Tianjin Mental Health Institute, Tianjin Anding Hospital, No. 13 Liulin Road, Hexi District, Tianjin, 300222, China.
Department of Pharmacy, China Meitan General Hospital, Beijing, China.
J Neural Transm (Vienna). 2019 Sep;126(9):1231-1239. doi: 10.1007/s00702-019-02047-3. Epub 2019 Sep 4.
Antidepressant agents have been proven their utilities in treating depression, but they also could serve as candidate drugs for misuse or abuse due to diverse pharmacologic properties. Potential detriments had also been multidimensionally investigated. However, there had been no study exploring whether treatment with antidepressants causes psychological and/or behavioral alterations in offspring. In this regard, we chronically treated normal female mice with different dosages (0, 10, and 20 mg/kg) of fluoxetine (FLU) for 2 weeks before mating them with drug-free male mice and then tested the offspring for anxiety/depression-like behaviors with the elevated plus maze and the tail-suspension test after exposing to acute or chronic stress in adult period. We found that there were significant increases for immobility time in the tail-suspension test as well as percentage of open arm entries and percentage of open arm time in the elevated plus maze test detected in the female offspring of the 20 mg group compared to both baseline and all other groups, with the exception that the female offspring of the 10 mg group showed an increased percentage of open arm entries after chronic stress exposure. Locomotor activity assessments showed that neither acute nor chronic stress protocol could significantly affect locomotor activities of mice. Conclusionally, we found that high-dosage FLU increased the risk of the female offspring developing into depression/anxiety-like behaviors after stress exposure, with chronic stress as the environmental-risk factor. Our study has important implications for the safe use of antidepressant agents and raises more concerns regarding long-term use of even second-generation antidepressants in clinical practice.
抗抑郁药已被证明在治疗抑郁症方面有效,但由于其多种药理学特性,它们也可能成为被滥用或误用的候选药物。潜在的危害也已经进行了多方面的研究。然而,目前还没有研究探讨抗抑郁治疗是否会导致后代出现心理和/或行为改变。在这方面,我们用不同剂量(0、10 和 20mg/kg)的氟西汀(FLU)对正常雌性小鼠进行慢性治疗 2 周,然后让它们与未用药的雄性小鼠交配,然后在成年期暴露于急性或慢性应激后,用高架十字迷宫和悬尾试验测试后代的焦虑/抑郁样行为。我们发现,与基线和所有其他组相比,20mg 组的雌性后代在悬尾试验中的不动时间以及高架十字迷宫试验中的进入开放臂的百分比和开放臂时间的百分比显著增加,而 10mg 组的雌性后代在慢性应激暴露后进入开放臂的百分比增加。运动活动评估表明,急性或慢性应激方案均不能显著影响小鼠的运动活动。总之,我们发现高剂量 FLU 增加了雌性后代在应激后出现抑郁/焦虑样行为的风险,慢性应激是环境风险因素。我们的研究对抗抑郁药的安全使用具有重要意义,并对即使是在临床实践中使用第二代抗抑郁药的长期使用提出了更多的担忧。