Department of Pharmacology, Faculty of Pharmacy, Ondokuz Mayıs University, Samsun, 55020, Turkey.
Department of Psychiatry, Faculty of Medicine, Sakarya University, Sakarya, 54050, Turkey.
Chem Biodivers. 2023 May;20(5):e202201190. doi: 10.1002/cbdv.202201190. Epub 2023 Apr 17.
The pathophysiological mechanism behind the link between antipsychotic drugs and sexual dysfunction is still unknown. The goal of this research is to compare the potential effects of antipsychotics on the male reproductive system. Fifty rats were randomly assigned into the five groups indicated: Control, Haloperidol, Risperidone, Quetiapine and Aripiprazole. Sperm parameters were significantly impaired in all antipsychotics-treated groups. Haloperidol and Risperidone significantly decreased the level of testosterone. All antipsychotics had significantly reduced inhibin B level. A significant reduction was observed in SOD activity in all antipsychotics-treated groups. While GSH levels diminished, MDA levels were rising in the Haloperidol and Risperidone groups. Also, the GSH level was significantly elevated in the Quetiapine and Aripiprazole groups. By causing oxidative stress and altering hormone levels, Haloperidol and Risperidone are damaging to male reproductivity. This study represents useful starting point for exploring further aspects of the underlying mechanisms reproductive toxicity of antipsychotics.
抗精神病药物与性功能障碍之间关联的病理生理机制尚不清楚。本研究旨在比较抗精神病药对男性生殖系统的潜在影响。将 50 只大鼠随机分为 5 组:对照组、氟哌啶醇组、利培酮组、喹硫平组和阿立哌唑组。所有抗精神病药物治疗组的精子参数均显著受损。氟哌啶醇和利培酮显著降低了睾酮水平。所有抗精神病药均显著降低了抑制素 B 水平。所有抗精神病药物治疗组的 SOD 活性均显著降低。谷胱甘肽水平降低,丙二醛水平在氟哌啶醇和利培酮组升高。此外,喹硫平和阿立哌唑组的谷胱甘肽水平显著升高。氟哌啶醇和利培酮通过引起氧化应激和改变激素水平,对男性生殖力造成损害。本研究为进一步探讨抗精神病药生殖毒性的潜在机制提供了有用的起点。