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氯氮平和氟哌啶醇治疗对大鼠血浆雄激素激素浓度和雄激素依赖器官变化的影响。

Effects of clozapine and haloperidol treatment on plasma concentrations of androgen hormones and androgendependent organ changes in rats.

机构信息

Department of Medical Biochemistry, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

Department of Vocational School of Social Sciences, Hacettepe University, Ankara, Turkey.

出版信息

Indian J Pharmacol. 2019 Jul-Aug;51(4):269-275. doi: 10.4103/ijp.IJP_145_18.

Abstract

OBJECTIVES

Metabolic and endocrine adverse effects are among the most concerning unfavorable consequences of commonly used psychotropic drugs. The present research was planned to assess and determine the effects of haloperidol and clozapine on testosterone, cortisol, and corticosterone levels and also their influence on androgen-dependent organs in adult male Wistar rats.

MATERIALS AND METHODS

Animals were casually distributed into three groups ( = 10 in each group). Drugs were administered intraperitoneally for 28 days. The control group received 2 mL of physiological saline, the second group received haloperidol (0.5 mg/kg), and the third group received clozapine (0.5 mg/kg). The subsequent testosterone, cortisol, and corticosterone plasma concentration levels were analyzed with chemiluminescent immunoassay.

RESULTS

Clozapine and haloperidol treatments altered testosterone hormone levels. Testosterone mean values in both the clozapine (1.00-0.58) and haloperidol (0.65-0.62) groups were found to be lower than compared to controls ( = 0.003, < 0.001). Histomorphometric analysis results also showed reduced testes size and reduced weight of androgen-dependent organs in drug-treated rats.

CONCLUSION

It can be suggested that clozapine and haloperidol are effective in reducing the testosterone plasma concentration level and androgen-dependent organ sizes; therefore, clinicians should be aware of these effects when considering the use of antipsychotic drugs.

摘要

目的

代谢和内分泌不良反应是常用精神药物最令人担忧的不利后果之一。本研究旨在评估和确定氟哌啶醇和氯氮平对睾酮、皮质醇和皮质酮水平的影响,以及它们对成年雄性 Wistar 大鼠雄激素依赖器官的影响。

材料和方法

动物被随意分为三组(每组 10 只)。药物经腹腔注射给药 28 天。对照组给予 2 mL 生理盐水,第二组给予氟哌啶醇(0.5mg/kg),第三组给予氯氮平(0.5mg/kg)。随后用化学发光免疫分析法分析睾酮、皮质醇和皮质酮的血浆浓度水平。

结果

氯氮平和氟哌啶醇治疗改变了睾酮激素水平。氯氮平组(1.00-0.58)和氟哌啶醇组(0.65-0.62)的睾酮平均值均低于对照组(=0.003,<0.001)。组织形态计量学分析结果还显示,药物治疗大鼠的睾丸体积减小,雄激素依赖器官重量减轻。

结论

可以认为氯氮平和氟哌啶醇能有效降低睾酮血浆浓度水平和雄激素依赖器官的大小;因此,临床医生在考虑使用抗精神病药物时应注意这些影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2143/6759527/9870028b8867/IJPharm-51-269-g001.jpg

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