Q. Li et al., ATTENUATION OF HORMONE RESPONSES TO THE 5-HT1A AGONIST IPSAPIRONE BY LONG-TERM TREATMENT WITH FLUOXETINE, BUT NOT DESIPRAMINE, IN MALE-RATS, Biological psychiatry, 36(5), 1994, pp. 300-308
The present study had two objectives: (1) to provide information on ne
uroendocrine challenge tests that can lead to diagnostic tests in huma
ns; and (2) to confirm our previous observation that chronic fluoxetin
e selectively inhibits serotonin (5-HT1A) receptor function. We determ
ined the effect of chronic fluoxetine and desipramine (DMI) on the hor
mone response to ipsapirone, a 5-HT1A agonist and a potential anxiolyt
ic drug. Ipsapirone increased oxytocin, adrenocorticotropic hormone (A
CTH), corticosterone, and prolactin, but nor renin or vasopressin conc
entrations in plasma. Chronic fluoxetine, but not DMI, significantly i
nhibited the effect of ipsapirone on plasma oxytocin, ACTH and cortico
sterone concentrations. Chronic fluoxetine also reduced the B-max for
H-3-8-hydroxy-2-(dipropylamino) tetralin (H-3-8-OH-DPAT) labelled 5-HT
1A receptors in the midbrain. Neither antidepressant altered the densi
ty or affinity of 5-HT uptake sites. In conclusion, the present result
s confirm our previous results using 8-OH-DPAT as a challenge, and sug
gest that chronic 5-HT uptake inhibition results in adaptive changes l
eading to decreased function of the 5-HT1A receptor system. Finally, b
ecause ipsapirone may be administered to humans, it might be usable to
evaluate 5-HT1A receptor function in depressed patients.