The possible involvement of the neurotransmitter serotonin (5-HT) and
its binding protein (SBP) in cardiac morphogenesis was studied using m
ouse whole embryo culture (together with immunocytochemistry or H-3-th
ymidine autoradiography) and a cell migration assay. Embryos were cult
ured before and during the period of endocardial cushion formation, em
bryonic (E) days 9-12, in the presence of 5-HT, the monoamine oxidase
(MAO) inhibitor nialamide, or an uptake inhibitor (fluoxetine or sertr
aline). For the migration assay, cells from the outflow tracts of E12
embryos were dissociated and placed in a chemotaxis chamber together w
ith different concentrations of 5-HT. E9 embryos cultured in the prese
nce of 10 muM 5-HT and nialamide exhibited intense 5-HT immunoreactivi
ty (5-HT IR) throughout the myocardium. This staining was greatly dimi
nished by fluoxetine, sertraline, or the absence of nialamide. As morp
hogenesis proceeded, myocardial staining in embryos exposed to 5-HT be
came restricted to developing endocardial cushion forming regions and
was more completely blocked by uptake inhibitors. No evidence for 5-HT
synthesis by myocardium was found at any age studied using the precur
sor L-tryptophan. SBP was present in endocardial cushions in cultured
and uncultured embryos. H-3-thymidine autoradiography demonstrated tha
t both fluoxetine and sertraline inhibited proliferation of cardiac me
senchyme, endocardium, and myocardium. These effects were most pronoun
ced when exposure began at E9 (prior to cushion formation). Dose-depen
dent effects of 5-HT on migration of outflow tract cells were also obs
erved. Taken together, these results suggest that 5-HT may play a role
in cardiac morphogenesis during endocardial cushion formation.