Fluoxetine counteracts the cognitive and cellular effects of 5-fluorouracil in the rat hippocampus by a mechanism of prevention rather than recovery

5-Fluorouracil (5-FU) is a cytostatic drug associated with chemotherapy-induced cognitive impairments that many cancer patients experience after treatment. Previous work in rodents has shown that 5-FU reduces hippocampal cell proliferation, a possible mechanism for the observed cognitive impairment,...

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Veröffentlicht in:PloS one 2012-01, Vol.7 (1), p.e30010
Hauptverfasser: Lyons, Laura, ElBeltagy, Maha, Bennett, Geoffrey, Wigmore, Peter
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Bennett, Geoffrey
Wigmore, Peter
description 5-Fluorouracil (5-FU) is a cytostatic drug associated with chemotherapy-induced cognitive impairments that many cancer patients experience after treatment. Previous work in rodents has shown that 5-FU reduces hippocampal cell proliferation, a possible mechanism for the observed cognitive impairment, and that both effects can be reversed by co-administration of the antidepressant, fluoxetine. In the present study we investigate the optimum time for administration of fluoxetine to reverse or prevent the cognitive and cellular effects of 5-FU. Male Lister-hooded rats received 5 injections of 5-FU (25 mg/kg, i.p.) over 2 weeks. Some rats were co-administered with fluoxetine (10 mg/kg/day, in drinking water) for 3 weeks before and during (preventative) or after (recovery) 5-FU treatment or both time periods (throughout). Spatial memory was tested using the novel location recognition (NLR) test and proliferation and survival of hippocampal cells was quantified using immunohistochemistry. 5-FU-treated rats showed cognitive impairment in the NLR task and a reduction in cell proliferation and survival in the subgranular zone of the dentate gyrus, compared to saline treated controls. These impairments were still seen for rats administered fluoxetine after 5-FU treatment, but were not present when fluoxetine was administered both before and during 5-FU treatment. The results demonstrate that fluoxetine is able to prevent but not reverse the cognitive and cellular effects of 5-FU. This provides information on the mechanism by which fluoxetine acts to protect against 5-FU and indicates when it would be beneficial to administer the antidepressant to cancer patients.
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Previous work in rodents has shown that 5-FU reduces hippocampal cell proliferation, a possible mechanism for the observed cognitive impairment, and that both effects can be reversed by co-administration of the antidepressant, fluoxetine. In the present study we investigate the optimum time for administration of fluoxetine to reverse or prevent the cognitive and cellular effects of 5-FU. Male Lister-hooded rats received 5 injections of 5-FU (25 mg/kg, i.p.) over 2 weeks. Some rats were co-administered with fluoxetine (10 mg/kg/day, in drinking water) for 3 weeks before and during (preventative) or after (recovery) 5-FU treatment or both time periods (throughout). Spatial memory was tested using the novel location recognition (NLR) test and proliferation and survival of hippocampal cells was quantified using immunohistochemistry. 5-FU-treated rats showed cognitive impairment in the NLR task and a reduction in cell proliferation and survival in the subgranular zone of the dentate gyrus, compared to saline treated controls. These impairments were still seen for rats administered fluoxetine after 5-FU treatment, but were not present when fluoxetine was administered both before and during 5-FU treatment. The results demonstrate that fluoxetine is able to prevent but not reverse the cognitive and cellular effects of 5-FU. This provides information on the mechanism by which fluoxetine acts to protect against 5-FU and indicates when it would be beneficial to administer the antidepressant to cancer patients.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>22272269</pmid><doi>10.1371/journal.pone.0030010</doi><oa>free_for_read</oa></addata></record>
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subjects 5-Fluorouracil
Animal behavior
Animal cognition
Animals
Antidepressants
Antidepressive Agents, Second-Generation - pharmacology
Antimetabolites, Antineoplastic - adverse effects
Apoptosis
Biology
Body Weight - drug effects
Brain
Brain research
Bromodeoxyuridine - metabolism
Cancer
Cell cycle
Cell growth
Cell proliferation
Cell Proliferation - drug effects
Cell survival
Chemo brain
Chemotherapy
Cognition Disorders - chemically induced
Cognition Disorders - prevention & control
Cognitive ability
Dentate gyrus
Dentate Gyrus - drug effects
Dentate Gyrus - metabolism
Dentate Gyrus - pathology
Drinking - drug effects
Drinking water
Emotional disorders
Experiments
Fluorouracil
Fluorouracil - adverse effects
Fluoxetine
Fluoxetine - pharmacology
Hippocampus
Hippocampus - drug effects
Hippocampus - metabolism
Hippocampus - pathology
Immunohistochemistry
Impairment
Ki-67 Antigen - metabolism
Kinases
Laboratory animals
Lymphoma
Male
Medicine
Memory
Memory - drug effects
Memory tasks
Neurogenesis
Pancreatic cancer
Patients
Prevention
Proteins
Rats
Recovery
Recovery (Medical)
Rodentia
Rodents
Serotonin
Social and Behavioral Sciences
Space Perception - drug effects
Spatial analysis
Spatial memory
Stem cells
Studies
Survival
Time Factors
Weight Gain - drug effects
title Fluoxetine counteracts the cognitive and cellular effects of 5-fluorouracil in the rat hippocampus by a mechanism of prevention rather than recovery
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