IntroductionThe central and peripheral nervous systems can modulate immune function by releasing soluble factors such as hormones, neuropeptides, and neurotransmitters. 1,2 Serotonin (5-HT) is a classical neurotransmitter and vasoactive amine best known for its role in the regulation of variety of physiologic states and behaviors, including pain, appetite, mood, and sleep. 3 Despite these major roles for 5-HT in the central nervous system, the vast majority of 5-HT is produced in the periphery (Ͼ 90%), primarily by enterochromaffin cells in the gut. 4 Consistent with its abundance in the periphery, 5-HT is recognized as an important inflammatory mediator with significant immune-modulatory effects. 2,5 Mast cells and platelets both express the 5-HT specific transporter (SERT) which enables them to sequester 5-HT from the microenvironment. In turn, 5-HT is released in response to injury and/or inflammatory signals such as platelet activating factor, complement components (C3a and C5a), and IgE complexes. 5,6 Released 5-HT has been shown to regulate platelet aggregation 7 and to promote the accessory function of macrophages, and it is a potent eosinophil chemoattractant. 8,9 Consistent with these effects, 5-HT is implicated in the pathogenesis of inflammatory disorders, including asthma, inflammatory bowel syndrome, allergic diarrhea, and chronic eczema. 5,[10][11][12][13][14] Several studies have demonstrated that T and B lymphocytes are functionally responsive to 5-HT, implicating a role for this monoamine in the generation of adaptive immune responses. Inhibition of endogenous 5-HT synthesis can impair rodent T-cell proliferation. 2,15,16 Conversely, exogenous 5-HT is reported to suppress T-cell proliferation. 3 5-HT triggers the increased release of preformed IL-16 from CD8 ϩ T cells and can initiate delayedtype hypersensitivity reactions through the local recruitment and activation of CD4 ϩ T cells. [17][18][19] Thus, the precise role of 5-HT in modulating lymphocyte activation or function is currently ambiguous. Moreover, the identity of 5-HTRs expressed by T cells and the intracellular signaling pathways that transduce this signal remain unclear. 5-HTR signaling is complex with 7 recognized receptor subfamilies. 2 With the exception of the 5-HT 3 receptor, which is a ligand-gated ion channel, they belong to the family of 7 transmembrane G protein-coupled receptors. Both 5-HT 1 and 5-HT 2 receptor subfamilies have been implicated in signaling T cells. 3,[15][16][17]20,21 With rare exception, however, 20 most studies have only demonstrated the expression of 5-HTR gene transcripts or pharmacologic sensitivity to 5-HTR agonists or antagonists. 3 To elucidate the function of 5-HT signaling in T cells, we have made a comprehensive analysis of 5-HTR expression and signaling in primary mouse T cells. We show that naive T cells primarily express the 5-HT 7 receptor. Exogenous 5-HT leads to rapid phosphorylation of extracellular signal related kinase-1 and -2 (ERK1/2) and IB␣ in bulk naive T cells, early steps that ar...