Impact of repeated co-treatment with escitalopram and aripiprazole on the schizophrenia-like behaviors and BDNF mRNA expression in the adult Sprague-Dawley rats exposed to glutathione deficit during early postnatal development of the brain

Pharmacol Rep. 2021 Dec;73(6):1712-1723. doi: 10.1007/s43440-021-00318-z. Epub 2021 Aug 16.

Abstract

Background: Preclinical and clinical studies have indicated that impaired endogenous synthesis of glutathione during early postnatal development plays a significant role in the pathophysiology of schizophrenia. Moreover, some studies have suggested that antidepressants are able to increase the activity of atypical antipsychotics which may efficiently improve the treatment of negative and cognitive symptoms of schizophrenia.

Methods: In the present study, we investigated the influence of repeated co-treatment with escitalopram and aripiprazole on the schizophrenia-like behavior and BDNF mRNA expression in adult rats exposed to glutathione deficit during early postnatal development. Male pups between the postnatal days p5-p16 were treated with the inhibitor of glutathione synthesis, BSO (L-buthionine-(S,R)-sulfoximine) and the dopamine uptake inhibitor, GBR 12,909 alone or in combination. Escitalopram and aripiprazole were given repeatedly for 21 days before the tests. On p90-92 rats were evaluated in the behavioral and biochemical tests.

Results: BSO given alone and together with GBR 12,909 induced deficits in the studied behavioral tests and decreased the expression of BDNF mRNA. Repeated aripiprazole administration at a higher dose reversed these behavioral deficits. Co-treatment with aripiprazole and an ineffective dose of escitalopram also abolished the behavioral deficits in the studied tests.

Conclusion: The obtained data indicated that the inhibition of glutathione synthesis in early postnatal development induced long-term deficits corresponding to schizophrenia-like behavior and decreased the BDNF mRNA expression in adult rats, and these behavioral deficits were reversed by repeated treatment with a higher dose of aripiprazole and also by co-treatment with aripiprazole and ineffective dose of escitalopram.

Keywords: Aripiprazole; BDNF mRNA expression; Escitalopram; Novel object recognition test; Schizophrenia and glutathione deficit; Social interaction test.

MeSH terms

  • Animals
  • Animals, Newborn
  • Antipsychotic Agents / administration & dosage
  • Antipsychotic Agents / pharmacology
  • Aripiprazole / administration & dosage
  • Aripiprazole / pharmacology*
  • Behavior, Animal / drug effects
  • Brain / drug effects
  • Brain / growth & development
  • Brain-Derived Neurotrophic Factor / genetics*
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Drug Therapy, Combination
  • Escitalopram / administration & dosage
  • Escitalopram / pharmacology*
  • Glutathione / deficiency
  • Male
  • RNA, Messenger / metabolism
  • Rats
  • Rats, Sprague-Dawley
  • Schizophrenia / drug therapy*
  • Schizophrenia / physiopathology
  • Selective Serotonin Reuptake Inhibitors / administration & dosage
  • Selective Serotonin Reuptake Inhibitors / pharmacology

Substances

  • Antipsychotic Agents
  • Brain-Derived Neurotrophic Factor
  • RNA, Messenger
  • Serotonin Uptake Inhibitors
  • Escitalopram
  • Aripiprazole
  • Glutathione