Abstract
Depressive disorders are amongst the greatest mental health challenges, with an increasing number of patients being diagnosed each year. Though it has not yet been fully elucidated, redox metabolism imbalances and oxidative stress seem to play a major role in the pathogenesis of depressive disorders. Selective serotonin reuptake inhibitors (SSRIs) are the most prescribed antidepressants, considered to have a better tolerability. However, several adverse effects have been reported and the mechanisms involved in their pharmacological activity are not entirely understood. SSRIs have been shown to influence the redox metabolism, which could be involved in their toxicity and pharmacological effects. A comparative analysis of published in vivo and in vitro data regarding the activity of SSRIs on the redox metabolism pathways has been performed in this paper, with an emphasis on mechanistical aspects. Furthermore, a comparison between oxidative stress biomarker levels reported by different studies was attempted. The reviewed data point towards both pro- and antioxidant effects of SSRIs, dependent on tissue/cell type and dose/concentration, suggest a redox modulating potential of these compounds. In hepatic and testicular tissue, the majority of reviewed studies reported pro-oxidant effects, with possible implications towards the hepatotoxicity and sexual dysfunction that were reported following SSRI treatment; while in brain, the most common findings were antioxidant effects that could partially explain their antidepressant activity. However, given the heterogeneity of the reviewed data, further research is needed to fully understand the impact of SSRIs on redox metabolism and its implications.
Similar content being viewed by others
Abbreviations
- 3-NP:
-
3-Nitropropionic acid
- 4-HNE:
-
4-Hydroxy-nonenal
- 5-HT:
-
Serotonin
- 5-HTT:
-
Serotonin transporter
- 8-oxo-dG:
-
8-Oxo-2-deoxyguanosine
- ACR:
-
Acrolein
- BDNF:
-
Brain-derived neurotrophic factor
- CAT:
-
Catalase
- CIS:
-
Chronic isolation stress
- CIT:
-
Citalopram
- CMS:
-
Chronic mild stress
- CREB:
-
CAMP response element binding protein
- CUS:
-
Chronic unpredictable stress
- DA:
-
Dopamine
- DNA:
-
Deoxyribonucleic acid
- eNOS:
-
Endothelial nitric oxide synthase
- ESC:
-
Escitalopram
- FLX:
-
Fluoxetine
- FST:
-
Forced-swim test
- FVX:
-
Fluvoxamine
- GPX:
-
Glutathione peroxidase
- GR:
-
Glutathione reductase
- GSH:
-
Reduced glutathione
- GSSG:
-
Oxidized glutathione
- GST:
-
Glutathione-sulfotransferase
- H2O2 :
-
Hydrogen peroxide
- HO·:
-
Hydroxyl
- HO-1:
-
Hemoxygenase 1
- HPA:
-
Hypothalamic–pituitary–adrenal
- iNOS:
-
Inducible nitric oxide synthase
- Keap1:
-
Kelch-like ECH-associated protein 1
- LPS:
-
Lipopolysaccharide
- MAOIs:
-
Monoamine oxidase inhibitors
- MDA:
-
Malondialdehyde
- MDD:
-
Major depressive disorder
- MPO:
-
Myeloperoxidase
- MPTP:
-
1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine
- NA:
-
Noradrenaline
- NEA:
-
Non-enzymatic antioxidants
- nNOS:
-
Neuronal nitric oxide synthase
- NO:
-
Nitric oxide
- NOS:
-
Nitric oxide synthase
- O2·− :
-
Superoxide
- OS:
-
Oxidative stress
- PC:
-
Protein carbonyls
- PRX:
-
Paroxetine
- ROS:
-
Reactive oxygen species
- RS:
-
Restraint stress
- SNRIs:
-
Serotonin–noradrenaline reuptake
- SOD:
-
Superoxide-dismutase
- SRT:
-
Sertraline
- SSRIs:
-
Selective serotonin reuptake inhibitors
- StAR:
-
Steroidogenic acute regulatory protein
- TAC:
-
Total antioxidant capacity
- TAS:
-
Total antioxidant status
- TCAs:
-
Tricyclic antidepressants
- TST:
-
Tail suspension test
- XO/XDH:
-
Xanthine oxidase/xanthine dehydrogenase
References
Abdel-Salam OMEE, Youness ER, Khadrawy YA, Sleem AA (2013) Brain and liver oxidative stress after sertraline and haloperidol treatment in mice. J Basic Clin Physiol Pharmacol 24:115–123. https://doi.org/10.1515/jbcpp-2012-0022
Abdel-Sater KA, Abdel-Daiem WM, Sayyed Bakheet M (2012) The gender difference of selective serotonin reuptake inhibitor, fluoxetine in adult rats with stress-induced gastric ulcer. Eur J Pharmacol 688:42–48. https://doi.org/10.1016/j.ejphar.2012.04.019
Aksu U, Guner I, Yaman OM et al (2014) Fluoxetine ameliorates imbalance of redox homeostasis and inflammation in an acute kidney injury model. J Physiol Biochem 70:925–934. https://doi.org/10.1007/s13105-014-0361-0
Assasa MF, Mohammed ES, Moustafa OM, Abo Alfotoh AMA (2019) Histopathological study of the chronic toxic effects of dapoxetine administration on testes of male albino rats. Egypt J Hosp Med 74(8):1698–1701
Banay-Schwartz M, Kenessey A, DeGuzman T et al (1992) Protein content of various regions of rat brain and adult and aging human brain. Age (Omaha) 15:51–54. https://doi.org/10.1007/BF02435024
Battal D, Yalin S, Eker ED et al (2014) Possible role of selective serotonin reuptake inhibitor sertraline on oxidative stress responses. Eur Rev Med Pharmacol Sci 18:477–484
Behr GA, Moreira JCF, Frey BN (2012) Preclinical and clinical evidence of antioxidant effects of antidepressant agents: implications for the pathophysiology of major depressive disorder. Oxid Med Cell Longev. https://doi.org/10.1155/2012/609421
Bilici M, Efe H, Köroğlu MA et al (2001) Antioxidative enzyme activities and lipid peroxidation in major depression: alterations by antidepressant treatments. J Affect Disord 64:43–51. https://doi.org/10.1016/S0165-0327(00)00199-3
Black CN, Bot M, Scheffer PG et al (2015) Is depression associated with increased oxidative stress? A systematic review and meta-analysis. Psychoneuroendocrinology 51:164–175. https://doi.org/10.1016/j.psyneuen.2014.09.025
Black CN, Bot M, Scheffer PG, Penninx BWJH (2017) Oxidative stress in major depressive and anxiety disorders, and the association with antidepressant use; results from a large adult cohort. Psychol Med 47:936–948. https://doi.org/10.1017/S0033291716002828
Bolo NR, Hodé Y, Nédélec JF et al (2000) Brain pharmacokinetics and tissue distribution in vivo of fluvoxamine and fluoxetine by fluorine magnetic resonance spectroscopy. Neuropsychopharmacology 23:428–438. https://doi.org/10.1016/S0893-133X(00)00116-0
Bouvier E, Brouillard F, Molet J et al (2017) Nrf2-dependent persistent oxidative stress results in stress-induced vulnerability to depression. Mol Psychiatry 22:1701–1713. https://doi.org/10.1038/mp.2016.144
Braz GRF, Freitas CM, Nascimento L et al (2016a) Neonatal SSRI exposure improves mitochondrial function and antioxidant defense in rat heart. Appl Physiol Nutr Metab 41:362–369. https://doi.org/10.1139/apnm-2015-0494
Braz GRF, Pedroza AA, Nogueira VO et al (2016b) Serotonin modulation in neonatal age does not impair cardiovascular physiology in adult female rats: hemodynamics and oxidative stress analysis. Life Sci 145:42–50. https://doi.org/10.1016/j.lfs.2015.12.024
Brites D, Fernandes A (2015) Neuroinflammation and depression: microglia activation, extracellular microvesicles and microRNA dysregulation. Front Cell Neurosci 9:1–20. https://doi.org/10.3389/fncel.2015.00476
Carvalho AF, Sharma MS, Brunoni AR et al (2016) The safety, tolerability and risks associated with the use of newer generation antidepressant drugs: a critical review of the literature. Psychother Psychosom 85:270–288. https://doi.org/10.1159/000447034
Chang CC, Te LC, Lan TH et al (2015) Effects of antidepressant treatment on total antioxidant capacity and free radical levels in patients with major depressive disorder. Psychiatry Res 230:575–580. https://doi.org/10.1016/j.psychres.2015.10.006
Chung ES, Chung YC, Bok E et al (2010a) Fluoxetine prevents LPS-induced degeneration of nigral dopaminergic neurons by inhibiting microglia-mediated oxidative stress. Brain Res 1363:143–150. https://doi.org/10.1016/j.brainres.2010.09.049
Chung YC, Kim SR, Jin BK (2010b) Paroxetine prevents loss of nigrostriatal dopaminergic neurons by inhibiting brain inflammation and oxidative stress in an experimental model of Parkinson’s disease. J Immunol 185:1230–1237. https://doi.org/10.4049/jimmunol.1000208
Chung YC, Kim SR, Park JY et al (2011) Fluoxetine prevents MPTP-induced loss of dopaminergic neurons by inhibiting microglial activation. Neuropharmacology 60:963–974. https://doi.org/10.1016/j.neuropharm.2011.01.043
Czarny P, Wigner P, Galecki P, Sliwinski T (2018) The interplay between inflammation, oxidative stress, DNA damage, DNA repair and mitochondrial dysfunction in depression. Prog Neuro-Psychopharmacol Biol Psychiatry 80:309–321. https://doi.org/10.1016/j.pnpbp.2017.06.036
da Silva AI, Braz GRF, Silva-Filho R et al (2015) Effect of fluoxetine treatment on mitochondrial bioenergetics in central and peripheral rat tissues. Appl Physiol Nutr Metab 40:565–574. https://doi.org/10.1139/apnm-2014-0462
da Silva AI, Monteiro Galindo LC, Nascimento L et al (2014) Fluoxetine treatment of rat neonates significantly reduces oxidative stress in the hippocampus and in behavioral indicators of anxiety later in postnatal life. Can J Physiol Pharmacol 92:330–337. https://doi.org/10.1139/cjpp-2013-0321
de Oliveira MR (2016) Fluoxetine and the mitochondria: a review of the toxicological aspects. Toxicol Lett 258:185–191. https://doi.org/10.1016/j.toxlet.2016.07.001
Dalle-Donne I, Rossi R, Colombo R et al (2006) Biomarkers of oxidative damage in human disease. Clin Chem 52:601–623. https://doi.org/10.1373/clinchem.2005.061408
Djordjevic J, Djordjevic A, Adzic M et al (2011) Fluoxetine affects antioxidant system and promotes apoptotic signaling in Wistar rat liver. Eur J Pharmacol 659:61–66. https://doi.org/10.1016/j.ejphar.2011.03.003
Dursun H, Bilici M, Albayrak F et al (2009) Antiulcer activity of fluvoxamine in rats and its effect on oxidant and antioxidant parameters in stomach tissue. BMC Gastroenterol 9:36. https://doi.org/10.1186/1471-230X-9-36
Elmazoudy R, Abdelhameed N, Elmasry A (2015) Paternal dapoxetine administration induced deterioration in reproductive performance, fetal outcome, sexual behavior and biochemistry of male rats. Int J Impot Res 27:206–214. https://doi.org/10.1038/ijir.2015.16
Eraldemir FC, Ozsoy D, Bek S et al (2015) The relationship between brain-derived neurotrophic factor levels, oxidative and nitrosative stress and depressive symptoms: a study on peritoneal dialysis. Ren Fail 37:722–726. https://doi.org/10.3109/0886022X.2015.1011551
Erdemir F, Atilgan D, Firat F et al (2014) The effect of Sertraline, Paroxetine, Fluoxetine and Escitalopram on testicular tissue and oxidative stress parameters in rats. Int Braz J Urol 40:100–108. https://doi.org/10.1590/S1677-5538.IBJU.2014.01.15
Eren I, Naziroǧlu M, Demirdaş A (2007) Protective effects of lamotrigine, aripiprazole and escitalopram on depression-induced oxidative stress in rat brain. Neurochem Res 32:1188–1195. https://doi.org/10.1007/s11064-007-9289-x
Fekadu N, Shibeshi W, Engidawork E (2017) Major depressive disorder: pathophysiology and clinical management. J Depress Anxiety 06:1–7. https://doi.org/10.4172/2167-1044.1000255
Ferguson JM (2001) SSRI antidepressant medications: adverse effects and tolerability. Prim Care Companion J Clin Psychiatry 3:22–27. https://doi.org/10.4088/PCC.v03n0105
Ferguson CS, Tyndale RF (2011) Cytochrome P450 enzymes in the brain: emerging evidence of biological significance. Trends Pharmacol Sci 32:708–714. https://doi.org/10.1016/j.tips.2011.08.005
Franzellitti S, Buratti S, Capolupo M et al (2014) An exploratory investigation of various modes of action and potential adverse outcomes of fluoxetine in marine mussels. Aquat Toxicol 151:14–26. https://doi.org/10.1016/j.aquatox.2013.11.016
Galal AAA, Alam RTM, Abd El-Aziz RM (2016) Adverse effects of long-term administration of fluvoxamine on haematology, blood biochemistry and fertility in male albino rats: a possible effect of cessation. Andrologia 48:914–922. https://doi.org/10.1111/and.12532
Garg R, Kumar A (2008) Possible role of citalopram and desipramine against sleep deprivation-induced anxiety like-behavior alterations and oxidative damage in mice. Indian J Exp Biol 46:770–776. https://doi.org/10.1080/00207450500513989
Gero D, Szoleczky P, Suzuki K et al (2013) Cell-based screening identifies paroxetine as an inhibitor of diabetic endothelial dysfunction. Diabetes 62:953–964. https://doi.org/10.2337/db12-0789
Ghani MA, Barril C, Bedgood DR, Prenzler PD (2017) Measurement of antioxidant activity with the thiobarbituric acid reactive substances assay. Food Chem 230:195–207. https://doi.org/10.1016/J.FOODCHEM.2017.02.127
Giustarini D, Colombo G, Garavaglia ML et al (2017) Assessment of glutathione/glutathione disulphide ratio and S-glutathionylated proteins in human blood, solid tissues, and cultured cells. Free Radic Biol Med 112:360–375. https://doi.org/10.1016/J.FREERADBIOMED.2017.08.008
Gonzalez-Rey M, Bebianno MJ (2013) Does selective serotonin reuptake inhibitor (SSRI) fluoxetine affects mussel Mytilus galloprovincialis? Environ Pollut 173:200–209. https://doi.org/10.1016/j.envpol.2012.10.018
Hacioglu G, Senturk A, Ince I, Alver A (2016) Assessment of oxidative stress parameters of brain-derived neurotrophic factor heterozygous mice in acute stress model assessment of oxidative stress parameters of brain-derived neurotrophic factor heterozygous mice in acute stress model. Iran J Basic Med Sci 19:388–393
Halliwell B, Whiteman M (2004) Measuring reactive species and oxidative damage in vivo and in cell culture: how should you do it and what do the results mean? Br J Pharmacol 142:231–255. https://doi.org/10.1038/sj.bjp.0705776
Han YS, Lee CS (2009) Antidepressants reveal differential effect against 1-methyl-4-phenylpyridinium toxicity in differentiated PC12 cells. Eur J Pharmacol 604:36–44. https://doi.org/10.1016/j.ejphar.2008.12.025
Harmer CJ, Duman RS, Cowen PJ (2017) How do antidepressants work? New perspectives for refining future treatment approaches. Lancet Psychiatry 4:409–418. https://doi.org/10.1016/S2215-0366(17)30015-9
Hashioka S, Klegeris A, Monji A et al (2007) Antidepressants inhibit interferon-gamma-induced microglial production of IL-6 and nitric oxide. Exp Neurol 206:33–42. https://doi.org/10.1016/j.expneurol.2007.03.022
Heidarian E, Saffari J, Jafari-Dehkordi E (2014) Hepatoprotective action of echinophora platyloba DC leaves against acute toxicity of acetaminophen in rats. J Diet Suppl 11:53–63. https://doi.org/10.3109/19390211.2013.859217
Herbet M, Izdebska M, Piątkowska-Chmiel I et al (2016) Estimation of oxidative stress parameters in rats after simultaneous administration of rosuvastatin with antidepressants. Pharmacol Rep 68:172–176. https://doi.org/10.1016/j.pharep.2015.08.004
Hillhouse TM, Porter JH (2015) A brief history of the development of antidepressant drugs: from monoamines to glutamate. Exp Clin Psychopharmacol 23:1–21. https://doi.org/10.1037/a0038550
Ho E, Karimi Galougahi K, Liu C-C et al (2013) Biological markers of oxidative stress: applications to cardiovascular research and practice. Redox Biol 1:483–491. https://doi.org/10.1016/j.redox.2013.07.006
Hogg N, Kalyanaraman B (1999) Nitric oxide and lipid peroxidation. Biochim Biophys Acta Bioenerg 1411:378–384. https://doi.org/10.1016/S0005-2728(99)00027-4
Inkielewicz-Stêpniak I (2011) Impact of fluoxetine on liver damage in rats. Pharmacol Rep 63:441–447
Karimi-Khouzani O, Heidarian E, Amini SA (2017) Anti-inflammatory and ameliorative effects of gallic acid on fluoxetine-induced oxidative stress and liver damage in rats. Pharmacol Rep 69:830–835. https://doi.org/10.1016/j.pharep.2017.03.011
Kassan M, Lasker GF, Sikka SC et al (2013) Chronic escitalopram treatment induces erectile dysfunction by decreasing nitric oxide bioavailability mediated by increased nicotinamide adenine dinucleotide phosphate oxidase activity and reactive oxygen species production. Urology 82:1188.e1–1188.e7. https://doi.org/10.1016/j.urology.2013.07.037
Kessler RC, Bromet EJ (2013) The epidemiology of depression across cultures. Annu Rev Public Health 34:119–138. https://doi.org/10.1146/annurev-publhealth-031912-114409
Kirkova M, Tzvetanova E, Vircheva S et al (2010) Antioxidant activity of fluoxetine: studies in mice melanoma model. Cell Biochem Funct 28:497–502. https://doi.org/10.1002/cbf.1682
Kohen R, Nyska A (2002) Oxidation of biological systems: oxidative stress phenomena, antioxidants, redox reactions, and methods for their quantification. Toxicol Pathol 30:620–650. https://doi.org/10.1080/0192623029016672
Kolla N, Wei Z, Richardson JS, Li X-M (2005) Amitriptyline and fluoxetine protect PC12 cells from cell death induced by hydrogen peroxide. J Psychiatry Neurosci 30:196–201
Krishnan V, Nestler EJ (2008) The molecular neurobiology of depression. Nature 455:894–902. https://doi.org/10.1038/nature07455
Kumar A, Garg R, Gaur V, Kumar P (2011) Nitric oxide modulation in protective role of antidepressants against chronic fatigue syndrome in mice. Indian J Pharmacol 43:324–329. https://doi.org/10.4103/0253-7613.81506
Kumar P, Kumar A (2009) Possible role of sertraline against 3-nitropropionic acid induced behavioral, oxidative stress and mitochondrial dysfunctions in rat brain. Prog Neuro-Psychopharmacol Biol Psychiatry 33:100–108. https://doi.org/10.1016/j.pnpbp.2008.10.013
Lee CS, Kim YJ, Jang ER et al (2010) Fluoxetine induces apoptosis in ovarian carcinoma cell line OVCAR-3 Through reactive oxygen species-dependent activation of nuclear factor-kB. Basic Clin Pharmacol Toxicol 106:446–453. https://doi.org/10.1111/j.1742-7843.2009.00509.x
Lee CH, Park JH, Yoo KY et al (2011) Pre- and post-treatments with escitalopram protect against experimental ischemic neuronal damage via regulation of BDNF expression and oxidative stress. Exp Neurol 229:450–459. https://doi.org/10.1016/j.expneurol.2011.03.015
Li J, Zhou Q, Ma Z et al (2017) Feedback inhibition of CREB signaling by p38 MAPK contributes to the negative regulation of steroidogenesis. Reprod Biol Endocrinol 15:1–13. https://doi.org/10.1186/s12958-017-0239-4
Li XM, Zhu BG, Ma S et al (2008) Depressive-like behavior in mice recently recovered from motor disorders after 3-nitropropionic acid intoxication. Neurosci Bull 24:225–230. https://doi.org/10.1007/s12264-008-0304-2
Lin KL, Chi CC, Lu T et al (2013) Effect of sertraline on [Ca2+]i and viability of human MG63 osteosarcoma cells. Drug Chem Toxicol 36:231–240. https://doi.org/10.3109/01480545.2012.710625
Lingappan K (2018) NF-κB in oxidative stress. Curr Opin Toxicol 7:81–86. https://doi.org/10.1016/j.cotox.2017.11.002
Liu T, Zhong S, Liao X et al (2015) A meta-analysis of oxidative stress markers in depression. PLoS ONE 10:1–17. https://doi.org/10.1371/journal.pone.0138904
Lobato KR, Cardoso CC, Binfare RW et al (2010) Alpha-Tocopherol administration produces an antidepressant-like effect in predictive animal models of depression. Behav Brain Res 209:249–259. https://doi.org/10.1016/j.bbr.2010.02.002
De Long NE, Hyslop JR, Raha S et al (2014) Fluoxetine-induced pancreatic beta cell dysfunction: new insight into the benefits of folic acid in the treatment of depression. J Affect Disord 166:6–13. https://doi.org/10.1016/j.jad.2014.04.063
Lushchak VI (2014) Free radicals, reactive oxygen species, oxidative stress and its classification. Chem Biol Interact 224:164–175. https://doi.org/10.1016/j.cbi.2014.10.016
Ma Q (2013) Role of Nrf2 in oxidative stress and toxicity. Annu Rev Pharmacol Toxicol 53:401–426. https://doi.org/10.1146/annurev-pharmtox-011112-140320
Maes M, Talarowska M, Anderson G et al (2015) Mechanisms underlying neurocognitive dysfunctions in recurrent major depression. Med Sci Monit 21:1535–1547. https://doi.org/10.12659/MSM.893176
Mandrioli R, Forti GC, Raggi MA (2006) Fluoxetine metabolism and pharmacological interactions: the role of cytochrome p450. Curr Drug Metab 7:127–133
Mendez-David I, Tritschler L, El Ali Z et al (2015) Nrf2-signaling and BDNF: a new target for the antidepressant-like activity of chronic fluoxetine treatment in a mouse model of anxiety/depression. Neurosci Lett 597:121–126. https://doi.org/10.1016/j.neulet.2015.04.036
Moretti M, Colla A, De Oliveira BG et al (2012) Ascorbic acid treatment, similarly to fluoxetine, reverses depressive-like behavior and brain oxidative damage induced by chronic unpredictable stress. J Psychiatr Res 46:331–340. https://doi.org/10.1016/j.jpsychires.2011.11.009
Mun AR, Lee SJ, Kim GB et al (2013) Fluoxetine-induced apoptosis in hepatocellular carcinoma cells. Anticancer Res 33:3691–3698
Nair A, Jacob S (2016) A simple practice guide for dose conversion between animals and human. J Basic Clin Pharm 7:27. https://doi.org/10.4103/0976-0105.177703
Nieuwstraten C, Labiris NR, Holbrook A (2006) Systematic overview of drug interactions with antidepressant medications. Can J Psychiatry 51:300–316. https://doi.org/10.1177/070674370605100506
Novío S, Núñez MJ, Amigo G, Freire-Garabal M (2011) Effects of fluoxetine on the oxidative status of peripheral blood leucocytes of restraint-stressed mice. Basic Clin Pharmacol Toxicol 109:365–371. https://doi.org/10.1111/j.1742-7843.2011.00736.x
Omar NN, Tash RF (2017) Fluoxetine coupled with zinc in a chronic mild stress model of depression: providing a reservoir for optimum zinc signaling and neuronal remodeling. Pharmacol Biochem Behav 160:30–38. https://doi.org/10.1016/j.pbb.2017.08.003
Palta P, Samuel LJ, Miller ER, Szanton SL (2014) Depression and oxidative stress: results from a meta-analysis of observational studies. Psychosom Med 76:12–19. https://doi.org/10.1097/PSY.0000000000000009
Pérez CV, Theas MS, Jacobo PV et al (2013) Dual role of immune cells in the testis: protective or pathogenic for germ cells? Spermatogenesis 3:e23870. https://doi.org/10.4161/spmg.23870
Qiu HM, Yang JX, Wu XH et al (2013) Antidepressive effect of paroxetine in a rat model: upregulating expression of serotonin and norepinephrine transporter. NeuroReport 24:520–525. https://doi.org/10.1097/WNR.0b013e328362066d
Ray PD, Huang B-W, Tsuji Y (2012) Reactive oxygen species (ROS) homeostasis and redox regulation in cellular signaling. Cell Signal 24:981–990. https://doi.org/10.1016/j.cellsig.2012.01.008
Rebai R, Jasmin L, Boudah A (2017) The antidepressant effect of melatonin and fluoxetine in diabetic rats is associated with a reduction of the oxidative stress in the prefrontal and hippocampal cortices. Brain Res Bull 134:142–150. https://doi.org/10.1016/j.brainresbull.2017.07.013
Remus JL, Dantzer R (2016) Inflammation models of depression in rodents: relevance to psychotropic drug discovery. Int J Neuropsychopharmacol 19:1–13. https://doi.org/10.1093/ijnp/pyw028
Sakr HF, Abbas AM, Elsamanoudy AZ, Ghoneim FM (2015) Effect of fluoxetine and resveratrol on testicular functions and oxidative stress in a rat model of chronic mild stress-induced depression. J Physiol Pharmacol 66:515–527
Santiago RM, Barbieiro J, Lima MMS et al (2010) Depressive-like behaviors alterations induced by intranigral MPTP, 6-OHDA, LPS and rotenone models of Parkinson’s disease are predominantly associated with serotonin and dopamine. Prog Neuro-Psychopharmacol Biol Psychiatry 34:1104–1114. https://doi.org/10.1016/j.pnpbp.2010.06.004
Sarandol A, Sarandol E, Eker SS et al (2007) Major depressive disorder is accompanied with oxidative stress: short-term antidepressant treatment does not alter oxidative–antioxidative systems. Hum Psychopharmacol Clin Exp 22:67–73. https://doi.org/10.1002/hup.829
Savchenko VL, Nikonenko IR, Skibo GG, McKanna JA (1997) Distribution of microglia and astrocytes in different regions of the normal adult rat brain. Neurophysiology 29:343–351. https://doi.org/10.1007/BF02463354
Saveanu RV, Nemeroff CB (2012) Etiology of depression: genetic and environmental factors. Psychiatr Clin N Am 35:51–71. https://doi.org/10.1016/j.psc.2011.12.001
Schoeman JC, Steyn SF, Harvey BH, Brink CB (2017) Long-lasting effects of fluoxetine and/or exercise augmentation on bio-behavioural markers of depression in pre-pubertal stress sensitive rats. Behav Brain Res 323:86–99. https://doi.org/10.1016/j.bbr.2017.01.043
Shafiey SI, Mohamed WR, Abo-Saif AA (2018) Paroxetine and rivastigmine mitigates adjuvant-induced rheumatoid arthritis in rats: impact on oxidative stress, apoptosis and RANKL/OPG signals. Life Sci 212:109–118. https://doi.org/10.1016/j.lfs.2018.09.046
Shahzad N, Ahmad J, Khan W et al (2014) Interactions of atenolol with alprazolam/escitalopram on anxiety, depression and oxidative stress. Pharmacol Biochem Behav 117:79–84. https://doi.org/10.1016/j.pbb.2013.12.015
Sies H (2015) Oxidative stress: a concept in redox biology and medicine. Redox Biol 4:180–183. https://doi.org/10.1016/j.redox.2015.01.002
Sies H, Berndt C, Jones DP (2017) Oxidative stress. Annu Rev Biochem. https://doi.org/10.1146/annurev-biochem-061516-045037
Simplicio JA, Resstel LB, Tirapelli DPC et al (2015) Contribution of oxidative stress and prostanoids in endothelial dysfunction induced by chronic fluoxetine treatment. Vasc Pharmacol 73:124–137. https://doi.org/10.1016/j.vph.2015.06.015
Simões-Alves AC, Silva-Filho RC, Braz GRF et al (2018) Neonatal treatment with fluoxetine improves mitochondrial respiration and reduces oxidative stress in liver of adult rats. J Cell Biochem 119:6555–6565. https://doi.org/10.1002/jcb.26758
Sun J, Druhan LJ, Zweier JL (2010) Reactive oxygen and nitrogen species regulate inducible nitric oxide synthase function shifting the balance of nitric oxide and superoxide production. Arch Biochem Biophys 494:130–137. https://doi.org/10.1016/j.abb.2009.11.019
Takeuchi K, Tanaka A, Nukui K et al (2011) Aggravation by paroxetine, a selective serotonin reuptake inhibitor, of antral lesions generated by nonsteroidal anti-inflammatory drugs in rats. J Pharmacol Exp Ther 338:850–859. https://doi.org/10.1124/jpet.111.183293
Thompson DC, Perera K, London R (2000) Spontaneous hydrolysis of 4-trifluoromethylphenol to a quinone methide and subsequent protein alkylation. Chem Biol Interact 126:1–14
Tsikas D (2017) Assessment of lipid peroxidation by measuring malondialdehyde (MDA) and relatives in biological samples: analytical and biological challenges. Anal Biochem 524:13–30. https://doi.org/10.1016/j.ab.2016.10.021
Valko M, Leibfritz D, Moncol J et al (2007) Free radicals and antioxidants in normal physiological functions and human disease. Int J Biochem Cell Biol 39:44–84
Walker FR (2013) A critical review of the mechanism of action for the selective serotonin reuptake inhibitors: do these drugs possess anti-inflammatory properties and how relevant is this in the treatment of depression? Neuropharmacology 67:304–317. https://doi.org/10.1016/j.neuropharm.2012.10.002
Wang Y, Gu YH, Liu M et al (2017) Fluoxetine protects against methamphetamine-induced lung inflammation by suppressing oxidative stress through the SERT/p38 MAPK/Nrf2 pathway in rats. Mol Med Rep 15:673–680. https://doi.org/10.3892/mmr.2016.6072
World Health Organization (2017) Depression and other common mental disorders. Who 24
Xia Z, Lundgren B, Bergstrand A et al (1999) Changes in the generation of reactive oxygen species and in mitochondrial membrane potential during apoptosis induced by the antidepressants imipramine, clomipramine, and citalopram and the effects on these changes by Bcl-2 and Bcl-X(L). Biochem Pharmacol 57:1199–1208. https://doi.org/10.1016/S0006-2952(99)00009-X
Yirmiya R, Rimmerman N, Reshef R (2015) Depression as a microglial disease. Trends Neurosci 38:637–658. https://doi.org/10.1016/j.tins.2015.08.001
Zafir A, Ara A, Banu N (2009) In vivo antioxidant status: a putative target of antidepressant action. Prog Neuro-Psychopharmacol Biol Psychiatry 33:220–228. https://doi.org/10.1016/j.pnpbp.2008.11.010
Zafir A, Banu N (2007) Antioxidant potential of fluoxetine in comparison to Curcuma longa in restraint-stressed rats. Eur J Pharmacol 572:23–31. https://doi.org/10.1016/j.ejphar.2007.05.062
Zhang M, An C, Gao Y et al (2013) Emerging roles of Nrf2 and phase II antioxidant enzymes in neuroprotection. Prog Neurobiol 100:30–47. https://doi.org/10.1016/j.pneurobio.2012.09.003
Zlatković J, Todorović N, Tomanović N et al (2014) Chronic administration of fluoxetine or clozapine induces oxidative stress in rat liver: a histopathological study. Eur J Pharm Sci 59:20–30. https://doi.org/10.1016/j.ejps.2014.04.010
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Ștefan, MG., Kiss, B., Gutleb, A.C. et al. Redox metabolism modulation as a mechanism in SSRI toxicity and pharmacological effects. Arch Toxicol 94, 1417–1441 (2020). https://doi.org/10.1007/s00204-020-02721-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00204-020-02721-6