SIMULTANEOUS INCREASES OF EXTRACELLULAR MONOAMINES IN MICRODIALYSATESFROM HYPOTHALAMUS OF CONSCIOUS RATS BY DULOXETINE, A DUAL SEROTONIN AND NOREPINEPHRINE UPTAKE INHIBITOR
Ea. Engleman et al., SIMULTANEOUS INCREASES OF EXTRACELLULAR MONOAMINES IN MICRODIALYSATESFROM HYPOTHALAMUS OF CONSCIOUS RATS BY DULOXETINE, A DUAL SEROTONIN AND NOREPINEPHRINE UPTAKE INHIBITOR, Neuropsychopharmacology, 12(4), 1995, pp. 287-295
Duloxetine (LY248686, thyl-3-(1-napthalenyloxy)-2-thiophene-propanamin
e) is a potent dual inhibitor of serotonin (5-hydroxytryptamine, 5-HT)
and norepinephrine (NE) uptake in hypothalamus and cerebral cortex of
rat brain (Wong et al. 1993; Fuller et al. 1994). Consistent with the
dual mechanisms of inhibiting 5-HT and NE uptake, duloxetine at 15 mg
/kg IP produced large increases in extracellular levels of 5-HT (250%)
and NE (1,100%) 30 minutes after systemic administration. Levels of 3
-methoxy-4-hydroxy-phenylethyleneglycol (MHPG) and 5-hydroxyindoleacet
ic acid (5-HIAA), metabolites of NE and 5-HT, respectively, were reduc
ed, whereas those of dopamine (DA) and ifs metabolite 3, 4-dihydroxyph
enylacetic acid(DOPAC) were not significantly altered. Duloxetine at 7
mg/kg produced less pronounced increases while no consistent effects
were observed at 4 mg/kg. In this dose range, duloxetine inhibited 5-H
T uptake in platelets ex vivo without inhibiting striatal dopamine (DA
) uptake. In the present study we also found that the primary amine (a
racemate) of duloxetine is about one-fourth as active as duloxetine t
o inhibit 5-HT and NE uptake. The potential primary amine metabolite o
f duloxetine might contribute, in part, to the inhibition of 5-HT and
NE uptake in vivo. Thus the ability to produce robust increases of ext
racellular 5-HT and NE levels suggests that duloxetine may potentially
be a highly effective antidepressant agent.