2012, Number 5
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Salud Mental 2012; 35 (5)
Participación de las hormonas gonadales en el efecto de los fármacos antidepresivos en la rata macho
Martínez-Mota L, Herrera-Pérez JJ, Olivares NM, Fernández-Guasti A
Language: Spanish
References: 43
Page: 359-366
PDF size: 171.48 Kb.
ABSTRACT
It has been proposed that gonadal hormones participate in regulation
of mood and emotion in men as well as in the effect of psychoactive
drugs, such as antidepressants. However, evaluation of this type of interactions
has been poorly studied in clinic and basic studies. The objective
of the present study was to determine the role of gonadal hormones,
testosterone (T) and 17β-estradiol (E
2), one of its main metabolites, in
the effect of two antidepressant drugs: desipramine and fluoxetine. The
former is a tricyclic antidepressant that inhibits noradrenaline reuptake
in a preferential manner, while the second is a serotonin selective reuptake
inhibitor (SSRI) and the most prescribed antidepressant. Behavioral
evaluations were conducted in adult male rats, intact or orchidectomized
(Orx), treated with T (0-2 mg/rata), E
2 (0-40 µg/rata), desipramine
(0-20 mg/kg), fluoxetine (0-20 mg/kg) and their combinations.
Forced swimming test was used as an animal model to detect antidepressant-
like effect induced by treatments, on the basis of its predictive
validity. We found that desipramine and fluoxetine produced an antidepressant-
like effect in gonadally intact male rats. However, the antidepressant-
like effect of both treatments was cancelled in Orx males.
Treatment with E
2, but not with T, produced antidepressant-like actions
in Orx males. Interestingly, treatment with E
2 restored the antidepressant-
like effect of desipramine and fluoxetine, while supplementation
with T only reestablished the antidepressant-like action of desipramine,
evidencing that gonadal hormones have a differential participation in
regulation of neurotransmitter systems involving in the antidepressant
effect. In conclusion, the main testicular androgen T, participates in the
expression of the effect of antidepressant drugs, mainly via conversion
to its estrogenic metabolite E2. These results give support to the idea that
a combined therapy of gonadal hormones and antidepressant drugs
may be more convenient to treat depressive disorders in hypogonadal
men resistant to conventional antidepressant drugs.
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