Rn. Clark et al., EFFECT OF ACUTE AND CHRONIC FLUOXETINE ON EXTRACELLULAR DOPAMINE LEVELS IN THE CAUDATE-PUTAMEN AND NUCLEUS-ACCUMBENS OF RAT, Synapse, 23(3), 1996, pp. 125-131
Recent studies indicate that an increase in serotonergic (5-HT) activi
ty in the nucleus accumbens (NAc) produces an increase in dopamine (DA
) release, providing a possible mechanism for the involvement of DA in
the therapeutic action of selective serotonin reuptake inhibitor (SSR
I) antidepressants. However, acutely administered fluoxetine (2.5, 5.0
, or 10.0 mg/kg, i.p.) failed to elevate extracellular levels of DA, o
r its metabolites in the NAc or caudate-putamen (CP). In fact, the hig
hest dose produced a small (20%) decrease in DA levels in the NAc. Ext
racellular levels of the 5-HT metabolite 5HIAA were consistently decre
ased at all doses of fluoxetine in both structures. Since SSRIs genera
lly require several weeks of treatment to be effective clinically, a s
econd experiment examined the effect of chronic administration of fluo
xetine. Chronic (21 day) daily treatment with 5 mg/kg had no effect on
NAc basal levels of DA, DA metabolites, or 5HIAA, relative to a salin
e-treated control group. Finally, pretreatment with fluoxetine appeare
d to slightly enhance the elevation of NAc DA induced by an injection
of cocaine (10 mg/kg, i.p.), an effect that was not quite significant
(P < .06). In conclusion, the 5-HT-induced facilitation of NAc DA neur
otransmission described in the literature may not be relevant to the t
herapeutic action of fluoxetine. (C) 1996 Wiley-Liss, Inc.