Tanyeri Mehmet Hanifi, Buyukokuroglu Mehmet Emin, Tanyeri Pelin, Mutlu Oguz, Akar Füruzan Yildiz, Ulak Güner, Erden Bekir Faruk
Department of Urology, Yenikent Government Hospital, 54100, Adapazarı, Sakarya, Turkey.
Department of Pharmacology, Faculty of Medicine, Sakarya University, 54100, Adapazarı, Sakarya, Turkey.
Int Urol Nephrol. 2017 Sep;49(9):1561-1567. doi: 10.1007/s11255-017-1640-9. Epub 2017 Jul 3.
Sexual dysfunction is a common condition in patients taking antipsychotics and is the most bothersome symptom and adverse drug effect, resulting in a negative effect on treatment compliance. Pharmacology research into human ejeculatory disorders is limited to clinical studies with registered drugs affecting the ejaculation process; therefore, animal research has become the need. We aimed to investigate the effects of haloperidol, clozapine and aripiprazole on serotonin, noradrenaline, adenosine triphosphate (ATP) and potassium chloride (KCl)-induced contractions of the vas deferens in order to evaluate the effect of haloperidol, clozapine and aripiprazole on the contraction of the vas deferens.
Male inbred BALB/c ByJ mice aged 7 weeks upon arrival to the laboratory were used in this study. Haloperidol, clozapine, aripiprazole, serotonin, noradrenaline, ATP and KCl were dissolved in 0.9% physiological saline. The mice were randomly divided into experimental groups as follows: saline; haloperidol 0.125 mg/kg; haloperidol 0.25 mg/kg; clozapine 1.25 mg/kg; clozapine 2.5 mg/kg; aripiprazole 3 mg/kg; aripiprazole 6 mg/kg. Mice were treated by ip injection of drugs during 21 days. Mice receiving only the vehicle ip (0.9% saline) during 21 days served as control group (n = 7). Each experimental group consisted of 7 mice. After 21 days of treatment, epididymal and prostatic portions of vas deferens were surgically dissected free and immersed in 20-mL organ baths containing Krebs' solution. The effects of chronic treatment with haloperidol (0.125 and 0.25 mg/kg), clozapine(1.25 and 2.5 mg/kg) and aripiprazole (3 and 6 mg/kg) were investigated on serotonin [10 (-8) to 10 (-4) M], noradrenaline [10 (-8) to 10 (-4) M], ATP [10 (-8) to 10 (-4) M] and 80 mM KCl-induced contractile responses in the epididymal and prostatic portions of mice isolated vas deferens strips. Statistical comparison between the groups was performed using ANOVA supported by Dunnett's post hoc test.
Serotonin-induced contractile responses were significantly increased in the epididymal and prostatic portions of the vas deferens obtained from the haloperidol-treated group and clozapine-treated group. However, aripiprazole treatment had no effect on serotonin responses in both epididymal and prostatic portions of mice vas deferens. On the other hand, haloperidol and clozapine treatments significantly inhibited both noradrenaline and ATP-induced contractions of the prostatic and epididymal portions of the mice vas deferens, but had no effect on KCl-induced contractions of the vas deferens in both portions. There were no significant differences in KCl-induced contractile responses among the groups.
These results revealed that induced contractions of vas deferens were affected after chronic treatment with haloperidol and clozapine but not aripiprazole. Serotonergic, noradrenergic and purinergic receptors may, at least in part, contribute to changes in vas deferens contractions in mice with chronic treatment of haloperidol and clozapine but not aripiprazole.
性功能障碍是服用抗精神病药物患者的常见病症,也是最困扰患者的症状和药物不良反应,会对治疗依从性产生负面影响。关于人类射精障碍的药理学研究仅限于对影响射精过程的已注册药物进行临床研究;因此,动物研究成为必要。我们旨在研究氟哌啶醇、氯氮平和阿立哌唑对血清素、去甲肾上腺素、三磷酸腺苷(ATP)和氯化钾(KCl)诱导的输精管收缩的影响,以评估氟哌啶醇、氯氮平和阿立哌唑对输精管收缩的作用。
本研究使用到达实验室时7周龄的雄性近交BALB/c ByJ小鼠。氟哌啶醇、氯氮平、阿立哌唑、血清素、去甲肾上腺素、ATP和KCl均溶解于0.9%生理盐水中。小鼠被随机分为以下实验组:生理盐水组;氟哌啶醇0.125mg/kg组;氟哌啶醇0.25mg/kg组;氯氮平1.25mg/kg组;氯氮平2.5mg/kg组;阿立哌唑3mg/kg组;阿立哌唑6mg/kg组。小鼠在21天内通过腹腔注射药物进行处理。在21天内仅接受腹腔注射溶媒(0.9%生理盐水)的小鼠作为对照组(n = 7)。每个实验组由7只小鼠组成。治疗21天后,手术分离出输精管的附睾段和前列腺段,并将其浸入含有Krebs溶液的20 mL器官浴槽中。研究氟哌啶醇(0.125和0.25mg/kg)、氯氮平(1.25和2.5mg/kg)和阿立哌唑(3和6mg/kg)长期治疗对分离的小鼠输精管条附睾段和前列腺段中血清素[10(-8)至10(-4)M]、去甲肾上腺素[10(-8)至10(-4)M]、ATP[10(-8)至10(-4)M]和80mM KCl诱导的收缩反应的影响。使用ANOVA并辅以Dunnett事后检验进行组间的统计学比较。
在氟哌啶醇治疗组和氯氮平治疗组获得的输精管附睾段和前列腺段中,血清素诱导的收缩反应显著增加。然而,阿立哌唑治疗对小鼠输精管附睾段和前列腺段的血清素反应均无影响。另一方面,氟哌啶醇和氯氮平治疗显著抑制了小鼠输精管前列腺段和附睾段去甲肾上腺素和ATP诱导的收缩,但对两段输精管KCl诱导的收缩均无影响。各组间KCl诱导的收缩反应无显著差异。
这些结果表明,长期使用氟哌啶醇和氯氮平治疗后输精管的诱导收缩受到影响,而阿立哌唑则无此影响。在长期使用氟哌啶醇和氯氮平而非阿立哌唑治疗的小鼠中,血清素能、去甲肾上腺素能和嘌呤能受体可能至少部分促成了输精管收缩的变化。