Abstract
The maturational changes in the brain and spinal cord do not linearly proceed from
immature in infants to mature in adults. Dendrites dynamically extend or retract as
neurotrophic factors fluctuate. In certain cases mature neurons can be seen soon after
birth, and in other cases immature neurons can be identified in the aged brain. Monoamine
‘neurotransmitter’; such as serotonin (5-HT), dopamine and norepinephrine appear to
function as Maintenance Growth Factors since they must be present in order to produce
their maturational actions. Serotonin neurons contain TRK-B receptors and are sensitive
to availability of the trophic factor, BDNF. 5-HT also functions by promoting the
release of the glial extension factor, S-100β. 5-HT and S-100β can provide maturational
signals to a variety of neurons, in both cortical and subcortical areas, and appear
to be involved in regulating the maturation and release of acetylcholine and dopamine.
We have shown that activation of the 5-HT1A receptor is particularly effective in
inducing growth of stunted neurons. The mechanism of action of the 5-HT1A receptor
involves both a direct inhibition on c-AMP and pCREB formation in postsynaptic neurons
and a release of S-100β from glial cells. Both these events are capable of stabilization
and elaboration of the cytoskeleton of the neuron and inhibition of apoptosis. 5-HT1A
receptors have been shown to effectively reverse stunted neurons and microencephaly
produced in animal models of fetal alcohol syndrome and prenatal cocaine administration.
I discuss the implications for regressive disorders such as Rett's syndrome and autism,
and the feasibility of treatments with 5-HT1A agonists in children with developmental
disorders.
Keywords
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