Cognitive impairments from developmental exposure to serotonergic drugs: citalopram and MDMA

Int J Neuropsychopharmacol. 2013 Jul;16(6):1383-94. doi: 10.1017/S1461145712001447. Epub 2013 Jan 11.

Abstract

We previously showed that developmental 3,4-methylenedioxymethamphetamine (MDMA) treatment induces long-term spatial and egocentric learning and memory deficits and serotonin (5-HT) reductions. During brain development, 5-HT is a neurotrophic factor influencing neurogenesis, synaptogenesis, migration, and target field organization. MDMA (10 mg/kg × 4/d at 2 h intervals) given on post-natal day (PD) 11-20 in rats (a period of limbic system development that approximates human third trimester brain development) induces 50% reductions in 5-HT during treatment and 20% reductions when assessed as adults. To determine whether the 5-HT reduction is responsible for the cognitive deficits, we used citalopram (Cit) pretreatment to inhibit the effects of MDMA on 5-HT reuptake in a companion study. Cit attenuated MDMA-induced 5-HT reductions by 50% (Schaefer et al., 2012). Here we tested whether Cit (5 or 7.5 mg/kg × 2/d) pretreatment attenuates the cognitive effects of MDMA. Within each litter, different offspring were treated on PD11-20 with saline (Sal) + MDMA, Cit + MDMA, Cit + Sal or Sal + Sal. Neither spatial nor egocentric learning/memory was improved by Cit pretreatment. Unexpectedly, Cit + Sal (at both doses) produced spatial and egocentric learning deficits as severe as those caused by Sal + MDMA. These are the first data showing cognitive deficits resulting from developmental exposure to a selective serotonin reuptake inhibitor. These data indicate the need for further research on the long-term safety of antidepressants during pregnancy.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Animals, Newborn
  • Body Weight / drug effects
  • Citalopram / toxicity*
  • Cognition Disorders / chemically induced*
  • Cognition Disorders / physiopathology
  • Disease Models, Animal
  • Female
  • Locomotion / drug effects
  • Male
  • Maze Learning / drug effects
  • N-Methyl-3,4-methylenedioxyamphetamine / toxicity*
  • Rats
  • Rats, Sprague-Dawley
  • Serotonin Agents / toxicity*
  • Swimming / psychology

Substances

  • Serotonin Agents
  • Citalopram
  • N-Methyl-3,4-methylenedioxyamphetamine