Serotonin Receptors Coupled to the
Activation of Phospholipase C
The 5-HT
2
class of receptor (subtype 2A, 2B, 2C)
activates the membrane-bound enzyme phospholipase C
(PLC) which catalyzes the degradation of the inositol
lipid, phosphotidylinositol 4,5 bisphosphate (PIP
2
) with
the production of inositol 1,4,5 triphosphate (IP
3
)and
diacylglycerol (DAG) (Figure 1B). IP
3
mobilizes Ca
2þ
from intracellular storage sites; Ca
2þ
then induces
multiple responses in the cell including activation of
calcium/calmodulin-dependent protein kinase enzymes
that phosphorylate protein substrates in the cell. DAG
activates another kinase, protein kinase C. The 5-HT
2
receptors are coupled via the G protein G
q
or G
11
to
activation of PLC.
The 5-HT
2A
receptor is involved in smooth muscle
contraction and platelet aggregation. In the brain,
5-HT
2A
receptors are found in cerebral cortex, claus-
trum, and basal ganglia. It is thought that hallucino-
genic drugs exert their psychotrophic action by activating
5-HT
2A
receptors. The 5-HT
2B
receptor was first
described from the stomach fundus and later was
identified in the gut, heart, kidney, and lung. Its presence
in the brain is less certain. The 5-HT
2C
receptor is found
in choroid plexus, where it regulates cerebral spinal
fluid production and ion exchange between the cerebral
spinal fluid and brain. The 5-HT
2C
receptor is also
found in various brain regions such as frontal cortex
and amygdala. Activation of brain 5-HT
2C
receptors can
lead to hypoactivity and hypophagia. Moreover, atypical
antipsychotic drugs block the activation of 5-HT
2A
and
5-HT
2C
receptors, indicating that these receptors may
be involved in the pathophysiology of schizophrenia.
The Serotonin-3 Receptor
is a Ligand-Gated Ion Channel
The 5-HT
3
receptor is different from the other 5-HT
receptors in that it forms an ion channel that regulates
the flux of ions. The structure of receptor is a pentamer,
similar to the nicotinic acetylcholine receptor. The
receptors are found on neurons in the hippocampus,
nucleus tractus solitarius, and area postrema, as well as
in the periphery. They are located on pre and
postganglionic autonomic neurons and alter GI tract
motility and intestinal secretion. When activated by
5-HT, the receptor triggers rapid depolarization due to
an inward current by opening a nonselective cation
channel (Na
þ
,Ca
2þ
influx and K
þ
efflux). The receptor
is possibly involved in nausea, vomiting, and irritable
bowel syndrome.
Alternative Splice Variants
of Serotonin Receptors
Functional diversity of proteins can be produced by
alternative splicing events. Many of the 5-HT receptor
genes contain introns that are subject to alternative
splicing with the generation of multiple-receptor
mRNAs encoding slightly different proteins, referred to
as isoforms. Seven carboxy-terminal splice variants of
the 5-HT
4
receptor have been described. The most
interesting feature of these splice variants is the level of
constitutive activity of the receptor, which is markedly
increased. Constitutive activity is the ability of a
receptor to activate second-messenger pathways spon-
taneously without the binding of an external ligand.
Four carboxy-terminal splice variants of the 5-HT
7
receptor have been identified. The functional conse-
quence of these variants is uncertain. An alternatively
spliced variant of the 5-HT
2C
receptor has been
described, which encodes a truncated, nonfunctional
protein. More work needs to be done to determine the
physiological relevance of these RNA splicing events;
nonetheless, is it clear that this process leads to
additional diversity in 5-HT receptor signaling.
RNA Editing Produces
Multiple Functional 5-HT
2C
Receptor Isoforms
The 5-HT
2C
receptor undergoes a unique process termed
RNA editing to yield multiple-receptor variants. RNA
editing is an enzymatic reaction that alters nucleotide
sequences of RNA transcripts. For the 5-HT
2C
receptor,
five encoded adenosine residues are converted to
inosines by double-stranded RNA adenosine deami-
nases. In the human 5-HT
2C
receptor, the adenosines
within the predicted intracellular second loop can be
converted to inosine at the RNA level resulting in
multiple mRNA species with the potential to encode
24 different protein variants (Figure 2). The extensively
edited isoforms have different abundances in brain
tissue, and the translated proteins exhibit different
binding properties, and differential activation of
second-messenger systems. For example, 5-HT exhibits
a decreased potency when activating the fully edited,
VGV, isoform of the human receptor compared with the
unedited, INI, form and there is a rightward shift in the
dose-response curve for phosphoinositide hydrolysis. In
addition, editing can alter the ability of 5-HT
2C
receptors to couple to multiple G-proteins. For example,
the non-edited 5-HT
2C
receptor functionally couples to
G
q
and G
13
, whereas the edited 5-HT
2C
receptors has
less coupling to G
13
. RNA editing may have clinical
SEROTONIN RECEPTOR SIGNALING 35