title: Effects on serotonin in rat hypothalamus of D-fenfluramine, aminorex, phentermine and fluoxetine.
abstract: Hypothalamic 5-HT (serotonin) regulates food intake, energy expenditure and bodyweight. Using in vivo microdialysis, we determined the effects of various anorectic drugs on hypothalamic extracellular 5-HT levels during the dark phase when rats predominantly feed. Phentermine and aminorex, which were originally considered to be catecholaminergic drugs, markedly increased 5-HT efflux in rat hypothalamus. Their actions were less profound than D-fenfluramine, but considerably greater than that of the selective 5-HT reuptake inhibitor, fluoxetine. This suggests that enhanced hypothalamic 5-HT function could be involved in their anorectic actions. Pharmacological characterization revealed that D-fenfluramine, aminorex and probably also phentermine potentiate synaptic 5-HT function predominantly by release, whereas fluoxetine acts exclusively by reuptake inhibition. The results also revealed that the combined actions of phentermine and D-fenfluramine on hypothalamic extracellular 5-HT levels were additive, but not synergistic. In contrast, there was a significant negative cooperative effect on extraneuronal 5-HT of combining phentermine with fluoxetine.
authors.affiliation: Nelson Laboratories, Department of Cell Biology and Neuroscience, Rutgers University, 604 Allison Road, Piscataway, NJ 08854-8082, USA.
authors.forename: Rui
authors.initials: R
authors.lastname: Tao
authors.forename: Anne
authors.initials: A
authors.lastname: Fray
authors.forename: Sue
authors.initials: S
authors.lastname: Aspley
authors.forename: Richard
authors.initials: R
authors.lastname: Brammer
authors.forename: David
authors.initials: D
authors.lastname: Heal
authors.forename: Sidney
authors.initials: S
authors.lastname: Auerbach
mesh_terms: D000635:Aminorex / Q000494:pharmacology*; D000818:Animals; D004338:Drug Combinations; D005277:Fenfluramine / Q000494:pharmacology*; D005473:Fluoxetine / Q000494:pharmacology*; D007031:Hypothalamus / Q000187:drug effects* / Q000378:metabolism; D008297:Male; D010645:Phentermine / Q000494:pharmacology*; D051381:Rats; D017207:Rats, Sprague-Dawley; D012701:Serotonin / Q000378:metabolism*
chemical_list: D004338:Drug Combinations; D005473:Fluoxetine; D005277:Fenfluramine; D000635:Aminorex; D012701:Serotonin; D010645:Phentermine