WE investigated the effect of electroconvulsive shock (ECS), administe
red five times over 10 days, on 5-HT1A and 5-HT2A receptor mRNA and bi
nding site densities in the rat brain using in situ hybridization hist
ochemistry and quantitative autoradiography. ECS treatment increased 5
-HT1A receptor mRNA abundance and binding site densities in the dentat
e gyrus, but decreased these parameters in the CA3c layer of the hippo
campus. No changes in 5-HT1A receptor mRNA and binding sites occurred
in other hippocampal subfields, neocortex or raphe nuclei. Repeated EC
S was also found to increase 5-HT2A receptor binding site densities in
the neocortex and this was accompanied by a non-significant increase
in cortical 5-HT2A receptor mRNA abundance. Our study demonstrates tha
t in the rat, repeated ECS produces anatomically and molecularly discr
ete effects on 5-HT1A and 5-HT2A receptor gene expression. These chang
es may be relevant to the therapeutic effect of repeated ECS in depres
sion.