Review
Serotonin: A never-ending story

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Abstract

The neurotransmitter serotonin is an evolutionary ancient molecule that has remarkable modulatory effects in almost all central nervous system integrative functions, such as mood, anxiety, stress, aggression, feeding, cognition and sexual behavior. After giving a short outline of the serotonergic system (anatomy, receptors, transporter) the author׳s contributions over the last 40 years in the role of serotonin in depression, aggression, anxiety, stress and sexual behavior is outlined. Each area delineates the work performed on animal model development, drug discovery and development. Most of the research work described has started from an industrial perspective, aimed at developing animals models for psychiatric diseases and leading to putative new innovative psychotropic drugs, like in the cases of the SSRI fluvoxamine, the serenic eltoprazine and the anxiolytic flesinoxan. Later this research work mainly focused on developing translational animal models for psychiatric diseases and implicating them in the search for mechanisms involved in normal and diseased brains and finding new concepts for appropriate drugs.

Section snippets

Serotonin, history, drugs

My career in serotonin research started in Groningen at the Biological Psychiatry laboratory of Professor Herman van Praag in 1973 where I contributed to the PhD research of Netty Bouhuys (Bouhuys, 1976). At that time the involvement of serotonin (5-hydroxytryptamine; 5-HT) in mental functions was only emerging after the first suggestions in the 1950s (Gaddum, 1954, Brodie et al., 1955). Initially much research was performed into the synthesis and degradation of this neurotransmitter. In the

Serotonin and depression

A neuronal reuptake mechanism for terminating action of neurotransmitters released from nerve terminals was first found for noradrenaline (Hertting and Axelrod, 1961), followed for other neurotransmitters, including serotonin (Blackburn et al., 1967, Ross and Renyi, 1967). Soon it was realized that this mechanism had an important regulatory function in the activity of serotonergic neurons. Moreover, due to the then existing theories about the relationship between (low) activity of

Serotonin and aggression

My story on aggression started at Groningen University, where I did an undergraduate study in neurobiology on the role of the ventromedial hypothalamus in social behavior in male mice. Electrolytic lesions of the median hypothalamus led to complex behavioral changes in feeding, aggression and sexual behavior (Olivier and Wiepkema, 1974). Subsequently I continued my graduate studies on the role of the hypothalamus in social and aggressive behavior in the rat receiving my PhD in 1977 (Olivier,

Serotonin and anxiety/stress

In the serenics program performed in the 1970s and early 1980s, a number of compounds synthesized exerted blood pressure lowering effects (Bevan et al., 1986; Wouters et al., 1988). The serenic line appeared devoid of this activity, but directed synthesis of compounds to optimize the blood pressure lowering effects led to the discovery and development of flesinoxan (DU29373). Upon testing in humans the drug was completely devoid of anti-hypertensive activity and consequently this line of

Serotonin and sexual behavior

During my PhD studies I examined the behavioral role of the medial hypothalamus in social, including sexual behavior in the rat (Olivier, 1977a, Olivier, 1977b). Before and after specific hypothalamic lesions (anterior or posterior lesions in the medial aspects of the hypothalamus) among other behaviors the sexual behavior of male rats was studied. If bilateral lesions were positioned in the preoptic area/anterior hypothalamus sexual behavior was severely disrupted whereas posterior

Future

It has become evident over the last decades that the serotonergic system in the CNS is extremely important in practically all areas where subtle modulation is needed in processes involved in regulation of amongst others, mood, anxiety, appetite regulation, aggression, sexual behavior and cognition. It is astonishing that one neurotransmitter is able to play such a role. The distribution of the serotonergic innervation in the CNS, the 14 different receptors, the localizations and the intrinsic

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