All diagrams in supply, synthesis and cofactors

Serotonin supply and transmission

Brain and peripheral serotonin are separate compartments. Serotonin is not simply a happiness chemical; tissue context matters.

Serotonin supply and transmission

Scoped educational mechanism

Serotonin supply and transmission. Brain and peripheral serotonin are separate compartments.
Brain and peripheral serotonin are separate compartments. Serotonin is not simply a happiness chemical; tissue context matters.MJB ADHD · original vector reconstruction · Reviewed 2026-10-13

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Tryptophan hydroxylation requires iron, BH4 and oxygen. TPH2 is the key neuronal isoform in brain serotonin synthesis, while TPH1 operates in many peripheral serotonin-producing tissues. AADC then forms serotonin, which is stored and released in the neuronal compartment. SERT-dependent uptake contributes to clearance. These compartments should not be joined by an arrow suggesting peripheral serotonin directly supplies brain synapses. The pathways alone do not predict mood or treatment response.

  • Brain tryptophan → TPH2 then AADC: TPH2
  • TPH2 then AADC → Brain transmission: synthesis and release
  • Peripheral tryptophan → TPH1 pathway: TPH1
  • TPH1 pathway → Peripheral serotonin: peripheral synthesis

What the diagram shows

Tryptophan hydroxylation requires iron, BH4 and oxygen. TPH2 is the key neuronal isoform in brain serotonin synthesis, while TPH1 operates in many peripheral serotonin-producing tissues. AADC then forms serotonin, which is stored and released in the neuronal compartment. SERT-dependent uptake contributes to clearance. These compartments should not be joined by an arrow suggesting peripheral serotonin directly supplies brain synapses. The pathways alone do not predict mood or treatment response.

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