The increasing knowledge concerning anatomical structures and cellular
processes underlying event-related potentials (ERP) and methodologica
l advances in ERP data analysis (e.g. dipole source analysis) begins t
o bridge the gap between ERP and neurochemical aspects. Several recent
reports are summarized suggesting that quite specific relationships m
ay exist between certain ERP-parameters and central cholinergic, norad
renergic and especially serotonergic function. Reliable indicators of
the serotonin system are urgently needed because of its role in pathog
enetic concepts and as target of pharmacotherapeutic interventions in
psychiatric and neurologic disorders. Converging arguments from precli
nical and clinical studies are presented supporting the hypothesis tha
t the dependence of the auditory evoked N1/P2-response on stimulus int
ensity (loudness) is regulated by the level of central serotonergic ne
urotransmission. Dipole source analysis represents an important method
ological advance in this context, because N1/P2-subcomponents, generat
ed by different cortical structures with different serotonergic innerv
ations, can be separated. A pronounced intensity dependence of the evo
ked activity of primary auditory cortices is supposed to indicate a lo
w central serotonergic neurotransmission and vice versa. This intensit
y dependence is shown to be a parameter with clinical value because su
bgroups of patients with a serotonergic dysfunction can be identified
and can be treated more specifically.