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Serotonin2C receptors and drug addiction: focus on cocaine

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Abstract

This review provides an overview of the role of central serotonin2C (5-HT2C) receptors in drug addiction, specifically focusing on their impact on the neurochemical and behavioral effects of cocaine, one of the most worldwide abused drug. First, we described the neurochemical and electrophysiological mechanisms underlying the interaction between 5-HT2C receptors and the mesocorticolimbic dopaminergic network, in keeping with the key role of this system in drug abuse and dependence. Thereafter, we focused on the role of 5-HT2C receptors in the effects of cocaine in various preclinical behavioral models used in drug addiction research, such as locomotor hyperactivity, locomotor sensitization, drug discrimination, and self-administration, to end with an overview of the neurochemical mechanisms underlying the interactions between 5-HT2C receptors, mesocorticolimbic dopamine system, and cocaine. On their whole, the presented data provide compelling preclinical evidence that 5-HT2C receptor agonists may have efficacy in the treatment of cocaine abuse and dependence, thereby underlying the need for additional clinical studies to ascertain whether preclinical data translate to the human.

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References

  • Alex KD, Pehek EA (2007) Pharmacologic mechanisms of serotonergic regulation of dopamine neurotransmission. Pharmacol Ther 113:296–320

    Article  PubMed  CAS  Google Scholar 

  • Aloyo VJ, Berg KA, Spampinato U, Clarke WP, Harvey JA (2009) Current status of inverse agonism at serotonin2A (5-HT2A) and 5-HT2C receptors. Pharmacol Ther 121:160–173

    Article  PubMed  CAS  Google Scholar 

  • Aloyo VJ, Berg KA, Clarke WP, Spampinato U, Harvey JA (2010) Inverse agonism at serotonin and cannabinoid receptors. Prog Mol Biol Transl Sci 91:1–40

    Article  PubMed  CAS  Google Scholar 

  • Anastasio NC, Lanfranco MF, Bubar MJ, Seitz PK, Stutz SJ, McGinnis AG, Watson CS, Cunningham KA (2010) Serotonin 5-HT2C receptor protein expression is enriched in synaptosomal and post-synaptic compartments of rat cortex. J Neurochem 113:1504–1515

    PubMed  CAS  Google Scholar 

  • Berg KA, Clarke WP, Cunningham KA, Spampinato U (2008a) Fine-tuning serotonin2c receptor function in the brain: molecular and functional implications. Neuropharmacology 55:969–976

    Article  PubMed  CAS  Google Scholar 

  • Berg KA, Harvey JA, Spampinato U, Clarke WP (2008b) Physiological and therapeutic relevance of constitutive activity of 5-HT 2A and 5-HT 2C receptors for the treatment of depression. Prog Brain Res 172:287–305

    Article  PubMed  CAS  Google Scholar 

  • Bubar MJ, Cunningham KA (2007) Distribution of serotonin 5-HT2C receptors in the ventral tegmental area. Neuroscience 146:286–297

    Article  PubMed  CAS  Google Scholar 

  • Bubar MJ, Cunningham KA (2008) Prospects for serotonin 5-HT2R pharmacotherapy in psychostimulant abuse. Prog Brain Res 172:319–346

    Article  PubMed  CAS  Google Scholar 

  • Bubar MJ, Stutz SJ, Cunningham KA (2011) 5-HT(2C) receptors localize to dopamine and GABA neurons in the rat mesoaccumbens pathway. PLoS ONE 6:e20508

    Article  PubMed  CAS  Google Scholar 

  • Burbassi S, Cervo L (2008) Stimulation of serotonin2C receptors influences cocaine-seeking behavior in response to drug-associated stimuli in rats. Psychopharmacology 196:15–27

    Article  PubMed  CAS  Google Scholar 

  • Burton C, Rizos Z, Diwan M, Nobrega J, Fletcher P (2013) Antagonizing 5-HT2A receptors with M100907 and stimulating 5-HT2C receptors with Ro60-0175 blocks cocaine-induced locomotion and zif268 mRNA expression in Sprague-Dawley rats. Behav Brain Res 240:171–181

    Article  PubMed  CAS  Google Scholar 

  • Callahan PM, Cunningham KA (1995) Modulation of the discriminative stimulus properties of cocaine by 5-HT1B and 5-HT2C receptors. J Pharmacol Exp Ther 274:1414–1424

    PubMed  CAS  Google Scholar 

  • Capriles N, Watson S Jr, Akil H (2012) Individual differences in the improvement of cocaine-induced place preference response by the 5-HT(2C) receptor antagonist SB242084 in rats. Psychopharmacology 220:731–740

    Article  PubMed  CAS  Google Scholar 

  • Carr DB, Cooper DC, Ulrich SL, Spruston N, Surmeier DJ (2002) Serotonin receptor activation inhibits sodium current and dendritic excitability in prefrontal cortex via a protein kinase C-dependent mechanism. J Neurosci 22:6846–6855

    PubMed  CAS  Google Scholar 

  • Cunningham KA, Fox RG, Anastasio NC, Bubar MJ, Stutz SJ, Moeller FG, Gilbertson SR, Rosenzweig-Lipson S (2011) Selective serotonin 5-HT(2C) receptor activation suppresses the reinforcing efficacy of cocaine and sucrose but differentially affects the incentive-salience value of cocaine- vs. sucrose-associated cues. Neuropharmacology 61:513–523

    Article  PubMed  CAS  Google Scholar 

  • De Deurwaerdère P, Spampinato U (1999) Role of serotonin(2A) and serotonin(2B/2C) receptor subtypes in the control of accumbal and striatal dopamine release elicited invivo by dorsal raphe nucleus electrical stimulation. J Neurochem 73:1033–1042

    Article  PubMed  Google Scholar 

  • De Deurwaerdère P, Navailles S, Berg KA, Clarke WP, Spampinato U (2004) Constitutive activity of the serotonin2C receptor inhibits in vivo dopamine release in the rat striatum and nucleus accumbens. J Neurosci 24:3235–3241

    Article  PubMed  Google Scholar 

  • Di Chiara G, Bassareo V (2007) Reward system and addiction: what dopamine does and doesn’t do. Curr Opin Pharmacol 7:69–76

    Article  PubMed  Google Scholar 

  • Di Giovanni G, De Deurwaerdère P, Di Mascio M, Di Matteo V, Esposito E, Spampinato U (1999) Selective blockade of serotonin-2C/2B receptors enhances mesolimbic and mesostriatal dopaminergic function: a combined in vivo electrophysiological and microdialysis study. Neuroscience 91:587–597

    Article  PubMed  Google Scholar 

  • Di Giovanni G, Di Matteo V, La Grutta V, Esposito E (2001) m-Chlorophenylpiperazine excites non-dopaminergic neurons in the rat substantia nigra and ventral tegmental area by activating serotonin2C receptors. Neuroscience 103:111–116

    Article  PubMed  Google Scholar 

  • Di Giovanni G, Di Matteo V, Pierucci M, Benigno A, Esposito E (2006) Central serotonin2C receptor: from physiology to pathology. Curr Top Med Chem 6:1909–1925

    Article  PubMed  Google Scholar 

  • Di Matteo V, De Blasi A, Di Giulio C, Esposito E (2001) Role of 5-HT2C receptors in the control of central dopamine function. Trends Pharmacol Sci 22:229–232

    Article  PubMed  Google Scholar 

  • Di Matteo V, Pierucci M, Esposito E (2004) Selective stimulation of serotonin2c receptors blocks the enhancement of striatal and accumbal dopamine release induced by nicotine administration. J Neurochem 89:418–429

    Article  PubMed  Google Scholar 

  • DiFranza JR, Wellman RJ (2005) A sensitization-homeostasis model of nicotine craving, withdrawal, and tolerance: integrating the clinical and basic science literature. Nicotine Tob Res 7:9–26

    Article  PubMed  Google Scholar 

  • Dracheva S, Lyddon R, Barley K, Marcus SM, Hurd YL, Byne WM (2009) Editing of serotonin 2C receptor mRNA in the prefrontal cortex characterizes high-novelty locomotor response behavioral trait. Neuropsychopharmacology 34:2237–2251

    Article  PubMed  CAS  Google Scholar 

  • Dremencov E, Newman ME, Kinor N, Blatman-Jan G, Schindler CJ, Overstreet DH, Yadid G (2005) Hyperfunctionality of serotonin-2C receptor-mediated inhibition of accumbal dopamine release in an animal model of depression is reversed by antidepressant treatment. Neuropharmacology 48:34–42

    Article  PubMed  CAS  Google Scholar 

  • Dunnett SB, Robbins TW (1992) The functional role of mesotelencephalic dopamine systems. Biol Rev Camb Philos Soc 67:491–518

    Article  PubMed  CAS  Google Scholar 

  • Everitt BJ, Robbins TW (2013) From the ventral to the dorsal striatum: Devolving views of their roles in drug addiction. Neurosci Biobehav Rev. doi:10.1016/j.neubiorev.2013.02.010

  • Filip M (2005) Role of serotonin (5-HT)2 receptors in cocaine self-administration and seeking behavior in rats. Pharmacol Rep 57:35–46

    PubMed  CAS  Google Scholar 

  • Filip M, Cunningham KA (2002) Serotonin 5-HT(2C) receptors in nucleus accumbens regulate expression of the hyperlocomotive and discriminative stimulus effects of cocaine. Pharmacol Biochem Behav 71:745–756

    Article  PubMed  CAS  Google Scholar 

  • Filip M, Cunningham KA (2003) Hyperlocomotive and discriminative stimulus effects of cocaine are under the control of serotonin(2C) (5-HT(2C)) receptors in rat prefrontal cortex. J Pharmacol Exp Ther 306:734–743

    Article  PubMed  CAS  Google Scholar 

  • Filip M, Siwanowicz J (2001) Implication of the nucleus accumbens shell, but not core, in the acute and sensitizing effects of cocaine in rats. Pol J Pharmacol 53:459–466

    PubMed  CAS  Google Scholar 

  • Filip M, Bubar MJ, Cunningham KA (2004) Contribution of serotonin (5-hydroxytryptamine; 5-HT) 5-HT2 receptor subtypes to the hyperlocomotor effects of cocaine: acute and chronic pharmacological analyses. J Pharmacol Exp Ther 310:1246–1254

    Article  PubMed  CAS  Google Scholar 

  • Filip M, Bubar MJ, Cunningham KA (2006) Contribution of serotonin (5-HT) 5-HT2 receptor subtypes to the discriminative stimulus effects of cocaine in rats. Psychopharmacology 183:482–489

    Article  PubMed  CAS  Google Scholar 

  • Filip M, Spampinato U, McCreary A, Przegaliński E (2012) Pharmacological and genetic interventions in serotonin (5-HT)(2C) receptors to alter drug abuse and dependence processes. Brain Res 1476:132–153

    Article  PubMed  CAS  Google Scholar 

  • Fletcher PJ, Grottick AJ, Higgins GA (2002) Differential effects of the 5-HT(2A) receptor antagonist M100907 and the 5-HT(2C) receptor antagonist SB242084 on cocaine-induced locomotor activity, cocaine self-administration and cocaine-induced reinstatement of responding. Neuropsychopharmacology 27:576–586

    PubMed  CAS  Google Scholar 

  • Fletcher PJ, Chintoh AF, Sinyard J, Higgins GA (2004) Injection of the 5-HT2C receptor agonist Ro60-0175 into the ventral tegmental area reduces cocaine-induced locomotor activity and cocaine self-administration. Neuropsychopharmacology 29:308–318

    Article  PubMed  CAS  Google Scholar 

  • Fletcher PJ, Sinyard J, Higgins GA (2006) The effects of the 5-HT2C receptor antagonist SB242084 on locomotor activity induced by selective, or mixed, indirect serotonergic and dopaminergic agonists. Psychopharmacology 187:515–525

    Article  PubMed  CAS  Google Scholar 

  • Fletcher PJ, Rizos Z, Sinyard J, Tampakeras M, Higgins GA (2008) The 5-HT2C receptor agonist Ro60-0175 reduces cocaine self-administration and reinstatement induced by the stressor yohimbine, and contextual cues. Neuropsychopharmacology 33:1402–1412

    Article  PubMed  CAS  Google Scholar 

  • Fletcher PJ, Rizos Z, Noble K, Higgins GA (2011) Impulsive action induced by amphetamine, cocaine and MK801 is reduced by 5-HT(2C) receptor stimulation and 5-HT(2A) receptor blockade. Neuropharmacology 61:468–477

    Article  PubMed  CAS  Google Scholar 

  • Fletcher PJ, Soko A, Higgins G (2013) Impulsive action in the 5-choice serial reaction time test in 5-HT2C receptor null mutant mice. Psychopharmacology 226:561–570

    Article  PubMed  CAS  Google Scholar 

  • Gobert A, Rivet JM, Lejeune F, Newman-Tancredi A, Adhumeau-Auclair A, Nicolas JP, Cistarelli L, Melon C, Millan MJ (2000) Serotonin(2C) receptors tonically suppress the activity of mesocortical dopaminergic and adrenergic, but not serotonergic, pathways: a combined dialysis and electrophysiological analysis in the rat. Synapse 36:205–221

    Article  PubMed  CAS  Google Scholar 

  • Grottick AJ, Fletcher PJ, Higgins GA (2000) Studies to investigate the role of 5-HT(2C) receptors on cocaine- and food-maintained behavior. J Pharmacol Exp Ther 295:1183–1191

    PubMed  CAS  Google Scholar 

  • Hannon J, Hoyer D (2008) Molecular biology of 5-HT receptors. Behav Brain Res 195:198–213

    Article  PubMed  CAS  Google Scholar 

  • Hedou G, Feldon J, Heidbreder CA (1999) Effects of cocaine on dopamine in subregions of the rat prefrontal cortex and their efferents to subterritories of the nucleus accumbens. Eur J Pharmacol 372:143–155

    Article  PubMed  CAS  Google Scholar 

  • Higgins GA, Fletcher PJ (2003) Serotonin and drug reward: focus on 5-HT2C receptors. Eur J Pharmacol 480:151–162

    Article  PubMed  CAS  Google Scholar 

  • Hutson PH, Barton CL, Jay M, Blurton P, Burkamp F, Clarkson R, Bristow LJ (2000) Activation of mesolimbic dopamine function by phencyclidine is enhanced by 5-HT2C/2B receptor antagonists: neurochemical and behavioural studies. Neuropharmacology 39:2318–2328

    Article  PubMed  CAS  Google Scholar 

  • Invernizzi RW, Pierucci M, Calcagno E, Di Giovanni G, Di Matteo V, Benigno A, Esposito E (2007) Selective activation of 5-HT(2C) receptors stimulates GABA-ergic function in the rat substantia nigra pars reticulata: a combined in vivo electrophysiological and neurochemical study. Neuroscience 144:1523–1535

    Article  PubMed  CAS  Google Scholar 

  • Ji SP, Zhang Y, Van Cleemput J, Jiang W, Liao M, Li L, Wan Q, Backstrom JR, Zhang X (2006) Distruption of PTEN coupling with 5-HT2C receptors suppresses behavioural responses induced by drug of abuse. Nat Med 12:324–329

    Article  PubMed  CAS  Google Scholar 

  • Kalivas PW, Volkow ND (2005) The neural basis of addiction: a pathology of motivation and choice. Am J Psychiatry 162:1403–1413

    Article  PubMed  Google Scholar 

  • Katsidoni V, Apazoglou K, Panagis G (2011) Role of serotonin 5-HT2A and 5-HT2C receptors on brain stimulation reward and the reward-facilitating effect of cocaine. Psychopharmacology 213:337–354

    Article  PubMed  CAS  Google Scholar 

  • Leggio GM, Cathala A, Moison D, Cunningham KA, Piazza PV, Spampinato U (2009a) Serotonin2C receptors in the medial prefrontal cortex facilitate cocaine-induced dopamine release in the rat nucleus accumbens. Neuropharmacology 56:507–513

    Article  PubMed  CAS  Google Scholar 

  • Leggio GM, Cathala A, Neny M, Rouge-Pont F, Drago F, Piazza PV, Spampinato U (2009b) In vivo evidence that constitutive activity of serotonin2C receptors in the medial prefrontal cortex participates in the control of dopamine release in the rat nucleus accumbens: differential effects of inverse agonist versus antagonist. J Neurochem 111:614–623

    Article  PubMed  CAS  Google Scholar 

  • Liu S, Cunningham KA (2006) Serotonin2C receptors (5-HT2CR) control expression of cocaine-induced conditioned hyperactivity. Drug Alcohol Depend 81:275–282

    Article  PubMed  CAS  Google Scholar 

  • McCreary AC, Cunningham KA (1999) Effects of the 5-HT2C/2B antagonist SB 206553 on hyperactivity induced by cocaine. Neuropsychopharmacology 20:556–564

    Article  PubMed  CAS  Google Scholar 

  • McMahon LR, Filip M, Cunningham KA (2001) Differential regulation of the mesoaccumbens circuit by serotonin 5-hydroxytryptamine 5-HT2A and 5-HT2C receptors. J Neurosci 21:7781–7787

    PubMed  CAS  Google Scholar 

  • Mengod G (2011) Serotonin 5-HT2C receptors: chemical neuroanatomy in the mammalian brain. In: Di Giovanni G, Esposito E, Di Matteo V (eds) 5-HT2C Receptors in the pathophysiology of CNS disease. Springer, New York, pp 17–27

    Chapter  Google Scholar 

  • Michel A, Tambour S, Tirelli E (2003) The magnitude and the extinction duration of the cocaine-induced conditioned locomotion-activated response are related to the number of cocaine injections paired with the testing context in C57BL/6J mice. Behav Brain Res 145:113–123

    Article  PubMed  CAS  Google Scholar 

  • Navailles S, De Deurwaerdère P, Porras G, Spampinato U (2004) In vivo evidence that 5-HT2C receptor antagonist but not agonist modulates cocaine-induced dopamine outflow in the rat nucleus accumbens and striatum. Neuropsychopharmacology 29:319–326

    Article  PubMed  CAS  Google Scholar 

  • Navailles S, De Deurwaerdère P, Spampinato U (2006a) Clozapine and haloperidol differentially alter the constitutive activity of central serotonin2C receptors in vivo. Biol Psychiatry 59:568–575

    Article  PubMed  CAS  Google Scholar 

  • Navailles S, Moison D, Ryczko D, Spampinato U (2006b) Region-dependent regulation of mesoaccumbens dopamine neurons in vivo by the constitutive activity of central serotonin2C receptors. J Neurochem 99:1311–1319

    Article  PubMed  CAS  Google Scholar 

  • Navailles S, Moison D, Cunningham KA, Spampinato U (2008) Differential regulation of the mesoaccumbens dopamine circuit by serotonin2C receptors in the ventral tegmental area and the nucleus accumbens: an in vivo microdialysis study with cocaine. Neuropsychopharmacology 33:237–246

    Article  PubMed  CAS  Google Scholar 

  • Neisewander JL, Acosta JI (2007) Stimulation of 5-HT2C receptors attenuates cue and cocaine-primed reinstatement of cocaine-seeking behavior in rats. Behav Pharmacol 18:791–800

    Article  PubMed  CAS  Google Scholar 

  • Pelloux Y, Dilleen R, Economidou D, Theobald D, Everitt B (2012) Reduced forebrain serotonin transmission is causally involved in the development of compulsive cocaine seeking in rats. Neuropsychopharmacology 37:2505–2514

    Article  PubMed  CAS  Google Scholar 

  • Pentkowski NS, Duke FD, Weber SM, Pockros LA, Teer AP, Hamilton EC, Thiel KJ, Neisewander JL (2010) Stimulation of medial prefrontal cortex serotonin 2C (5-HT(2C)) receptors attenuates cocaine-seeking behavior. Neuropsychopharmacology 35:2037–2048

    Article  PubMed  CAS  Google Scholar 

  • Pierucci M, Di Matteo V, Esposito E (2004) Stimulation of serotonin2C receptors blocks the hyperactivation of midbrain dopamine neurons induced by nicotine administration. J Pharmacol Exp Ther 309:109–118

    Article  PubMed  CAS  Google Scholar 

  • Pockros LA, Pentkowski NS, Conway SM, Ullman TE, Zwick KR, Neisewander JL (2012) 5-HT(2A) receptor blockade and 5-HT(2C) receptor activation interact to reduce cocaine hyperlocomotion and Fos protein expression in the caudate-putamen. Synapse 66:989–1001

    Article  PubMed  CAS  Google Scholar 

  • Porras G, Di Matteo V, Fracasso C, Lucas G, De Deurwaerdère P, Caccia S, Esposito E, Spampinato U (2002) 5-HT2A and 5-HT2C/2B receptor subtypes modulate dopamine release induced in vivo by amphetamine and morphine in both the rat nucleus accumbens and striatum. Neuropsychopharmacology 26:311–324

    Article  PubMed  CAS  Google Scholar 

  • Pozzi L, Acconcia S, Ceglia I, Invernizzi RW, Samanin R (2002) Stimulation of 5-hydroxytryptamine (5-HT(2C)) receptors in the ventrotegmental area inhibits stress-induced but not basal dopamine release in the rat prefrontal cortex. J Neurochem 82:93–100

    Article  PubMed  CAS  Google Scholar 

  • Robinson TE, Berridge KC (1993) The neural basis of drug craving: an incentive-sensitization theory of addiction. Brain Res Rev 18:247–291

    Article  PubMed  CAS  Google Scholar 

  • Rocha BA, Goulding EH, O’Dell LE, Mead AN, Coufal NG, Parsons LH, Tecott LH (2002) Enhanced locomotor, reinforcing, and neurochemical effects of cocaine in serotonin 5-hydroxytryptamine2C receptor mutant mice. J Neurosci 22:10039–10045

    PubMed  CAS  Google Scholar 

  • Steketee JD, Kalivas PW (2011) Drug wanting: behavioral sensitization and relapse to drug-seeking behavior. Pharmacol Rev 63:348–365

    Article  PubMed  CAS  Google Scholar 

  • Svenningsson P, Nairn AC, Greengard P (2005) DARPP-32 mediates the actions of multiple drugs of abuse. AAPS J 7:E353–E360

    Article  PubMed  CAS  Google Scholar 

  • Vysokanov A, Flores-Hernandez J, Surmeier DJ (1998) mRNAs for clozapine-sensitive receptors co-localize in rat prefrontal cortex neurons. Neurosci Lett 258:179–182

    Article  PubMed  CAS  Google Scholar 

  • Werry TD, Loiacono R, Sexton PM, Christopoulos A (2008) RNA editing of the serotonin 5-HT-2C receptor and its effects on cell signalling, pharmacology and brain function. Pharmacol Ther 119:7–23

    Article  PubMed  CAS  Google Scholar 

  • Yan QS (2000) Activation of 5-HT2A/2C receptors within the nucleus accumbens increases local dopaminergic transmission. Brain Res Bull 51:75–81

    Article  PubMed  CAS  Google Scholar 

  • Zayara AE, McIver G, Valdivia PN, Lominac KD, McCreary AC, Szumlinski KK (2011) Blockade of nucleus accumbens 5-HT2A and 5-HT2C receptors prevents the expression of cocaine-induced behavioral and neurochemical sensitization in rats. Psychopharmacology 213:321–335

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

This work was supported by the statutory funds of Institute of Pharmacology (Kraków, Poland), the Department of Toxicology, Faculty of Pharmacy Jagiellonian University (Kraków, Poland), the Institut National de la Recherche et de la Santé (INSERM), and Bordeaux 2 University.

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The authors declare that they have no conflict of interest.

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Correspondence to Umberto Spampinato.

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Devroye, C., Filip, M., Przegaliński, E. et al. Serotonin2C receptors and drug addiction: focus on cocaine. Exp Brain Res 230, 537–545 (2013). https://doi.org/10.1007/s00221-013-3593-2

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