TY - JOUR PY - 2011// TI - Connection re-established: Neurotransmission between the medial prefrontal cortex and serotonergic neurons offers perspectives for fast antidepressant action JO - Neuropsychiatry (London) A1 - Etiévant, A. A1 - Lambs-Seas, L. A1 - Abrial, E. A1 - Bétry, C. A1 - Haddjeri, N. A1 - Lucas, G. SP - 165 EP - 177 VL - 1 IS - 2 N2 - The search for fast-acting antidepressants has been a major challenge in neuropsychopharmacology for many years. Although the involvement of serotonin (5-HT) in the mechanisms of action of classical antidepressants has been clearly established, the delayed onset of action of these drugs prompted several authors to propose alternative targets in order to achieve a more rapid relief of symptoms in depressed patients. However, recent studies indicate that it may be possible to elaborate fast-acting antidepressant strategies based on 5-HT, provided that such strategies would directly target 5-HT neuron electrical activity. Furthermore, glutamatergic pyramidal neurons projecting from the medial prefrontal cortex to the dorsal raphé appear to play a critical role. This article presents some of the data that support this hypothesis, including results from medial prefrontal cortex deep-brain stimulation studies, as well as those related to treatments with 5-HT4 agonists and 5-HT7 antagonists. © 2011 Future Medicine Ltd.

Language: en

LA - en SN - 1758-2008 UR - http://dx.doi.org/10.2217/npy.11.9 ID - ref1 ER -