Estrogen exerts profound effects on mood and mental state. The ability of e
strogen to modulate serotonergic function raises the possibility that it ma
y play a role in the mechanism associated with depression and its treatment
. A cellular mechanism for estrogen to influence mood might be through the
regulation of genes involved at various levels of the serotonin system, Her
e we report that estrogen can up-regulate the expression of the serotonin-1
A receptor via a new mechanism involving synergistic activation by nuclear
factor-kappaB (NF-kappaB) with estrogen receptor alpha, Interestingly, we o
bserved that only estrogen receptor-alpha, and not -beta, was able to media
te this effect of estrogens, The partial antiestrogen, 4-hydroxytamoxifen,
had the same effect as estrogen. In addition, mutation analysis showed that
both the transactivation function of p65 and activation function 1 of estr
ogen receptor-alpha were essential for this synergistic regulation. Therefo
re, we propose that NF-kappaB complexes cooperate with estrogen receptor-al
pha to recruit cofactors into the complex and thereby synergistically activ
ate the serotonin-1A receptor promoter through nonclassical estrogen respon
se elements by a mechanism that does not involve direct receptor binding to
DNA.