Abstract:Rationale: Fluoxetine (Flx; brand names Prozac, Sarafem, Rapiflux), a selective serotonin reuptake inhibitor, is prescribed for the treatment of depression in pregnant women; however, this commonly prescribed medication could affect fetal brain development as Flx crosses the placenta. The available data concerning the anatomical and behavioural consequences of perinatal exposure to Flx during early development on adult behaviour are limited and often contradictory. Objectives: To further delineate the long-ter… Show more
“…Lisboa et al () reported that exposure to FLX during pregnancy and lactation had no effect on the number and duration of aggressive attacks in mice. In contrast, Kiryanova and Dyck () reported that exposure of mouse dams to high dose of FLX beginning on gestation Day 15 until postnatal Day 12 increased aggression of male mouse offspring. Along the same lines, it was shown that exposure to fluoxetine on gestation days 13–21 increased foot shock‐induced aggression in male offspring (Singh, Jaiswal, Singh, & Bhattacharya, ).…”
Selective serotonin reuptake inhibitors (SSRI) are commonly prescribed antidepressant drugs in pregnant women. SSRIs cross the placental barrier and affect serotonergic neurotransmission in the fetus. Although no gross SSRI-related teratogenic effects were reported, infants born following prenatal exposure to SSRIs are at higher risk for various developmental abnormalities. The aim of this study was to examine the effects of prenatal SSRI on social and maternal behavior in mice. To this end, pregnant female dams were exposed to saline or fluoxetine (FLX) throughout pregnancy, and the behavior of the offspring was examined. The results indicate that in utero FLX increased aggression in adult males and delayed emergence of maternal behavior in adult females. Social exploration and recognition memory were not affected by prenatal FLX exposure. These findings support the notion that alterations in the development of serotonergic pathways following prenatal exposure to SSRIs are associated with changes in social and maternal behavior throughout life.
“…Lisboa et al () reported that exposure to FLX during pregnancy and lactation had no effect on the number and duration of aggressive attacks in mice. In contrast, Kiryanova and Dyck () reported that exposure of mouse dams to high dose of FLX beginning on gestation Day 15 until postnatal Day 12 increased aggression of male mouse offspring. Along the same lines, it was shown that exposure to fluoxetine on gestation days 13–21 increased foot shock‐induced aggression in male offspring (Singh, Jaiswal, Singh, & Bhattacharya, ).…”
Selective serotonin reuptake inhibitors (SSRI) are commonly prescribed antidepressant drugs in pregnant women. SSRIs cross the placental barrier and affect serotonergic neurotransmission in the fetus. Although no gross SSRI-related teratogenic effects were reported, infants born following prenatal exposure to SSRIs are at higher risk for various developmental abnormalities. The aim of this study was to examine the effects of prenatal SSRI on social and maternal behavior in mice. To this end, pregnant female dams were exposed to saline or fluoxetine (FLX) throughout pregnancy, and the behavior of the offspring was examined. The results indicate that in utero FLX increased aggression in adult males and delayed emergence of maternal behavior in adult females. Social exploration and recognition memory were not affected by prenatal FLX exposure. These findings support the notion that alterations in the development of serotonergic pathways following prenatal exposure to SSRIs are associated with changes in social and maternal behavior throughout life.
“…These lower doses of fluoxetine may not be sufficient to alter offspring development, or there may be differences in offspring outcome if dams are treated with fluoxetine throughout gestation as well as postpartum. Furthermore, higher doses of maternal fluoxetine (25 mg/kg/day) during mid-gestation (prenatal day 15) through postpartum (postnatal day 12) decreased anxiety-like behavior in adult male (Kiryanova and Dyck, 2014) and female mice (McAllister et al, 2012). Together, this highlights the importance of dose and timing of fluoxetine as crucial methodological factors when evaluating effects of maternal fluoxetine on offspring outcome (reviewed in Kiryanova et al, 2013).…”
Postpartum depression (PPD) affects approximately 15% of mothers, disrupts maternal care, and can represent a form of early life adversity for the developing offspring. Intriguingly, male and female offspring are differentially vulnerable to the effects of PPD. Antidepressants, such as fluoxetine, are commonly prescribed for treating PPD. However, fluoxetine can reach offspring via breast milk, raising serious concerns regarding the long-term consequences of infant exposure to fluoxetine. The goal of this study was to examine the long-term effects of maternal postpartum corticosterone (CORT, a model of postpartum stress/depression) and concurrent maternal postpartum fluoxetine on behavioral, endocrine, and neural measures in adult male and female offspring. Female Sprague-Dawley dams were treated daily with either CORT or oil and fluoxetine or saline from postnatal days 2-23, and offspring were weaned and left undisturbed until adulthood. Here we show that maternal postpartum fluoxetine increased anxiety-like behavior and impaired hypothalamic-pituitary-adrenal (HPA) axis negative feedback in adult male, but not female, offspring. Furthermore, maternal postpartum fluoxetine increased the density of immature neurons (doublecortin-expressing) in the hippocampus of adult male offspring but decreased the density of immature neurons in adult female offspring. Maternal postpartum CORT blunted HPA axis negative feedback in males and tended to increase density of immature neurons in males but decreased it in females. These results indicate that maternal postpartum CORT and fluoxetine can have long-lasting effects on anxiety-like behavior, HPA axis negative feedback, and adult hippocampal neurogenesis and that adult male and female offspring are differentially affected by these maternal manipulations.
“…For example, pre-gestational stress can affect the developing 5HT system as well as HPA axis reactivity in rat offspring (Gemmel et al, 2017;Gemmel et al, 2018c;Huang et al, 2013;Huang et al, 2010;Huang et al, 2012). Expanding on previous work we expected that pSSRIs would increase social interactions in female offspring, while pre-gestational maternal stress would decrease social behaviors in male offspring, with the exception of social play (pouncing/nape attacks) which has been linked to serotonin levels (Kepser and Homberg, 2015;Kiryanova and Dyck, 2014). We predicted that pSSRIinduced effects on social interactions would be related to alterations in the HPA system as well as the…”
Selective serotonin reuptake inhibitor medications (SSRIs) are prescribed to up to 10% of pregnant women to treat maternal mood disorders. Exposure to these medications in-utero has raised concerns about altered neurobehavioral outcomes; most recently those related to peer-to-peer social interactions and play. While clinical data show that both perinatal SSRIs (pSSRI) and maternal stress can contribute to social behavioral changes in children, minimal animal work has investigated the effects of pSSRIs in relevant models of maternal stress or the long-term implications of these effects. Therefore the aim of this work was to investigate the long-term effects of pSSRI exposure to fluoxetine on social behaviors, the hypothalamic pituitary adrenal system (HPA) and hippocampal plasticity in adult male and female rat offspring using a model of pre-gestational maternal stress. Adult Sprague-Dawley female and male rat offspring from the following four groups were utilized: 1.Control + Vehicle, 2. Control + Fluoxetine, 3.Pre-gestational Stress + Vehicle, 4. Pre-gestational Stress + Fluoxetine (n=8-16/female/age groups, n=8-14/male/age groups). Main findings show pSSRIs increased social investigation in adult females and increased social play (pouncing, nape attacks) in adult males. Perinatal SSRIs also had sexually differentiated effects on hippocampal neurogenesis and GR density. Pre-gestational stress had enduring effects by decreasing social investigation and hippocampal neurogenesis in adult males. Thus pSSRIs, as well as pre-gestational maternal stress, have significant long-term effects on social neurobehavioral outcomes which differ in males and females. This suggests that it would be valuable to consider fetal-sex specific treatments for maternal mental illness.
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