Progress in Neuro-Psychopharmacology & Biological Psychiatry 30 (2006) 112 – 119
Effects of m-CPP and mesulergine on dietary choices in deprived rats:
Spyridon Antonatos *, Panagiota Galanopoulou
Department of Experimental Pharmacology, Medical School, University of Athens, 75, M. Asias, str, Athens 11527, Goudi, Greece
Although it has been well established that compounds that stimulate 5-HT2C and/or 5-HT1B receptors induce hypophagia by promoting
satiety process, the relative role of these receptor subtypes in dietary choices remains to be fully determined. m-CPP is considered a usefulprobe of 5-HT2C receptor function in vivo and its administration reduces food intake and appetite in humans and rats. Conversely, the non-selective 5-HT2C receptor antagonist mesulergine elicits feeding in rats. Food intake and dietary choices were measured in a food-deprivation experimental protocol employing male Wistar rats. Animals were given access for a 4-h period to a pair of isocaloric diets. These two diets were enriched in protein or carbohydrate proportions, respectively, but fat content was held constant. The mixed 5-HT2C/1Breceptor agonist, m-CPP, led to a dose-dependent hypophagia, due to substantial reduction in carbohydrate consumption while protein intakewas spared (0.62, 1.25 and 2.50 mg/kg i.p., respectively). The non-selective 5-HT2C receptor antagonist and also D2 agonist, mesulergine,on its own produced a significant dose-dependent increase in both protein and carbohydrate diets (1.0 and 3.0 mg/kg i.p., respectively). Combined treatment with m-CPP, at its maximum effective dose, and mesulergine dose-dependently reversed m-CPP-induced hypophagia,during the 4-h test period. In order to clarify the effects of mesulergine on dietary choices since it is simultaneously a dopamine agonistbesides its antiserotonergic properties, the D2 agonist apomorphine was also used. Apomorphine caused a dose-dependent increase in proteinintake while carbohydrate and total food intake remained nearly unchanged (0.5 and 1.0 mg/kg i.p., respectively). It is concluded that themesulergine-induced hyperphagic response on both diets is the expression of a dual mode of action, due to its 5-HT2C antagonist activitytogether with D2 agonist properties. The results further indicate that the activation of hypothalamic 5-HT2C receptors may be involved inboth protein sparing and carbohydrate suppressing effects of 5-HT (m-CPP-like effect), whereas an important role in increase of proteinconsumption seems to have the dopaminergic system probably through D2 receptors (apomorphine-like and mesulergine-like effects,respectively). D 2005 Elsevier Inc. All rights reserved.
Keywords: Apomorphine; Carbohydrate enriched diet; Dietary choices; Dopamine (DA) receptors; D2; Food deprivation schedule; 5-Hydroxytryptamine (5-HT)receptors; 5-HT2C; Isocaloric diets; m-CPP; Mesulergine; Protein enriched diet
The serotonergic system has an inhibitory role in appetite
behaviour and has been the main target for drug developmentagainst obesity (
Abbreviations: CED, Carbohydrate enriched diet; DA, Dopamine; DMN,
Fairburn, 2002; Halford and Blundell, 2000; Leibowitz, 1991;
Dorsomedial nucleus of hypothalamus; 5-HT, 5-hydroxytryptamine (serotonin);
Simansky, 1996, 1998). Furthermore, there is a close relation-
LHA, Lateral area of hypothalamus; m-CPP, 1-(3-chlorophenyl)piperazine;PED, Protein enriched diet; PVN, Paraventricular nucleus of hypothalamus; SB
ship between satiety, dietary choices and serotonergic activities
200646, N-(1-methyl-5-indonyl)-NV-(3-pyridyl) urea hydrochloride; SB 242084,
6-chloro-5-methyl-1-[2(2-methylpyridyl-3-oxy)-pyrid-5-yl carbamoyl] indo-
Leibowitz, 1990). Clinical and preclinical studies have shown
line; TFI, Total food intake; VMN, Ventromedial nucleus of hypothalamus.
that administration of compounds which enhance serotonergic
* Corresponding author. Tel.: +30 210 7462561, +30 210 6822552; fax: +30
neurotransmission (i.e., fenfluramine, fluoxetine and sertraline)
E-mail address: sorfeas@otenet.gr (S. Antonatos).
induce hypophagia in both animals and humans (
0278-5846/$ - see front matter D 2005 Elsevier Inc. All rights reserved. doi:10.1016/j.pnpbp.2005.08.018
S. Antonatos, P. Galanopoulou / Progress in Neuro-Psychopharmacology & Biological Psychiatry 30 (2006) 112 – 119
Schreiber, 2000; Garattini et al., 1992; Hewitt et al., 2002;
clear that any specific 5-HT receptor subtype mediates the
Kitchener and Dourish, 1994; Sargent et al., 1997; Simansky
and Vaidya, 1990). Conversely, administration of serotonergic
receptor antagonists reducing serotonin (5-HT) activity may
The objectives of the present study were threefold. First, to
investigate the effects of both the mixed 5-HT2C/1B receptor
Schreiber, 2000; Dourish et al., 1989; Fletcher, 1988).
agonist, m-CPP, and the non-selective 5-HT2C antagonist,
Cloning and radioligand techniques have allowed the
mesulergine, on macronutrient selection. m-CPP is mentioned
subdivision of serotonin (5-HT, 5-hydroxytryptamine) recep-
to be a 5-HT2C receptor ligand in vivo and its hypophagic
tors into 7 distinct families, with each of 14 receptor subtypes
effects are mainly, but not exclusively, mediated by agonistic
that are recognized at present having its own properties (r
et al., 2002). A variety of approaches have suggested that
Kaplan et al., 1998; Kennett and Curzon, 1988b; Schreiber
concurrent activation of 5-HT2C and 5-HT1B receptors located
and De Vry, 2002; Vickers et al., 2003). Specifically, the
on hypothalamic sites leads to full expression of serotonergic
hypophagic effects of m-CPP are thought to reflect a drug-
induced acceleration of satiety processes at low doses (i.e.,
Importantly, a confluence of evidence supports that 5-HT2C
0.1 – 3.0 mg/kg) and may also involve an inhibition of
receptors contribute substantially to the serotonergic suppres-
appetitive processes at the same dose range and
Schreiber, 2000; De Vry et al., 1999, 2003; Kitchener and
Receptor binding studies and functional models in rats have
Dourish, 1994). On the other hand, mesulergine has been
demonstrated that m-CPP has approximately 10-fold selectivity
reported to stimulate food intake in rats and
for the 5-HT2C over the 5-HT1B receptor subtype (
Schreiber, 2000; Dourish et al., 1989; Kaplan et al., 1998;
1993; Vickers et al., 2003). Accordingly, m-CPP is considered
Kennett and Curzon, 1988b; Schreiber and De Vry, 2002).
a useful probe of 5-HT2C receptor function in both laboratory
Second, to assess the precise role of 5-HT2C receptors in
macronutrient selection using combined treatment of m-CPP,
particular, studies using the mixed 5-HT2C/1B receptor agonist,
at its highest effective dose, with mesulergine. A series of
m-CPP, indicated that its hypophagic effects in rats are
studies have revealed the marked, but not the complete,
primarily mediated via activation of 5-HT2C receptors and that
blockade of m-CPP-induced hypophagia by the non-selective
stimulation of 5-HT1B receptors plays only a minor role in m-
Kaplan et al., 1998; Kennett and Curzon, 1988b). Third, to
et al., 2002; Kennett and Curzon, 1988a, 1991). Moreover, the
clarify the effects of mesulergine on dietary choices given that
use of 5-HT receptor antagonists such as mianserin, metergo-
this compound produced an unexpected increase in protein
line and mesulergine, which show some selectivity for the 5-
intake in rats according to our first findings. Consequently,
HT2C sites, strongly suggested that the 5-HT2C receptors were
we should try apomorphine, a dopamine agonist at D2
largely responsible for mediating the anorectic effects of m-
receptors, since mesulergine also possesses dopamine proper-
ties at D2 receptors besides its antagonist activity at 5-HT2C
1988a,b, 1991; Prinsen et al., 1996, 2000). The use of more
selective 5-HT2C receptor antagonists in recent years, such as
poulos et al., 1998). It has been postulated that dopamine
SB 200646 and SB 242084, which also caused a remarkable
(DA) through D2 receptors located in the lateral hypothalamus
blockade of m-CPP-induced hypophagia in rats, have strength-
and adjacent areas inhibits markedly or even completely
Schwartz et al., 2000; Yang et al., 1997). Systemic
Assessment of the effects of serotonin (5-HT) receptor
administration of D2 agonists (i.e., apomorphine, lisuride)
agonists and antagonists on feeding behaviour has been
that reduce dopaminergic neurotransmission led to a substan-
generally restricted to measurement of the consumption of
solid standard food, i.e., pellets, whereas studies using
et al., 1986; Treit and Berridge, 1990). Particularly, dopamine
macronutrient or diet selection have been scarce (ry
(DA) receptors have been related to the preference of protein
and Schreiber, 2000). Unfortunately, diet selection paradigm
studies are fraught with methodological problems that in turn
diet paradigm was used. These two isocaloric diets were
result in a lack of definitive results. Contextual variables,
such as quality of the test diets, form/type of macronutrient
1984). Experimental animals were treated under a food-
chosen, route of drug administration, acute or chronic
deprivation schedule (16 h deprivation and consequently 32
treatment, respectively, nutritional state of the animals,
h free access to food) in order to increase feeding motivation
deprivation or free feeding protocol, or even the isocaloric
value of chosen diets among other things, could have a
All compounds and the combined treatment were given
immediately prior to a 4-h refeeding period. It has been
Leibowitz and Alexander, 1998). Although recent studies
reported that the effects of acute administration of a
have shown that 5-HT drugs suppress carbohydrate and/or fat
compound on ingestive behaviour may be more pronounced
intake while sparing protein consumption, it is not yet fully
S. Antonatos, P. Galanopoulou / Progress in Neuro-Psychopharmacology & Biological Psychiatry 30 (2006) 112 – 119
Experimental study was performed according to food-
deprivation schedule which consists of 16-h food deprivation
Male Wistar rats 2 months T 10 days of age and mean body
and consequently free access to food for the next 32
weight 210 T 5 g were used. Rats were randomly assigned to
treatment groups (usually n = 6 – 8/group) and individually
(usually n = 6 – 8 per group) was tested in parallel, always
housed in a quiet environment under a normal 12-h light/dark
including control group(s) treated with the corresponding
period (light on at 8:00 a.m.). Room temperature was
vehicle of the particular drug(s) tested. Rats were once tested.
maintained at 21 T1- C and relative humidity at 50 T 15%.
Before testing animals were acclimatized to 3 periods of
Animals were allowed free access to a pair of isocaloric diets
deprivation-refeeding and received a single injection of
enriched in protein or carbohydrate, respectively, and had ad
vehicle (0.9% saline) at times corresponding to subsequent
drug administration. On the day of the experiment, rats
All animal experiments were reviewed and approved by the
received a single injection of a particular dose of a given drug
local committee and all studies have been carried out in
or its vehicle 15 min before the refeeding period. When
accordance with the National Institute of Health Guide for the
cotreatment was used, the antagonist was given 30 min before
Care and Use of Laboratory Animals (NIH Publications No.
testing, i.e., 15 min before the second injection (agonist or
80-23) revised 1996. Effects were made in order to use the
saline). Then, animals were given a simultaneous free access
minimal amount of rats and reduce their suffering.
to each pair of isocaloric diets. Feeders, which containedpreweighed food, were removed 4 h after the last injection.
Finally, protein (PED) and carbohydrate enriched diet (CED)selected by animals were measured and total food intake
m-CPP (1-[3-chlorophenyl]piperazine) was obtained from
Research Biochemicals International(Natick, MA). Mesuler-
All testing was conducted during the light phase of the cycle
gine hydrochloride and apomorphine hydrochloride were
purchased from Sandoz Pharma Company, Basle, Switzerland.
All compounds were dissolved in 0.9% saline and wereadministered via the intraperitoneal route in a volume of 1
ml/kg body weight. The doses of all drugs were based on ourprevious tests (unpublished data) and published studies of the
For data presentation, food intake was expressed in grams
per 4 h of refeeding period and means and S.E.s were calculated
et al., 2003; Dourish et al., 1989; Hewitt et al., 2002; Schreiber
for all animal groups. For agonist testing (Experiments 1 and 3),
and De Vry, 2002; Treit and Berridge, 1990).
data were analysed by a one-way ANOVA with the factor doseand the dependent variable macronutrient intake. For antagonist
testing (Experiment 2), data were analysed by a two-wayANOVA with the factors agonist and antagonist and the
Animals were singly housed in cages, supported by two
dependent variable macronutrient intake. The Tukey HSD test
feeders. They were supplied with the following pair of powdered
was done for post hoc multiple comparisons with P < .05
isocaloric diets prepared in our laboratory (
considered to indicate statistical significance.
These two diets in their protein and carbohydrate content but fatcontent was held constant. Specifically, protein enriched diet
(PED) in feeder A contained 80% casein, whereas carbohydrateenriched diet (CED) in feeder B contained 80% d-glucose with
3.1. Effects of m-CPP on feeding and dietary choices in rats
components in both diets are shown in Twerealternated daily to minimize place preference development.
Administration of all three doses of m-CPP (Experiment
1) led to a dose-dependent hypophagia (Specifically,
protein consumption was spared while carbohydrate and total
Precise proportions of the components in Feeders A and B
food intake were significantly suppressed in a dose-
dependent manner. All doses of m-CPP were effective in
this test. Accordingly, 2.50 mg/kg of m-CPP (maximum
effective dose) was selected for the subsequent antagonist
study with mesulergine. ANOVA showed a significant effect
for agonist on carbohydrate consumption, F(3, 29) = 2.237,
P < .001; total food intake, F(3, 29) = 14.146, P < .001. The
protein consumption was unaffected by m-CPP, F(3, 29) =
PED: protein enriched diet, CED: carbohydrate enriched diet.
S. Antonatos, P. Galanopoulou / Progress in Neuro-Psychopharmacology & Biological Psychiatry 30 (2006) 112 – 119
Mean (S.E.) foodintake (g/4hr) Treatment (mg/kg , IP)
Fig. 1. Effects of the 5-HT2C/1B receptor agonist, m-CPP, on feeding behaviour and dietary choices at 4-h basis. Rats were deprived of food for 16 h. Data representmean S.E.; n = 8 per group. *P < .05, **P < .01 as compared with the corresponding vehicle-treated group for that particular time period.
3.2. Effects of serotonin antagonist mesulergine on m-CPP-
effects induced by m-CPP on carbohydrate and total food
induced hypophagia and dietary choices in rats under food-
intake were blocked by pretreatment with mesulergine in a
Interestingly, mesulergine treatment on its own caused a
The results for this experimental testing (Experiment 2) are
significant dose-dependent hyperphagia, since a substantial
presented in The dose of 2.50 mg/kg of m-CPP
increase in both protein and carbohydrate intakes were found
induced a significant reduction in carbohydrate and total food
with significant increase of total food intake as a consequence.
intake, respectively whereas protein intake remained un-
ANOVA indicated a significant interaction effect between the
factors agonist and antagonist on protein ingestion, F(5, 42) =
Pretreatment with the non-selective 5-HT2C antagonist
23.740, P < .001; carbohydrate ingestion, F(5, 42) = 21.110,
mesulergine, dose-dependently reversed m-CPP-induced hypo-
P < .001; and total food intake, F(5, 42) = 32.340, P < .001.
phagia during the 4-h test period. In great detail, proteinconsumption was significantly increased while the hypophagic
3.3. Effects of dopamine agonist apomorphine on feeding anddietary choices in rats under food-deprivation schedule
The results for this experimental testing (Experiment 3) are
2C receptor antagonist mesulergine on m -CPP-
induced hypophagia and macronutrient intakes, respectively, at 4-h basis
presented in . Apomorphine, a selective D2 agonist,
caused a dose-dependent increase in protein intake whereascarbohydrate and total food intake remained nearly unchanged.
Treatment with mesulergine produced the expected feeding
behaviour. According to our findings, mesulergine led to a
significant hyperphagia, due to an increased intake of both
protein and carbohydrate enriched isocaloric diets.
ANOVA gave a significant effect for Agonist on Protein
intake, F(3, 21) = 11.410, P < .001. The carbohydrate and total
food intake were unaffected by apomorphine.
2.95 T 0.70**,. 9.90 T 0.25**,. 12.85 T 0.15**,.
A number of studies have demonstrated that the adminis-
tration of the mixed 5-HT2C/1B receptor agonist, m-CPP, causes
Rats were deprived of food for 16 h. Data represent mean S.E.; n = 8 per group.
a significant hypophagia through a clear serotonin-type action
*P < .05, **P < .01 as compared with the corresponding vehicle vehicle-treated
group for that particular time period. .P < .05, .P < .01; comparison of
obtained in the present food-deprivation protocol replicated the
mesulergine m-CPP-treated group with the corresponding vehicle m-CPP-
hypophagic effects of m-CPP in a dose-dependent manner.
treated group. All compounds were administered i.p.
Particularly, a substantial decrease in carbohydrate ingestion
PED: protein enriched diet, CED: carbohydrate enriched diet, TFI: total foodintake.
was noted without any important influence on protein
S. Antonatos, P. Galanopoulou / Progress in Neuro-Psychopharmacology & Biological Psychiatry 30 (2006) 112 – 119
Mean (S.E.) foodintake (g/4hr) Treatment (mg/kg , IP)
Fig. 2. Effects of the D2 receptor agonist, apomorphine, on feeding behaviour and dietary choices at 4-h basis. Rats were deprived of food for 16 h. Data representmean S.E.; n = 6 per group. *P < .05, **P < .01 as compared with the corresponding vehicle-treated group for that particular time period. 3 mg/kg of the non-selective5-HT2C receptor antagonist with dopaminergic properties, mesulergine, was used as positive control in the apomorphine experimental testing.
consumption. However, it is well known that serotonin (5-HT)
al., 1986). Similar effects were also observed with microinjec-
and compounds which enhance serotonergic neurotransmis-
tion of serotonin into the ventromedial (VMN) and dorsome-
sion, like fenfluramine and fluoxetine, induce a reduction in
caloric intake attributed to a decrease in carbohydrate and/or fat
1988). Local perfusion of m-CPP into ventromedial hypotha-
consumption, while protein intake remains relatively unaffect-
lamic nucleus but not into lateral area of hypothalamus (LHA)
or frontal cortex, inhibits intake in rats (5-
effects of m-CPP are predominantly mediated by agonistic
HT2C receptors are expressed in these hypothalamic regions—
principally in ventromedial hypothalamic nucleus (VMN)—
Kaplan et al., 1998; Kennett and Curzon, 1988b; Schreiber and
implicated in the regulation of energy balance (
De Vry, 2002; Vickers et al., 2003). A bulk of studies have
Tecott, 2004; Hoffman and Mezey, 1989; Kaplan et al., 1998;
recommended a role of 5-HT2C and a lesser extend 5-HT1B
Wright et al., 1995). According to our findings in the present
receptors in the control of ingestive behaviour (
study, 5-HT2C receptor activation seems to make the major
Schreiber, 2000; De Vry et al., 2003; Hewitt et al., 2002). It has
contribution to the hypophagic actions of m-CPP. Regarding
also been suggested that 5-HT2C knockout mice (mutant mice
the pharmacological mechanisms underlying m-CPP-induced
lacking functional 5-HT2C receptors) are less sensitive to the
hypophagia in the rats, it has been reported that m-CPP has
hypophagic effects of m-CPP, supporting the suggestion that 5-
little affinity for dopamine (DA) receptors and does not
HT2C receptors are involved in the hypophagic effect of m-CPP
produce significant alterations to dopaminergic system (
nizzi et al., 1981; Kennett and Curzon, 1988b), which is also in
attention has focused on the hypothalamus as the locus of
agreement with our neurochemical findings (unpublished data).
serotonetgic effects on feeding. Systemic administration of
The above data and results indicate that hypophagic effects of
indirect agonists such as d-fenfluramine and fluoxetine
m-CPP is mainly mediated by 5-HT2C receptors, especially in
increases extracellular hypothalamus serotonin (5-HT) levels
carbohydrate suppressing and protein sparing effect of seroto-
2004; Vickers et al., 2001). Microinjections of serotonin into
In addition, it is generally accepted that non-selective 5-
the paraventricular nucleus (PVN) of hypothalamus have been
HT2C receptor antagonists, such as mianserin, metergoline and
found to suppress feeding by reducing meal size and feeding
mesulergine appear to induce a dose-dependent hyperphagia
S. Antonatos, P. Galanopoulou / Progress in Neuro-Psychopharmacology & Biological Psychiatry 30 (2006) 112 – 119
Curzon, 1991; Prinsen et al., 1996, 2000). Consequently, only
Vry and Schreiber, 2000; Kaplan et al., 1998; Kennett and Curzon,
hyperphagic response on carbohydrate isocaloric diet could be
1988b; Prinsen et al., 1996, 2000). In corroboration of this
explained as a single antagonist activity of mesulergine at
finding, the hypophagic effect of m-CPP is completely blocked
hypothalamic 5-HT2C receptors. On the contrary, the mesu-
by low doses of the selective receptor antagonists SB 200646
lergine-induced increase in protein consumption ought to be
al., 2002; Kennett et al., 1994, 1997; Vickers et al., 2003).
The relationship between 5-HT and nutrient intake has been
questioned. Unfortunately, diet selection paradigm studies arefraught with methodological problems that in turn end in a lack
Our previous suggestion is based on the fact that although
of definitive results. Contextual variables, such as form/type of
apomorphine, produced a weak reduction in total food intake, it
macronutrient chosen, caloric value of chosen diet, acute or
caused a dose-dependent significant enhancement of protein
chronic treatment regime, central or peripheral administration of
intake. In fact, a decrease in carbohydrate almost equal to the
serotonergic drugs could have a noticeable effect on any
increase in protein intake was observed. This could imply a
observed results in animal studies ). The
role of dopaminergic function in regulating the ratio of protein
differing paradigm methodology produced strikingly different
to carbohydrate intake. It has recently been postulated using
results. Nonetheless, many studies employing the three-choice
microdialysis and pharmacological approaches, that the ven-
diet selection paradigm have shown uniformly that stimulation
trolateral striatum is closely involved in the motor control of
of serotonin activity, through either microinjection of 5-HT and
5-HT agonists (i.e., fluoxetine, d-fenfluramine) into the para-
Salamone et al., 1993). Furthermore, dopaminergic system
ventricular nucleus of the hypothalamus or peripheral adminis-
through D2 receptors located in the lateral hypothalamus
tration of 5-HT agonists and 5-HT antagonists (i.e., metergoline),
(LHA) and the adjacent area of ventrolateral striatum inhibits
leads to the selective suppression of carbohydrate consumption
with no change in the consumption of protein or fat et
al., 1988; Schwartz et al., 2000; Yang et al., 1997), and the
al., 2000; Leibowitz et al., 1993; Weiss et al., 1991). In most
above mentioned receptors are implicated in the preference of
cases, the effects of acute administration of a serotonergic
compound on cumulative food consumption over a short time
lergine is considered a dopamine (DA) agonist at D2 sites
interval (i.e., 30 min – 4 h) was measured in food-deprivation
besides its affinity at 5-HT2C receptors (
schedules than in free feeding rats ).
Giannakopoulos, 1999) and this dual mode of its action is in
In particular, the design of the studies contained a period of food
line with our neurochemical results (unpublished data). So, a
deprivation, typically varying between 12 and 23 h, in order to
possible explanation is that activation of D2 receptors underlies
increase feeding motivation. In our testing session, animals were
the potency of mesulergine in increasing protein intake. The
treated with a food-deprivation protocol and had a 4-h period
results in this study are consistent with our previous findings in
free access to a pair of isocaloric diets, which differed in protein
free feeding rats treated with mesulergine. Those animals were
or carbohydrate proportions but fat levels were held constant.
fed two diets, differing in protein and carbohydrate content, but
Our results replicated and extended earlier findings got under
not isocaloric, where, a dose dependent increase of PED and
total food intake was observed 4 h after its administration
It seems likely that hypothalamic 5-HT2C receptors play a
dominant, but not the exclusive, role in hypophagic effects of m-
both food intake and diet selection elicited by mesulergine in
CPP. Specifically, the activation of 5-HT2C receptors is
the present study can be also explained as an interaction
associated with both protein sparing and carbohydrate suppres-
between D2 and 5-HT2C receptors located, at least in part, in
sing effects of m-CPP. Although m-CPP is reported to be a potent
adjacent hypothalamic areas. Indeed, the use of apomorphine
5-HT2C receptor ligand in vivo, it is finally a mixed 5-HT2C/1B
was determinant in explaining the effects of mesulergine on
receptor agonist. Therefore, it remains to be confirmed by studies
using more selective 5-HT2C receptor agonists. The extend towhich 5-HT2C receptors located in hypothalamic regions
4.2. Antagonism study with mesulergine—potential role for 5-
influence energy balance ought to be further investigated.
Concerning hyperphagia induced by mesulergine, the blockadeof 5-HT2C receptors produces a significant increase in carbohy-
Pretreatment with mesulergine abolished the hypophagia
drate increase, mesulergine led to a substantial enhancement of
induced by m-CPP. Such data provide further pharmacological
protein intake, attributed to its dopaminergic properties.
support that activation of 5-HT2C receptors induces a suppres-sion of total food intake due to a significant reduction in a
carbohydrate ingestion, while protein intake is not altered. Interestingly, among the most remarkable findings from earlier
In the present study, results indicate that mesulergine, a
antagonism studies are the marked blockade of m-CPP-induced
serotonin (5-HT) antagonist at 5-HT2C sites and dopamine D2
hypophagia by the non-selective 5-HT2C receptor antagonists
agonist, leads to food intake and diet selection by a dual mode
of action: due to the simultaneous antiserotonergic and
S. Antonatos, P. Galanopoulou / Progress in Neuro-Psychopharmacology & Biological Psychiatry 30 (2006) 112 – 119
dopaminergic activity causes hyperphagia, which goes in
De Vry, J., Schreiber, R., Daschke, A., Jentzsch, K.R., 2003. Effects of
parallel with an increase in CED and PED intake, respectively.
serotonin 5-HT1/2 receptor agonists in a limited-access operant food intakeparadigm in the rat. Eur. Neuropsychopharmacol. 13, 337 – 345.
It is also suggested that the activation of hypothalamic 5-
Dourish, C.T., Clark, M.L., Fletcher, A., Iversen, S.D., 1989. Evidence that
HT2C receptors may be involved in both protein sparing and
blockade of 5-HT1 receptors elicits feeding in satiated rats. Psychopharma-
carbohydrate suppressing effects of 5-HT (m-CPP-like effect).
On the contrary, an important role in increase of protein
Ferrari, F., Pelloni, F., Giuliani, D., 1992. Effects of the D2 dopamine agonists
consumption seems to possess the dopaminergic system
lisuride and CQ,32-084 on rat feeding behaviour. Pharmacol. Biochem. Behav. 41, 683 – 688.
probably through D2 receptors (apomorphine-like and mesu-
Fletcher, P., 1988. Increased food intake in satiated rats induced by the 5-HT
antagonists methysergide, metergoline and ritanserin. Psychopharmacology
In conclusion, hypothalamic 5-HT2C receptors play a
dominant, not the exclusive, role in food intake and diet
Galanopoulou, P., Giannakopoulos, G., 1999. Mesulergine: a review. CNS
selection. These findings extend our understanding on neurobi-
Garattini, S., Bizzi, A., Caccia, S., Mennini, T., 1992. Progress report on the
ological substrate of appetite and contribute to the studies related
anorectic effects of dex-dexfenfluramine, fluoxetine and sertraline. Int. J.
to new drugs against obesity, especially those referred to 5-HT2C
Giannakopoulos, G., Galanopoulou, P., Daifotis, Z., Couvaris, C., 1998. Effects
et al., 2000; Hewitt et al., 2002; Vickers et al., 2003).
of mesulergine treatment on diet selection, brain serotonin (5-HT) anddopamine (DA) turnover in free feeding rats. Prog. Neuro-Psychopharma-
col. Biol. Psychiatry 22, 803 – 813.
Giorgetti, M., Tecott, L.H., 2004. Contributions of receptors to multiple actions
of 5-HT2C central serotonin systems. Eur. J. Pharmacol. 488, 1 – 9.
This work was supported by a grant of the Athens
Halford, J.C.G., Blundell, J.E., 2000. Pharmacology of appetite suppression.
University to Panagiota Galanopoulou. We thank Dr. Katherina
Antoniou for her contribution and careful notices on the
Halford, J.C.G., Smith, B.K., Blundell, J.E., 2000. Serotonin (5-HT) and
manuscript. The generous gifts of test compounds are
serotonergic receptors in the regulation of macronutrient intake. In:Berthoud, H.R., Seeley, R.J. (Eds.), Neural and Metabolic Control of
Macronutrient Intake. CRC Press, New York, pp. 425 – 454.
Hewitt, K.N., Dourish, C.T., Clifton, P.G., 1998. 5-HT2C receptors and
ingestive behaviour in mice. J. Psychopharmacol. 12, A38.
Hewitt, K.N., Lee, M.D., Dourish, C.T., Clifton, P.G., 2002. Serotonin 2C
Bickerdike, M.J., 2003. 5-HT2C receptor agonists as potential drugs for the
receptor agonists and behavioural satiety sequence in mice. Pharmacol.
treatment of obesity. Curr. Top. Med. Chem. 3, 885 – 897.
Bickerdike, M.J., Vickers, S.P., Dourish, C.T., 1999. 5-HT2C receptor modula-
Hikiji, K., Inoue, K., Iwasaki, S., Ichihara, K., Kiriike, N., 2004. Local
tion and the treatment of obesity. Diabetes Obes. Metab. 1, 207 – 214.
perfusion of into ventrolateral hypothalamic nucleus but not into lateral
hypothalamic area and frontal cortex, inhibits intake in rats. Psychophar-
Blundell, J.E., 1991. Pharmacological approaches to appetite suppression.
Hoffman, B.J., Mezey, E., 1989. Distribution of serotonin 5-HT1C receptor
Trends Pharmacol. Sci. 12, 147 – 157.
mRNA in adult rat brain. FEBS Lett. 247, 453 – 462.
Blundell, J.E., Halford, J.C.G., 1998. Serotonin and appetite regulation:
Hoyer, D., Hannon, P.J., Martin, G.R., 2002. Molecular, pharmacological and
implications for the pharmacological treatment of obesity. CNS Drugs 9,
functional diversity of 5-HT receptors. Pharmacol. Biochem. Behav. 71,
Blundell, J.E., Latham, C.J., 1979. Serotonergic influences in food intake:
Hutson, P.H., Donohoe, T.P., Curzon, G., 1988. Infusion of the 5-hydroxytryp-
effect of 5-hydroxytryptophan on parameters of eating behaviour in
tamine agonists RU 24969 and TFMPP into the paraventricular nucleus of
deprived and free feeding rats. Pharmacol. Biochem. Behav. 11, 431 – 437.
the hypothalamus causes hypophagia. Psychopharmacology 95, 550 – 552.
Brownell, K.D., Fairburn, C.G., 2002. Eating Disorders and Obesity: A
Inoue, K., Kiriike, N., Fujisaki, Y., Okuno, M., Ito, H., Yamagami, S., 1995. D2
Comprehensive Textbook, second edR Guilford Press, New York.
receptors in the ventrolateral striatum are involved in feeding behaviour in
rats. Pharmacol. Biochem. Behav. 50, 153 – 161.
Clark, M.L., Dourish, C.T., Fletcher, A., Iversen, S.D., 1988. Blockade at
Inui, A., 2000. Trangenic approach to the study of body weight regulation.
postsynaptic 5-HT1 receptors elicits feeding in satiated rats. Br. J.
Invernizzi, R., Cotecchia, S., De Blasi, A., Mennini, T., Pataccini, R., Samanin,
Clifton, P.G., Lee, M.D., Dourish, C.T., 2000. Similarities in the action of Ro
R., 1981. Effects of m-chlorophenylpiperazine on receptor binding and
60-0175, a 5-HT2C receptor agonist and d-fenfluramine on feeding patterns
brain metabolism of monoamines in rats. Neurochem. Int. 3, 239 – 244.
in the rat. Psychopharmacology 152, 256 – 267.
Kaplan, J.E., Song, S., Grill, H.J., 1998. Serotonin receptors in the caudal
Curzon, G., 1990. Serotonin and appetite. Ann. N. Y. Acad. Sci. 600, 521 – 530.
brainstem are necessary and sufficient for the anorectic effect of
Curzon, G., Gibson, E.L., Oluyomi, A.O., 1997. Appetite suppression by
peripherally administered m-CPP. Psychopharmacology 137, 43 – 49.
commonly used drugs depends on 5-HT receptors but not on 5-HT
Kennett, G.A., 1993. 5-HT1C receptors and their therapeutic relevance. Curr.
availability. Trends Pharmacol. Sci. 28, 21 – 25.
Opin. Investig. Drugs 2, 317 – 362.
De Vry, J., Schreiber, R., 2000. Effects of selected serotonin 5-HT1 and 5-HT2
Kennett, G.A., Curzon, G., 1988a. Evidence that m-CPP may have behavioural
receptor agonists on feeding behavior: possible mechanisms of action.
effects mediated by central 5-HT1C receptors. Br. J. Pharmacol. 94, 137 – 147.
Neurosci. Biobehav. Rev. 24, 341 – 353.
Kennett, G.A., Curzon, G., 1988b. Evidence that hypophagia induced by m-
De Vry, J., Jentzsch, K.R., Schreiber, R., 1999. Effects of selective 5-HT1/2
CPP and TFMPP requires 5-HT1C and 5-HT1B receptors, hypophagia
receptor agonists on operant food intake in rats. Behav. Pharmacol. 10
induced by RU24969 only requires 5-HT1B receptors. Psychopharma-
De Vry, J., Eckel, G., Kuhl, E., Schreiber, R., 2000. Effects of selective 5-HT1/2
Kennett, G.A., Curzon, G., 1991. Potencies of antagonists indicate that 5-HT1C
receptor agonists in conditioned taste aversion paradigm in rats. Pharmacol.
receptors mediate 1-3 (chlorophenyl) piperazine-induced hypophagia. Br. J.
S. Antonatos, P. Galanopoulou / Progress in Neuro-Psychopharmacology & Biological Psychiatry 30 (2006) 112 – 119
Kennett, G.A., Wood, M.D., Glen, A., Grewal, S., Forbes, I., Gadre, A.,
Salamone, J.D., Mahan, K., Rogers, S., 1993. Ventrolateral striatal dopamine
Blackburn, T.P., 1994. In vivo properties of SB 200646A, a 5-HT2C/2B
depletions impair feeding and food handling in rats. Pharmacol. Biochem.
receptor antagonist. Br. J. Pharmacol. 111, 797 – 802.
Kennett, G.A., Wood, M.D., Bright, F., Trail, B., Riley, G., Holland, K.Y.,
Sargent, P., Sharpley, A.L., Williams, C., Goodall, E.M., Cowen, P.J., 1997. 5-
Avenell, K.Y., Stean, T., Upton, N., Bromidge, S., Forbes, I.T., Brown,
HT2C receptor activation decreases appetite and body weight in obese
A.M., Middlemiss, D.N., Blackburn, T.P., 1997. SB 242084, a selective
subjects. Psychopharmacology 133, 309 – 312.
and brain penetrant 5-HT2C receptor antagonist. Neuropharmacology 36,
Schreiber, R., De Vry, J., 2002. Role of 5-HT2C receptors in the hypophagic
effect of m-CPP, ORG 37684 and CP-94,253 in the rat. Prog. Neuro-
Kitchener, S.J., Dourish, C.T., 1994. An examination of the behavioural
Psychopharmacol. Biol. Psychiatry 26, 441 – 449.
specificity of hypophagia induced by 5-HT1B, 5-HT1C and 5-HT2 receptor
Schwartz, D., Hernandez, L., Hoebel, B.G., 1989. Fenfluramine administered
agonists using the post-prandial satiety sequence in rats. Psychopharma-
systemically or locally increases extracellular serotonin in the lateral
hypothalamus as measured by microdialysis. Brain Res. 482, 261 – 270.
Leibowitz, S.F., 1990. The role of serotonin in eating disorders. Drugs 39
Schwartz, M.W., Woods, S.C., Porte, D.J., Seeley, R.J., Baskin, D.G., 2000.
Central nervous system control of food intake. Nature 404, 661 – 671.
Leibowitz, S.F., 1991. Brain neurochemical system controlling appetite and
Shor-Posner, G., Grinker, J.A., Marinesku, C., Brown, O., Leibowitz, S.F.,
body weight gain. In: Rothwell, N.J., Stock, M.J. (Eds.), Obesity and
1986. Hypothalamic serotonin in the control of meal patterns and
Cachexia. John and Wiley and Sons, London, pp. 33 – 48.
macronutrient selection. Brain Res. Bull. 17, 663 – 671.
Leibowitz, S.F., 1992. Neurochemical – neuroendocrine systems in the brain
Simansky, K.J., 1996. Serotonergic control of the organization of feeding and
controlling macronutrient intake and metabolism. Trends Neurosci. 15,
satiety. Behav. Brain Res. 73, 37 – 42.
Simansky, K.J., 1998. Serotonin and the structure of satiation. In: Smith,
Leibowitz, S.F., Alexander, J.T., 1998. Hypothalamic serotonin in control of
G.P. (Ed.), Satiation: Gut Brain. Oxford University Press, New York,
eating behavior, meal size, and body weight. Biol. Psychiatry 44, 851 – 864.
Leibowitz, S.F., Weiss, G.F., Shor-Posner, G., 1988. Hypothalamic serotonin:
Simansky, K.J., Vaidya, A.H., 1990. Behavioral mechanisms for the anorectic
pharmacological, biochemical, and behavioural analyses of its feeding-
action of the serotonin (5-HT) uptake inhibitor sertraline in rats: comparison
suppressive action. Clin. Neuropharmacol. 11, S51 – S71.
with directly acting 5-HT agonists. Brain Res. Bull. 25, 953 – 960.
Leibowitz, S.F., Alexander, J.T., Cheung, W.K., Weiss, G.F., 1993. Effects of
Tecott, L.H., Sun, L.M., Akana, S.F., Strack, A.M., Lowenstein, D.H.,
serotonin and the serotonin blocker metergoline on meal patterns and
Dallman, M.F., Julius, D., 1995. Eating disorder and epilepsy in mice
macronutrient selection. Pharmacol. Biochem. Behav. 45, 185 – 194.
lacking 5-HT2C serotonin receptors. Nature 374, 542 – 546.
Meguid, M.M., Fetissov, S.O., Varma, M., Sato, T., Zhang, L., Laviano, A.,
Treit, D., Berridge, K.C., 1990. A comparison of benzodiazepine, serotonin and
Rossi-Fanelli, F., 2000. Hypothalamic dopamine and serotonin in the
dopamine agents in the taste reactivity paradigms. Pharmacol. Biochem.
regulation of food intake. Nutrition 16, 843 – 857.
Muscat, R., Willner, P., Towell, A., 1986. Apomorphine anorexia: a further
Vickers, S.P., Dourish, C.T., Kennett, G.A., 2001. Evidence that hypophagia by
pharmacological characterization. Eur. J. Pharmacol. 123, 123 – 131.
d-fenfluramine and d-norfenfluramine in the rat is mediated by 5-HT2C
Paleologos, G., 1967. Free amino acid content of tissues from rats with
receptors. Neuropharmacology 41, 200 – 209.
accelerated and depressed gluconeogenesis. In: Dissertation from PhD
Vickers, S.P., Easton, N., Webster, L.J., Wyatt, A., Bickerdike, M.J., Dourish,
C.T., Kennett, G.A., 2003. Oral administration of the 5-HT2C receptor
Parada, M., Hernandez, L., Hoebel, B.G., 1988. Sulpiride injections in the
agonist, mCPP, reduces body weight gain in rats over 28 days as a result of
lateral hypothalamus induce feeding and drinking in rats. Pharmacol.
maintained hypophagia. Psychopharmacology (Berl) 167 (3), 274 – 280.
Weiss, G.F., Rogacki, N., Fueg, A., Buchen, D., Suh, J.S., Wong, D.T.,
Patston, P.A., Espinal, J., Randle, P.J., 1984. Effects of diet and of alloxan-
Leibowitz, S.F., 1991. Effect of hypothalamic and peripheral fluoxetine
diabetes on the activity of branched-chain 2-oxo acid dehydrogenase
injection on natural patterns of macronutrient intake in the rat. Psycho-
complex and of activator protein in rat tissues. Biochem. J. 222, 711 – 719.
Prinsen, E.P.M., Kleven, M.S., Koek, W., 1996. Further evidence for the
Wright, D.E., Seroogy, K.B., Lundgren, K.H., Davis, B.M., Jennes, L., 1995.
involvement of 5-HT2C receptors in m-CPP-induced hypophagia. Behav.
Comparative localization of serotonin 1A, 1C, and 2 receptor subtype
mRNAs in rat brain. J. Comp. Neurol. 351, 357 – 373.
Prinsen, E.P.M., Koek, W., Kleven, M.S., 2000. The effects of antipsycho-
Yang, Z.J., Meguid, M.M., Chai, J.K., Chen, C., Oler, A., 1997. Bilateral
tics with 5-HT2C receptor affinity in behavioural essays selective for 5-
hypothalamic dopamine infusion in male Zucker rat suppresses feeding due
HT2C receptor antagonist properties of compounds. Eur. J. Pharmacol.
to reduced meal size. Pharmacol. Biochem. Behav. 58, 631 – 635.
A common problem: Asthma is one of the most common lung problems in Australia, and affects as many as 1 in 5 children and 1 in 10 adults. Although it is common, asthma causes variable symptoms in different individuals. There is no cure for asthma. Asthma can, however, be controlled with long term treatment. First, a brief anatomy lesson: to understand lung disease it is important to rem
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