The British Journal of Rheumatology, Vol 37, 1077-1083, Copyright © 1998 by British Society for Rheumatology
MS Harbuz, O Marti, SL Lightman and DS Jessop
OBJECTIVE: Previous studies have determined that depletion of serotonin
reduces the severity of hind-paw inflammation in adjuvant-induced arthritis
(AA) in the rat. We wished to (i) test the hypothesis that this effect may
be mediated, at least in part, through a central mechanism and (ii) to
investigate further the pro-inflammatory role of serotonin we determined
whether increasing serotonin using a selective serotonin reuptake inhibitor
(SSRI), to increase serotonin availability at the active site of release,
would increase inflammation. METHODS: (i) Serotonin was depleted in the
brain of rats with the selective neurotoxin 5'7'-dihydroxytryptamine. (ii)
Rats were treated with an SSRI on days 10, 11 and 12 following adjuvant
injection. Hind-paw inflammation was determined with plethysmometry as an
index of severity of inflammation, and brain, pituitaries and blood were
collected for assessment of changes in the hypothalamo -pituitary adrenal
(HPA) axis. RESULTS: (i) Serotonin depletion significantly reduced hind-paw
inflammation. (ii) SSRI-treated animals developed hind-paw inflammation
sooner, and the severity was increased compared to vehicle-treated AA rats.
The changes in the HPA axis associated with inflammation were partly
reversed by this treatment. CONCLUSION: These data suggest a pro-
inflammatory role for central serotonin in this disease model and indicate
that treatment with SSRIs may exacerbate the development of inflammation.
ORIGINAL PAPERS
Alteration of central serotonin modifies onset and severity of adjuvant- induced arthritis in the rat
Department of Hospital Medicine, University of Bristol, Bristol Royal Infirmary.
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