RT Journal Article T1 The role of central serotonin neurons and 5-ht heteroreceptor complexes in the pathophysiology of depression: A historical perspective and future prospects A1 Borroto-Escuela, Dasiel O. A1 Ambrogini, Patrizia A1 Chruścicka, Barbara A1 Lindskog, Maria A1 Crespo-Ramirez, Minerva A1 Hernández-Mondragón, Juan C. A1 Perez de la Mora, Miguel A1 Schellekens, Harriët A1 Fuxe, Kjell K1 Depresión K1 Serotonina - Receptores AB Serotonin communication operates mainly in the extracellular space and cerebrospinal fluid (CSF), using volume transmission with serotonin moving from source to target cells (neurons and astroglia) via energy gradients, leading to the diffusion and convection (flow) of serotonin. One emerging concept in depression is that disturbances in the integrative allosteric receptor–receptor interactions in highly vulnerable 5-HT1A heteroreceptor complexes can contribute to causing major depression and become novel targets for the treatment of major depression (MD) and anxiety. For instance, a disruption and/or dysfunction in the 5-HT1A-FGFR1 heteroreceptor complexes in the raphe-hippocampal serotonin neuron systems can contribute to the development of MD. It leads inter alia to reduced neuroplasticity and potential atrophy in the raphe-cortical and raphe-striatal 5-HT pathways and in all its forebrain networks. Reduced 5-HT1A auto-receptor function, in-creased plasticity and trophic activity in the midbrain raphe 5-HT neurons can develop via agonist activation of allosteric receptor–receptor interactions in the 5-HT1A-FGFR1 heterocomplex. Addi-tionally, the inhibitory allosteric receptor–receptor interactions in the 5-HT1AR-5-HT2AR isorecep-tor complex therefore likely have a significant role in modulating mood, involving a reduction of postjunctional 5-HT1AR protomer signaling in the forebrain upon activation of the 5-HT2AR pro-tomer. In addition, oxytocin receptors (OXTRs) play a significant and impressive role in modulating social and cognitive related behaviors like bonding and attachment, reward and motivation. Pathological blunting of the OXTR protomers in 5-HT2AR and especially in 5-HT2CR heteroreceptor complexes can contribute to the development of depression and other types of psychiatric diseases involving disturbances in social behaviors. The 5-HTR heterocomplexes are novel targets for the treatment of MD. PB MDPI SN 16616596 YR 2021 FD 2021-02-15 LK https://hdl.handle.net/10630/45007 UL https://hdl.handle.net/10630/45007 LA eng NO Borroto-Escuela, D.O.; Ambrogini, P.; Chruścicka, B.; Lindskog, M.; Crespo-Ramirez, M.; Hernández-Mondragón, J.C.; Perez de la Mora, M.; Schellekens, H.; Fuxe, K. The Role of Central Serotonin Neurons and 5-HT Heteroreceptor Complexes in the Pathophysiology of Depression: A Historical Perspective and Future Prospects. Int. J. Mol. Sci. 2021, 22, 1927. https://doi.org/10.3390/ijms22041927 NO Swedish Medical Research Council NO Stiftelsen Olle Engkvist Byggmästare NO Hjärnfonden NO Karolinska Institutet Forskningsstiftelser NO DGAPA–UNAM (PAPIIT), Universidad Nacional Autónoma de México NO NCN (Narodowe Centrum Nauki, Poland) DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 3 mar 2026