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非典型抗精神病药物奥氮平对雌性大鼠生殖功能和体重增加的影响。

Effects of the atypical antipsychotic olanzapine on reproductive function and weight gain in female rats.

作者信息

Fell M J, Marshall K M, Williams J, Neill J C

机构信息

Bradford School of Pharmacy, University of Bradford, UK.

出版信息

J Psychopharmacol. 2004 Jun;18(2):149-55. doi: 10.1177/0269881104042613.

Abstract

Sexual dysfunction is a major, although poorly understood, side-effect of treatment with antipsychotic drugs. We have recently show marked disruption of reproductive function and weight gain in female rats treated subchronically with risperidone and haloperidol. The aim of the present study was to examine further the potential relationship between reproductive dysfunction and weight gain in female rats treated with olanzapine. The effects of olanzapine on weight gain, food and water intake, intra-abdominal fat, the oestrous cycle and uterine weight were assessed in group-housed adult female hooded-Lister rats. Olanzapine (0.5-4.0 mg/kg i.p.) or vehicle was administered once daily for 21 days and body weight, food and water intake measured, with histological examination of vaginal lavage to determine the stage of the oestrous cycle. On day 22, animals were sacrificed and intra-abdominal fat, wet and dry uterine weights measured. Olanzapine induced significant weight gain with concomitant increases in food and water intake and intra-abdominal fat without an effect on the oestrous cycle, wet and dry uterine weights or plasma prolactin levels. These results confirm the ability of olanzapine to induce weight gain in female rats on unrestricted normal diet with a concomitant increase in food and water intake and increased intra-abdominal fat. These effects of olanzapine were produced in the absence of any apparent impairment in reproductive function, in contrast to the substantial disruption of oestrous and uterine atrophy previously shown in rats treated with risperidone and haloperidol.

摘要

性功能障碍是抗精神病药物治疗的一种主要副作用,尽管人们对此了解甚少。我们最近发现,用利培酮和氟哌啶醇对雌性大鼠进行亚慢性治疗会导致生殖功能明显紊乱和体重增加。本研究的目的是进一步探讨用奥氮平治疗的雌性大鼠生殖功能障碍与体重增加之间的潜在关系。在成年雌性带帽利斯特大鼠群居组中评估了奥氮平对体重增加、食物和水摄入量、腹腔内脂肪、发情周期和子宫重量的影响。奥氮平(0.5 - 4.0毫克/千克腹腔注射)或赋形剂每日给药一次,持续21天,测量体重、食物和水摄入量,并通过阴道灌洗的组织学检查来确定发情周期阶段。在第22天,处死动物并测量腹腔内脂肪、子宫湿重和干重。奥氮平可导致显著体重增加,同时食物和水摄入量以及腹腔内脂肪增加,而对发情周期、子宫湿重和干重或血浆催乳素水平没有影响。这些结果证实了奥氮平在正常饮食不受限制的雌性大鼠中诱导体重增加的能力,同时伴有食物和水摄入量增加以及腹腔内脂肪增加。与先前用利培酮和氟哌啶醇治疗的大鼠中出现的发情和子宫萎缩的实质性破坏相反,奥氮平的这些作用是在生殖功能没有任何明显损害的情况下产生的。

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