Serotonin (5-HT) is an important mediator of interactions between the nervo
us and immune systems. 5-HT signaling is regulated by the 5-HT transporter
(5-HTT), which determines the magnitude and duration of serotonergic respon
ses. Due to this important role, regulation of the 5-HTT by cytokines has b
een the focus of recent interest. A number of proinflammatory cytokines, in
cluding interleukin-1 beta, tumor necrosis factor-or, and interferon-gamma,
have been shown to upregulate the 5-HTT. In the present study we investiga
ted the influence of interleukin-4, (IL-4), which acts as an anti-inflammat
ory cytokine in the central nervous system, on the 5-HTT. As a model system
we used immortalized B lymphocytes, which not only express the 5-HTT, but
also allow testing the co-modulatory influence of a recently described poly
morphism in the 5-HTT gene promoter (5-HTTLPR) that is associated with anxi
ety- and depression-related behavioral traits. The results show that IL-4 i
nduces a dose dependent reduction of 5-HT uptake. This effect is preferenti
ally seen in cell lines homozygous for the long, high-activity allele of th
e 5-HTTLPR. In conclusion, a picture of differential modulation of the 5-HT
T by proinflammatory and anti-inflammatory cytokines is emerging, which may
represent a fine-tuned mechanism to communicate the state of an immune res
ponse to the central nervous system. (C) 2001 Elsevier Science Inc. All rig
hts reserved.