Key words serotonin; β-casein; 5-hydroxytryptamine (5-HT) 7 receptor; human mammary gland; milk protein Milk production and secretion are regulated by dynamic interactions between numerous endocrine hormones, including prolactin (PRL) and estrogen, and locally produced factors, such as sucking, which can induce PRL secretion. Sucklinginduced PRL promotes mammary epithelial cell division and differentiation, and increases the synthesis of milk constituents.1) It is known that signaling via the Janus kinase 2/signal transducer and activator of transcription 5 (Jak2/STAT5) pathway is involved in milk production.2-5) PRL induces the phosphorylation of STAT5 via Jak2 activation, which stimulates the expression of genes encoding milk proteins, such as β-casein and whey acidic protein, which are important differentiation markers in mammary epithelial cells.
2-5)Serotonin (5-HT) is thought to be an autocrine/paracrine regulator of lactation in many species, including mice, cows, and humans. Intrinsic 5-HT produced by the mammary epithelium plays an important role in the control of milk production. When the mammary gland is filled with milk during lactation, 5-HT provides negative feedback signals that suppress further milk synthesis in the mammary epithelium.6,7) Reduced demand for milk during weaning can stimulate this negative feedback, initiating mammary gland involution and reducing milk production.8) Previous studies using mammary epithelial cell culture models showed that exogenous 5-HT treatment led to increased tight junction permeability via 5-HT receptor 7 (5-HTR 7 ), and that this alteration is an important event in the initiation of mammary involution.9,10) Additionally, 5-HT signaling caused cell shedding and increased active caspase-3 in the human mammary epithelial cell line MCF-10A, suggesting that 5-HT can induce apoptosis in mammary epithelial cells at the beginning of involution. 11) In contrast, recent studies showed that 5-HT stimulated synthesis and enhanced secretion of parathyroid hormone-related peptide (PTHrP), which is a calcium-mobilizing hormone. PTHrP is an endocrine factor that is synthesized within the mammary gland during lactation, and is responsible for calcium mobilization from the bone to milk to maintain calcium supplies for the infant. [12][13][14] In our previous study, PRL treatment induced β-casein expression in the human mammary epithelial cell line MCF-12A via activation of the Jak2/STAT5 pathway. We also showed that 5-HT treatment decreased β-casein levels, with a concomitant reduction in STAT5 phosphorylation (pSTAT5), 15) suggesting that suppression of β-casein by 5-HT was associated with reduced STAT5 phosphorylation. These results implied that endogenous 5-HT in MCF-12A cells may be secreted and signal in an autocrine and/or paracrine manner in MCF-12A cells.5-HT can exert its action through a repertoire of over 15 different receptors, depending on the species, belonging to seven families (5-HTR 1-7 ).16) mRNA encoding four 5-HTR isoforms (5-HTR 1D, 2B, 3A, and 7 ) are ex...