The role of serotonergic activity in impulsive aggression and illegal behavior
https://doi.org/10.33667/2078-5631-2025-21-55-59
Abstract
Impulsive aggression is considered an important psychopathological symptom of a number of mental disorders, including borderline and antisocial personality disorders. Serotonin plays a critical role in modulating mood, anxiety, aggression, sleep-wake cycle, motivation, pain perception and neuroendocrine function, including aggression suppression. The correlation of the severity of aggressive behavior with neuroendocrine signs of low serotonin function was revealed. Serotonergic genes play an important role in the regulation of serotonin activity. The article discusses the results of research conducted among those convicted of violent and nonviolent crimes. The association of various genes regulating serotonin activity with aggression has been studied. The characteristics of several serotonergic candidate genes for the risk of developing antisocial behavior, which is based on impulsive aggression, are given. In conclusion, the conclusion is made about the inconsistency of the results of the analyzed studies due to methodological differences, which requires further development of this problem.
About the Authors
N. V. OrlovaRussian Federation
Orlova Natalia V., DM Sci (habil.), professor at Dept of Faculty Therapy of Institute of Motherhood and Childhood; leading researcher at the laboratory
Moscow; Tyumen
G. N. Suvorov
Russian Federation
Suvorov Georgy N., PhD Law, head of Dept of Scientific and Innovative Work, head of the laboratory
Tyumen
References
1. Krakowski M. Violence and serotonin: influence of impulse control, affect regulation, and social functioning. J Neuropsychiatry Clin Neurosci. 2003 Summer; 15 (3): 294–305. DOI: 10.1176/jnp.15.3.294
2. Safuanov F. S. Pathocharacterological signs of mentally healthy individuals, prone to impulsive aggression. Psychology and Law. 2018; 8 (3): 150–166. DOI: 10.17759/psylaw.2018080311
3. Davidson RJ, Putnam KM, Larson CL. Dysfunction in the neural circuitry of emotion regulation-a possible prelude to violence. Science. 2000 Jul 28; 289 (5479): 591–4. DOI: 10.1126/science.289.5479.591
4. Knutson B, Wolkowitz OM, Cole SW, Chan T, Moore EA, Johnson RC, Terpstra J, Turner RA, Reus VI. Selective alteration of personality and social behavior by serotonergic intervention. Am J Psychiatry. 1998 Mar; 155 (3): 373–9. DOI: 10.1176/ajp.155.3.373
5. Walther DJ, Bader M. A unique central tryptophan hydroxylase isoform. Biochem Pharmacol. 2003 Nov 1; 66 (9): 1673–80. DOI: 10.1016/s0006-2952(03)00556-2
6. Berggård C, Damberg M, Longato-Stadler E, Hallman J, Oreland L, Garpenstrand H. The serotonin 2A – 1438 G/A receptor polymorphism in a group of Swedish male criminals. Neurosci Lett. 2003 Aug 28; 347 (3): 196–8. DOI: 10.1016/s0304-3940(03)00699-2
7. Ham BJ, Kim YH, Choi MJ, Cha JH, Choi YK, Lee MS. Serotonergic genes and personality traits in the Korean population. Neurosci Lett. 2004 Jan 2; 354 (1): 2–5. DOI: 10.1016/s0304-3940(03)00753-5
8. Maroteaux L, Lori A, Smith A, Ressler KJ, Nuñez YZ, Farrer LA, Zhao H, Kranzler HR, Gelernter J. Translational studies support a role for serotonin 2B receptor (HTR 2B) gene in aggression-related cannabis response. Mol Psychiatry. 2018 Dec; 23 (12): 2277–2286. DOI: 10.1038/s41380-018-0077-6
9. Drago A, Serretti A. Focus on HTR 2C: A possible suggestion for genetic studies of complex disorders. Am J Med Genet B Neuropsychiatr Genet. 2009 Jul 5; 150B (5): 601–37. DOI: 10.1002/ajmg.b.30864
10. Cherepkova EV, Maksimov VV, Aftanas LI. Polymorphism of serotonin transporter gene in male subjects with antisocial behavior and MMA fighters. Transl Psychiatry. 2018 Nov 15; 8 (1): 248. DOI: 10.1038/s41398-018-0298-0
11. Lee JH, Kim HT, Hyun DS. Possible association between serotonin transporter promoter region polymorphism and impulsivity in Koreans. Psychiatry Res. 2003 May 1; 118 (1): 19–24. DOI: 10.1016/s0165–1781(03)00065-9
12. Armstrong T. A., Boisvert D., Flores S., Symonds M., Gangitano D. Heart rate, serotonin transporter linked polymorphic region (5-HTTLPR) genotype, and violence in an incarcerated sample. J. Crim. Justice 51, 1–8. DOI: 10.1016/j.jcrimjus.2017.05.012
13. Courtet P, Baud P, Abbar M, Boulenger JP, Castelnau D, Mouthon D, Malafosse A, Buresi C. Association between violent suicidal behavior and the low activity allele of the serotonin transporter gene. Mol Psychiatry. 2001 May; 6 (3): 338–41. DOI: 10.1038/sj.mp.4000856
14. Higley JD, Linnoila M. Low central nervous system serotonergic activity is traitlike and correlates with impulsive behavior. A nonhuman primate model investigating genetic and environmental influences on neurotransmission. Ann N Y Acad Sci. 1997 Dec 29; 836: 39–56. DOI: 10.1111/j.1749-6632.1997.tb52354.x
15. Liao DL, Hong CJ, Shih HL, Tsai SJ. Possible association between serotonin transporter promoter region polymorphism and extremely violent crime in Chinese males. Neuropsychobiology. 2004; 50 (4): 284–7. DOI: 10.1159/000080953
16. Retz W, Retz-Junginger P, Supprian T, Thome J, Rösler M. Association of serotonin transporter promoter gene polymorphism with violence: relation with personality disorders, impulsivity, and childhood ADHD psychopathology. Behav Sci Law. 2004;22 (3): 415–25. DOI: 10.1002/bsl.589
17. Qadeer MI, Amar A, Huang YY, Min E, Galfalvy H, Hasnain S, Mann JJ. Association of serotonin system-related genes with homicidal behavior and criminal aggression in a prison population of Pakistani Origin. Sci Rep. 2021 Jan 18; 11 (1): 1670. DOI: 10.1038/s41598-021-81198-4
18. Philibert RA, Sandhu H, Hollenbeck N, Gunter T, Adams W, Madan A. The relationship of 5HTT (SLC 6A4) methylation and genotype on mRNA expression and liability to major depression and alcohol dependence in subjects from the Iowa Adoption Studies. Am J Med Genet B Neuropsychiatr Genet. 2008 Jul 5; 147B (5): 543–9. DOI: 10.1002/ajmg.b.30657
19. Alia-Klein N, Goldstein RZ, Kriplani A, Logan J, Tomasi D, Williams B, Telang F, Shumay E, Biegon A, Craig IW, Henn F, Wang GJ, Volkow ND, Fowler JS. Brain monoamine oxidase A activity predicts trait aggression. J Neurosci. 2008 May 7; 28 (19): 5099–104. DOI: 10.1523/JNEUROSCI.0925-08.2008
20. Jensen KP, Covault J, Conner TS, Tennen H, Kranzler HR, Furneaux HM. A common polymorphism in serotonin receptor 1B mRNA moderates regulation by miR-96 and associates with aggressive human behaviors. Mol Psychiatry. 2009 Apr; 14 (4): 381–9. DOI: 10.1038/mp.2008.15
21. Gomes CKF, Vieira-Fonseca T, Melo-Felippe FB, de Salles Andrade JB, Fontenelle LF, Kohlrausch FB. Association analysis of SLC 6A4 and HTR 2A genes with obsessive-compulsive disorder: Influence of the STin2 polymorphism. Compr Psychiatry. 2018 Apr; 82: 1–6. DOI: 10.1016/j.comppsych.2017.12.004
22. Preuss UW, Koller G, Samochowiec A, Zill P, Samochowiec J, Kucharska-Mazur J, Wong J, Soyka M. Serotonin and Dopamine Candidate Gene Variants and Alcohol- and Non-Alcohol-Related Aggression. Alcohol Alcohol. 2015 Nov; 50 (6): 690–9. DOI: 10.1093/alcalc/agv057
Review
For citations:
Orlova N.V., Suvorov G.N. The role of serotonergic activity in impulsive aggression and illegal behavior. Medical alphabet. 2025;(21):55-59. (In Russ.) https://doi.org/10.33667/2078-5631-2025-21-55-59
























