Skip to main content
Log in

Hyperphagia and increased meal size are responsible for weight gain in rats treated sub-chronically with olanzapine

  • Original Investigation
  • Published:
Psychopharmacology Aims and scope Submit manuscript

Abstract

Rationale

Atypical antipsychotic-induced weight gain is a significant impediment in the treatment of schizophrenia.

Objectives

In a putative model of antipsychotic drug-induced weight gain, we investigated the effects of sub-chronic olanzapine on body weight, meal patterns, the expression of genes encoding for hypothalamic feeding-related neuropeptides and the contribution of hyperphagia to olanzapine-induced weight gain in rats.

Materials and methods

In experiment 1, female rats received either olanzapine (1 mg/kg, p.o.) or vehicle, twice daily for 7 days, while meal patterns were recorded. At the end of the treatment regimen, we measured the levels of hypothalamic messenger RNAs (mRNAs) encoding neuropeptide-Y (NPY), hypocretin/orexin (HCRT), melanin concentrating hormone and pro-opiomelanocortin. NPY and HCRT mRNA levels were also assessed in a separate cohort of female rats treated acutely with olanzapine (1 mg/kg, p.o.). In experiment 2, we investigated the effect of a pair-feeding paradigm on sub-chronic (1 mg/kg, p.o.) olanzapine-induced weight gain.

Results

In experiment 1, sub-chronic olanzapine increased body weight, food intake and meal size. Hypothalamic neuropeptide mRNA levels were unchanged after both acute and sub-chronic olanzapine treatment. In experiment 2, the restriction of food intake to the level of vehicle-treated controls abolished the sub-chronic olanzapine-induced increase in body weight.

Conclusions

Hyperphagia mediated by drug-induced impairments in satiety (as evidenced by increased meal size) is a key requirement for olanzapine-induced weight gain in this paradigm. However, olanzapine-induced hyperphagia and weight gain may not be mediated via alterations in the expression of the feeding-related hypothalamic neuropeptides examined in this study.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • Ahnaou A, Megens AA, Drinkenburg WH (2003) The atypical antipsychotics risperidone, clozapine and olanzapine differ regarding their sedative potency in rats. Neuropsychobiology 48:47–54

    Article  CAS  PubMed  Google Scholar 

  • Albaugh VL, Henry CR, Bello NT, Hajnal A, Lynch SL, Halle B, Lynch CJ (2006) Hormonal and metabolic effects of olanzapine and clozapine related to body weight in rodents. Obesity (Silver Spring) 14:36–51

    Article  CAS  Google Scholar 

  • Allison DB, Mentore JL, Heo M, Chandler LP, Cappelleri JC, Infante MC, Weiden PJ (1999) Antipsychotic-induced weight gain: a comprehensive research synthesis. Am J Psychiatry 156:1686–1696

    CAS  PubMed  Google Scholar 

  • Arjona AA, Zhang SX, Adamson B, Wurtman RJ (2004) An animal model of antipsychotic-induced weight gain. Behav Brain Res 152:121–127

    CAS  PubMed  Google Scholar 

  • Baptista T, Contreras Q, Teneud L, Albornoz MA, Acosta A, Paez X, de Quijada M, LaCruz A, Hernandez L (1998) Mechanism of the neuroleptic-induced obesity in female rats. Prog Neuropsychopharmacol Biol Psychiatry 22:187–198

    Article  CAS  PubMed  Google Scholar 

  • Basson BR, Kinon BJ, Taylor CC, Szymanski KA, Gilmore JA, Tollefson GD (2001) Factors influencing acute weight change in patients with schizophrenia treated with olanzapine, haloperidol, or risperidone. J Clin Psychiatry 62:231–238

    CAS  PubMed  Google Scholar 

  • Briffa D, Meehan T (1998) Weight changes during clozapine treatment. Aust N Z J Psychiatry 32:718–721

    Article  CAS  PubMed  Google Scholar 

  • Bymaster FP, Nelson DL, DeLapp NW, Falcone JF, Eckols K, Truex LL, Foreman MM, Lucaites VL, Calligaro DO (1999) Antagonism by olanzapine of dopamine D1, serotonin2, muscarinic, histamine H1 and alpha 1-adrenergic receptors in vitro. Schizophr Res 37:107–122

    Article  CAS  PubMed  Google Scholar 

  • Choi S, DiSilvio B, Unangst J, Fernstrom JD (2007) Effect of chronic infusion of olanzapine and clozapine on food intake and body weight gain in male and female rats. Life Sci 81:1024–1030

    Article  CAS  PubMed  Google Scholar 

  • Clifton PG (2000) Meal patterning in rodents: psychopharmacological and neuroanatomical studies. Neurosci Biobehav Rev 24:213–222

    Article  CAS  PubMed  Google Scholar 

  • Clifton PG, Rusk IN, Cooper SJ (1991) Effects of dopamine D1 and dopamine D2 antagonists on the free feeding and drinking patterns of rats. Behav Neurosci 105:272–281

    Article  CAS  PubMed  Google Scholar 

  • Clifton PG, Lee MD, Dourish CT (2000) Similarities in the action of Ro 60-0175, a 5-HT2Creceptor agonist, and d-fenfluramine on feeding patterns in the rat. Psychopharmacology 152:256–267

    Article  CAS  PubMed  Google Scholar 

  • Cooper GD, Pickavance LC, Wilding JP, Halford JC, Goudie AJ (2005) A parametric analysis of olanzapine-induced weight gain in female rats. Psychopharmacology (Berl) 181:80–89

    Article  CAS  Google Scholar 

  • Cooper GD, Pickavance LC, Wilding JP, Harrold JA, Halford JC, Goudie AJ (2007) Effects of olanzapine in male rats: enhanced adiposity in the absence of hyperphagia, weight gain or metabolic abnormalities. J Psychopharmacol 21:405–413

    Article  CAS  PubMed  Google Scholar 

  • Davoodi N, Kalinichev M, Clifton PG (2008) Comparative effects of olanzapine and ziprasidone on hypophagia induced by enhanced histamine neurotransmission in the rat. Behav Pharmacol 19:121–128

    Article  CAS  PubMed  Google Scholar 

  • Edwards CM, Abusnana S, Sunter D, Murphy KG, Ghatei MA, Bloom SR (1999) The effect of the orexins on food intake: comparison with neuropeptide Y, melanin-concentrating hormone and galanin. J Endocrinol 160:R7–R12

    Article  CAS  PubMed  Google Scholar 

  • Fadel J, Bubser M, Deutch AY (2002) Differential activation of orexin neurons by antipsychotic drugs associated with weight gain. J Neurosci 22:6742–6746

    CAS  PubMed  Google Scholar 

  • Fell MJ, Marshall KM, Williams J, Neill JC (2004) Effects of the atypical antipsychotic olanzapine on reproductive function and weight gain in female rats. J Psychopharmacol 18:149–155

    Article  CAS  PubMed  Google Scholar 

  • Fell MJ, Neill JC, Rao C, Marshall KM (2005) Effects of sub-chronic antipsychotic drug treatment on body weight and reproductive function in juvenile female rats. Psychopharmacology (Berl) 182:499–507

    Article  CAS  Google Scholar 

  • Fell MJ, Anjum N, Dickinson K, Marshall KM, Peltola LM, Vickers S, Cheetham S, Neill JC (2007) The distinct effects of subchronic antipsychotic drug treatment on macronutrient selection, body weight, adiposity, and metabolism in female rats. Psychopharmacology (Berl) 194:221–231

    Article  CAS  Google Scholar 

  • Gothelf D, Falk B, Singer P, Kairi M, Phillip M, Zigel L, Poraz I, Frishman S, Constantini N, Zalsman G, Weizman A, Apter A (2002) Weight gain associated with increased food intake and low habitual activity levels in male adolescent schizophrenic inpatients treated with olanzapine. Am J Psychiatry 159:1055–1057

    Article  PubMed  Google Scholar 

  • Goudie AJ, Smith JA, Halford JC (2002) Characterization of olanzapine-induced weight gain in rats. J Psychopharmacol 16:291–296

    CAS  PubMed  Google Scholar 

  • Hartfield AW (2003) Effects of atypical antipsychotics on feeding and drinking in rats: towards a model of obesity associated with antipsychotic drug treatment. PhD thesis, Experimental Psychology, University of Sussex, pp 1–382

  • Hartfield AW, Moore NA, Clifton PG (2003) Effects of clozapine, olanzapine and haloperidol on the microstructure of ingestive behaviour in the rat. Psychopharmacology (Berl) 167:115–122

    CAS  Google Scholar 

  • Hartfield AW, Moore NA, Clifton PG (2006) Effects of atypical antipsychotic drugs on intralipid intake and cocaine-induced hyperactivity in rats. Neuropsychopharmacology 31:1938–1945

    Article  CAS  PubMed  Google Scholar 

  • Huang XF, Deng C, Zavitsanou K (2006) Neuropeptide Y mRNA expression levels following chronic olanzapine, clozapine and haloperidol administration in rats. Neuropeptides 40:213–219

    Article  CAS  PubMed  Google Scholar 

  • Kalinichev M, Rourke C, Daniels AJ, Grizzle MK, Britt CS, Ignar DM, Jones DN (2005) Characterisation of olanzapine-induced weight gain and effect of aripiprazole vs olanzapine on body weight and prolactin secretion in female rats. Psychopharmacology (Berl) 182:220–231

    Article  CAS  Google Scholar 

  • Kalinichev M, Rourke C, Jones DN (2006) Body weights and plasma prolactin levels in female rats treated subchronically with ziprasidone versus olanzapine. Behav Pharmacol 17:289–292

    Article  CAS  PubMed  Google Scholar 

  • Kennett GA, Wood MD, Bright F, Trail B, Riley G, Holland V, Avenell KY, Stean T, Upton N, Bromidge S, Forbes IT, Brown AM, Middlemiss DN, Blackburn TP (1997) SB 242084, a selective and brain penetrant 5-HT2C receptor antagonist. Neuropharmacology 36:609–620

    Article  CAS  PubMed  Google Scholar 

  • Kirk SL, Cahir M, Reynolds GP (2006) Clozapine, but not haloperidol, increases neuropeptide Y neuronal expression in the rat hypothalamus. J Psychopharmacol 20:577–579

    Article  CAS  PubMed  Google Scholar 

  • Kluge M, Schuld A, Himmerich H, Dalal M, Schacht A, Wehmeier PM, Hinze-Selch D, Kraus T, Dittmann RW, Pollmacher T (2007) Clozapine and olanzapine are associated with food craving and binge eating: results from a randomized double-blind study. J Clin Psychopharmacol 27:662–666

    Article  CAS  PubMed  Google Scholar 

  • Lambert M, Holzbach R, Moritz S, Postel N, Krausz M, Naber D (2003) Objective and subjective efficacy as well as tolerability of olanzapine in the acute treatment of 120 patients with schizophrenia spectrum disorders. Int Clin Psychopharmacol 18:251–260

    Article  PubMed  Google Scholar 

  • Lee MD, Clifton PG (1992) Partial reversal of fluoxetine anorexia by the 5-HT antagonist metergoline. Psychopharmacology (Berl) 107:359–364

    Article  CAS  Google Scholar 

  • Lee MD, Clifton PG (2002) Meal patterns of free feeding rats treated with clozapine, olanzapine, or haloperidol. Pharmacol Biochem Behav 71:147–154

    Article  CAS  PubMed  Google Scholar 

  • Levine AS, Morley JE (1984) Neuropeptide Y: a potent inducer of consummatory behavior in rats. Peptides 5:1025–1029

    Article  CAS  PubMed  Google Scholar 

  • Li S, Pelletier G (1986) The role of dopamine in the control of neuropeptide Y neurons in the rat arcuate nucleus. Neurosci Lett 69:74–77

    Article  CAS  PubMed  Google Scholar 

  • Ludwig DS, Mountjoy KG, Tatro JB, Gillette JA, Frederich RC, Flier JS, Maratos-Flier E (1998) Melanin-concentrating hormone: a functional melanocortin antagonist in the hypothalamus. Am J Physiol 274:E627–E633

    CAS  PubMed  Google Scholar 

  • Minet-Ringuet J, Even PC, Lacroix M, Tome D, de Beaurepaire R (2006) A model for antipsychotic-induced obesity in the male rat. Psychopharmacology (Berl) 187:447–454

    Article  CAS  Google Scholar 

  • Minet-Ringuet J, Even PC, Valet P, Carpene C, Visentin V, Prevot D, Daviaud D, Quignard-Boulange A, Tome D, de Beaurepaire R (2007) Alterations of lipid metabolism and gene expression in rat adipocytes during chronic olanzapine treatment. Mol Psychiatry 12:562–571

    Article  CAS  PubMed  Google Scholar 

  • Obuchowicz E (1996) Long-term treatment with chlorpromazine and haloperidol but not with sulpiride and clozapine markedly elevates neuropeptide Y-like immunoreactivity in the rat hypothalamus. Neuropeptides 30:471–478

    Article  CAS  PubMed  Google Scholar 

  • Ortega-Alvaro A, Gibert-Rahola J, Mico JA (2006) Influence of chronic treatment with olanzapine, clozapine and scopolamine on performance of a learned 8-arm radial maze task in rats. Prog Neuropsychopharmacol Biol Psychiatry 30:104–111

    Article  CAS  PubMed  Google Scholar 

  • Pfaffl MW (2001) A new mathematical model for relative quantification in real-time RT-PCR. Nucleic Acids Res 29:e45

    Article  CAS  PubMed  Google Scholar 

  • Pouzet B, Mow T, Kreilgaard M, Velschow S (2003) Chronic treatment with antipsychotics in rats as a model for antipsychotic-induced weight gain in human. Pharmacol Biochem Behav 75:133–140

    Article  CAS  PubMed  Google Scholar 

  • Procyshyn RM, Chau A, Tse G (2004) Clozapine’s effects on body weight and resting metabolic rate: a case series. Schizophr Res 66:159–162

    Article  PubMed  Google Scholar 

  • Qu D, Ludwig DS, Gammeltoft S, Piper M, Pelleymounter MA, Cullen MJ, Mathes WF, Przypek R, Kanarek R, Maratos-Flier E (1996) A role for melanin-concentrating hormone in the central regulation of feeding behaviour. Nature 380:243–247

    Article  CAS  PubMed  Google Scholar 

  • Salamone JD, Cousins MS, Maio C, Champion M, Turski T, Kovach J (1996) Different behavioral effects of haloperidol, clozapine and thioridazine in a concurrent lever pressing and feeding procedure. Psychopharmacology (Berl) 125:105–112

    Article  CAS  Google Scholar 

  • Seale C, Chaplin R, Lelliott P, Quirk A (2007) Antipsychotic medication, sedation and mental clouding: an observational study of psychiatric consultations. Soc Sci Med 65:698–711

    Article  PubMed  Google Scholar 

  • Sharpe JK, Stedman TJ, Byrne NM, Wishart C, Hills AP (2006) Energy expenditure and physical activity in clozapine use: implications for weight management. Aust N Z J Psychiatry 40:810–814

    Article  PubMed  Google Scholar 

  • Thornton-Jones Z, Neill JC, Reynolds GP (2002) The atypical antipsychotic olanzapine enhances ingestive behaviour in the rat: a preliminary study. J Psychopharmacol 16:35–37

    CAS  PubMed  Google Scholar 

  • Varvel SA, Vann RE, Wise LE, Philibin SD, Porter JH (2002) Effects of antipsychotic drugs on operant responding after acute and repeated administration. Psychopharmacology (Berl) 160:182–191

    Article  CAS  Google Scholar 

  • Vestri HS, Maianu L, Moellering DR, Garvey WT (2007) Atypical antipsychotic drugs directly impair insulin action in adipocytes: effects on glucose transport, lipogenesis, and antilipolysis. Neuropsychopharmacology 32:765–772

    Article  CAS  PubMed  Google Scholar 

  • Virkkunen M, Wahlbeck K, Rissanen A, Naukkarinen H, Franssila-Kallunki A (2002) Decrease of energy expenditure causes weight increase in olanzapine treatment—a case study. Pharmacopsychiatry 35:124–126

    Article  CAS  PubMed  Google Scholar 

  • Wallingford NM, Sinnayah P, Bymaster FP, Gadde KM, Krishnan RK, McKinney AA, Landbloom RP, Tollefson GD, Cowley MA (2008) Zonisamide prevents olanzapine-associated hyperphagia, weight gain, and elevated blood glucose in rats. Neuropsychopharmacology 33:2922–2933

    Article  CAS  PubMed  Google Scholar 

  • Weiden PJ, Mackell JA, McDonnell DD (2004) Obesity as a risk factor for antipsychotic noncompliance. Schizophr Res 66:51–57

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors would like to thank Elena Korneeva and Peter Reed for their technical assistance. ND was supported by a BBSRC CASE studentship with GlaxoSmithKline PLC.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Peter G. Clifton.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Davoodi, N., Kalinichev, M., Korneev, S.A. et al. Hyperphagia and increased meal size are responsible for weight gain in rats treated sub-chronically with olanzapine. Psychopharmacology 203, 693–702 (2009). https://doi.org/10.1007/s00213-008-1415-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00213-008-1415-1

Keywords

Navigation