Brain serotonin (5-HT) deficiency and exposure to psychosocial stress have both been implicated in the etiology of depression and anxiety disorders, but whether 5-HT deficiency influences susceptibility to depression-and anxiety-like phenotypes induced by psychosocial stress has not been formally established. Most clinically effective antidepressants increase the extracellular levels of 5-HT, and thus it has been hypothesized that antidepressant responses result from the reversal of endogenous 5-HT deficiency, but this hypothesis remains highly controversial. Here we evaluated the impact of brain 5-HT deficiency on stress susceptibility and antidepressant-like responses using tryptophan hydroxylase 2 knockin (Tph2KI) mice, which display 60-80% reductions in brain 5-HT. Our results demonstrate that 5-HT deficiency leads to increased susceptibility to social defeat stress (SDS), a model of psychosocial stress, and prevents the fluoxetine (FLX)-induced reversal of SDS-induced social avoidance, suggesting that 5-HT deficiency may impair antidepressant responses. In light of recent clinical and preclinical studies highlighting the potential of inhibiting the lateral habenula (LHb) to achieve antidepressant and antidepressant-like responses, we also examined whether LHb inhibition could achieve antidepressant-like responses in FLXinsensitive Tph2KI mice subjected to SDS. Our data reveal that using designer receptors exclusively activated by designer drugs (DREADDs) to inhibit LHb activity leads to reduced SDS-induced social avoidance behavior in both WT and Tph2KI mice. This observation provides additional preclinical evidence that inhibiting the LHb might represent a promising alternative therapeutic approach under conditions in which selective 5-HT reuptake inhibitors are ineffective.serotonin | stress | antidepressants | habenula S tress is thought to play a key role in the development of neuropsychiatric disorders, but only a small percentage of individuals exposed to stress develop mental illnesses. To account for this, diathesis-stress hypotheses of neuropsychiatric disorders postulate that stress only leads to maladaptive behavior and psychiatric disease in individuals who harbor certain vulnerability factors (or diatheses) (1-3). However, the diatheses that lead to increased susceptibility to psychosocial stress remain largely unknown.Levels of brain serotonin (5-HT) have long been implicated in the development and treatment of neuropsychiatric disorders. Indeed, biomarkers of 5-HT deficiency have been identified in subpopulations of depression patients (4), and mutations within 5-HT-system genes have been associated with affective disorders, anxiety disorders, and alterations in stress sensitivity (3,(5)(6)(7)(8). In addition, most antidepressant drugs increase extracellular levels of brain 5-HT. However, whether brain 5-HT deficiency alters stress susceptibility or contributes to the development of aberrant emotional behavior remains largely unresolved. Here we examined the consequences of low levels of brai...