The effects of
serotonin (5-HT) on
tumor growth are inconsistent. We investigated whether a decreased level of
5-HT affected
tumor growth using
5-HT transporter knockout (5-HTT(-/-)) mice, which showed
5-HT depletion. When
cancer cells were injected subcutaneously into both 5-HTT(-/-) and 5-HTT(+/+) mice, the
tumor growth was markedly attenuated in 5-HTT(-/-) mice.
Serotonin levels in the blood, forebrain, and
tumors of 5-HTT(-/-) mice bearing
tumors were significantly smaller than those of their 5-HTT(+/+) littermates. However,
5-HT did not increase
cancer cells' proliferation in vitro. When we applied 5-HTT inhibitors to the wild mice bearing
tumors, they did not inhibit
tumor growth. The
endothelial nitric oxide synthase (eNOS) expressions in
tumors were reduced in 5-HTT(-/-) mice compared with 5-HTT(+/+) mice. Stimulations with
5-HT (1-50 microM) induced eNOS expressions in human umbilical vein endothelial cell (HUVEC) in a concentration-dependent manner. When we measured activations of multiple signaling pathways by using a high-throughput phosphospecific
antibodies platform,
5-HT stimulated the
extracellular signal-regulated kinase 1/2 (ERK1/2) in HUVEC. Moreover, we found that the physiological level of
5-HT induced phosphorylation of both ERK1/2 and eNOS in HUVEC. Human umbilical vein endothelial cell expressed both 5-HT(2B) and 5-HT(2C) receptors.
SB204741, a specific 5-HT(2B) receptor inhibitor, blocked 5-HT-induced ERK1/2 and eNOS phosphorylations, whereas RS102221, a specific
5-HT(2C) receptor inhibitor, did not in HUVEC.
SB204741 reduced microvessel density in
tumors and inhibited the proliferation of HUVEC in vitro. These results suggest that regulation of
5-HT and
5-HT receptors, especially the 5-HT(2B) receptor, may serve as a therapeutic strategy in
cancer therapy.