INTRODUCTION

The dorsal raphe nucleus (DR) of the midbrain contains most serotonergic (5-hydroxytryptamine, 5-HT) neurons that project to the forebrain (Dahlström and Fuxe, 1964). 5-HT neurons are involved in many physiological functions and are the cellular target of a large array of drugs used to treat psychiatric illnesses (Jacobs and Azmitia, 1992; Montgomery, 1994; Meltzer, 1999). In particular, the vast majority of antidepressant drugs increase the serotonergic activity by directly or indirectly interfering with the mechanisms controlling the synaptic (extracellular) concentration of 5-HT, such as reuptake or deamination. Thus, the selective serotonin reuptake inhibitors (SSRIs) represent over 80% of the world antidepressant market (Heal and Cheetham, 1997). However, antidepressant drugs that inhibit noradrenaline (NA) reuptake as well may be more effective than SSRIs in the treatment of depression (DUAG, 1986,1990; Thase et al, 2001).

The activity of DR serotonergic neurones is tightly controlled by 5-HT1A autoreceptors (Blier and de Montigny, 1987; Sprouse and Aghajanian, 1987) and by afferent pathways from several brain areas (Jacobs and Azmitia, 1992). Among these, the catecholamine groups (Baraban and Aghajanian, 1980; Peyron et al, 1996), the lateral habenula (Aghajanian and Wang, 1977; Stern et al, 1981), and the medial prefrontal cortex (Aghajanian and Wang, 1977; Sesack et al, 1989; Hajós et al, 1998; Peyron et al, 1998; Celada et al, 2001; Martín-Ruiz et al, 2001a) play a major role.

The anatomical relationships between the DR and the pontine noradrenergic nuclei suggest the existence of a functional interaction between noradrenergic and serotonergic neurons. Both neuronal groups are REM-off (Aston-Jones et al, 1991; Jacobs and Azmitia, 1992) and previous studies have shown that the discharge rate and release of serotonergic neurons is under the excitatory control of α1-adrenoceptors (Baraban and Aghajanian, 1980; Pan et al, 1994). Thus, the α1-adrenoceptor agonist phenylephrine, applied in the DR, reversed the cessation of serotonergic discharge occurring during REM sleep in cats (Sakai and Crochet, 2000). Likewise, in deafferented midbrain slices containing the DR, bath application of phenylephrine restores normal firing in serotonergic neurons. On the other hand, the activation of α2-adrenoceptors has been shown to reduce the firing activity of serotonergic neurons and the release of 5-HT in forebrain structures (Svensson et al, 1975; Tao and Hjorth, 1992; Mongeau et al, 1997).

The interplay between both aminergic systems is likely involved in common physiological aspects of serotonergic and noradrenergic neurons, such as their parallel change of activity across the sleep–wake cycle, which suggests coordinate actions in the forebrain through the activation of postsynaptic receptors. It is also likely that these interactions play a role in the reported superior clinical efficacy of antidepressants acting on both neurotransmitter systems (DUAG, 1986,1990; Thase et al, 2001). In an attempt to better understand the control of the serotonergic system by noradrenergic inputs, we recently examined the effects of α1- and α2-adrenoceptor ligands on the release of 5-HT in the median raphe nucleus (Adell and Artigas, 1999). Here we extend our study to examine the effects of modulating α1- and α2-adrenoceptor-mediated transmission on the release of 5-HT and NA in the DR of the freely moving rat using in vivo microdialysis.

MATERIALS AND METHODS

Animals

Male Wistar rats (Iffa Credo, Lyon, France) weighing 280–320 g at the beginning of the experiments were used. The animals were housed in groups of four per cage until the onset of the experiments, and kept under a controlled temperature of 22±2°C and a 12 h lighting cycle (lights on at 07:00). After surgery, rats were housed individually. Food and water were always freely available throughout the experiments. All experimental procedures were in strict compliance with the Spanish legislation and the European Communities Council Directive on ‘Protection of Animals Used in Experimental and Other Scientific Purposes’ of 24 November 1986 (86/609/EEC).

In Vivo Microdialysis

Concentric microdialysis probes were constructed with 20 mm long 25-gauge stainless-steel tubing (A-M Systems, Everett, WA, USA). The inflow and outflow lines inserted into the 25-gauge tubing consisted of a fused silica capillary tubing of 110 μm OD and 40 μm ID (Polymicro Technologies, Phoenix, AZ, USA). Dialysis membranes were made from hollow cuprophan fibers with 252 μm OD, 220 μm ID and 5000 Da molecular weight cutoff (GFE09, Gambro, Lund, Sweden). The total length of the dialysis membrane exposed to the tissue was 1.5 mm in the DR and 4 mm in the dorsal striatum. To reduce the void volume, narrow-bore (0.15 mm ID) FEP tubing (Metalant AB, Stockholm, Sweden) was used in the microdialysis system. After an injection of 60 mg/kg of sodium pentobarbital, the rats were placed in a stereotaxic frame (David Kopf Instruments, Tujunga, CA, USA) and a dialysis probe was implanted in the DR and secured to the skull with anchor screws and dental cement. Stereotaxic coordinates (in mm) from bregma and skull surface were AP −7.8, L −3.1, DV −7.5, with a lateral angle of 30° to avoid obstruction of the cerebral aqueduct, for the DR, and AP +0.2, L −3.0, DV −8.0 for dorsal striatum (Paxinos and Watson, 1986). After a recovery period of 20–24 h, rats were placed in a plastic cage with a mounted liquid swivel system (Instech Laboratories, Plymouth Meeting, PA, USA). The probes were perfused at a constant rate of 1.5 μl/min with an artificial cerebrospinal fluid (aCSF; NaCl 125 mM, KCl 2.5 mM, MgCl2 1.18 mM, and CaCl2 1.26 mM), containing 1 μM of citalopram (H Lundbeck A/S, Copenhagen-Valby, Denmark). The dialysate level of 5-HT represents a balance between release and reuptake of the transmitter. With the partial blockade of the reuptake process by the addition of citalopram to the perfusion fluid, the concentration of 5-HT in dialysate samples reflects mainly the release of the transmitter. Dialysate samples of 30 μl were collected at 20-min intervals into polypropylene microcentrifuge vials containing 5 μl of 10 mM perchloric acid. After an initial 1 h sample of dialysate was discarded, four samples were collected to establish stable baseline levels of 5-HT and NA.

HPLC Analysis

Dialysate samples were assayed for 5-HT and NA by HPLC using an Ultrasphere 3 μm column (7.5 cm×0.46 cm; Beckman, San Ramon, CA, USA) and determined with an amperometric detector Hewlett-Packard 1049 (Palo Alto, CA, USA), set at a potential of +0.75 V. Samples were processed immediately after collection to prevent degradation of NA. The mobile phase consisted of 0.1 M KH2PO4, 2.3 mM octyl sodium sulfate, 0.1 mM EDTA (pH 2.6 adjusted with phosphoric acid) and 15% methanol, and was pumped at 0.5 ml/min. With these conditions, the respective retention times of NA and 5-HT were 3.5 and 16 min, approximately (Figure 1a).

Figure 1
figure 1

(a) HPLC trace of a baseline dialysate sample from the DR showing the presence of NA and 5-HT (approximate retention times 3.5 and 16 min, respectively). The absolute values for both neurotransmitters in this particular sample were 8.5 and 27 fmol, respectively. (b) Bar graph showing the effects of the local perfusion of veratridine (10 μM) and tetrodotoxin (1 μM) on the concentration of 5-HT and NA in DR dialysates (n=5). (c) and (d) Effect of the administration of the respective autoreceptor agonists 8-OH-DPAT (0.3 mg/kg s.c.; n=5) and clonidine (0.1 mg/kg s.c.; n=8) on dialysate 5-HT and NA, respectively. The enhancement of NA output by 8-OH-DPAT is also shown. *p<0.01 vs baseline.

In experiments involving lesions of the noradrenergic system with DSP-4, rats were killed at the conclusion of the dialysate experiments, and brain tissue processed according to a method described elsewhere (Adell et al, 1989) to examine the magnitude of NA depletion. Briefly, each brain was quickly removed and placed over a cold plate. Coronal cuts were made with a blade and the frontal cortex was dissected out. Tissue samples were weighed and homogenized in 800 μl of ice-cold 0.4 mM perchloric acid containing 5.0 mM sodium metabisulfite, 8.3 mM cysteine, and 0.3 mM EDTA. After centrifugation at 12 000g (30 min, 4°C), aliquots of the supernatants were analyzed for NA and 5-HT.

Chemicals

The HPLC reagents were of analytical grade and obtained from Merck (Darmstadt, Germany). 5-HT oxalate, 8-OH-DPAT ((±)-8-hydroxy-2-(di-n-propylamino)tetralin hydrobromide), clonidine hydrochloride, desipramine hydrochloride, DSP-4 (N-(2-chloroethyl)-N-ethyl-2-bromobenzylamine hydrochloride), NA bitartrate, prazosin hydrochloride, tetrodotoxin (TTX), veratridine, WAY-100635 (N-{2-[4-(2-methoxyphenyl)-1-piperazinyl]ethyl}-N-(2-pyridinyl) cyclohexanecarboxamide trihydrochloride), and yohimbine hydrochloride were purchased from Sigma/RBI (St Louis, MO, USA). RX-821002 (2-(2,3-dihydro-2-methoxy-1,4-benzodioxin-2-yl)-4,5-dihydro-1H-imidazole hydrochloride) was from Tocris (Bristol, UK). Citalopram was gently provided by Lundbeck A/S (Copenhagen-Valby, Denmark). Drugs were systemically administered at the doses and routes indicated or locally applied by reverse dialysis at the stated concentrations after appropriate dilutions in the dialysis fluid. The DSP-4 solutions were prepared immediately before use. Concentrated (1 mM) drug solutions were stored at −80°C and working solutions were prepared every day. When necessary, the pH of the concentrated solutions was adjusted to 6–7. Control groups for the effects or systemic drug administration were injected with vehicle whereas controls for local drug administration were perfused with aCSF for the entire experiment.

At the conclusion of the experiments, rats were given an overdose of sodium pentobarbital, and the placement of the dialysis probes was examined by perfusing fast green dye and visual inspection of the probe track after cutting the brain at the level of the DR or striatum.

Brain Lesions

To examine the involvement of α-adrenoceptors outside the DR in the actions of clonidine and prazosin, we performed several lesions. These included the treatment with the noradrenergic neurotoxin DSP-4, the electrolytic lesion of the lateral habenula, known to control the DR through the habenulo–raphe pathway, and cortical transection, to remove direct afferents from the medial prefrontal cortex that control the activity of 5-HT and NA neurons (Aghajanian and Wang, 1977; Stern et al, 1981; Hajós et al, 1998; Jodo et al, 1998; Celada et al, 2001). The lesion of the NA system was carried out by administration of DSP-4 (40 mg/kg i.p.) 60 min after the injection of the selective serotonin uptake inhibitor fluoxetine (10 mg/kg i.p.), to prevent concurrent damage of serotonergic neurons (Tellez et al, 1999). Rats were used 5–6 days after DSP-4 treatment.

Bilateral electrolytic lesions of the lateral habenula were performed with a Grass stimulating unit S-48 using bipolar electrodes (the distance between electrodes was 0.7 mm). A current intensity of 2 mA for 10 s was used to produce the lesions. Stereotaxic coordinates for the placement of electrodes were AP −3.5, L ±0.6, DV −4.8 (tip).

Transection of the frontal cortex was performed using a fine needle (0.6 mm diameter), which was stereotaxically positioned at AP +1.0, DV −6.0, L from 0.0 to 4.0, in sodium pentobarbital (60 mg/kg i.p.) anesthetized rats. The needle was moved from the midline bilaterally (from 0.0 to ±4.0) without damaging the sinus. Drug administration was performed 22–24 h after the frontocortical transection. At the end of microdialysis experiments, rats were killed with an overdose of sodium pentobarbital and perfused transcardially with 0.9% physiological saline followed by 10% formalin. The brains were removed and stored in 10% formalin before being sectioned (40 μm) with a cryostat in the coronal or sagital plane. Brain sections were then stained with neutral red, according to standard procedures to examine the extent of the habenular lesions and frontocortical transections.

Data Treatment and Statistical Analysis

Baseline 5-HT and NA values are given in fmol/30 μl and were calculated averaging the four predrug samples. Unless otherwise specified, all samples were expressed as a percentage of the mean baseline. In some instances, the 5-HT or NA values have been averaged to examine drug effect over a certain time period, indicated in the text. Overall drug effects have been assessed by one- or two-way repeated measures ANOVA with treatment and time as main factors. One-way ANOVA or Student's t-test for independent data have also been used. All statistical procedures were performed using the Statistica software for Windows (StatSoft, Inc., Tulsa, OK, USA). Data are given as means ±SEM. Statistical significance was set at the 95% level (two-tailed).

RESULTS

Sensitivity of Dialysate 5-HT and NA in the DR to Nerve Impulse

Figure 1a shows a typical HPLC trace of a dialysate sample from the DR. Both the NA and 5-HT peaks were free from interfering compounds. In order to validate the HPLC method, we examined the sensitivity of the 5-HT and NA peaks to the local application of veratridine and TTX. The local application of veratridine (10 μM) for 20 min doubled the concentration of 5-HT (n=5, p<0.01, Duncan test post-ANOVA, Figure 1b). Following stabilization of the 5-HT values, we applied TTX (1 μM) for 2 h. TTX rapidly reduced dialysate 5-HT concentration to 20% of baseline values from 40 min after application onwards (p<0.01, Duncan test post-ANOVA, Figure 1b). Veratridine increased dialysate NA to an extent similar to that of 5-HT (n=5, p<0.002, Duncan test post-ANOVA) and TTX reduced it maximally to 20% of baseline (p<0.001, Duncan test post-ANOVA, Figure 1b). Furthermore, the treatment of rats with 8-OH-DPAT (0.3 mg/kg s.c., n=5) and clonidine (0.1 mg/kg s.c., n=8), agonists of 5-HT1A and α2-adrenoceptors, respectively, markedly reduced the concentration of 5-HT and NA in DR dialysates to ca. 25 and 50% of baseline, respectively (F15,60=7.95, p<0.00001 and F15,45=9.82, p<0.00001 for 8-OH-DPAT and clonidine, respectively, Figures 1c and d). Baseline 5-HT and NA values in dialysates from the DR of rats without pretreatment are shown in Table 1.

Table 1 Effects of DSP-4 Pretreatment, Electrolytic Lesion of Lateral Habenula and Cortical Transection on Baseline 5-HT and NA Dialysate Values in the DR

Modulation of 5-HT Release by α1-Adrenoceptors

The systemic administration of prazosin (0.3 mg/kg s.c.) reduced maximally the 5-HT output in the DR to 60% of baseline without altering that of NA (Figures 2a and b). The administration of saline did not significantly alter the release of either transmitter. Two-way ANOVA showed a significant effect of the time (F15,165=12.1, p<0.000001) and the time×treatment interaction (F15,165=5.8, p<0.000001) for 5-HT. Prazosin (0.3 mg/kg s.c.) reduced the 5-HT output similarly when probes were perfused with an aCSF devoid of citalopram. Thus, the average reductions (fractions 6–16) were 69±4 and 70±4% of baseline in the presence and absence of citalopram, respectively (n.s., Student's t-test). Higher doses of prazosin (1 and 3 mg/kg) did not reduce 5-HT further (Figure 2a). Thus, prazosin 1 mg/kg reduced 5-HT to the same extent as 0.3 mg/kg, whereas the 5-HT reduction produced by the 3 mg/kg dose was less marked than that of 0.3 and 1 mg/kg (Figure 2a).

Figure 2
figure 2

Effect of the systemic (a, b) and local (c, d) administration of the α1-adrenoceptor antagonist prazosin on the 5-HT and NA output in the DR. Prazosin reduced the 5-HT release at the three doses examined and did not affect NA. Note the absence of a linear dose–response in the effect of systemic prazosin on 5-HT (a). The administration of prazosin by reverse dialysis in the DR (100 μM, uncorrected for probe recovery) markedly reduced the 5-HT output (c) and did not affect NA output (d). (c) Results of two different experiments performed 10 months apart. Data from 4 to 8 rats/group except prazosin 3 mg/kg (n=3). See results for statistical analysis.

The local application of 100 μM prazosin in the DR, a concentration known to maximally reduce 5-HT output in the MnR (Adell and Artigas, 1999), reduced that in the DR to 22±3% of baseline (Figure 2c). Two-way ANOVA revealed a significant effect of the treatment (F1,11=5.7, p<0.04) time (F11,165=15.4, p<0.000001) and the time×treatment interaction (F11,165=10.7, p<0.000001). Given the marked difference between the local and systemic effect of prazosin on the 5-HT output, we performed a second local experiment several months later, which yielded exactly the same results (Exp. 2, Figure 2c). Prazosin infusion did not significantly alter the NA output in the DR (Figure 2).

These results support the fact that α1-adrenoceptors tonically stimulate the 5-HT release in the DR. To examine whether 5-HT output could be further enhanced by an increased noradrenergic tone, we locally infused the NA reuptake blocker desipramine in the DR. In the dorsal striatum, desipramine (10−100 μM) increased the NA output to 5-fold of baseline (F21,126=23.2, p<0.00001, one-way ANOVA) without significantly altering the 5-HT output (Figure 3a). We therefore used 100 μM desipramine in subsequent experiments in the DR. Desipramine perfusion in the DR significantly increased the NA output to a maximal concentration of 216±25% of baseline (fractions 1–10, F9,27=7.5, p<0.00002) without significantly affecting the 5-HT output (fractions 1–10, F9,27=0.9, p=0.55). The subsequent co-application of prazosin did not alter the effect of desipramine on NA output and significantly reduced the 5-HT output to 48±9% of baseline (fractions 7–16, F9,27=9.1, p<0.0000003) (Figure 3b). A further attempt to increase the tone on α1-adrenoceptors was carried out by locally perfusing 10 nM NA in addition to desipramine. This procedure maximally enhanced dialysate NA 15-fold (data not shown) but did not alter the 5-HT output in the DR (Figure 3c). As in previous experiments, the application of 100 μM prazosin significantly reduced the 5-HT output (fractions 7–16, F9,27=3.5, p<0.005).

Figure 3
figure 3

(a) The application of desipramine (10–100 μM, 6 fractions each) in the dorsal striatum increased the NA output in a concentration-dependent manner and did not alter the 5-HT output. (b) In the DR, the perfusion of desipramine also increased the NA output without significantly affecting 5-HT. The subsequent co-perfusion of prazosin (100 μM) significantly reduced the 5-HT output. (c) The perfusion of desipramine 100 μM in combination with 10 nM NA did not alter the 5-HT output in the DR. As in previous experiments, the perfusion of prazosin markedly reduced the 5-HT output. Data from 4 to 7 rats/group. See results for statistical analysis.

Modulation of 5-HT Release by α2-Adrenoceptors

The systemic administration of clonidine (0.1 and 1 mg/kg s.c.) reduced the 5-HT output in the DR in a dose-dependent manner (F15,225=16.85, p<0.0000001, time effect; F30,225=4.59, p<0.000001, time×group interaction) (Figure 4a). In a pilot experiment, a lower dose (0.03 mg/kg s.c.) did not alter the 5-HT output (data not shown). The maximal reduction was noted at 1 mg/kg, reaching 52±5% of baseline.

Figure 4
figure 4

Effects of the s.c. administration of the α2-adrenoceptor agonist clonidine on the output of 5-HT and NA in the DR: (a) reduction of the 5-HT output produced by the s.c. administration of 0.1 and 1 mg/kg clonidine; (b) effect of the same clonidine doses on the NA output; (c) and (d) effect of the α2-adrenoceptor antagonist RX-821002 (1 mg/kg s.c.) alone or in combination with clonidine 0.1 mg/kg s.c. on the 5-HT and NA output in the DR. RX-821002 significantly increased 5-HT and NA concentrations and fully antagonized the effect of clonidine on both amines. Controls (open circles) received saline. Data from 5 to 8 rats/group. See results for statistical analysis.

Clonidine administration also reduced the NA output in the DR in a dose-dependent manner (F2,14=5.64, p<0.01, group effect; F15,210=17.42, p<0.000001, time effect; F30,210=3.66, p<0.000001, time×group interaction). The effect on NA was notably more marked than that on 5-HT, with a maximal reduction to 18% of baseline at 1 mg/kg (Figure 4b).

The effect of clonidine (0.1 mg/kg) on 5-HT and NA output in the DR was antagonized by the selective α2-adrenoceptor antagonist RX-821002 (1 mg/kg s.c.) (p<0.000001 vs clonidine alone for both amines). The latter compound raised by itself the 5-HT and NA output to 185±16 and 180±21% of baseline, respectively (p<0.000001 vs controls for both amines) (Figures 4c and d). In contrast, the α2-adrenoceptor antagonist yohimbine (5 mg/kg i.p.) reduced the 5-HT output to 45% of baseline (F15,105=2.50, p<0.0035, time effect; F15,105=2.45, p<0.005, time×group interaction) (Figure 5). However, this effect appeared unrelated to an action at α2-adrenoceptors because the 5-HT1A receptor antagonist WAY-100635 (0.3 mg/kg s.c.) fully counteracted the yohimbine-induced decrease in 5-HT (F15,90=3.27, p<0.0025 vs yohimbine alone) (Figure 5), suggesting that the agonist properties of yohimbine for 5-HT1A receptors were involved (Millan et al, 2000).

Figure 5
figure 5

The α2-adrenoceptor antagonist yohimbine (5 mg/kg i.p.) markedly reduced 5-HT output in the DR. This effect was fully counteracted by the selective 5-HT1A receptor antagonist WAY-100635 (0.3 mg/kg s.c.), indicating that the reduction produced by yohimbine was because of nonspecific action at 5-HT1A receptors. Data from 4 rats/group. See results for statistical analysis.

The local administration of clonidine (100 μM) in the DR reduced maximally the NA output to 30±5% of baseline (F1,7=52.5, p<0.0002, group effect; F15,105=3.8, p<0.00002, time effect; F15,105=5.5, p<0.00001, time×group interaction, Figure 6). However, the effect on the 5-HT output was more moderate, reaching only a 70–75% of baseline (Figure 6). A second experiment was carried out in which the local effect of clonidine on 5-HT was assessed using a standard HPLC procedure (eg Adell and Artigas, 1998). The effects of this second experiment are also depicted in Figure 6. A two-way ANOVA analysis did not reveal any significant difference between the data of both experiments, and therefore they were pooled and analyzed together. The effect of local clonidine on the 5-HT output showed a significant effect of time (F15,210=3.6, p<0.00002) and the time×group interaction (F15,210=1.9, p<0.03).

Figure 6
figure 6

Effect of the local application of 100 μM clonidine on the 5-HT and NA output in the DR. The 5-HT data correspond to two different experiments employing two different HPLC methods. Filled symbols (circles, 5-HT; squares, NA, n=5) are from the same dialysate samples, as in previous figures. The open circles correspond to a second experiment in which the concentration of 5-HT in dialysate samples was determined using a standard HPLC procedure (n=6) (see the Materials and methods section). The 5-HT values from both experiments did not significantly differ. Clonidine was notably more effective to reduce the output of NA than that of 5-HT.

Effects of Lesions on the Modulation of the 5-HT Output by α-Adrenoceptors

To examine the possible involvement of α-adrenoceptors outside the DR in the control of the 5-HT output, several lesion procedures were carried out in order to eliminate or reduce the putative influence of such receptors on the systemic effects of prazosin and clonidine. Three types of lesions were performed, namely lesions of noradrenergic neurons with the selective neurotoxin DSP-4, electrolytic lesions of the lateral habenula, and cortical transections. Groups of rats were pretreated with the noradrenergic neurotoxin DSP-4 (40 mg/kg i.p., 5 days before experiments). The concentration of 5-HT and NA in the frontal cortex of control rats was 248±12 and 332±17 pmol/g, respectively (n=10). Rats pretreated with DSP-4 showed a very marked reduction of the tissue NA content (28±4 pmol/g, 11% of controls, p<0.00001) without a significant change of the 5-HT concentration (254±20 pmol/g; n=19). Table 1 shows the baseline concentrations of 5-HT and NA in DR dialysates of untreated rats and in those subjected to the various lesion procedures.

Modulation of the Effects of Prazosin

Figure 7 shows the local effect of prazosin on the 5-HT and NA output in the DR of previously untreated rats and in rats subjected to the above lesions. Rats lesioned with DSP-4 had significantly lower values of dialysate 5-HT compared with the respective control group (21.3±5.4 vs 39.8±5.8 fmol/fraction in DSP-4 (n=10) and untreated rats (n=12), respectively; p<0.03). This difference was marginally significant (p=0.06) when considering all untreated rats used in the present study ( Table 1). The local administration of prazosin reduced dialysate 5-HT in both groups, although the effect was significantly less marked in DSP-4-lesioned rats (F15,300=35.71, p<0.000001, time effect; F15,300=6.16, p<0.0000001, time×group interaction). In neither group prazosin application altered the dialysate NA concentration in the DR (Figure 7).

Figure 7
figure 7

The local application of prazosin (100 μM) in the DR of rats lesioned with DSP-4 (40 mg/kg i.p., 5 days before, filled circles, n=10) reduced the 5-HT output to an extent lesser than in untreated rats (open circles, n=8). The concentration of NA was unaffected in both instances. See text for statistical analysis.

However, neither DSP-4 pretreatment nor the lesion of the lateral habenula or the cortical transection altered the effect of systemic prazosin (0.3 mg/kg s.c.) on the DR 5-HT output in a significant manner (F15,315=32.7, p<0.000001, significant effect of time but not of the group or group×time interaction). The average post-treatment values (fractions 6–16) were 69±4 (n=8), 70±5 (n=6), 76±4 (n=7), and 70±2 (n=4) for controls, DSP-4-lesioned, lateral habenula-lesioned, and cortically transected rats, respectively (n.s., one-way ANOVA) (Figure 8a). Neither condition altered the inability of prazosin to alter the NA output in the DR (Figure 8b).

Figure 8
figure 8

(a) Effect of the s.c. administration of prazosin (0.3 mg/kg) on 5-HT output in the DR in previously untreated rats (open circles) or in (i) rats pretreated with the noradrenergic neurotoxin DSP-4 (40 mg/kg i.p., 5 days before) (filled squares), (ii) rats with electrolytic lesions of the lateral habenula (LHb, filled circles), and (iii) rats with cortical transection (filled triangles). (b) In all experimental groups, the administration of prazosin left unaltered the NA concentration. Data from 4 to 8 rats/group. See results for statistical analysis.

Modulation of the Effects of Clonidine

The lesion with the noradrenergic neurotoxin DSP-4 significantly attenuated the suppressing effect of local clonidine application (100 μM) on dialysate 5-HT (F15,270=4.89, p<0.000001, time effect; F15,270=3.52, p<0.000015, time×group interaction) (Figure 9). However, although the effect of the DSP-4 lesion attenuated the effect on NA output, the change did not reach statistical significance (Figure 9). These data clearly indicated that the effects of local clonidine on the 5-HT release in the DR were dependent on α2-adrenoceptors located on noradrenergic elements within the DR.

Figure 9
figure 9

The suppressant effect of local clonidine administration on 5-HT release in the DR was virtually abolished by the pretreatment with DSP-4 (40 mg/kg i.p., 5 days before, filled circles). DSP-4 pretreatment also attenuated the effect of clonidine on NA output, but this effect did not reach statistical significance. Data from 5 to 11 rats/group. See text for detailed statistical analysis.

The lesion with DSP-4 also attenuated the reducing effect of 0.1 mg/kg clonidine on the DR 5-HT output (F15,180=4.12, p<0.000002, time effect; F15,180=2.73, p<0.0009, time×group interaction) (Figure 10a). Likewise, the electrolytic lesion of the lateral habenula attenuated the suppressing effect of 0.1 mg/kg clonidine on the 5-HT output (F15,195=4.85, p<0.000001, time effect; F15,195=4.03, p<0.000002, time×group interaction) (Figure 10a). In contrast, the effect of clonidine appeared to be more marked in rats subjected to cortical transection (n=10), although this difference did not reach statistical significance (Figure 10a). The DSP-4 lesion attenuated the effect of clonidine 0.1 mg/kg s.c. on the NA output in the DR (F15,180=15.57, p<0.000001, time effect; F15,180=4.01, p<0.000003, time×group interaction) while the lesion of the lateral habenula or the cortical transection did not alter the effect of clonidine on NA output (Figure 10b).

Figure 10
figure 10

(a) Effect of the s.c. administration of clonidine (0.1 mg/kg) on 5-HT output in the DR in previously untreated rats (open circles) or in (i) rats pretreated with the noradrenergic neurotoxin DSP-4 (40 mg/kg i.p., 5 days before) (filled squares), (ii) rats with electrolytic lesions of the lateral habenula (LHb; filled circles), and (iii) rats with cortical transection (filled triangles).The first two lesion procedures abolished the effects of clonidine on 5-HT output, whereas the cortical transection exhibited a tendency towards a greater 5-HT reduction, but this difference did not reach statistical significance. (b) The effect of clonidine on NA output was only moderately, but significantly, affected by the DSP-4 lesion. Data from 6 to 10 rats/group. See results for statistical analysis.

Overall, the above data suggested that the suppressant effect of clonidine on 5-HT release in the DR was because of different subsets of α2-adrenoceptors, located, respectively, in the DR and elsewhere in the brain, likely in forebrain regions that control serotonergic activity indirectly, through the habenulo–raphe pathway (Aghajanian and Wang, 1977). The activity of 5-HT neurons is modulated, among others, by local GABAergic afferents whose inhibitory inputs appear to vary with anesthesia (Tao and Auerbach, 1994; Jolas and Aghajanian, 1997). Hence, we next examined the effect of clonidine on the 5-HT and NA output of chloral hydrate anesthetized rats. These were subjected to the usual experimental procedures (see the Materials and methods section), but the entire experiments were performed under chloral anesthesia (400 mg/kg i.p. followed by supplemental doses). In chloral hydrate anesthetized rats (n=7), clonidine increased the 5-HT output, a change that was significantly different from that seen in unanesthetized rats (F1,13=5.70, p<0.035, group effect; F15,195=8.87, p<0.000001, group×time interaction) (Figure 11a). In contrast, the effect of clonidine on the NA output did not differ between awake and anesthetized rats.

Figure 11
figure 11

(a) In rats anesthetized with chloral hydrate before microdialysis experiments, the systemic administration of clonidine (0.1 mg/kg s.c.) increased 5-HT output in the DR (filled squares). (b) The effect of clonidine on NA output was unaltered by the previous anesthesia. Data from 4 to 8 rats/group. See text for statistical analysis.

DISCUSSION

Previous work by our group showed that the in vivo release of 5-HT in the median raphe nucleus is under the control of α1- and α2-adrenoceptors in this nucleus (Adell and Artigas, 1999). Similarly, microdialysis studies in rat forebrain revealed that the 5-HT release is also regulated by both families of α-adrenoceptors (Tao and Hjorth, 1992; Rouquier et al, 1994; Bel and Artigas, 1996; Gobert et al, 1998). Here we extend these previous observations to the control of the 5-HT release in the DR using both local and systemic administration of α-adrenoceptor ligands.

Methodological Aspects

The HPLC method employed in this study enabled one to determine simultaneously the concentration of 5-HT and NA in brain dialysates. As in previous studies from this and other groups, citalopram was added to the perfusion fluid. This aspect was deemed essential for the success of the study given that (a) 5-HT eluted at a long retention time (with the consequent reduction in peak height), (b) most treatments used were expected to markedly reduce 5-HT release, and (c) the success of fundamental parts of the study (eg dose–response experiments, effects of lesions) relied on an accurate discrimination among the 5-HT values in the various experimental groups. Although 5-HT1A autoreceptors control 5-HT release in the DR, the concern on a potential interference of the action of citalopram with those of the α-adrenoceptor agents used appears unwarranted, in view of the following reasons. First, citalopram 1 μM inhibits partially 5-HT reuptake (Hervás et al, 2000) and causes little activation of 5-HT1A receptors (Tao et al, 2000). Higher concentrations (typically >10 μM) are required to activate significantly 5-HT1A receptors and to reduce 5-HT release (Romero et al, 1994; Tao et al, 2000). Indeed, despite the large nominal concentrations, the amount of drugs applied by reverse dialysis at low perfusion rates is small and the extent of diffusion is very limited (eg WAY-100635; Celada et al, 2001). Second, 1 μM citalopram did not interfere with the local or systemic actions of 5-HT1A receptor ligands on 5-HT release in the midbrain or forebrain (Casanovas and Artigas, 1996; Adell and Artigas, 1998; Casanovas et al, 1999). Finally, the 5-HT reduction effected by 0.3 mg/kg prazosin in the presence and absence of citalopram did not differ.

Overall, these data illustrate that in the experimental conditions used, dialysate 5-HT and NA concentrations are representative of a neuronal, impulse-dependent release in the DR. 5-HT may arise from dendrites but also from the initial segments of the branching axons, since the DR contains a dense network of 5-HT efferent fibers (Steinbusch, 1981; Halliday et al, 1995) whereas dialysate NA likely originates from the dense plexus of noradrenergic fibers in the DR (see below). These may release NA in an impulse-dependent manner, as observed in the forebrain (L'Heureux et al, 1986). Likewise, most previous reports support the notion that the 5-HT release in the DR varies in parallel with serotonergic activity (Casanovas and Artigas, 1996, Casanovas et al, 1997; Matos et al, 1996; Celada et al, 2001). As previously reported in the hippocampus of awake rats (Done and Sharp, 1994), 8-OH-DPAT increased NA release in the DR.

Modulation of 5-HT Release by α-Adrenoceptors

The DR receives a dense noradrenergic innervation from the pontine noradrenergic cell groups (Sakai et al, 1977; Baraban and Aghajanian, 1980; Peyron et al, 1996). Neurochemical studies have revealed the presence of noradrenaline and NA uptake sites in the DR (Saavedra et al, 1976; Tejani-Butt, 1992; Ordway et al, 1997; Strazielle et al, 1999). Autoradiographic, immunohistochemical, and in situ hybridization studies show an abundance of α1-adrenoceptors in the DR, whereas the presence of α2-adrenoceptors is not accompanied by their encoding mRNA (Unnerstall et al, 1984; Pieribone et al, 1994; Nicholas et al, 1996; Rosin et al, 1996; Talley et al, 1996; Day et al, 1997; Winzer-Serhan et al, 1997a,1997b). Early studies indicated that the activity of 5-HT neurons in the DR is under an excitatory control by α1-adrenoceptors (Baraban and Aghajanian, 1980; VanderMaelen and Aghajanian, 1983). In agreement, the α1-adrenoceptor agonist phenylephrine depolarized DR 5-HT neurons in vitro, an effect blocked by prazosin (Pan et al, 1994). This, together with the distribution of cells expressing α1B-adrenoceptors in the DR (Pieribone et al, 1994; Day et al, 1997), suggests that α1-adrenoceptors are located on 5-HT neurons. However, to the best of our knowledge, no detailed histological studies (ie double immunohistochemical or in situ hybridization) have been performed to fully confirm this view.

Likewise, the DR also contains a moderate density of α2-adrenoceptors, as assessed by autoradiography (eg with [3H]para-aminoclonidine; Unnerstall et al, 1984). Immunohistochemical studies also show the presence of α2A- and α2C-adrenoceptor immunoreactivity in the DR (Rosin et al, 1996; Talley et al, 1996). However, in situ hybridization studies failed to reveal a significant density of the mRNAs encoding α2A- and α2C-adrenoceptors in the DR (McCune et al, 1993; Nicholas et al, 1993,1996; Scheinin et al, 1994). This suggests that the majority of α2-adrenoceptors in the DR are located in noradrenergic terminals where they function as autoreceptors and control the release of NA.

The local and systemic administration of the α1-adrenoceptor antagonist prazosin reduced the 5-HT release in the DR. Local prazosin (100 μM) virtually suppressed the 5-HT release, without affecting that of NA. This effect was similar in magnitude to that of treatments that fully suppress serotonergic activity, such as TTX or 5-HT1A agonists, which emphasizes the importance of the noradrenergic input onto 5-HT neurons for their normal function. However, it is unclear whether the α1-adrenergic tone in the DR can be further enhanced. Pilot experiments with phenylephrine (100 μM in the DR) did not enhance the 5-HT output (Celada and Artigas, 1993). Given the low intrinsic efficacy of phenylephrine and the possibility of nonspecific actions of cirazoline (Ruffolo and Waddell, 1982), in the present study we sought to further enhance the tone on α1-adrenoceptors with the endogenous transmitter. To this end, we applied a combination of NA and desipramine (to prevent its reuptake by noradrenergic terminals). The inability of this procedure to elevate 5-HT release suggests that the tone on α1-adrenoceptors is already maximal in the present experimental conditions, although we cannot fully exclude that the α1-adrenoceptor-blocking properties of desipramine may have partly attenuated a potential NA-induced increase in 5-HT output. Previous data from this laboratory suggest that the 5-HT output in the MnR may be further enhanced by cirazoline (Adell and Artigas, 1999). This would indicate a different regulation of DR and MnR neurons by α1-adrenoceptors, a view also supported by the greater reduction in hippocampal 5-HT release (compared with striatal 5-HT release) after systemic prazosin administration (Rouquier et al, 1994). However, in view of the above limitations, a strict regional comparison of the effect of α1-adrenoceptor stimulation in DR and MnR is still lacking. Intriguingly, bath addition of phenylephrine reduced the stimulated 5-HT release in midbrain slices containing the DR, as assessed by voltammetry (Hopwood and Stamford, 2001). This observation, at variance with the widely accepted stimulatory role of α1-adrenoceptors in the DR (Vandermaelen and Aghajanian, 1983; Pan et al, 1994), may result from the particular experimental conditions used (deafferented midbrain slices, high stimulation rates) (Hopwood and Stamford, 2001).

The inability of the desipramine+NA combination to increase the 5-HT output in the DR may seem discordant with the enhancement of 5-HT release produced by the systemic administration of RX-821002. This agent could conceivably enhance serotonergic transmission through the removal of a self-inhibitory effect of NA on noradrenergic terminals in the DR, thus increasing the release of NA (Figure 4d) and hence the tone on postsynaptic α1-adrenoceptors. Indeed, the systemic and intra-raphe administration of idazoxan, another α2-adrenoceptor antagonist, increased the firing rate of 5-HT neurons in the DR (Garratt et al, 1991; Hertel et al, 1997). Although this possibility cannot be fully discarded, it seems unlikely in view of the different temporal profile of 5-HT and NA changes after systemic RX 821002 administration (Figures 4c and d). Moreover, RX 821002 is also a 5-HT1A antagonist (Newman-Tancredi et al, 1998) and could thus contribute to increase 5-HT release in the DR, as observed with WAY 100635 (Martín-Ruiz et al, 2001b). Given that α2-adrenoceptors outside the DR also control 5-HT release (see below), it would be possible that RX 821002 enhanced 5-HT release by an action at such extra-raphe receptors.

Interestingly, the reduction of 5-HT release elicited by the local application of prazosin was more marked than by its systemic administration (0.3–3 mg/kg s.c.). The comparable effects of 0.3 and 1 mg/kg suggest that this was a nearly maximal effect, whereas 3 mg/kg appeared to be less effective. Interestingly, a similar dose range (0.1–1 mg/kg s.c.) reduced dose-dependently the 5-HT output in ventral hippocampus to a maximum of 30% of baseline (Hjorth et al, 1995). Lower i.v. doses (0.03–0.4 mg/kg) also induced a marked reduction of hippocampal 5-HT output (Rouquier et al, 1994). The local-systemic difference in the present study cannot be ascribed to an unusually marked effect of the local application, since two different experiments performed several months apart gave identical results. Thus, the possibility exists that prazosin may additionally modulate DR serotonergic activity and 5-HT release by α1-adrenoceptors outside the DR, whose blockade would oppose that in the DR, thus resulting in an attenuated effectiveness of the systemic administration.

The lateral habenula and the medial prefrontal cortex are two forebrain structures that densely innervate the DR and control the activity of 5-HT neurons in this nucleus (Aghajanian and Wang, 1977; Stern et al, 1981; Sesack et al, 1989; Takagishi and Chiba, 1991; Hajós et al, 1998; Peyron et al, 1998; Celada et al, 2001; Martín-Ruiz et al, 2001a). The density of the various α-adrenoceptor subtypes in the lateral habenula ranges from none to moderate (Unnerstall et al, 1984; Pieribone et al, 1994; Rosin et al, 1996; Day et al, 1997; Winzer-Serhan et al, 1997a,1997b). However, several areas rich in α1- and α2-adrenoceptors projecting to the lateral habenula, such as the hippocampus or the amygdala (Matthews-Felton et al, 1999), contain a high density of both α-adrenoceptor families. Likewise, all cortical layers in the frontal cortex contain a moderate to high density of α-adrenoceptors (Unnerstall et al, 1984; Pieribone et al, 1994; Rosin et al, 1996; Day et al, 1997; Winzer-Serhan et al, 1997a,1997b) that could be involved in the distal control of serotonergic activity and 5-HT release, as shown for cortical (prefrontal) 5-HT1A and 5-HT2A receptors (Ceci et al, 1994; Hajós et al, 1999; Celada et al, 2001; Martín-Ruiz et al, 2001a; Martín-Ruiz and Ugedo, 2001). Likewise, the medial prefrontal cortex controls the activity of locus coeruleus noradrenergic neurons (Jodo et al, 1998), which in turn might affect 5-HT neurons in the DR.

To examine the influence of such distal influences, we performed lesion experiments, that is, bilateral electrolytic lesions of the lateral habenula and cortical transections. Furthermore, groups of rats were treated with the selective noradrenergic neurotoxin DSP-4 to assess whether the effects of clonidine and prazosin were dependent on the noradrenergic input onto DR 5-HT neurons.

Contrary to our initial assumption, neither the cortical transection nor the electrolytic lesion of the lateral habenula significantly modified the suppressant effects of 0.3 mg/kg prazosin on 5-HT release in the DR. The lesion with DSP-4 attenuated the suppressant effect of the local (but not systemic) prazosin administration. The lower effect of local prazosin in DSP-4-treated rats may reflect a diminished tone on α1-adrenoceptors on 5-HT neurons (ie resulting from damaged noradrenergic terminals) or be the result of adaptive pre- and postsynaptic mechanisms secondary to the loss of noradrenergic fibers. In support of the latter possibility is the observation that the NA output in the DR was increased in DSP-4-lesioned rats, perhaps as a compensatory mechanism to the massive loss of tissue NA and noradrenergic terminals. A lack of reduction of NA release after DSP-4 treatment has also been reported in rat frontal cortex (Kask et al, 1997).

The similar reduction elicited by 0.3 mg/kg prazosin in untreated and DSP-4 lesioned rats suggests that the blockade of α1-adrenoceptors in the DR produced by this systemic dose is lower than that produced by its local application and/or that different receptor populations are being affected by both procedures. The inherent complexity of in vivo microdialysis prevented the realization of a full dose–response study after these lesion procedures. Hence, it cannot be discarded that the above lesions might alter the effect of higher doses of prazosin (eg 3 mg/kg) that appeared to elicit an abnormally low effect on 5-HT release.

The local and systemic administration of clonidine reduced the in vivo 5-HT release in the DR, as previously observed in the MnR and forebrain areas (Tao and Hjorth, 1992; Bel and Artigas, 1996; Adell and Artigas, 1999). The clonidine-induced 5-HT reductions (local and systemic) were more moderate than those elicited by prazosin, maybe because of the partial agonist properties of clonidine. Unlike prazosin, systemic clonidine reduced 5-HT release more than its local application. The local effect possibly involves the activation of α2-adrenoceptors on noradrenergic terminals that synapse on and activate 5-HT neurons through α1-adrenoceptors. The systemic action of clonidine likely involves also somatodendritic α2-autoreceptors in the pontine nuclei, whose activation should result in the observed reduction of NA release, and hence of the tone on postsynaptic α1-adrenoceptors on 5-HT neurons. Additionally, clonidine might reduce 5-HT release in the DR via the activation of α2-heteroceptors on 5-HT axonal varicosities within this nucleus. This mechanism has been assumed to underlie in part the action of clonidine on the 5-HT system in forebrain (Tao and Hjorth, 1992; Bel and Artigas, 1996; Mongeau et al, 1997) and DR (Hopwood and Stamford, 2001). However, the lesion with DSP-4 virtually abolished the effects of local clonidine on 5-HT release, which suggests that, when applied in the DR, it acts predominantly on α2-autoreceptors. Likewise, the effect of the systemic administration of clonidine on 5-HT release depends, among other factors, on the integrity of NA neurons (ie somatodendritic and terminal α1-adrenoceptors) as it was also cancelled by the previous lesion with DSP-4. However, because the DR contains a dense network of 5-HT fibers, α2-heteroceptors might also contribute, as suggested by voltammetric studies (Hopwood and Stamford, 2001).

The effect of systemic clonidine administration on 5-HT (but not NA) release was also cancelled by the lesion of the lateral habenula and appeared to be more marked (although not significantly) in rats subjected to cortical transection. In a small number of rats, the lesion of the lateral habenula with kainic acid also abolished the effect of clonidine on 5-HT release (unpublished observations). These rats also had a massive loss of hippocampal tissue, as a result of the proximity of the injection site and the sensitivity of hippocampal neurons to kainic acid. Moreover, clonidine increased 5-HT (but not NA) release in rats anesthetized with chloral hydrate, suggesting that in this condition the effect of clonidine on 5-HT release opposed that produced through the activation of α2-adrenoceptors on noradrenergic neurons. The effect of anesthesia may be because of a putative change of inhibitory inputs onto 5-HT neurons, as observed with morphine and baclofen, two drugs affecting 5-HT release in the DR via GABAergic interneurons (Tao and Auerbach, 1994; Jolas and Aghajanian, 1997; Abellan et al, 2000). Thus, the chloral hydrate-induced prevention of the effect of clonidine possibly reflects the existence of α2-adrenoceptors in areas that project to 5-HT neurons in the DR via GABAergic afferents or local interneurons. Indeed, early observations in chloral hydrate anesthetized rats already suggested a complex action of clonidine on 5-HT neurons. Thus, low i.v. doses reduced the firing rate of 5-HT neurons, yet this effect disappeared at higher doses (Svensson et al, 1975). Moreover, although bath application of NA excites and clonidine inhibits 5-HT neurons in the slice preparation (Alojado et al, 1994) the microiontophoretic application of clonidine in the DR did not suppress the firing of 5-HT neurons (Dresse and Scuvee-Moreau, 1986). Our results give support to the notion that the action of clonidine on 5-HT release is indirect. In the DR, α2-adrenoceptors responsible for this effect appear to be located on noradrenergic terminals, although α2-heteroceptors may also participate (Hopwood and Stamford, 2001). Moreover, based on lesion studies and the interaction of anesthesia with the effect of clonidine on 5-HT release, we propose the involvement of α2-adrenoceptors on other brain areas, although we cannot clarify which of the various candidate forebrain structures is involved. Interestingly, neither lesion procedure nor anesthesia (with the exception of DSP-4, discussed above) altered the effect of clonidine on NA output, which supports a direct action of clonidine on NA neurons and emphasizes the indirect nature of the effect on 5-HT neurons.

In summary, the present results support the notion that the 5-HT release in the DR is strongly dependent on the activation of α1-adrenoceptors in this nucleus. The tone on such receptors appears to be maximal in the experimental conditions used (daylight, unanesthetized rats). Likewise, the activation of α2-adrenoceptors in the DR reduces the release of 5-HT, although to a lesser extent than the blockade of α1-adrenoceptors. This effect is predominantly mediated by α2-autoreceptors located on noradrenergic terminals, since it is dependent on the integrity of noradrenergic neurons. Finally, based on the discrepancies between the local and systemic effects of prazosin and clonidine and on the results of lesion studies, we suggest that α-adrenoreceptors outside the DR are involved in the control of 5-HT release in the DR as well.