2022
DOI: 10.1126/science.abo3566
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Design of fast-onset antidepressant by dissociating SERT from nNOS in the DRN

Abstract: Major depressive disorder (MDD) is one of the most common mental disorders. We designed a fast-onset antidepressant that works by disrupting the interaction between the serotonin transporter (SERT) and neuronal nitric oxide synthase (nNOS) in the dorsal raphe nucleus (DRN). Chronic unpredictable mild stress (CMS) selectively increased the SERT-nNOS complex in the DRN in mice. Augmentation of SERT-nNOS interactions in the DRN caused a depression-like phenotype and accounted for the CMS-induced depressive behavi… Show more

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Cited by 51 publications
(25 citation statements)
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“…For the interaction between 5-HT and OS (Figure 1E-OS), studies found 5-HT presented antioxidant properties in vitro, as indicted by the inhibited generations of ROS and iNOS (Vašíček et al, 2020), while N-acetyl 5-HT showed antioxidant and anti-apoptosis actions, by activating TrkB/CREB/BDNF pathway and antioxidant enzyme expression, in vitro and in vivo (Yoo et al, 2017). Recent studies demonstrated the possibility of designing fast-onset antidepressant, by dissociating 5-HTT from neuronal NOS in the DRN of mice, which indicates the critical involvement of 5-HT and OS interaction in depression pathogenesis (Guan & Pang, 2023;Kingwell, 2022;Sun et al, 2022;Ye et al, 2023). In turn, OS could cause central 5-HT deficiency through inducing neuroinflammation (Catena-Dell'Osso et al, 2013) and MGB disturbance (Stasi et al, 2019), by activating IDO/TDO enzymes and promoting KP of tryptophan metabolism, as expounded in the above sections correspondingly.…”
Section: Central 5-ht Deficiencymentioning
confidence: 99%
“…For the interaction between 5-HT and OS (Figure 1E-OS), studies found 5-HT presented antioxidant properties in vitro, as indicted by the inhibited generations of ROS and iNOS (Vašíček et al, 2020), while N-acetyl 5-HT showed antioxidant and anti-apoptosis actions, by activating TrkB/CREB/BDNF pathway and antioxidant enzyme expression, in vitro and in vivo (Yoo et al, 2017). Recent studies demonstrated the possibility of designing fast-onset antidepressant, by dissociating 5-HTT from neuronal NOS in the DRN of mice, which indicates the critical involvement of 5-HT and OS interaction in depression pathogenesis (Guan & Pang, 2023;Kingwell, 2022;Sun et al, 2022;Ye et al, 2023). In turn, OS could cause central 5-HT deficiency through inducing neuroinflammation (Catena-Dell'Osso et al, 2013) and MGB disturbance (Stasi et al, 2019), by activating IDO/TDO enzymes and promoting KP of tryptophan metabolism, as expounded in the above sections correspondingly.…”
Section: Central 5-ht Deficiencymentioning
confidence: 99%
“…Ketamine and its derivatives have rapid action but produce unwanted side-effects, including abuse potential, cognitive impairment, psychotomimetic/dissociative symptoms, and neurotoxicity [ 129 , 130 ]. Sun et al in our lab investigated the role of SERT-nNOS coupling in the dorsal raphe nucleus (DRN) and found that the DRN SERT-nNOS interaction is implicated in the modulation of depressive behaviors and dissociating SERT from nNOS in the DRN produces a fast-onset antidepressant effect, revealing a fast-onset antidepressant target [ 12 ]. By inhibiting 5-HT reuptake, SSRIs elevate 5-HT levels in the synaptic cleft and thereby increase the activation of postsynaptic 5-HT 1A Rs in the cortex, hippocampus, and other brain regions [ 131 ].…”
Section: Nnos-sert Interaction and Mddmentioning
confidence: 99%
“…We found that CMS exposure increases the nNOS-SERT interaction, blockade of which enhances SERT translocation to the cell surface selectively in DRN neurons, reduces extracellular 5-HT levels and 5-HT 1A R auto activity, and exhibits fast-onset antidepressant effects in mice. Using optogenetic stimulation and pharmacogenetic studies, we demonstrated that the rapid antidepressant effect depends on the increased firing of serotonergic DRN neurons and DRN-mPFC serotonergic circuit activity [ 12 ].…”
Section: Nnos-sert Interaction and Mddmentioning
confidence: 99%
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