Antidepressant behavioral effects by dual inhibition of monoamine reuptake
in the rat forced swimming test
by
Reneric JP, Lucki I
Department of Psychiatry,
University of Pennsylvania,
Philadelphia
19104-2648, USA.
Psychopharmacology (Berl) 1998 Mar; 136(2):190-7
ABSTRACT
Because of clinical interest in the effects of antidepressant drugs that
exert their effects on multiple neurotransmitter systems, the behavioral effects
produced by combined treatment with an SSRI (fluoxetine) with a selective
norepinephrine (NE; desipramine) or dopamine (DA) reuptake inhibitor
(buproprion) were examined in the forced swimming test (FST), a behavioral test
in rodents that predicts the clinical activity of antidepressants. Three
additional compounds with mixed activity as NE-5-HT reuptake inhibitors,
milnacipran, duloxetine and venlafaxine, were also examined. Desipramine and
fluoxetine both reduced immobility in the FST, but desipramine increased only
climbing behavior, whereas fluoxetine increased only swimming behavior. The
combination of fluoxetine with desipramine or bupropion increased both climbing
and swimming behaviors at certain doses, but higher doses of desipramine when
combined with fluoxetine replaced swimming behavior with climbing behavior. The
mixed NE-5-HT reuptake inhibitors milnacipran and duloxetine reduced immobility
and increased climbing behavior, but did not alter swimming. Venlafaxine reduced
immobility and increased swimming behavior, except at the highest dose tested
(80 mg/kg), which increased both swimming and climbing behaviors. Thus,
combining certain doses of pharmacologically selective monoamine reuptake
inhibitors, or the mixed reuptake inhibitor venlafaxine, produced a pattern of
mixed active behaviors in the FST (climbing and swimming) that may reflect the
activity of multiple neurotransmitters, especially the combination of enhanced
5-HT and DA activity. The combination of higher doses of desipramine with
fluoxetine, or compounds with mixed activity at inhibiting NE and 5-HT reuptake,
demonstrated effects similar to those of desipramine alone and may reflect
inhibition of the expression of serotonergic antidepressant behavioral effects
by selective NE reuptake inhibitors.
SSRIs
SNRIs
Serotonin
Dysthymia
Duloxetine
Mirtazapine
Medifoxamine
Noradrenaline
Anxiety and depression
Venlafaxine and depression
Noradrenaline and dopamine
Neurotransmitter transporters
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