“…Each of the hitherto proposed hypothesis on the possible mechanisms which may lead to the loss of 5-HT nerve terminals explained some, but not all of these protective or preventive effects. The concept of energy exhaustion proposed here, however, predicts that the long-term damage to 5-HT nerve endings should be less pronounced under conditions a) When the vesicular 5-HT stores are depleted by prior administration of 5-HT releasers (see Berger et al, 1989Berger et al, , 1992a or when the uptake of released 5-HT is blocked (see Schmidt, 1987), so that less 5-HT is inefficiently transported and less ATP is consumed for the restoration and maintenance of ionic gradients; b) when the hyperthermic response is attenuated by drugs which antagonize the rise of body temperature caused by the activation of 5-HT-and DA-receptors involved in central thermoregulation (Schmidt et al, 1990b;Miller and O'Callaghan, 1994), so that more energy-rich substrates can be supplied to the brain; c) when the amphetamine-like psychostimulatory effects, and therefore the degree of general arousal and hyperactivity are reduced e.g. by pretreatments which prevent the activation of the dopaminergic system, e.g., by lesions of the DA-system (see Schmidt et al, 1985;Stone et al, 1988), by prior DA-depletion or by inhibition of DA-synthesis (see Axt et al, 1990;Brodkin et al, 1993), by administration of DAantagonists (see Schmidt et al, 1985;Hewitt and Green, 1994), by pharmacologic manipulations of other transmitter systems involved in the regulation of presynaptic DA-output, including administration of 5-HT2-receptor antagonists (see Schmidt et al, 1991;Gudelsky et al, 1994), of GABA-agonists and/or glutamate (NMDA) antagonists (see Finnegan et al, 1990;Colado et al, 1993;Colado and Green, 1994) or by drugs which cause a general reduction of global energy metabolism in the brain, such as sedativa and anesthetics (see Schmidt et al, 1990a); d) when the oxidative pressure in 5-HT nerve terminals is reduced, e.g., by prior administration of antioxidants and radical scavengers (see Hirata et al, 1995;Gudelsky, 1996); by treatments which reduce the uptake and possible formation of toxic metabolites in 5-HT presynapses (see Iyer et al, 1994;Sprague and Nichols, 1995) or presumably by any other treatment which improves global energy metabolism in the brain.…”