Significant research efforts have focused on advancing our understanding of serotonin (5-HT) 2 function and its mechanism of release, uptake, and metabolism. The majority of this research has involved the central nervous system, where imbalances in 5-HT levels have been linked to various diseases, including Parkinson, Huntington, Alzheimer, Alzheimer-like dementia, anxiety, and depression (1), and its regulation depends on a multitude of 5-HT receptors and neurochemical pathways (2). Other 5-HT functions within the brain involve learning and memory (3, 4) and regulation of various stages of development (5). However, neither 5-HT nor its effects are limited to the central nervous system; 5-HT is found in most smooth muscles in the body and is responsible for the induction of the contractile responses of the gastrointestinal, pulmonary, and genito-urinary systems (6). Specifically, researchers estimate that 95% of the approximate 10 mg of 5-HT in the human body is produced in the enteric nervous system, which includes both the peripheral nervous system of the gastrointestinal tract, as well as the 5-HT-secreting enterochromaffin cells of the gut lining (7). In the enteric nervous system, 5-HT fulfills all criteria necessary for classification as a neurotransmitter (8). Imbalances in 5-HT levels within the enteric nervous system have been observed in association with various disorders, including irritable bowel syndrome, functional dyspepsia, non-cardiac chest pain, and gastric ulcer formation (6, 9). Our focus is to gain insight into the pathways by which 5-HT is catabolized and the compounds into which it is converted. Because of its high biological potency, tight regulation of 5-HT levels in specific nervous system regions is necessary, and 5-HT catabolism plays an important role in this regulation. Because 5-HT conversion into these other compounds affects the overall levels of 5-HT, formation of these conversion products can be a fundamental factor in 5-HT regulation.Scheme 1 represents the main 5-HT metabolic pathways and enzymes; however, these represent only a subset of the pathways of 5-HT metabolism, as other lower abundance serotonin metabolites, such as 5-HT sulfate, are known. In immune response pathways, compounds such as formyl 5-HT and 5-hydroxykynuremine (10) are additional serotonin metabolic products. Research performed in the 1950s to track the metabolism of radiolabeled tryptophan demonstrated a number of unknown 5-HT metabolites, proposed to result from additional branches of the monoamine oxidase (MAO) pathway (11). MAO exists in two forms, MAOa and MAOb (12); the former is the primary form of the enzyme responsible for the conversion of 5-HT, although, in the absence of MAOa, MAOb takes over the 5-HT conversion process. With a more in-depth understanding of this, and other potential tissue-specific 5-HT catabolic pathways, it may be possible to develop methods for controlling serotonergic levels in a tissue-specific manner.In this study, we identify unique 5-HT metabolites by analyzing 5-HTp...