Mos J, Mollet I, Tolboom J T, Waldinger M D, Olivier B
Department of Pharmacology, Solvay Pharmaceuticals, Weesp, The Netherlands.
Eur Neuropsychopharmacol. 1999 Jan;9(1-2):123-35. doi: 10.1016/s0924-977x(98)00015-7.
In human males, SSRIs differentially affect (premature) ejaculation; paroxetine and fluoxetine markedly and sertraline, moderately inhibited ejaculation latency, whereas fluvoxamine did not inhibit this parameter (Waldinger, M.D., Hengeveld, M.W., Zwinderman, A.H., Olivier, B., The effect of SSRI antidepressants on ejaculation: a double-blind, randomised, placebo-controlled study with fluoxetine, fluvoxamine, paroxetine and sertraline. J. Clin. Psychopharmacol. (in press)). The present studies tried to investigate, using sexual behaviour in male rats, whether such differences could also be found in animal paradigms of sexual behaviour. In a series of three experiments we compared various specific serotonin reuptake inhibitors (SSRIs) for their ability to suppress sexual behaviour in male rats. In the first experiment sexually experienced rats were tested 60 min after oral administration of clomipramine, fluvoxamine, fluoxetine (all in a range of 0, 3, 10 and 30 mg/kg p.o.), sertraline or paroxetine (both in a range of 0, 1, 3 and 10 mg/kg p.o.). Clomipramine, paroxetine and fluvoxamine did not significantly inhibit male sexual behaviour, although some trends were observed. Sertraline inhibited sexual behaviour at 3 and 10 mg/kg p.o., the effects being stronger at 3 mg/kg p.o. Fluoxetine (3 mg/kg p.o.) facilitated sexual behaviour, while at 30 mg/kg p.o. a modest increase in the postejaculatory interval was noted. In the second experiment, sexual behaviour of sexually naive male rats was slightly inhibited by paroxetine 10 mg/kg p.o., but sertraline (range 1-10 mg/kg p.o.), fluvoxamine and fluoxetine (both in a range of 3-30 mg/kg p.o.) were ineffective. In the last experiment the effects of paroxetine (0-10 mg/kg p.o.), fluvoxamine and fluoxetine (both 0-30 mg/kg p.o.) were studied during an exhaustion design in sexually experienced male rats. As rats get more 'sluggish' when they have had multiple ejaculations, we hoped to see stronger inhibitory effects in the last cycle prior to exhaustion. None of the drugs dose-dependently inhibited the pattern of sexual behaviour during the first sexual cycle. In the last cycle the patterning of sexual behaviour differed, but only paroxetine (10 mg/kg p.o.) inhibited sexual behaviour significantly. The total number' of ejaculations during the test was not reduced by any of the SSRIs tested. Contrary to human findings, we did not find major inhibitory effects of SSRIs on male rat sexual behaviour at non-sedative doses. The only differentiation that could be made is that paroxetine and sertraline had slightly stronger effects than the other 5-HT reuptake inhibitors. Masculine sexual behaviour in rats does not constitute a suitable model to investigate the differential mechanism of sexual inhibition of SSRIs that have been described in human males.
在人类男性中,选择性5-羟色胺再摄取抑制剂(SSRI)对(早泄)射精的影响存在差异;帕罗西汀和氟西汀对射精潜伏期有显著抑制作用,舍曲林有中度抑制作用,而氟伏沙明则不影响该参数(瓦尔丁格,医学博士,亨格维尔德,医学硕士,兹温德曼,医学博士,奥利维尔,医学博士,SSRI类抗抑郁药对射精的影响:一项使用氟西汀、氟伏沙明、帕罗西汀和舍曲林的双盲、随机、安慰剂对照研究。《临床精神药理学杂志》(即将发表))。本研究试图通过雄性大鼠的性行为来探究在性行为的动物模型中是否也能发现此类差异。在一系列三个实验中,我们比较了各种选择性5-羟色胺再摄取抑制剂(SSRI)抑制雄性大鼠性行为的能力。在第一个实验中,对有性经验的大鼠口服氯米帕明、氟伏沙明、氟西汀(均为0、3、10和30毫克/千克口服剂量)、舍曲林或帕罗西汀(均为0、1、3和10毫克/千克口服剂量)60分钟后进行测试。氯米帕明、帕罗西汀和氟伏沙明未显著抑制雄性性行为,尽管观察到了一些趋势。舍曲林在口服剂量为3和10毫克/千克时抑制性行为,在口服剂量为3毫克/千克时效果更强。氟西汀(口服剂量为3毫克/千克)促进性行为,而在口服剂量为30毫克/千克时,射精后间隔略有增加。在第二个实验中,口服剂量为10毫克/千克的帕罗西汀对性成熟雄性大鼠的性行为有轻微抑制作用,但舍曲林(口服剂量范围为1 - 10毫克/千克)、氟伏沙明和氟西汀(口服剂量范围均为3 - 30毫克/千克)均无效。在最后一个实验中,在有性经验的雄性大鼠的疲劳实验设计过程中研究了帕罗西汀(0 - 10毫克/千克口服剂量)、氟伏沙明和氟西汀(均为0 - 30毫克/千克口服剂量)的作用。由于大鼠多次射精后会变得更加“迟缓”,我们希望在疲劳前的最后一个周期中看到更强的抑制作用。在第一个性周期中,没有一种药物呈剂量依赖性地抑制性行为模式。在最后一个周期中,性行为模式有所不同,但只有口服剂量为10毫克/千克的帕罗西汀显著抑制了性行为。所测试的任何一种SSRI均未减少测试期间的射精总数。与人类研究结果相反,我们发现在非镇静剂量下,SSRI对雄性大鼠性行为没有主要抑制作用。唯一能区分的是,帕罗西汀和舍曲林的作用比其他5-羟色胺再摄取抑制剂略强。大鼠的雄性性行为并非研究人类男性中所描述的SSRI性抑制差异机制的合适模型。