Hou Po-Hsun, Chang Geng-Ruei, Chen Chin-Pin, Lin Yen-Ling, Chao I-Shuan, Shen Ting-Ting, Mao Frank Chiahung
Department of Veterinary Medicine, National Chung Hsing University, 250 Kuo Kuang Road, Taichung 40227, Taiwan.
Department of Psychiatry, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Section 4, Taichung 40705, Taiwan.
Iran J Basic Med Sci. 2018 May;21(5):495-501. doi: 10.22038/IJBMS.2018.22759.5780.
Weight gain and metabolic disturbances such as dyslipidemia, are frequent side effects of second-generation antipsychotics, including olanzapine. This study examined the metabolic effects of chronic olanzapine exposure. In addition, we investigated the hepatic fatty acid effects of olanzapine in female C57BL/6J mice fed a normal diet.
Female C57BL/6J mice orally received olanzapine or normal saline for 7 weeks. The effects of long-term olanzapine exposure on body weight changes, food efficiency, blood glucose, triglyceride (TG), insulin, and leptin levels were observed. Hepatic TG and abdominal fat mass were investigated, and fat cell morphology was analyzed through histopathological methods. The levels of protein markers of fatty acid regulation in the liver, namely fatty acid synthase (FAS) and stearoyl-CoA desaturase-1 (SCD-1), were measured.
Olanzapine treatment increased the food intake of the mice as well as their body weight. Biochemical analyses showed that olanzapine increased blood TG, insulin, leptin, and hepatic TG. The olanzapine group exhibited increased abdominal fat mass and fat cell enlargement in abdominal fat tissue. Western blotting of the mouse liver revealed significantly higher (1.6-fold) levels of SCD-1 in the olanzapine group relative to the control group; by contrast, FAS levels in the two groups did not differ significantly.
Enhanced lipogenesis triggered by increased hepatic SCD-1 activity might be a probable peripheral mechanism of olanzapine-induced dyslipidemia. Some adverse metabolic effects of olanzapine may be related to the disturbance of lipid homeostasis in the liver.
体重增加以及血脂异常等代谢紊乱是包括奥氮平在内的第二代抗精神病药物常见的副作用。本研究检测了长期使用奥氮平的代谢影响。此外,我们还研究了正常饮食喂养的雌性C57BL/6J小鼠中奥氮平对肝脏脂肪酸的影响。
雌性C57BL/6J小鼠口服奥氮平或生理盐水,持续7周。观察长期使用奥氮平对体重变化、食物利用率、血糖、甘油三酯(TG)、胰岛素和瘦素水平的影响。检测肝脏TG和腹部脂肪量,并通过组织病理学方法分析脂肪细胞形态。测量肝脏中脂肪酸调节蛋白标志物,即脂肪酸合酶(FAS)和硬脂酰辅酶A去饱和酶-1(SCD-1)的水平。
奥氮平治疗增加了小鼠的食物摄入量和体重。生化分析表明,奥氮平增加了血液TG、胰岛素、瘦素和肝脏TG。奥氮平组腹部脂肪量增加,腹部脂肪组织中的脂肪细胞增大。对小鼠肝脏进行蛋白质免疫印迹分析显示,奥氮平组SCD-1水平相对于对照组显著升高(1.6倍);相比之下,两组FAS水平无显著差异。
肝脏SCD-1活性增加引发的脂肪生成增强可能是奥氮平诱导血脂异常的一种外周机制。奥氮平的一些不良代谢影响可能与肝脏脂质稳态紊乱有关。