Reduction in surface  1 -adrenoceptor (1AR) density is thought to play a critical role in mediating the therapeutic long term effects of antidepressants. Since antidepressants are neither agonists nor antagonists for G protein-coupled receptors, receptor density must be regulated through processes independent of direct receptor activation. Endocytosis and recycling of the 1AR fused to green fluorescent protein at its carboxylterminus (1AR-GFP) were analyzed by confocal fluorescence microscopy of live cells and complementary ligand binding studies. In stably transfected C6 glioblastoma cells, 1AR-GFP displayed identical ligand-binding isotherms and adenylyl cyclase activation as native 1AR. Upon exposure to isoproterenol, a fraction of 1AR-GFP (10 -15%) internalized rapidly and colocalized with endocytosed transferrin receptors in an early endosomal compartment in the perinuclear region. Chronic treatment with the tricyclic antidepressant desipramine (DMI) did not affect internalization characteristics of 1AR-GFP when challenged with isoproterenol. However, internalized receptors were not able to recycle back to the cell surface in DMI-treated cells, whereas recycling of transferrin receptors was not affected. Endocytosed receptors were absent from structures that stained with fluorescently labeled dextran, and inhibition of lysosomal protease activity did not restore receptor recycling, indicating that 1AR-GFP did not immediately enter the lysosomal compartment. The data suggest a new mode of drug action causing a "switch" of receptor fate from a fast recycling pathway to a slowly exchanging perinuclear compartment. Antidepressant-induced reduction of receptor surface expression may thus be caused by modulation of receptor trafficking routes.Chronic treatment with most classes of antidepressants leads to a reduction in the number of central postsynaptic -adrenoceptors (AR) 1 in vivo and of surface AR density in cell cultures (1-4). This effect is reported to be specific for the  1 -adrenoceptor subtype (5, 6). AR down-regulation is accompanied by decreased receptor-stimulated cAMP formation (7). The two major effects at the molecular level become apparent in vivo after 10 -20 days of drug administration and coincide with the onset of clinical antidepressant response in humans. Therefore AR down-regulation and diminished cAMP response to catecholamines may relate to the therapeutic action of antidepressants.It has been proposed that the reduction in the number of functional AR could be a regulatory response to the enhanced presence of norepinephrine in the synaptic cleft after acute inhibition of norepinephrine reuptake or of monoamine oxidase activity by antidepressants (1, 8). Some clinically effective antidepressants, however, neither influence norepinephrine reuptake nor inhibit monoamine oxidase activity but still cause a AR down-regulation. Furthermore, this model fails to explain the observed time lag between the rapid drug-induced increase in intrasynaptic neurotransmitter concentrations ...