This study investigated the effect of tricyclic and atypical antidepressant
s on adenosine triphosphate (ATP) dependent calcium uptake by the endoplasm
ic reticulum of lysed synaptosomes from rat brain cortex. Tricyclic antidep
ressants (imipramine, desipramine, clomipramine, amitriptyline) exhibited n
o effect in the lower range (0.06 to 2 muM) of drug concentrations, and a c
oncentration-dependent inhibition of calcium uptake in the upper range (6 t
o 200 muM). A concentration-dependent inhibition was observed for atypical
antidepressants (mianserin, desmethylmianserin, venlafaxine, desmethylvenla
faxine, fluoxetine) in both the lower and the upper range of drug concentra
tions. Since no stimulation of calcium uptake was observed in either concen
tration range, it appears that the tricyclic and atypical antidepressants t
ested are not capable of normalizing, through their effect on the endoplasm
ic reticulum, an overactive calcium signal, which is possibly implicated in
the etiology of affective disorders. Also, although only marginal inhibiti
on of calcium uptake is expected at brain concentrations of tricyclics and
mianserin-desmethylmianserin that are likely to be encountered during clini
cal use, a more substantial inhibition could occur with fluoxetine.