1 The effects of acute and repeated equiactive anorectic doses (ED, ) of recently marketed 5-hydroxytryptamine (5-HT) uptake inhibitors on the content of brain indoles were compared in rats in relation to the brain regional concentrations of unchanged drug and its known active metabolite.2 Single intraperitoneal (i.p.) doses of the anorectic ED^, of fluoxetine (35 1tmol kg-'), fluvoxamine (60 pmol kg-'), paroxetine (20 14mol kg-') and sertraline (49 ymol kg-') slightly reduced brain 5-hydroxyindoleacetic acid (5-HIAA), with regional differences, this being compatible with 5-HT uptake blockade. Only fluvoxamine and sertraline significantly enhanced the content of 5-HT in the cortex. 3 The regional sensitivity to the acute effect of a given drug was not related to any preferential drug distribution, as these compounds distributed almost uniformly in the brain areas considered (cortex, striatum and hippocampus). 4 Repeating the same doses twice daily, i.p. for 14 days, however gave a different picture, fluvoxamine having little or no effect on the content of indoles and fluoxetine, paroxetine and sertraline lowering both 5-HT and 5-HIAA in all the brain regions compared to pair-fed control animals, 1 h after the last dose. 5 One week later only fluoxetine-treated animals still had reduced brain 5-HT, this probably being related to the accumulation of its main metabolite norfluoxetine in rat brain after chronic dosing. 6 Further studies on the relationship between the long-term neurochemical changes and anorectic activity are required but it appears from these results that anorectic drugs with similar acute effects on 5-HT uptake may differ in their long-term effects on 5-HT mechanisms. Keywords: Fluoxetine; fluovoxamine; paroxetine; sertraline; anorectic drugs; brain; indoles; 5-hydroxytryptamine
IntroductionRecent studies indicate that an inhibitory 5-hydroxytryptaminergic system is involved in the control of mechanisms concerned with feeding. Accordingly many agents that increase the availability of 5-hydroxytryptamine (5-HT) show anorectic activity (Nathan & Rolland, 1987;Wong & Fuller, 1987;Garattini et al., 1988;Samanin & Garattini 1990). They include several 5-HT uptake inhibitors which have proved effective in a number of experimental conditions of hyperphagia (see the above reviews) and some have also been reported to reduce body weight in man (Simpson et al., 1981;Smedegaard et al., 1981;Ferguson & Feighner 1987).Consistent with an inhibition of reuptake, 5-HT uptake blockers given acutely at pharmacologically effective doses generally rapidly lower the concentrations of 5-hydroxyindoleacetic acid (5-HIAA) in whole brain or selected brain areas of rats, without appreciably affecting the levels of its precursor 5-HT (Ross et al., 1981;Koe et al., 1983;Schmidt et al., 1988;Caccia et al., 1992a).Only fragmentary studies are available on the neurochemical effects of these drugs after repeated dosing in animals, which would allow a better assessment of the inhibition of amine uptake in relation to the therapeu...