The central projection systems represent an expansive and important co
mponent of the brainstem reticular core which provide modulatory input
into multiple target networks throughout the entire vertebrate neurax
is. Most of the afferent input into the cranial raphe originates withi
n sensory uni- and polymodal, associative and limbic cortices suggesti
ng that serotonin modulates preprocessed information. The serotonergic
neurons discharge in a remarkably stable and tonic fashion during wak
efulness. Some 5-HT neurons increase their discharge rate phasically i
n association with the activation of central rhythmic pattern generato
rs involved in consummatory and grooming behaviour. In concert with en
hancing motor functions, the serotonergic systems discretely deamplify
sensory attentiveness and pain processing, thereby establishing an es
sential and protective filter mechanism against distracting and irrita
ting noise effects of sensory afferent input level. In addition, serot
onin restrains the latency to responding, i. e, impulsivity. These eff
ects of serotonin are mediated by multiple receptor subtypes with dist
inct pre- and postsynaptic localisation and regional distribution patt
ern, acting via amplifying (5-HT2 receptors) or desamplifying (5-HT1 r
eceptors) G-protein-dependent transduction mechanisms. The breakdown o
f these protective and adaptive functions of 5-HT in complex behaviour
and in basic aspects of sensorimotor integration may have a pathogene
tic role in disorders of impulse control (e. g. bulimia nervosa and OC
D) which have been found to respond to high-dose, long-term treatment
with selective serotonin reuptake inhibitors.