Decreased noradrenergic and serotonergic reactivity of vas deferens of
newborn rats from mothers treated with the serotonin reuptake
inhibitor fluoxetine during pregnancy and breast-feeding
Janaina D. Pereira, Afonso Caricati-Neto, Aron Jurkiewicz
⁎
, Neide H. Jurkiewicz
Department of Pharmacology, Federal University of São Paulo (Unifesp), Rua 3 de maio 100, 04044-020, São Paulo-SP, Brazil
Received 12 June 2007; accepted 10 September 2007
Abstract
Female Wistar rats were treated with the serotonin reuptake inhibitor fluoxetine (10 mg/kg/i.p/day), during pregnancy and breast-feeding, for
the study of the corresponding newborn rats. At the end of the preweaning period, the 30-day old litters had their vas deferens removed for testing
peripheral sympathetic reactivity, through the following experiments in vitro: (a) concentration–contraction curves for serotonin and for the
adrenergic agonists noradrenaline, phenylephrine, clonidine and dopamine or for the indirect agonist tyramine (b) contractions induced by electric
field stimulation, as an indicator of sympathetic neurotransmission (c) release of endogenous noradrenaline, measured by real-time determinations
on HPLC (d) Ca
+2
time–contraction curves, to check for changes on Ca
+2
translocation. Our results showed that the affinity (pD
2
) for serotonin
was strikingly decreased by about 1.5 log units. The pD
2
for adrenergic agonists was decreased by about 0.5 log units, except for dopamine and
clonidine. The maximum effects and intrinsic activity were decreased only for dopamine. On the other hand, the response to Ca
+2
and the release
of noradrenaline from nerve terminals were not modified. In additional experiments, the mother's body weights were measured, showing a
decrease during gestation and a recovery during lactation while the offspring's weights were lower than controls. It is concluded that, besides the
alterations on body weights, changes on noradrenergic and serotonergic mechanisms were observed and persisted in the newborn, at least one
month after parturition.
© 2007 Elsevier Inc. All rights reserved.
Keywords: Fluoxetine; Serotonin; Neurotransmission; Vas deferens; Pregnancy; Breast-feeding
Introduction
The main objective of the present work is to evaluate the
possibility that peripheral noradrenergic and serotonergic trans-
missions are changed in newborn rats of mothers continuously
treated with fluoxetine during gestation and preweaning stages.
Fluoxetine, an antidepressant drug widely used (Wong et al.,
2005), has been described as a selective serotonin reuptake
inhibitor (SSRI). It has been frequently prescribed during
pregnancy and breast-feeding, and can be detected in plasma of
newborn (Weissman et al., 2004) and in human milk (Yoshida
et al., 1998). Therefore, it would be desirable to know what kind
of consequences for the newborn can result from this long-term
treatment.
Evidence has already been presented (Vorhees et al., 1994)
for potential adverse effects in human neonates exposed in utero
to SSRIs (Moses-Kolko et al., 2005), added to a neonatal
withdrawal syndrome (Zajecka et al., 1997; Sanz et al., 2005;
Anbu and Theodore, 2006, Levinson-Castiel et al., 2006). It is
also known that besides blocking serotonin uptake, a number of
peripheral effects, such as a potentiation of contractions induced
by noradrenaline (Busch et al., 1999, 2000), added to an
interference on Ca
+2
-dependent effects in smooth muscle (Pullar
and Findlay, 1992; Stauderman et al., 1992; Pacher et al., 1999;
Mousavizadeh et al., 2002) have been described for fluoxetine.
Available online at www.sciencedirect.com
Life Sciences 81 (2007) 1501 – 1508
www.elsevier.com/locate/lifescie
⁎
Corresponding author. Tel./fax: +55 11 5576 4569.
E-mail address: Aron.farm@epm.br (A. Jurkiewicz).
0024-3205/$ - see front matter © 2007 Elsevier Inc. All rights reserved.
doi:10.1016/j.lfs.2007.09.012