Antidepressant drugs such as desipramine and fluoxetine increase norepineph
rine (NE) contractile response in rat vas deferens by inhibiting neuronal a
mine uptake. Fluoxetine, unlike other antidepressants, also inhibits calciu
m fluxes, which results in an inhibition of maximal NE effect.. Since the c
ontractile response of the reproductive tract is under the influence of tes
tosterone, the effect of fluoxetine could be modified according to the endo
crine status of the animal. In the present study we evaluated the influence
of castration and testosterone replacement (1 mg per 100 g body wt.) on th
e peripheral action of fluoxetine. Castration was followed by a decrease in
vas deferens weight and the appearance of spontaneous activity. Testostero
ne replacement reversed these effects. Concentration-response curves to NE
and calcium were obtained in the absence and the presence of fluoxetine in
vasa deferentia from normal, castrated and testosterone-treated castrated r
ats. After castration the effect of fluoxetine on vas deferens contractilit
y was markedly altered. The spontaneous activity that appears after castrat
ion was prevented by fluoxetine and the stimulatory effect on NE-induced co
ntractions was not observed. In contrast, the inhibitory action of fluoxeti
ne on maximal NE effect was increased. Testosterone replacement restored va
s deferens response to NE in the presence of fluoxetine. Fluoxetine did not
modify the binding parameters of [H-3]prazosin in vasa deferentia from nor
mal or castrated animals. Cocaine shifted the NE concentration-response cur
ve to the left in all groups, suggesting that the changes in fluoxetine eff
ect following castration were not the result of an alteration of the neuron
al uptake mechanism. The nitric oxide synthase inhibitor L-NMMA did not mod
ify vas deferens response to NE in castrated animals either in the absence
or presence of fluoxetine. An increased sensitivity to the inhibitory effec
t of fluoxetine was observed in the calcium concentration-response curves i
n vasa deferentia from castrated rats, an effect that was reversed by testo
sterone replacement. The results suggest that the alteration in the respons
iveness of vasa deferentia from castrated rats to calcium could be responsi
ble for increased sensitivity to the inhibitory effect of fluoxetine. It is
concluded that vas deferens contractile response is testosterone dependent
and that this behaviour modifies the effect of drugs such as fluoxetine th
at have dual effect on contractility. (C) 2000 Academic Press.