosis in humans: relevance for a serotoninergic pupil control | journal = Clin. Pharmacol. Ther. | volume = 57 | issue = 3 | pages = 349–55  | date = March 1995 | pmid = 7697953 | doi = 10.1016/0009-9236(95)90161-2 }}</ref>
Activation of central 5-HT<sub>1A</sub> receptors triggers the release or inhibition of [[norepinephrine]] depending on species, presumably from the [[locus coeruleus]], which then reduces or increases neuronal tone to the [[iris sphincter muscle]] by modulation of [[postsynaptic]] [[α2-adrenergic receptor|α<sub>2</sub>-adrenergic receptors]] within the [[Edinger-Westphal nucleus]], resulting in [[mydriasis|pupil dilation]] in [[rodent]]s, and [[miosis|pupil constriction]] in [[primate]]s including [[human]]s.<ref name="pmid15087245">{{cite journal | vauthors = Yu Y, Ramage AG, Koss MC | title = Pharmacological studies of 8-OH-DPAT-induced pupillary dilation in anesthetized rats | journal = Eur. J. Pharmacol. | volume = 489 | issue = 3 | pages = 207–13 | year = 2004 | pmid = 15087245 | doi = 10.1016/j.ejphar.2004.03.007 }}</ref><ref name="pmid8982715">{{cite journal | vauthors = Prow MR, Martin KF, Heal DJ | title = 8-OH-DPAT-induced mydriasis in mice: a pharmacological characterisation | journal = Eur. J. Pharmacol. | volume = 317 | issue = 1 | pages = 21–8 | year = 1996 | pmid = 8982715 | doi = 10.1016/S0014-2999(96)00693-0 }}</ref><ref name="pmid7697953">{{cite journal | vauthors = Fanciullacci M, Sicuteri R, Alessandri M, Geppetti P | title = Buspirone, but not sumatriptan, induces miosis in humans: relevance for a serotoninergic pupil control | journal = Clin. Pharmacol. Ther. | volume = 57 | issue = 3 | pages = 349–55  | date = March 1995 | pmid = 7697953 | doi = 10.1016/0009-9236(95)90161-2 }}</ref>
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5-HT<sub>1A</sub> autoreceptor desensitization and increased 5-HT<sub>1A</sub> receptor postsynaptic activation via general increases in serotonin levels by serotonin [[Precursor (chemistry)|precursor]] [[Dietary supplement|supplementation]], [[serotonin reuptake inhibitor|serotonin reuptake inhibition]], or [[monoamine oxidase]] [[enzyme inhibition|inhibition]] has been shown to be a major mediator in the therapeutic benefits of most mainstream [[antidepressant]] [[Dietary supplement|supplements]] and [[pharmaceutical]]s, including serotonin precursors like [[L-tryptophan]] and [[5-hydroxytryptophan|5-HTP]], [[selective serotonin reuptake inhibitor]]s (SSRIs), [[serotonin-norepinephrine reuptake inhibitor]]s (SNRIs), [[tricyclic antidepressant]]s (TCAs), [[tetracyclic antidepressant]]s (TeCAs), and [[monoamine oxidase inhibitor]]s (MAOIs).<ref name="pmid11212592">{{cite journal | vauthors = Blier P, Abbott FV | title = Putative mechanisms of action of antidepressant drugs in affective and anxiety disorders and pain | journal = J Psychiatry Neurosci | volume = 26 | issue = 1 | pages = 37–43  | date = January 2001 | pmid = 11212592 | pmc = 1408043 | url = http://www.cma.ca/multimedia/staticContent/HTML/N0/l2/jpn/vol-26/issue-1/pdf/pg37.pdf }}</ref> 5-HT<sub>1A</sub> receptor activation likely plays a significant role in the positive effects of serotonin [[releasing agent]]s (SRAs) like [[MDMA]] ("[[Ecstasy (drug)|Ecstasy]]") as well.<ref name="pmid15908091">{{cite journal | vauthors = Morley KC, Arnold JC, McGregor IS | title = Serotonin (1A) receptor involvement in acute 3,4-methylenedioxymethamphetamine (MDMA) facilitation of social interaction in the rat | journal = Prog. Neuropsychopharmacol. Biol. Psychiatry | volume = 29 | issue = 5 | pages = 648–57  | date = June 2005 | pmid = 15908091 | doi = 10.1016/j.pnpbp.2005.04.009 }}</ref><ref name="pmid17383105">{{cite journal | vauthors = Thompson MR, Callaghan PD, Hunt GE, Cornish JL, McGregor IS | title = A role for oxytocin and 5-HT(1A) receptors in the prosocial effects of 3,4 methylenedioxymethamphetamine ("ecstasy") | journal = Neuroscience | volume = 146 | issue = 2 | pages = 509–14  | date = May 2007 | pmid = 17383105 | doi = 10.1016/j.neuroscience.2007.02.032 }}</ref>
5-HT<sub>1A</sub> autoreceptor desensitization and increased 5-HT<sub>1A</sub> receptor postsynaptic activation via general increases in serotonin levels by serotonin [[Precursor (chemistry)|precursor]] [[Dietary supplement|supplementation]], [[serotonin reuptake inhibitor|serotonin reuptake inhibition]], or [[monoamine oxidase]] [[enzyme inhibition|inhibition]] has been shown to be a major mediator in the therapeutic benefits of most mainstream [[antidepressant]] [[Dietary supplement|supplements]] and [[pharmaceutical]]s, including serotonin precursors like [[L-tryptophan]] and [[5-hydroxytryptophan|5-HTP]], [[selective serotonin reuptake inhibitor]]s (SSRIs), [[serotonin-norepinephrine reuptake inhibitor]]s (SNRIs), [[tricyclic antidepressant]]s (TCAs), [[tetracyclic antidepressant]]s (TeCAs), and [[monoamine oxidase inhibitor]]s (MAOIs).<ref name="pmid11212592">{{cite journal | vauthors = Blier P, Abbott FV | title = Putative mechanisms of action of antidepressant drugs in affective and anxiety disorders and pain | journal = J Psychiatry Neurosci | volume = 26 | issue = 1 | pages = 37–43  | date = January 2001 | pmid = 11212592 | pmc = 1408043 | url = http://www.cma.ca/multimedia/staticContent/HTML/N0/l2/jpn/vol-26/issue-1/pdf/pg37.pdf }}</ref> 5-HT<sub>1A</sub> receptor activation likely plays a significant role in the positive effects of serotonin [[releasing agent]]s (SRAs) like [[MDMA]] ("[[Ecstasy (drug)|Ecstasy]]") as well.<ref name="pmid15908091">{{cite journal | vauthors = Morley KC, Arnold JC, McGregor IS | title = Serotonin (1A) receptor involvement in acute 3,4-methylenedioxymethamphetamine (MDMA) facilitation of social interaction in the rat | journal = Prog. Neuropsychopharmacol. Biol. Psychiatry | volume = 29 | issue = 5 | pages = 648–57  | date = June 2005 | pmid = 15908091 | doi = 10.1016/j.pnpbp.2005.04.009 }}</ref><ref name="pmid17383105">{{cite journal | vauthors = Thompson MR, Callaghan PD, Hunt GE, Cornish JL, McGregor IS | title = A role for oxytocin and 5-HT(1A) receptors in the prosocial effects of 3,4 methylenedioxymethamphetamine ("ecstasy") | journal = Neuroscience | volume = 146 | issue = 2 | pages = 509–14  | date = May 2007 | pmid = 17383105 | doi = 10.1016/j.neuroscience.2007.02.032 }}</ref>


5-HT<sub>1A</sub> receptors in the [[dorsal raphe nucleus]] are co-localized with [[Tachykinin receptor 1|neurokinin 1]] (NK<sub>1</sub>) receptors and have been shown to inhibit the release of [[substance P]], their [[endogenous]] [[ligand]].<ref name="pmid16950604">{{cite journal | vauthors = Gobbi G, Cassano T, Radja F, Morgese MG, Cuomo V, Santarelli L, Hen R, Blier P | title = Neurokinin 1 receptor antagonism requires norepinephrine to increase serotonin function | journal = Eur Neuropsychopharmacol | volume = 17 | issue = 5 | pages = 328–38  | date = April 2007 | pmid = 16950604 | doi = 10.1016/j.euroneuro.2006.07.004 }}</ref><ref>{{cite journal | vauthors = Baker KG, Halliday GM, Hornung JP, Geffen LB, Cotton RG, Törk I | title = Distribution, morphology and number of monoamine-synthesizing and substance P-containing neurons in the human dorsal raphe nucleus | journal = Neuroscience | volume = 42 | issue = 3 | pages = 757–75 | year = 1991 | pmid = 1720227 | doi = 10.1016/0306-4522(91)90043-N | url = http://linkinghub.elsevier.com/retrieve/pii/0306-4522(91)90043-N }}</ref> In addition to being [[antidepressant]] and [[anxiolytic]] in effect, 5-HT<sub>1A</sub> receptor activation has also been demonstrated to be [[antiemetic]]<ref name="pmid8013549">{{cite journal | vauthors = Lucot JB | title = Antiemetic effects of flesinoxan in cats: comparisons with 8-hydroxy-2-(di-n-propylamino)tetralin | journal = Eur. J. Pharmacol. | volume = 253 | issue = 1-2 | pages = 53–60  | date = February 1994 | pmid = 8013549 | doi = 10.1016/0014-2999(94)90756-0 }}</ref><ref name="pmid12401641">{{cite journal | vauthors = Oshima T, Kasuya Y, Okumura Y, Terazawa E, Dohi S | title = Prevention of nausea and vomiting with tandospirone in adults after tympanoplasty | journal = Anesth. Analg. | volume = 95 | issue = 5 | pages = 1442–5, table of contents  | date = November 2002 | pmid = 12401641 | doi = 10.1097/00000539-200211000-00063 | url = http://www.anesthesia-analgesia.org/cgi/pmidlookup?view=long&pmid=12401641 }}</ref> and [[analgesic]],<ref name="pmid12595749">{{cite journal | vauthors = Bardin L, Tarayre JP, Malfetes N, Koek W, Colpaert FC | title = Profound, non-opioid analgesia produced by the high-efficacy 5-HT(1A) agonist F 13640 in the formalin model of tonic nociceptive pain | journal = Pharmacology | volume = 67 | issue = 4 | pages = 182–94  | date = April 2003 | pmid = 12595749 | doi = 10.1159/000068404 }}</ref><ref name="pmid16425670">{{cite journal | vauthors = Colpaert FC | title = 5-HT(1A) receptor activation: new molecular and neuroadaptive mechanisms of pain relief | journal = Curr Opin Investig Drugs | volume = 7 | issue = 1 | pages = 40–7  | date = January 2006 | pmid = 16425670 }}</ref> and all of these properties may be mediated in part or full, depending on the property in question, by NK<sub>1</sub> receptor inhibition. Consequently, novel [[NK1 receptor antagonist|NK<sub>1</sub> receptor antagonists]] are now in use for the treatment of [[nausea]] and [[emesis]], and are also being investigated for the treatment of [[anxiety]] and [[Depression (mood)|depression]].<ref name="pmid15173897">{{cite journal | vauthors = Blier P, Gobbi G, Haddjeri N, Santarelli L, Mathew G, Hen R | title = Impact of substance P receptor antagonism on the serotonin and norepinephrine systems: relevance to the antidepressant/anxiolytic response | journal = J Psychiatry Neurosci | volume = 29 | issue = 3 | pages = 208–18 | year = 2004 | pmid = 15173897 | pmc = 400690 }}</ref>
5-HT<sub>1A</sub> receptors in the [[dorsal raphe nucleus]] are co-localized with [[Tachykinin receptor 1|neurokinin 1]] (NK<sub>1</sub>) receptors and have been shown to inhibit the release of [[substance P]], their [[endogenous]] [[ligand]].<ref name="pmid16950604">{{cite journal | vauthors = Gobbi G, Cassano T, Radja F, Morgese MG, Cuomo V, Santarelli L, Hen R, Blier P | title = Neurokinin 1 receptor antagonism requires norepinephrine to increase serotonin function | journal = Eur Neuropsychopharmacol | volume = 17 | issue = 5 | pages = 328–38  | date = April 2007 | pmid = 16950604 | doi = 10.1016/j.euroneuro.2006.07.004 }}</ref><ref>{{cite journal | vauthors = Baker KG, Halliday GM, Hornung JP, Geffen LB, Cotton RG, Törk I | title = Distribution, morphology and number of monoamine-synthesizing and substance P-containing neurons in the human dorsal raphe nucleus | journal = Neuroscience | volume = 42 | issue = 3 | pages = 757–75 | year = 1991 | pmid = 1720227 | doi = 10.1016/0306-4522(91)90043-N | url = http://linkinghub.elsevier.com/retrieve/pii/0306-4522(91)90043-N }}</ref> In addition to being [[antidepressant]] and [[anxiolytic]] in effect, 5-HT<sub>1A</sub> receptor activation has also been demonstrated to be [[antiemetic]]<ref name="pmid8013549">{{cite journal | vauthors = Lucot JB | title = Antiemetic effects of flesinoxan in cats: comparisons with 8-hydroxy-2-(di-n-propylamino)tetralin | journal = Eur. J. Pharmacol. | volume = 253 | issue = 1–2 | pages = 53–60  | date = February 1994 | pmid = 8013549 | doi = 10.1016/0014-2999(94)90756-0 }}</ref><ref name="pmid12401641">{{cite journal | vauthors = Oshima T, Kasuya Y, Okumura Y, Terazawa E, Dohi S | title = Prevention of nausea and vomiting with tandospirone in adults after tympanoplasty | journal = Anesth. Analg. | volume = 95 | issue = 5 | pages = 1442–5, table of contents  | date = November 2002 | pmid = 12401641 | doi = 10.1097/00000539-200211000-00063 | url = http://www.anesthesia-analgesia.org/cgi/pmidlookup?view=long&pmid=12401641 }}</ref> and [[analgesic]],<ref name="pmid12595749">{{cite journal | vauthors = Bardin L, Tarayre JP, Malfetes N, Koek W, Colpaert FC | title = Profound, non-opioid analgesia produced by the high-efficacy 5-HT(1A) agonist F 13640 in the formalin model of tonic nociceptive pain | journal = Pharmacology | volume = 67 | issue = 4 | pages = 182–94  | date = April 2003 | pmid = 12595749 | doi = 10.1159/000068404 }}</ref><ref name="pmid16425670">{{cite journal | vauthors = Colpaert FC | title = 5-HT(1A) receptor activation: new molecular and neuroadaptive mechanisms of pain relief | journal = Curr Opin Investig Drugs | volume = 7 | issue = 1 | pages = 40–7  | date = January 2006 | pmid = 16425670 }}</ref> and all of these properties may be mediated in part or full, depending on the property in question, by NK<sub>1</sub> receptor inhibition. Consequently, novel [[NK1 receptor antagonist|NK<sub>1</sub> receptor antagonists]] are now in use for the treatment of [[nausea]] and [[emesis]], and are also being investigated for the treatment of [[anxiety]] and [[Depression (mood)|depression]].<ref name="pmid15173897">{{cite journal | vauthors = Blier P, Gobbi G, Haddjeri N, Santarelli L, Mathew G, Hen R | title = Impact of substance P receptor antagonism on the serotonin and norepinephrine systems: relevance to the antidepressant/anxiolytic response | journal = J Psychiatry Neurosci | volume = 29 | issue = 3 | pages = 208–18 | year = 2004 | pmid = 15173897 | pmc = 400690 }}</ref>


5-HT<sub>1A</sub> receptor activation has been shown to increase [[dopamine]] release in the [[medial prefrontal cortex]], [[striatum]], and [[hippocampus]], and may be useful for improving the symptoms of [[schizophrenia]] and [[Parkinson's disease]].<ref name="pmid15189766">{{cite journal | vauthors = Li Z, Ichikawa J, Dai J, Meltzer HY | title = Aripiprazole, a novel antipsychotic drug, preferentially increases dopamine release in the prefrontal cortex and hippocampus in rat brain | journal = Eur. J. Pharmacol. | volume = 493 | issue = 1-3 | pages = 75–83 | year = 2004 | pmid = 15189766 | doi = 10.1016/j.ejphar.2004.04.028 }}</ref><ref name="pmid15906386">{{cite journal | vauthors = Bantick RA, De Vries MH, Grasby PM | title = The effect of a 5-HT1A receptor agonist on striatal dopamine release | journal = Synapse | volume = 57 | issue = 2 | pages = 67–75 | year = 2005 | pmid = 15906386 | doi = 10.1002/syn.20156 }}</ref> As mentioned above, some of the atypical antipsychotics are 5-HT<sub>1A</sub> receptor partial agonists, and this property has been shown to enhance their clinical efficacy.<ref name="pmid15189766"/><ref name="pmid10924666">{{cite journal | vauthors = Rollema H, Lu Y, Schmidt AW, Sprouse JS, Zorn SH | title = 5-HT(1A) receptor activation contributes to ziprasidone-induced dopamine release in the rat prefrontal cortex | journal = Biol. Psychiatry | volume = 48 | issue = 3 | pages = 229–37 | year = 2000 | pmid = 10924666 | doi = 10.1016/S0006-3223(00)00850-7 }}</ref><ref name="pmid9456005">{{cite journal | vauthors = Rollema H, Lu Y, Schmidt AW, Zorn SH | title = Clozapine increases dopamine release in prefrontal cortex by 5-HT1A receptor activation | journal = Eur. J. Pharmacol. | volume = 338 | issue = 2 | pages = R3-5 | year = 1997 | pmid = 9456005 | doi = 10.1016/S0014-2999(97)81951-6 }}</ref> Enhancement of dopamine release in these areas may also play a major role in the antidepressant and anxiolytic effects seen upon postsynaptic activation of the 5-HT<sub>1A</sub> receptor.<ref name="pmid11792466">{{cite journal | vauthors = Yoshino T, Nisijima K, Katoh S, Yui K, Nakamura M | title = Tandospirone potentiates the fluoxetine-induced increases in extracellular dopamine via 5-HT(1A) receptors in the rat medial frontal cortex | journal = Neurochem. Int. | volume = 40 | issue = 4 | pages = 355–60  | date = April 2002 | pmid = 11792466 | doi = 10.1016/S0197-0186(01)00079-1 | url = http://linkinghub.elsevier.com/retrieve/pii/S0197018601000791 }}</ref><ref name="pmid1681449">{{cite journal | vauthors = Chojnacka-Wójcik E, Tatarczyńska E, Gołembiowska K, Przegaliński E | title = Involvement of 5-HT1A receptors in the antidepressant-like activity of gepirone in the forced swimming test in rats | journal = Neuropharmacology | volume = 30 | issue = 7 | pages = 711–7  | date = July 1991 | pmid = 1681449 | doi = 10.1016/0028-3908(91)90178-E }}</ref>
5-HT<sub>1A</sub> receptor activation has been shown to increase [[dopamine]] release in the [[medial prefrontal cortex]], [[striatum]], and [[hippocampus]], and may be useful for improving the symptoms of [[schizophrenia]] and [[Parkinson's disease]].<ref name="pmid15189766">{{cite journal | vauthors = Li Z, Ichikawa J, Dai J, Meltzer HY | title = Aripiprazole, a novel antipsychotic drug, preferentially increases dopamine release in the prefrontal cortex and hippocampus in rat brain | journal = Eur. J. Pharmacol. | volume = 493 | issue = 1–3 | pages = 75–83 | year = 2004 | pmid = 15189766 | doi = 10.1016/j.ejphar.2004.04.028 }}</ref><ref name="pmid15906386">{{cite journal | vauthors = Bantick RA, De Vries MH, Grasby PM | title = The effect of a 5-HT1A receptor agonist on striatal dopamine release | journal = Synapse | volume = 57 | issue = 2 | pages = 67–75 | year = 2005 | pmid = 15906386 | doi = 10.1002/syn.20156 }}</ref> As mentioned above, some of the atypical antipsychotics are 5-HT<sub>1A</sub> receptor partial agonists, and this property has been shown to enhance their clinical efficacy.<ref name="pmid15189766"/><ref name="pmid10924666">{{cite journal | vauthors = Rollema H, Lu Y, Schmidt AW, Sprouse JS, Zorn SH | title = 5-HT(1A) receptor activation contributes to ziprasidone-induced dopamine release in the rat prefrontal cortex | journal = Biol. Psychiatry | volume = 48 | issue = 3 | pages = 229–37 | year = 2000 | pmid = 10924666 | doi = 10.1016/S0006-3223(00)00850-7 }}</ref><ref name="pmid9456005">{{cite journal | vauthors = Rollema H, Lu Y, Schmidt AW, Zorn SH | title = Clozapine increases dopamine release in prefrontal cortex by 5-HT1A receptor activation | journal = Eur. J. Pharmacol. | volume = 338 | issue = 2 | pages = R3-5 | year = 1997 | pmid = 9456005 | doi = 10.1016/S0014-2999(97)81951-6 }}</ref> Enhancement of dopamine release in these areas may also play a major role in the antidepressant and anxiolytic effects seen upon postsynaptic activation of the 5-HT<sub>1A</sub> receptor.<ref name="pmid11792466">{{cite journal | vauthors = Yoshino T, Nisijima K, Katoh S, Yui K, Nakamura M | title = Tandospirone potentiates the fluoxetine-induced increases in extracellular dopamine via 5-HT(1A) receptors in the rat medial frontal cortex | journal = Neurochem. Int. | volume = 40 | issue = 4 | pages = 355–60  | date = April 2002 | pmid = 11792466 | doi = 10.1016/S0197-0186(01)00079-1 | url = http://linkinghub.elsevier.com/retrieve/pii/S0197018601000791 }}</ref><ref name="pmid1681449">{{cite journal | vauthors = Chojnacka-Wójcik E, Tatarczyńska E, Gołembiowska K, Przegaliński E | title = Involvement of 5-HT1A receptors in the antidepressant-like activity of gepirone in the forced swimming test in rats | journal = Neuropharmacology | volume = 30 | issue = 7 | pages = 711–7  | date = July 1991 | pmid = 1681449 | doi = 10.1016/0028-3908(91)90178-E }}</ref>


Activation of 5-HT<sub>1A</sub> receptors has been demonstrated to impair certain aspects of [[memory]] (affecting declarative and non-declarative memory functions) and [[learning]] (due to interference with memory-encoding mechanisms), by inhibiting the release of [[glutamate]] and [[acetylcholine]] in various areas of the [[brain]].<ref name="pmid18394726">{{cite journal | vauthors = Ogren SO, Eriksson TM, Elvander-Tottie E, D'Addario C, Ekström JC, Svenningsson P, Meister B, Kehr J, Stiedl O | title = The role of 5-HT(1A) receptors in learning and memory | journal = Behav. Brain Res. | volume = 195 | issue = 1 | pages = 54–77 | year = 2008 | pmid = 18394726 | doi = 10.1016/j.bbr.2008.02.023 }}</ref> 5-HT<sub>1A</sub> activation are known to improve cognitive functions associated with the prefrontal cortex, possibly via inducing prefrontal cortex dopamine and acetylcholine release.<ref>{{cite journal | vauthors = Meltzer HY, Sumiyoshi T | title = Does stimulation of 5-HT(1A) receptors improve cognition in schizophrenia? | journal = Behav. Brain Res. | volume = 195 | issue = 1 | pages = 98–102  | date = December 2008 | pmid = 18707769 | doi = 10.1016/j.bbr.2008.05.016 }}</ref> Conversely, 5-HT<sub>1A</sub> receptor [[antagonist]]s such as [[lecozotan]] have been shown to facilitate certain types of learning and memory in rodents, and as a result, are being developed as novel treatments for [[Alzheimer's disease]].<ref>{{cite journal | vauthors = Spreitzer H | date = August 13, 2008 | title = Neue Wirkstoffe - Lecozotan | journal = Österreichische Apothekerzeitung | issue = 17/2007 | pages = 805 | language = German }}</ref>
Activation of 5-HT<sub>1A</sub> receptors has been demonstrated to impair certain aspects of [[memory]] (affecting declarative and non-declarative memory functions) and [[learning]] (due to interference with memory-encoding mechanisms), by inhibiting the release of [[glutamate]] and [[acetylcholine]] in various areas of the [[brain]].<ref name="pmid18394726">{{cite journal | vauthors = Ogren SO, Eriksson TM, Elvander-Tottie E, D'Addario C, Ekström JC, Svenningsson P, Meister B, Kehr J, Stiedl O | title = The role of 5-HT(1A) receptors in learning and memory | journal = Behav. Brain Res. | volume = 195 | issue = 1 | pages = 54–77 | year = 2008 | pmid = 18394726 | doi = 10.1016/j.bbr.2008.02.023 }}</ref> 5-HT<sub>1A</sub> activation are known to improve cognitive functions associated with the prefrontal cortex, possibly via inducing prefrontal cortex dopamine and acetylcholine release.<ref>{{cite journal | vauthors = Meltzer HY, Sumiyoshi T | title = Does stimulation of 5-HT(1A) receptors improve cognition in schizophrenia? | journal = Behav. Brain Res. | volume = 195 | issue = 1 | pages = 98–102  | date = December 2008 | pmid = 18707769 | doi = 10.1016/j.bbr.2008.05.016 }}</ref> Conversely, 5-HT<sub>1A</sub> receptor [[antagonist]]s such as [[lecozotan]] have been shown to facilitate certain types of learning and memory in rodents, and as a result, are being developed as novel treatments for [[Alzheimer's disease]].<ref>{{cite journal | vauthors = Spreitzer H | date = August 13, 2008 | title = Neue Wirkstoffe - Lecozotan | journal = Österreichische Apothekerzeitung | issue = 17/2007 | pages = 805 | language = German }}</ref>


Other effects of 5-HT<sub>1A</sub> activation that have been observed in scientific research include:
Other effects of 5-HT<sub>1A</sub> activation that have been observed in scientific research include:
* Decreased [[aggression]]<ref name="pmid16310183">{{cite journal | vauthors = de Boer SF, Koolhaas JM | title = 5-HT1A and 5-HT1B receptor agonists and aggression: a pharmacological challenge of the serotonin deficiency hypothesis | journal = Eur. J. Pharmacol. | volume = 526 | issue = 1-3 | pages = 125–39 | year = 2005 | pmid = 16310183 | doi = 10.1016/j.ejphar.2005.09.065 }}</ref><ref name="pmid2091890">{{cite journal | vauthors = Olivier B, Mos J, Rasmussen D | title = Behavioural pharmacology of the serenic, eltoprazine | journal = Drug Metabol Drug Interact | volume = 8 | issue = 1-2 | pages = 31–83 | year = 1990 | pmid = 2091890 | doi = 10.1515/DMDI.1990.8.1-2.31 }}</ref>
* Decreased [[aggression]]<ref name="pmid16310183">{{cite journal | vauthors = de Boer SF, Koolhaas JM | title = 5-HT1A and 5-HT1B receptor agonists and aggression: a pharmacological challenge of the serotonin deficiency hypothesis | journal = Eur. J. Pharmacol. | volume = 526 | issue = 1–3 | pages = 125–39 | year = 2005 | pmid = 16310183 | doi = 10.1016/j.ejphar.2005.09.065 }}</ref><ref name="pmid2091890">{{cite journal | vauthors = Olivier B, Mos J, Rasmussen D | title = Behavioural pharmacology of the serenic, eltoprazine | journal = Drug Metabol Drug Interact | volume = 8 | issue = 1–2 | pages = 31–83 | year = 1990 | pmid = 2091890 | doi = 10.1515/DMDI.1990.8.1-2.31 }}</ref>
* Increased [[social relation|sociability]]<ref name="pmid17383105"/>
* Increased [[social relation|sociability]]<ref name="pmid17383105"/>
* Decreased [[impulsivity]]<ref name="pmid15688093">{{cite journal | vauthors = Winstanley CA, Theobald DE, Dalley JW, Robbins TW | title = Interactions between serotonin and dopamine in the control of impulsive choice in rats: therapeutic implications for impulse control disorders | journal = Neuropsychopharmacology | volume = 30 | issue = 4 | pages = 669–82 | year = 2005 | pmid = 15688093 | doi = 10.1038/sj.npp.1300610 }}</ref>
* Decreased [[impulsivity]]<ref name="pmid15688093">{{cite journal | vauthors = Winstanley CA, Theobald DE, Dalley JW, Robbins TW | title = Interactions between serotonin and dopamine in the control of impulsive choice in rats: therapeutic implications for impulse control disorders | journal = Neuropsychopharmacology | volume = 30 | issue = 4 | pages = 669–82 | year = 2005 | pmid = 15688093 | doi = 10.1038/sj.npp.1300610 }}</ref>
* Inhibition of [[Behavioral addiction|drug-seeking behavior]]<ref name="pmid7862892">{{cite journal | vauthors = Tomkins DM, Higgins GA, Sellers EM | title = Low doses of the 5-HT1A agonist 8-hydroxy-2-(di-n-propylamino)-tetralin (8-OH DPAT) increase ethanol intake | journal = Psychopharmacology | volume = 115 | issue = 1-2 | pages = 173–9 | year = 1994 | pmid = 7862892 | doi = 10.1007/BF02244769 }}</ref><ref name="pmid17316955">{{cite journal | vauthors = Müller CP, Carey RJ, Huston JP, De Souza Silva MA | title = Serotonin and psychostimulant addiction: focus on 5-HT1A-receptors | journal = Prog. Neurobiol. | volume = 81 | issue = 3 | pages = 133–78 | year = 2007 | pmid = 17316955 | doi = 10.1016/j.pneurobio.2007.01.001 }}</ref><ref name="pmid15713268">{{cite journal | vauthors = Carey RJ, DePalma G, Damianopoulos E, Shanahan A, Müller CP, Huston JP | title = Evidence that the 5-HT1A autoreceptor is an important pharmacological target for the modulation of cocaine behavioral stimulant effects | journal = Brain Res. | volume = 1034 | issue = 1-2 | pages = 162–71 | year = 2005 | pmid = 15713268 | doi = 10.1016/j.brainres.2004.12.012 }}</ref>
* Inhibition of [[Behavioral addiction|drug-seeking behavior]]<ref name="pmid7862892">{{cite journal | vauthors = Tomkins DM, Higgins GA, Sellers EM | title = Low doses of the 5-HT1A agonist 8-hydroxy-2-(di-n-propylamino)-tetralin (8-OH DPAT) increase ethanol intake | journal = Psychopharmacology | volume = 115 | issue = 1–2 | pages = 173–9 | year = 1994 | pmid = 7862892 | doi = 10.1007/BF02244769 }}</ref><ref name="pmid17316955">{{cite journal | vauthors = Müller CP, Carey RJ, Huston JP, De Souza Silva MA | title = Serotonin and psychostimulant addiction: focus on 5-HT1A-receptors | journal = Prog. Neurobiol. | volume = 81 | issue = 3 | pages = 133–78 | year = 2007 | pmid = 17316955 | doi = 10.1016/j.pneurobio.2007.01.001 }}</ref><ref name="pmid15713268">{{cite journal | vauthors = Carey RJ, DePalma G, Damianopoulos E, Shanahan A, Müller CP, Huston JP | title = Evidence that the 5-HT1A autoreceptor is an important pharmacological target for the modulation of cocaine behavioral stimulant effects | journal = Brain Res. | volume = 1034 | issue = 1–2 | pages = 162–71 | year = 2005 | pmid = 15713268 | doi = 10.1016/j.brainres.2004.12.012 }}</ref>
* Facilitation of [[Human sexual activity|sex drive]] and [[sexual arousal|arousal]]<ref name="pmid8981617">{{cite journal | vauthors = Fernández-Guasti A, Rodríguez-Manzo G | title = 8-OH-DPAT and male rat sexual behavior: partial blockade by noradrenergic lesion and sexual exhaustion | journal = Pharmacol. Biochem. Behav. | volume = 56 | issue = 1 | pages = 111–6  | date = January 1997 | pmid = 8981617 | doi = 10.1016/S0091-3057(96)00165-7 }}</ref><ref name="pmid9228408">{{cite journal | vauthors = Haensel SM, Slob AK | title = Flesinoxan: a prosexual drug for male rats | journal = Eur. J. Pharmacol. | volume = 330 | issue = 1 | pages = 1–9  | date = July 1997 | pmid = 9228408 | doi = 10.1016/S0014-2999(97)00170-2 | url = http://linkinghub.elsevier.com/retrieve/pii/S0014-2999(97)00170-2 }}</ref>
* Facilitation of [[Human sexual activity|sex drive]] and [[sexual arousal|arousal]]<ref name="pmid8981617">{{cite journal | vauthors = Fernández-Guasti A, Rodríguez-Manzo G | title = 8-OH-DPAT and male rat sexual behavior: partial blockade by noradrenergic lesion and sexual exhaustion | journal = Pharmacol. Biochem. Behav. | volume = 56 | issue = 1 | pages = 111–6  | date = January 1997 | pmid = 8981617 | doi = 10.1016/S0091-3057(96)00165-7 }}</ref><ref name="pmid9228408">{{cite journal | vauthors = Haensel SM, Slob AK | title = Flesinoxan: a prosexual drug for male rats | journal = Eur. J. Pharmacol. | volume = 330 | issue = 1 | pages = 1–9  | date = July 1997 | pmid = 9228408 | doi = 10.1016/S0014-2999(97)00170-2 | url = http://linkinghub.elsevier.com/retrieve/pii/S0014-2999(97)00170-2 }}</ref>
* Inhibition of [[penile erection]]<ref name="pmid1357709">{{cite journal | vauthors = Simon P, Guardiola B, Bizot-Espiard J, Schiavi P, Costentin J | title = 5-HT1A receptor agonists prevent in rats the yawning and penile erections induced by direct dopamine agonists | journal = Psychopharmacology | volume = 108 | issue = 1-2 | pages = 47–50 | year = 1992 | pmid = 1357709 | doi = 10.1007/BF02245284 }}</ref><ref name="pmid9085055">{{cite journal | vauthors = Millan MJ, Perrin-Monneyron S | title = Potentiation of fluoxetine-induced penile erections by combined blockade of 5-HT1A and 5-HT1B receptors | journal = Eur. J. Pharmacol. | volume = 321 | issue = 3 | pages = R11-3 | year = 1997 | pmid = 9085055 | doi = 10.1016/S0014-2999(97)00050-2 }}</ref>
* Inhibition of [[penile erection]]<ref name="pmid1357709">{{cite journal | vauthors = Simon P, Guardiola B, Bizot-Espiard J, Schiavi P, Costentin J | title = 5-HT1A receptor agonists prevent in rats the yawning and penile erections induced by direct dopamine agonists | journal = Psychopharmacology | volume = 108 | issue = 1–2 | pages = 47–50 | year = 1992 | pmid = 1357709 | doi = 10.1007/BF02245284 }}</ref><ref name="pmid9085055">{{cite journal | vauthors = Millan MJ, Perrin-Monneyron S | title = Potentiation of fluoxetine-induced penile erections by combined blockade of 5-HT1A and 5-HT1B receptors | journal = Eur. J. Pharmacol. | volume = 321 | issue = 3 | pages = R11-3 | year = 1997 | pmid = 9085055 | doi = 10.1016/S0014-2999(97)00050-2 }}</ref>
* [[Anorexia (symptom)|Diminished food intake]]<ref name="pmid17609739">{{cite journal | vauthors = Ebenezer IS, Arkle MJ, Tite RM | title = 8-Hydroxy-2-(di-n-propylamino)-tetralin inhibits food intake in fasted rats by an action at 5-HT1A receptors | journal = Methods Find Exp Clin Pharmacol | volume = 29 | issue = 4 | pages = 269–72 | year = 2007 | pmid = 17609739 | doi = 10.1358/mf.2007.29.4.1075362 }}</ref>
* [[Anorexia (symptom)|Diminished food intake]]<ref name="pmid17609739">{{cite journal | vauthors = Ebenezer IS, Arkle MJ, Tite RM | title = 8-Hydroxy-2-(di-n-propylamino)-tetralin inhibits food intake in fasted rats by an action at 5-HT1A receptors | journal = Methods Find Exp Clin Pharmacol | volume = 29 | issue = 4 | pages = 269–72 | year = 2007 | pmid = 17609739 | doi = 10.1358/mf.2007.29.4.1075362 }}</ref>
* Prolongation of [[Rapid eye movement sleep|REM]] [[sleep]] latency<ref name="pmid10607047">{{cite journal | vauthors = Monti JM, Jantos H | title = Dose-dependent effects of the 5-HT1A receptor agonist 8-OH-DPAT on sleep and wakefulness in the rat | journal = J Sleep Res | volume = 1 | issue = 3 | pages = 169–175 | year = 1992 | pmid = 10607047 | doi = 10.1111/j.1365-2869.1992.tb00033.x }}</ref><ref>{{cite journal | vauthors = Ansseau M, Pitchot W, Gonzalez Moreno A, Wauthy J, Papart P | title = Pilot study of flesinoxan, a 5-HT1A agonist, in major depression: Effects on sleep REM latency and body temperature | journal = Human Psychopharmacology: Clinical and Experimental | volume = 8 | issue = 4 | pages = 279–283 | year = 2004 | url = http://www3.interscience.wiley.com/journal/109710934/abstract | doi = 10.1002/hup.470080407 }}</ref>
* Prolongation of [[Rapid eye movement sleep|REM]] [[sleep]] latency<ref name="pmid10607047">{{cite journal | vauthors = Monti JM, Jantos H | title = Dose-dependent effects of the 5-HT1A receptor agonist 8-OH-DPAT on sleep and wakefulness in the rat | journal = J Sleep Res | volume = 1 | issue = 3 | pages = 169–175 | year = 1992 | pmid = 10607047 | doi = 10.1111/j.1365-2869.1992.tb00033.x }}</ref><ref>{{cite journal | vauthors = Ansseau M, Pitchot W, Gonzalez Moreno A, Wauthy J, Papart P | title = Pilot study of flesinoxan, a 5-HT1A agonist, in major depression: Effects on sleep REM latency and body temperature | journal = Human Psychopharmacology: Clinical and Experimental | volume = 8 | issue = 4 | pages = 279–283 | year = 2004 | url = http://www3.interscience.wiley.com/journal/109710934/abstract | doi = 10.1002/hup.470080407 }}</ref>
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5-HT<sub>1A</sub> receptors can be located on the [[cell body]], [[dendrite]]s, [[axon]]s, and both [[presynaptic]]ally and [[postsynaptic]]ally in [[nerve terminal]]s or [[synapse]]s. Those located on the soma and dendrites are referred to as [[somatodendritic]], and those located presynaptically in the synapse are simply referred to as presynaptic. As a group, receptors that are sensitive to the neurotransmitter that is released by the neuron on which the receptors are located are known as [[autoreceptor]]s; they typically constitute the key component of an ultra-short negative feedback loop whereby the neuron's release of neurotransmitter inhibits its further release of neurotransmitter. Stimulation of 5-HT<sub>1A</sub> autoreceptors inhibits the release of serotonin in nerve terminals. For this reason, 5-HT<sub>1A</sub> receptor agonists tend to exert a biphasic mode of action; they decrease serotonin release and postsynaptic 5-HT<sub>1A</sub> receptor activity in low doses, and further decrease serotonin release but increase postsynaptic 5-HT<sub>1A</sub> receptor activity at higher doses by directly stimulating the receptors in place of serotonin.
5-HT<sub>1A</sub> receptors can be located on the [[cell body]], [[dendrite]]s, [[axon]]s, and both [[presynaptic]]ally and [[postsynaptic]]ally in [[nerve terminal]]s or [[synapse]]s. Those located on the soma and dendrites are referred to as [[somatodendritic]], and those located presynaptically in the synapse are simply referred to as presynaptic. As a group, receptors that are sensitive to the neurotransmitter that is released by the neuron on which the receptors are located are known as [[autoreceptor]]s; they typically constitute the key component of an ultra-short negative feedback loop whereby the neuron's release of neurotransmitter inhibits its further release of neurotransmitter. Stimulation of 5-HT<sub>1A</sub> autoreceptors inhibits the release of serotonin in nerve terminals. For this reason, 5-HT<sub>1A</sub> receptor agonists tend to exert a biphasic mode of action; they decrease serotonin release and postsynaptic 5-HT<sub>1A</sub> receptor activity in low doses, and further decrease serotonin release but increase postsynaptic 5-HT<sub>1A</sub> receptor activity at higher doses by directly stimulating the receptors in place of serotonin.


This autoreceptor-mediated inhibition of serotonin release has been theorized to be a major factor in the therapeutic lag that is seen with serotonergic antidepressants such as the SSRIs.<ref name="pmid10890313">{{cite journal | vauthors = Hjorth S, Bengtsson HJ, Kullberg A, Carlzon D, Peilot H, Auerbach SB | title = Serotonin autoreceptor function and antidepressant drug action | journal = J. Psychopharmacol. (Oxford) | volume = 14 | issue = 2 | pages = 177–85 | year = 2000 | pmid = 10890313 | doi = 10.1177/026988110001400208 }}</ref> The autoreceptors must first [[downregulation|densensitize]] before the concentration of extracellular serotonin in the synapse can become elevated appreciably.<ref name="pmid10890313"/><ref name="pmid8221701">{{cite journal | vauthors = Briley M, Moret C | title = Neurobiological mechanisms involved in antidepressant therapies | journal = Clin Neuropharmacol | volume = 16 | issue = 5 | pages = 387–400 | year = 1993 | pmid = 8221701 | doi = 10.1097/00002826-199310000-00002 }}</ref> Though the responsiveness of the autoreceptors is somewhat reduced with chronic treatment, they still remain effective at constraining large increases in extracellular serotonin concentrations.<ref name="pmid10890313"/> For this reason, [[serotonin reuptake inhibitor]]s that also have 5-HT<sub>1A</sub> receptor antagonistic or partial agonistic properties, such as [[vilazodone]] and [[SB-649,915]], are being investigated and introduced as novel antidepressants with the potential for a faster onset of action and improved effectiveness compared to those currently available.<ref name="pmid17356576">{{cite journal | vauthors = Starr KR, Price GW, Watson JM, Atkinson PJ, Arban R, Melotto S, Dawson LA, Hagan JJ, Upton N, Duxon MS | title = SB-649915-B, a novel 5-HT1A/B autoreceptor antagonist and serotonin reuptake inhibitor, is anxiolytic and displays fast onset activity in the rat high light social interaction test | journal = Neuropsychopharmacology | volume = 32 | issue = 10 | pages = 2163–72 | year = 2007 | pmid = 17356576 | doi = 10.1038/sj.npp.1301341 }}</ref>
This autoreceptor-mediated inhibition of serotonin release has been theorized to be a major factor in the therapeutic lag that is seen with serotonergic antidepressants such as the SSRIs.<ref name="pmid10890313">{{cite journal | vauthors = Hjorth S, Bengtsson HJ, Kullberg A, Carlzon D, Peilot H, Auerbach SB | title = Serotonin autoreceptor function and antidepressant drug action | journal = J. Psychopharmacol. (Oxford) | volume = 14 | issue = 2 | pages = 177–85 | year = 2000 | pmid = 10890313 | doi = 10.1177/026988110001400208 }}</ref> The autoreceptors must first [[downregulation|desensitize]] before the concentration of extracellular serotonin in the synapse can become elevated appreciably.<ref name="pmid10890313"/><ref name="pmid8221701">{{cite journal | vauthors = Briley M, Moret C | title = Neurobiological mechanisms involved in antidepressant therapies | journal = Clin Neuropharmacol | volume = 16 | issue = 5 | pages = 387–400 | year = 1993 | pmid = 8221701 | doi = 10.1097/00002826-199310000-00002 }}</ref> Though the responsiveness of the autoreceptors is somewhat reduced with chronic treatment, they still remain effective at constraining large increases in extracellular serotonin concentrations.<ref name="pmid10890313"/> For this reason, [[serotonin reuptake inhibitor]]s that also have 5-HT<sub>1A</sub> receptor antagonistic or partial agonistic properties, such as [[vilazodone]] and [[SB-649,915]], are being investigated and introduced as novel antidepressants with the potential for a faster onset of action and improved effectiveness compared to those currently available.<ref name="pmid17356576">{{cite journal | vauthors = Starr KR, Price GW, Watson JM, Atkinson PJ, Arban R, Melotto S, Dawson LA, Hagan JJ, Upton N, Duxon MS | title = SB-649915-B, a novel 5-HT1A/B autoreceptor antagonist and serotonin reuptake inhibitor, is anxiolytic and displays fast onset activity in the rat high light social interaction test | journal = Neuropsychopharmacology | volume = 32 | issue = 10 | pages = 2163–72 | year = 2007 | pmid = 17356576 | doi = 10.1038/sj.npp.1301341 }}</ref>


Unlike most drugs that elevate extracellular serotonin levels like the SSRIs and MAOIs, SRAs such as [[fenfluramine]] and [[MDMA]] bypass serotonin autoreceptors such as 5-HT<sub>1A</sub>. They do this by directly acting on the release mechanisms of serotonin neurons and forcing release to occur regardless of autoreceptor-mediated inhibition.<ref name="pmid17017961">{{cite journal | vauthors = Rothman RB, Baumann MH | title = Therapeutic potential of monoamine transporter substrates | journal = Curr Top Med Chem | volume = 6 | issue = 17 | pages = 1845–59 | year = 2006 | pmid = 17017961 | doi = 10.2174/156802606778249766 | url = http://www.bentham-direct.org/pages/content.php?CTMC/2006/00000006/00000017/0004R.SGM }}</ref> As such, SRAs induce immediate and much greater increases in extracellular serotonin concentrations compared to other serotonin-elevating agents such as the SSRIs. In contrast to SRAs, SSRIs actually ''decrease'' serotonin levels initially and require several weeks of chronic dosing before serotonin concentrations reach their maximal elevation and full clinical benefits for conditions such as depression and anxiety are seen.<ref name="pmid10428424">{{cite journal | vauthors = Scorza C, Silveira R, Nichols DE, Reyes-Parada M | title = Effects of 5-HT-releasing agents on the extracellullar hippocampal 5-HT of rats. Implications for the development of novel antidepressants with a short onset of action | journal = Neuropharmacology | volume = 38 | issue = 7 | pages = 1055–61  | date = July 1999 | pmid = 10428424 | doi = 10.1016/S0028-3908(99)00023-4 | url = http://linkinghub.elsevier.com/retrieve/pii/S0028390899000234 }}</ref><ref name="pmid9694528">{{cite journal | vauthors = Marona-Lewicka D, Nichols DE | title = Drug discrimination studies of the interoceptive cues produced by selective serotonin uptake inhibitors and selective serotonin releasing agents | journal = Psychopharmacology | volume = 138 | issue = 1 | pages = 67–75 | date = July 1998 | pmid = 9694528 | doi = 10.1007/s002130050646 | url = http://link.springer.de/link/service/journals/00213/bibs/8138001/81380067.htm }}</ref> For these reasons, [[selective serotonin releasing agent]]s (SSRAs) such as [[MDAI]] and [[MMAI]] have been proposed as novel antidepressants with a putatively faster onset of action and improved effectiveness compared to current treatments.<ref name="pmid10428424"/>
Unlike most drugs that elevate extracellular serotonin levels like the SSRIs and MAOIs, SRAs such as [[fenfluramine]] and [[MDMA]] bypass serotonin autoreceptors such as 5-HT<sub>1A</sub>. They do this by directly acting on the release mechanisms of serotonin neurons and forcing release to occur regardless of autoreceptor-mediated inhibition.<ref name="pmid17017961">{{cite journal | vauthors = Rothman RB, Baumann MH | title = Therapeutic potential of monoamine transporter substrates | journal = Curr Top Med Chem | volume = 6 | issue = 17 | pages = 1845–59 | year = 2006 | pmid = 17017961 | doi = 10.2174/156802606778249766 | url = http://www.bentham-direct.org/pages/content.php?CTMC/2006/00000006/00000017/0004R.SGM }}</ref> As such, SRAs induce immediate and much greater increases in extracellular serotonin concentrations compared to other serotonin-elevating agents such as the SSRIs. In contrast to SRAs, SSRIs actually ''decrease'' serotonin levels initially and require several weeks of chronic dosing before serotonin concentrations reach their maximal elevation and full clinical benefits for conditions such as depression and anxiety are seen.<ref name="pmid10428424">{{cite journal | vauthors = Scorza C, Silveira R, Nichols DE, Reyes-Parada M | title = Effects of 5-HT-releasing agents on the extracellullar hippocampal 5-HT of rats. Implications for the development of novel antidepressants with a short onset of action | journal = Neuropharmacology | volume = 38 | issue = 7 | pages = 1055–61  | date = July 1999 | pmid = 10428424 | doi = 10.1016/S0028-3908(99)00023-4 | url = http://linkinghub.elsevier.com/retrieve/pii/S0028390899000234 }}</ref><ref name="pmid9694528">{{cite journal | vauthors = Marona-Lewicka D, Nichols DE | title = Drug discrimination studies of the interoceptive cues produced by selective serotonin uptake inhibitors and selective serotonin releasing agents | journal = Psychopharmacology | volume = 138 | issue = 1 | pages = 67–75 | date = July 1998 | pmid = 9694528 | doi = 10.1007/s002130050646 | url = http://link.springer.de/link/service/journals/00213/bibs/8138001/81380067.htm | access-date = 2009-07-05 | archive-url = https://web.archive.org/web/20020112064653/http://link.springer.de/link/service/journals/00213/bibs/8138001/81380067.htm | archive-date = 2002-01-12 | dead-url = yes | df =  }}</ref> For these reasons, [[selective serotonin releasing agent]]s (SSRAs) such as [[MDAI]] and [[MMAI]] have been proposed as novel antidepressants with a putatively faster onset of action and improved effectiveness compared to current treatments.<ref name="pmid10428424"/>


Similarly to SRAs, sufficiently high doses of 5-HT<sub>1A</sub> receptor agonists also bypass the 5-HT<sub>1A</sub> autoreceptor-mediated inhibition of serotonin release and therefore increase 5-HT<sub>1A</sub> postsynaptic receptor activation by directly agonizing the postsynaptic receptors [[in lieu]] of serotonin. However, in contrast to SRAs, 5-HT<sub>1A</sub> receptor agonists do not bypass the inhibitory effect of 5-HT<sub>1A</sub> receptors located as [[heteroreceptor]]s in non-[[serotonergic]] [[synapse]]s where 5-HT<sub>1A</sub> postsynaptic receptors are not present, which, instead of serotonin, modulate the release of other [[neurotransmitter]]s such as [[dopamine]] or [[glutamate]]. The therapeutic consequences of this difference, if any, are unknown.
Similarly to SRAs, sufficiently high doses of 5-HT<sub>1A</sub> receptor agonists also bypass the 5-HT<sub>1A</sub> autoreceptor-mediated inhibition of serotonin release and therefore increase 5-HT<sub>1A</sub> postsynaptic receptor activation by directly agonizing the postsynaptic receptors [[in lieu]] of serotonin. However, in contrast to SRAs, 5-HT<sub>1A</sub> receptor agonists do not bypass the inhibitory effect of 5-HT<sub>1A</sub> receptors located as [[heteroreceptor]]s in non-[[serotonergic]] [[synapse]]s where 5-HT<sub>1A</sub> postsynaptic receptors are not present, which, instead of serotonin, modulate the release of other [[neurotransmitter]]s such as [[dopamine]] or [[glutamate]]. The therapeutic consequences of this difference, if any, are unknown.


==Ligands==
==Ligands==
The distribution of 5-HT<sub>1A</sub> receptors in the [[human brain]] may be imaged with the [[positron emission tomography]] using the [[radioligand]] [<sup>11</sup>C] [[WAY-100,635]].<ref name="pmid7498295">{{cite journal | vauthors = Pike VW, McCarron JA, Lammerstma AA, Hume SP, Poole K, Grasby PM, Malizia A, Cliffe IA, Fletcher A, Bench CJ | title = First delineation of 5-HT1A receptors in human brain with PET and [11C]WAY-100635 | journal = Eur. J. Pharmacol. | volume = 283 | issue = 1-3 | pages = R1-3 | year = 1995 | pmid = 7498295 | doi = 10.1016/0014-2999(95)00438-Q }}</ref>
The distribution of 5-HT<sub>1A</sub> receptors in the [[human brain]] may be imaged with the [[positron emission tomography]] using the [[radioligand]] [<sup>11</sup>C] [[WAY-100,635]].<ref name="pmid7498295">{{cite journal | vauthors = Pike VW, McCarron JA, Lammerstma AA, Hume SP, Poole K, Grasby PM, Malizia A, Cliffe IA, Fletcher A, Bench CJ | title = First delineation of 5-HT1A receptors in human brain with PET and [11C]WAY-100635 | journal = Eur. J. Pharmacol. | volume = 283 | issue = 1–3 | pages = R1-3 | year = 1995 | pmid = 7498295 | doi = 10.1016/0014-2999(95)00438-Q }}</ref>
For example, one study has found increased 5-HT<sub>1A</sub> binding in type 2 [[diabetes]].<ref name="pmid11814436">{{cite journal | vauthors = Price JC, Kelley DE, Ryan CM, Meltzer CC, Drevets WC, Mathis CA, Mazumdar S, Reynolds CF | title = Evidence of increased serotonin-1A receptor binding in type 2 diabetes: a positron emission tomography study | journal = Brain Res. | volume = 927 | issue = 1 | pages = 97–103 | year = 2002 | pmid = 11814436 | doi = 10.1016/S0006-8993(01)03297-8 }}</ref> Another PET study found a negative correlation between the amount of 5-HT<sub>1A</sub> binding in the [[raphe nuclei]], [[hippocampus]] and [[neocortex]] and a self-reported tendency to have [[spiritual experience]]s.<ref name="pmid14594742">{{cite journal | vauthors = Borg J, Andrée B, Soderstrom H, Farde L | title = The serotonin system and spiritual experiences | journal = Am J Psychiatry | volume = 160 | issue = 11 | pages = 1965–9  | date = November 2003 | pmid = 14594742 | doi = 10.1176/appi.ajp.160.11.1965 }}</ref> Labeled with [[tritium]], WAY-100,635 may also be used in [[autoradiography]].<ref name="pmid9152998">{{cite journal | vauthors = Burnet PW, Eastwood SL, Harrison PJ | title = [3H]WAY-100635 for 5-HT1A receptor autoradiography in human brain: a comparison with [3H]8-OH-DPAT and demonstration of increased binding in the frontal cortex in schizophrenia | journal = Neurochem. Int. | volume = 30 | issue = 6 | pages = 565–74 | year = 1997 | pmid = 9152998 | doi = 10.1016/S0197-0186(96)00124-6 }}</ref>
For example, one study has found increased 5-HT<sub>1A</sub> binding in type 2 [[diabetes]].<ref name="pmid11814436">{{cite journal | vauthors = Price JC, Kelley DE, Ryan CM, Meltzer CC, Drevets WC, Mathis CA, Mazumdar S, Reynolds CF | title = Evidence of increased serotonin-1A receptor binding in type 2 diabetes: a positron emission tomography study | journal = Brain Res. | volume = 927 | issue = 1 | pages = 97–103 | year = 2002 | pmid = 11814436 | doi = 10.1016/S0006-8993(01)03297-8 }}</ref> Another PET study found a negative correlation between the amount of 5-HT<sub>1A</sub> binding in the [[raphe nuclei]], [[hippocampus]] and [[neocortex]] and a self-reported tendency to have [[spiritual experience]]s.<ref name="pmid14594742">{{cite journal | vauthors = Borg J, Andrée B, Soderstrom H, Farde L | title = The serotonin system and spiritual experiences | journal = Am J Psychiatry | volume = 160 | issue = 11 | pages = 1965–9  | date = November 2003 | pmid = 14594742 | doi = 10.1176/appi.ajp.160.11.1965 }}</ref> Labeled with [[tritium]], WAY-100,635 may also be used in [[autoradiography]].<ref name="pmid9152998">{{cite journal | vauthors = Burnet PW, Eastwood SL, Harrison PJ | title = [3H]WAY-100635 for 5-HT1A receptor autoradiography in human brain: a comparison with [3H]8-OH-DPAT and demonstration of increased binding in the frontal cortex in schizophrenia | journal = Neurochem. Int. | volume = 30 | issue = 6 | pages = 565–74 | year = 1997 | pmid = 9152998 | doi = 10.1016/S0197-0186(96)00124-6 }}</ref>


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====Partial agonists====
====Partial agonists====
{{div col|colwidth=15em}}
{{div col|colwidth=15em}}
* [[2C-B]]<ref name = "Ray_2010">{{cite journal | vauthors = Russo EB, Burnett A, Hall B, Parker KK | title = Agonistic properties of cannabidiol at 5-HT1a receptors | journal = Neurochemical Research | volume = 30 | issue = 8 | pages = 1037–43 | date = August 2005 | pmid = 16258853 | doi = 10.1371/journal.pone.0009019 }}</ref>
* [[2C-B]]<ref name = "Ray_2010">{{cite journal | pmid = 20126400 | doi = 10.1371/journal.pone.0009019 | pmc=2814854 | volume=5 | title=Psychedelics and the human receptorome | year=2010 | journal=PLoS ONE | page=e9019 | vauthors=Ray TS}}</ref>
* [[2C-E]]<ref name = "Ray_2010" />
* [[2C-E]]<ref name = "Ray_2010" />
* [[2C-T-2]]<ref name = "Ray_2010" />
* [[2C-T-2]]<ref name = "Ray_2010" />
Line 82: Line 82:
* [[Brexpiprazole]]
* [[Brexpiprazole]]
* [[Bufotenin]]
* [[Bufotenin]]
* [[Buspirone]]
* [[Buspirone]] (postsynaptic 5HT1A)
* [[Cannabidiol]]<ref>{{cite journal | vauthors = Russo EB, Burnett A, Hall B, Parker KK | title = Agonistic properties of cannabidiol at 5-HT1a receptors | journal = Neurochemical Research | volume = 30 | issue = 8 | pages = 1037–43 | date = August 2005 | pmid = 16258853 | doi = 10.1007/s11064-005-6978-1 }}</ref>
* [[Cannabidiol]]<ref>{{cite journal | vauthors = Russo EB, Burnett A, Hall B, Parker KK | title = Agonistic properties of cannabidiol at 5-HT1a receptors | journal = Neurochemical Research | volume = 30 | issue = 8 | pages = 1037–43 | date = August 2005 | pmid = 16258853 | doi = 10.1007/s11064-005-6978-1 }}</ref>
* [[Cariprazine]]
* [[Cariprazine]]
Line 103: Line 103:
* [[Flesinoxan]]
* [[Flesinoxan]]
* [[Flibanserin]]
* [[Flibanserin]]
* [[Ginkgo biloba]]<ref>{{cite journal | vauthors = Winter JC, Timineri D | title = The discriminative stimulus properties of EGb 761, an extract of Ginkgo biloba | journal = Pharmacology, Biochemistry, and Behavior | volume = 62 | issue = 3 | pages = 543–7 | date = March 1999 | pmid = 10080249 | doi = 10.1016/S0091-3057(98)00190-7 }}</ref>
* [[Ginkgo biloba]]<ref>{{cite journal | vauthors = Winter JC, Timineri D | title = The discriminative stimulus properties of EGb 761, an extract of Ginkgo biloba | journal = Pharmacology Biochemistry and Behavior | volume = 62 | issue = 3 | pages = 543–7 | date = March 1999 | pmid = 10080249 | doi = 10.1016/S0091-3057(98)00190-7 }}</ref>
* [[Gepirone]]
* [[Gepirone]]
* [[Haloperidol]]
* [[Haloperidol]]
Line 115: Line 115:
* [[3,4-Methylenedioxyamphetamine]]<ref name="ManzoniRay2010">{{cite journal|last1=Manzoni|first1=Olivier Jacques|last2=Ray|first2=Thomas S.|title=Psychedelics and the Human Receptorome|journal=PLoS ONE|volume=5|issue=2|year=2010|pages=e9019|issn=1932-6203|doi=10.1371/journal.pone.0009019|pmid=20126400|pmc=2814854}}</ref>
* [[3,4-Methylenedioxyamphetamine]]<ref name="ManzoniRay2010">{{cite journal|last1=Manzoni|first1=Olivier Jacques|last2=Ray|first2=Thomas S.|title=Psychedelics and the Human Receptorome|journal=PLoS ONE|volume=5|issue=2|year=2010|pages=e9019|issn=1932-6203|doi=10.1371/journal.pone.0009019|pmid=20126400|pmc=2814854}}</ref>
* [[Methylphenidate]]
* [[Methylphenidate]]
* [[Methysergide]]
* [[Naluzotan]]
* [[Naluzotan]]
* [[NBUMP]]
* [[NBUMP]]
Line 121: Line 122:
* [[Osemozotan]] (postsynaptic 5-HT<sub>1A</sub>)
* [[Osemozotan]] (postsynaptic 5-HT<sub>1A</sub>)
* [[Perospirone]]
* [[Perospirone]]
* [[Pyrimidinylpiperazine]]
* [[Piclozotan]]
* [[Piclozotan]]
* [[Psilocin]]
* [[Psilocin]]
Line 138: Line 140:
* [[Trifluoromethylphenylpiperazine]]
* [[Trifluoromethylphenylpiperazine]]
* [[Trimethoxyamphetamine]]<ref name = "Ray_2010" />
* [[Trimethoxyamphetamine]]<ref name = "Ray_2010" />
* [[Umespirone]]
* [[Urapidil]]
* [[Urapidil]]
* [[Vortioxetine]]
* [[Vilazodone]]
* [[Vilazodone]]
* [[Xaliproden]]
* [[Xaliproden]]
Line 151: Line 153:
* [[8-OH-DPAT]]<ref>{{cite journal | vauthors = Winsauer PJ, Rodriguez FH, Cha AE, Moerschbaecher JM | title = Full and partial 5-HT1A receptor agonists disrupt learning and performance in rats | journal = J. Pharmacol. Exp. Ther. | volume = 288 | issue = 1 | pages = 335–47  | date = January 1999 | pmid = 9862788 | url = http://jpet.aspetjournals.org/content/288/1/335.full.pdf }}</ref>
* [[8-OH-DPAT]]<ref>{{cite journal | vauthors = Winsauer PJ, Rodriguez FH, Cha AE, Moerschbaecher JM | title = Full and partial 5-HT1A receptor agonists disrupt learning and performance in rats | journal = J. Pharmacol. Exp. Ther. | volume = 288 | issue = 1 | pages = 335–47  | date = January 1999 | pmid = 9862788 | url = http://jpet.aspetjournals.org/content/288/1/335.full.pdf }}</ref>
* [[Alnespirone]]
* [[Alnespirone]]
* [[Buspirone]] (presynaptic 5HT1A)
* [[Befiradol]]
* [[Befiradol]]
* [[Eptapirone]]
* [[Eptapirone]]
Line 161: Line 164:
* [[U-92,016-A]]
* [[U-92,016-A]]
* [[Flibanserin]]
* [[Flibanserin]]
* [[Vortioxetine]]
{{Div col end}}
{{Div col end}}


Line 167: Line 171:
* [[Alprenolol]]
* [[Alprenolol]]
* [[AV-965]]
* [[AV-965]]
* [[Binospirone]] (postsynaptic 5-HT1A receptors)
* [[BMY-7,378]]
* [[BMY-7,378]]
* [[Cyanopindolol]]
* [[Cyanopindolol]]
Line 178: Line 183:
* [[Mefway]]
* [[Mefway]]
* [[Methiothepin]]
* [[Methiothepin]]
* [[Methysergide]]
* [[MPPF]]
* [[MPPF]]
* [[NAD-299]]
* [[NAD-299]]
* [[NAN-190]]
* [[NAN-190]]
* [[Nebivolol]]
* [[Oxprenolol]]
* [[Oxprenolol]]
* [[Pindobind]]
* [[Pindobind]]
Line 197: Line 202:
* [[WAY-100,635]]
* [[WAY-100,635]]
* [[Xylamidine]]
* [[Xylamidine]]
{{Div col end}}
{{Div col end}}<ref>{{Cite journal|last=Ignarro|first=Louis J.|date=June 2008|title=Different Pharmacological Properties of Two Enantiomers in a Unique β-Blocker, Nebivolol|url=https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1527-3466.2008.00044.x|journal=Cardiovascular Therapeutics|volume=26|issue=2|pages=115–134|doi=10.1111/j.1527-3466.2008.00044.x|issn=1755-5914}}</ref>


== Genetics ==
== Genetics ==
Line 241: Line 246:
{{Refend}}
{{Refend}}


== External links ==
==External links==
* {{cite web | url = http://www.iuphar-db.org/GPCR/ReceptorDisplayForward?receptorID=2310 | title = 5-HT<sub>1A</sub> | work = IUPHAR Database of Receptors and Ion Channels | publisher = International Union of Basic and Clinical Pharmacology }}
{{Commonscat}}
* {{UCSC gene info|HTR1A}}
*{{cite web | url = http://www.iuphar-db.org/GPCR/ReceptorDisplayForward?receptorID=2310 | title = 5-HT<sub>1A</sub> | work = IUPHAR Database of Receptors and Ion Channels | publisher = International Union of Basic and Clinical Pharmacology}}
*{{UCSC gene info|HTR1A}}


{{NLM content}}
{{NLM content}}

Latest revision as of 10:43, 15 November 2018

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The serotonin 1A receptor (or 5-HT1A receptor) is a subtype of serotonin receptor (5-HT receptor) that binds the neurotransmitter serotonin (5-hydroxytryptamine, 5-HT). It is a G protein-coupled receptor (GPCR), coupled to the Gi protein, that mediates inhibitory neurotransmission. The serotonin 1A receptor is encoded by the HTR1A gene.[1][2]

Distribution

The 5-HT1A receptor is the most widespread of all the 5-HT receptors. In the central nervous system, 5-HT1A receptors exist in the cerebral cortex, hippocampus, septum, amygdala, and raphe nucleus in high densities, while low amounts also exist in the basal ganglia and thalamus.[3][4][5] The 5-HT1A receptors in the raphe nucleus are largely somatodendritic autoreceptors, whereas those in other areas such as the hippocampus are postsynaptic receptors.[4]

Function

Neuromodulation

5-HT1A receptor agonists are involved in neuromodulation. They decrease blood pressure and heart rate via a central mechanism, by inducing peripheral vasodilation, and by stimulating the vagus nerve.[6] These effects are the result of activation of 5-HT1A receptors within the rostral ventrolateral medulla.[6] The sympatholytic antihypertensive drug urapidil is an α1-adrenergic receptor antagonist and 5-HT1A receptor agonist, and it has been demonstrated that the latter property contributes to its overall therapeutic effects.[7][8] Vasodilation of the blood vessels in the skin via central 5-HT1A activation increases heat dissipation from the organism out into the environment, causing a decrease in body temperature.[9][10]

Activation of central 5-HT1A receptors triggers the release or inhibition of norepinephrine depending on species, presumably from the locus coeruleus, which then reduces or increases neuronal tone to the iris sphincter muscle by modulation of postsynaptic α2-adrenergic receptors within the Edinger-Westphal nucleus, resulting in pupil dilation in rodents, and pupil constriction in primates including humans.[11][12][13]

5-HT1A receptor agonists like buspirone[14] and flesinoxan[15] show efficacy in relieving anxiety[16] and depression,[17] and buspirone and tandospirone are currently approved for these indications in various parts of the world. Others such as gepirone,[18] flesinoxan,[15] flibanserin,[19] and naluzotan[20] have also been investigated, though none have been fully developed and approved yet. Some of the atypical antipsychotics like lurasidone[21] and aripiprazole[22] are also partial agonists at the 5-HT1A receptor and are sometimes used in low doses as augmentations to standard antidepressants like the selective serotonin reuptake inhibitors (SSRIs).[23]

5-HT1A autoreceptor desensitization and increased 5-HT1A receptor postsynaptic activation via general increases in serotonin levels by serotonin precursor supplementation, serotonin reuptake inhibition, or monoamine oxidase inhibition has been shown to be a major mediator in the therapeutic benefits of most mainstream antidepressant supplements and pharmaceuticals, including serotonin precursors like L-tryptophan and 5-HTP, selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), tetracyclic antidepressants (TeCAs), and monoamine oxidase inhibitors (MAOIs).[24] 5-HT1A receptor activation likely plays a significant role in the positive effects of serotonin releasing agents (SRAs) like MDMA ("Ecstasy") as well.[25][26]

5-HT1A receptors in the dorsal raphe nucleus are co-localized with neurokinin 1 (NK1) receptors and have been shown to inhibit the release of substance P, their endogenous ligand.[27][28] In addition to being antidepressant and anxiolytic in effect, 5-HT1A receptor activation has also been demonstrated to be antiemetic[29][30] and analgesic,[31][32] and all of these properties may be mediated in part or full, depending on the property in question, by NK1 receptor inhibition. Consequently, novel NK1 receptor antagonists are now in use for the treatment of nausea and emesis, and are also being investigated for the treatment of anxiety and depression.[33]

5-HT1A receptor activation has been shown to increase dopamine release in the medial prefrontal cortex, striatum, and hippocampus, and may be useful for improving the symptoms of schizophrenia and Parkinson's disease.[34][35] As mentioned above, some of the atypical antipsychotics are 5-HT1A receptor partial agonists, and this property has been shown to enhance their clinical efficacy.[34][36][37] Enhancement of dopamine release in these areas may also play a major role in the antidepressant and anxiolytic effects seen upon postsynaptic activation of the 5-HT1A receptor.[38][39]

Activation of 5-HT1A receptors has been demonstrated to impair certain aspects of memory (affecting declarative and non-declarative memory functions) and learning (due to interference with memory-encoding mechanisms), by inhibiting the release of glutamate and acetylcholine in various areas of the brain.[40] 5-HT1A activation are known to improve cognitive functions associated with the prefrontal cortex, possibly via inducing prefrontal cortex dopamine and acetylcholine release.[41] Conversely, 5-HT1A receptor antagonists such as lecozotan have been shown to facilitate certain types of learning and memory in rodents, and as a result, are being developed as novel treatments for Alzheimer's disease.[42]

Other effects of 5-HT1A activation that have been observed in scientific research include:

Endocrinology

5-HT1A receptor activation induces the secretion of various hormones including cortisol, corticosterone, adrenocorticotropic hormone (ACTH), oxytocin, prolactin, growth hormone, and β-endorphin.[57][58][59][60] The receptor does not affect vasopressin or renin secretion, unlike the 5-HT2 receptors.[57][58] It has been suggested that oxytocin release may contribute to the prosocial, antiaggressive, and anxiolytic properties observed upon activation of the receptor.[26] β-Endorphin secretion may contribute to antidepressant, anxiolytic, and analgesic effects.[61]

Autoreceptors

5-HT1A receptors can be located on the cell body, dendrites, axons, and both presynaptically and postsynaptically in nerve terminals or synapses. Those located on the soma and dendrites are referred to as somatodendritic, and those located presynaptically in the synapse are simply referred to as presynaptic. As a group, receptors that are sensitive to the neurotransmitter that is released by the neuron on which the receptors are located are known as autoreceptors; they typically constitute the key component of an ultra-short negative feedback loop whereby the neuron's release of neurotransmitter inhibits its further release of neurotransmitter. Stimulation of 5-HT1A autoreceptors inhibits the release of serotonin in nerve terminals. For this reason, 5-HT1A receptor agonists tend to exert a biphasic mode of action; they decrease serotonin release and postsynaptic 5-HT1A receptor activity in low doses, and further decrease serotonin release but increase postsynaptic 5-HT1A receptor activity at higher doses by directly stimulating the receptors in place of serotonin.

This autoreceptor-mediated inhibition of serotonin release has been theorized to be a major factor in the therapeutic lag that is seen with serotonergic antidepressants such as the SSRIs.[62] The autoreceptors must first desensitize before the concentration of extracellular serotonin in the synapse can become elevated appreciably.[62][63] Though the responsiveness of the autoreceptors is somewhat reduced with chronic treatment, they still remain effective at constraining large increases in extracellular serotonin concentrations.[62] For this reason, serotonin reuptake inhibitors that also have 5-HT1A receptor antagonistic or partial agonistic properties, such as vilazodone and SB-649,915, are being investigated and introduced as novel antidepressants with the potential for a faster onset of action and improved effectiveness compared to those currently available.[64]

Unlike most drugs that elevate extracellular serotonin levels like the SSRIs and MAOIs, SRAs such as fenfluramine and MDMA bypass serotonin autoreceptors such as 5-HT1A. They do this by directly acting on the release mechanisms of serotonin neurons and forcing release to occur regardless of autoreceptor-mediated inhibition.[65] As such, SRAs induce immediate and much greater increases in extracellular serotonin concentrations compared to other serotonin-elevating agents such as the SSRIs. In contrast to SRAs, SSRIs actually decrease serotonin levels initially and require several weeks of chronic dosing before serotonin concentrations reach their maximal elevation and full clinical benefits for conditions such as depression and anxiety are seen.[66][67] For these reasons, selective serotonin releasing agents (SSRAs) such as MDAI and MMAI have been proposed as novel antidepressants with a putatively faster onset of action and improved effectiveness compared to current treatments.[66]

Similarly to SRAs, sufficiently high doses of 5-HT1A receptor agonists also bypass the 5-HT1A autoreceptor-mediated inhibition of serotonin release and therefore increase 5-HT1A postsynaptic receptor activation by directly agonizing the postsynaptic receptors in lieu of serotonin. However, in contrast to SRAs, 5-HT1A receptor agonists do not bypass the inhibitory effect of 5-HT1A receptors located as heteroreceptors in non-serotonergic synapses where 5-HT1A postsynaptic receptors are not present, which, instead of serotonin, modulate the release of other neurotransmitters such as dopamine or glutamate. The therapeutic consequences of this difference, if any, are unknown.

Ligands

The distribution of 5-HT1A receptors in the human brain may be imaged with the positron emission tomography using the radioligand [11C] WAY-100,635.[68] For example, one study has found increased 5-HT1A binding in type 2 diabetes.[69] Another PET study found a negative correlation between the amount of 5-HT1A binding in the raphe nuclei, hippocampus and neocortex and a self-reported tendency to have spiritual experiences.[70] Labeled with tritium, WAY-100,635 may also be used in autoradiography.[71]

Agonists

Partial agonists

Full agonists

Antagonists

[77]

Genetics

The 5-HT1A receptor is coded by the HTR1A gene. There are several human polymorphisms associated with this gene. A 2007 review listed 27 single nucleotide polymorphisms (SNP).[78] The most investigated SNPs are C-1019G (rs6295), C-1018G,[79] Ile28Val (rs1799921), Arg219Leu (rs1800044), and Gly22Ser (rs1799920).[78] Some of the other SNPs are Pro16Leu, Gly272Asp, and the synonymous polymorphism G294A (rs6294). These gene variants have been studied in relation to psychiatric disorders with no definitive results.[78]

Protein-protein interactions

The 5-HT1A receptor has been shown to interact with brain-derived neurotrophic factor (BDNF), which may play a major role in its regulation of mood and anxiety.[80][81]

Receptor oligomers

The 5-HT1A receptor forms heterodimers with the following receptors: 5-HT7,[82] 5-HT1B, 5-HT1D, GABAB2, GPCR26, LPA1, LPA3, S1P1, S1P3.[83]

See also

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Further reading

External links

  • "5-HT1A". IUPHAR Database of Receptors and Ion Channels. International Union of Basic and Clinical Pharmacology.
  • Human HTR1A genome location and HTR1A gene details page in the UCSC Genome Browser.

This article incorporates text from the United States National Library of Medicine, which is in the public domain.