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Acute sleep deprivation upregulates serotonin 2A receptors in the frontal cortex of mice via the immediate early gene Egr3

Xiu-Li Zhao, Annika B. Ozols, K. Meyers, J. Campbell, Andrew McBride, Ketan K Marballi, Amanda M. Maple, C. Raskin, A. Mishra, Serena Noss, Kelsey L. Beck, R. Khoshaba, Amulya Bhaskara, Meghna N. Godbole, James R. Lish, P. Kang, Chengcheng Hu, Mikael Palner, Agnete Overgaard, Gitte M. Knudsen, Amelia L. Gallitano

Molecular Psychiatry January 10, 2022 DOI: 10.1038/s41380-021-01390-w (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Basic science laboratory study Peer reviewed
Population Mice (frontal cortex) and publicly available human post-mortem prefrontal cortex gene expression data from schizophrenia patients and controls
Intervention Sleep deprivation
Duration 6-8 hours of sleep deprivation
Topics Serotonin
Key points Sleep deprivation significantly upregulated 5-HT2AR mRNA and protein in mouse frontal cortex within 6-8 hours, an effect absent in Egr3-deficient mice. EGR3 bound the Htr2a promoter and drove its expression, suggesting EGR3 directly regulates Htr2a in response to physiologic stimuli. Publicly available post-mortem data showed reduced EGR3 and HTR2A mRNA in schizophrenia prefrontal cortex versus controls.

Abstract

Serotonin 2A receptors (5-HT2ARs) mediate the hallucinogenic effects of psychedelic drugs and are a key target of the leading class of medications used to treat psychotic disorders. These findings suggest that dysfunction of 5-HT2ARs may contribute to the symptoms of schizophrenia, a mental illness characterized by perceptual and cognitive disturbances. Indeed, numerous studies have found that 5-HT2ARs are reduced in the brains of individuals with schizophrenia. However, the mechanisms that regulate 5-HT2AR expression remain poorly understood. Here, we show that a physiologic environmental stimulus, sleep deprivation, significantly upregulates 5-HT2AR levels in the mouse frontal cortex in as little as 6–8 h (for mRNA and protein, respectively). This induction requires the activity-dependent immediate early gene transcription factor early growth response 3 (Egr3) as it does not occur in Egr3 deficient (−/−) mice. Using chromatin immunoprecipitation, we show that EGR3 protein binds to the promoter of Htr2a, the gene that encodes the 5-HT2AR, in the frontal cortex in vivo, and drives expression of in vitro reporter constructs via two EGR3 binding sites in the Htr2a promoter. These results suggest that EGR3 directly regulates Htr2a expression, and 5-HT2AR levels, in the frontal cortex in response to physiologic stimuli. Analysis of publicly available post-mortem gene expression data revealed that both EGR3 and HTR2A mRNA are reduced in the prefrontal cortex of schizophrenia patients compared to controls. Together these findings suggest a mechanism by which environmental stimuli alter levels of a brain receptor that may mediate the symptoms, and treatment, of mental illness.

Comparable studies

Other preclinical and animal studies on serotonin, most cited first.

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