Evidence map›Paper›PMID 23336047›Full record

ArticleACS chemical neuroscience2013

Chronic SSRI treatment exacerbates serotonin deficiency in humanized Tph2 mutant mice.

William B Siesser, Benjamin D Sachs, Amy J Ramsey, Tatyana D Sotnikova, Jean-Martin Beaulieu, Xiaodong Zhang, Marc G Caron, Raul R Gainetdinov

Open access · greenAbstract read
In one paragraph

Article in ACS chemical neuroscience, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
1.1field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Serotonin dysfunction in ADHD.Journal of neurodevelopmental disorders · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Genetic Background Underlying 5-HTInternational journal of molecular sciences · 2020
    Article
  17. Slow-release delivery enhances the pharmacological properties of oral 5-hydroxytryptophan: mouse proof-of-concept.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2019
    Article
  18. Article
  19. Review
  20. SSRI Augmentation by 5-Hydroxytryptophan Slow Release: Mouse Pharmacodynamic Proof of Concept.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 4 countries.

William B SiesserDepartment of Cell Biology, Duke University, Durham, North Carolina 27710, United States.
Benjamin D Sachs
Amy J Ramsey
Tatyana D Sotnikova
Jean-Martin Beaulieu
Xiaodong Zhang
Marc G Caron
Raul R Gainetdinov
Duke University · USItalian Institute of Technology · ITInstitut Universitaire en Santé Mentale de Québec · CAUniversity of Toronto · CA

Funding

Recruitment and Assessment Core Patient RecruitmentP50MH060451 · NIMH · DUKE UNIVERSITY · PI PIEPER, CARL F · 2001 to 2010
$22.3M
The 5-HT theory of depression tested in a naturalistic model of 5-HT deficiencyR01MH079201 · NIMH · DUKE UNIVERSITY · PI CARON, MARC G. · 2007 to 2016
$3.7M
ENU Mutagenesis Screen for Genes of AddictionK01DA017703 · NIDA · DUKE UNIVERSITY · PI RAMSEY, AMY J · 2006 to 2009
$442k
Effects of chronic antidepressants on mice with a mutation in Tph2F32MH083404 · NIMH · DUKE UNIVERSITY · PI SIESSER, WILLIAM BOURCHIER · 2008 to 2009
$86k
NIDA NIH HHS K01DA017703NIMH NIH HHS MH60451NIMH NIH HHS MH79201NIMH NIH HHS MH83404NIMH NIH HHS R01 MH079201
6 · The paper itself

Abstract

Selective serotonin reuptake inhibitors (SSRIs) are a major class of antidepressants that act by blocking inward transport of serotonin (5-HT) into presynaptic neurons mediated by the serotonin transporter (SERT). Both reuptake and ongoing synthesis are essential in supporting intraneuronal serotonin concentrations in serotonergic neurons. A rare mutation in tryptophan hydroxylase 2 (Tph2), the rate limiting enzyme for 5-HT synthesis, was identified in several patients with major depression, and knock-in mice expressing the analogous mutation (R439H Tph2 KI) show 80% reduction in 5-HT synthesis and tissue levels. Chronic treatment with SSRIs (fluoxetine and paroxetine) resulted in a dramatic further depletion of 5-HT tissue levels in R439H Tph2 KI mice (down to 1-3% of wild type levels) while having little effects in wild-type controls. Treatment with the 5-HT precursor 5-hydroxytryptophan (5-HTP) restored 5-HT tissue content in mutant mice, and cotreatment with 5-HTP and fluoxetine essentially prevented the depleting effect of a chronic SSRI. These data demonstrate that chronic SSRI treatment could further exacerbate the 5-HT deficiency in Tph2 mutation carriers, and this can be prevented by 5-HTP supplementation.

Indexed as

AnimalsFluoxetineHumansMajor Depressive DisorderMiceMice, Mutant StrainsPolymorphism, GeneticSelective Serotonin Reuptake InhibitorsSerotoninSerotonin Plasma Membrane Transport ProteinsSerotonin Receptor AgonistsTryptophan HydroxylaseFluoxetineSelective Serotonin Reuptake InhibitorsSerotoninSerotonin Plasma Membrane Transport ProteinsSerotonin Receptor AgonistsTph2 protein, mouseTryptophan Hydroxylase

Identifiers

PMID23336047
PMCPMC3547473
OpenAlexW1176776387

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.