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LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...

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<strong>LVR</strong>-KLINIKUM DÜsseLDORF – hOsPITaL OF The heINRIch-heINe UNIVeRsITY DÜsseLDORF<br />

Mean value ± SEM (weight in g)<br />

Influence <strong>of</strong> selected antipsychotic drugs on<br />

parameters <strong>of</strong> <strong>the</strong> metabolic syndrome in rats<br />

Project period: 2007–2009<br />

Financing: Departmental research budget<br />

The metabolic syndrome is a complex system comprising<br />

increased visceral fat tissue, dyslipidemia, arterial<br />

hypertonia und impaired glucose metabolism, including<br />

insulin resistance. Persons with <strong>the</strong> metabolic syndrome are<br />

at a threefold increased risk <strong>of</strong> type II diabetes mellitus and<br />

cardiovascular complications. Persons with schizophrenia<br />

have a high prevalence <strong>of</strong> <strong>the</strong> individual risk factors <strong>of</strong> <strong>the</strong><br />

metabolic syndrome; <strong>the</strong> prevalence rate <strong>of</strong> <strong>the</strong> metabolic<br />

syndrome in this group is 36%. The mortality <strong>of</strong> individuals<br />

with schizophrenia is 2.5 times higher than in <strong>the</strong> nonaffected<br />

population. To date it is unclear if <strong>the</strong> metabolic<br />

dysfunctions are caused by schizophrenia or by <strong>the</strong><br />

treatment with antipsychotic drugs.<br />

82<br />

450<br />

400<br />

350<br />

300<br />

250<br />

200<br />

150<br />

100<br />

50<br />

0<br />

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**<br />

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6 7 8 12 16 20 24 Age in weeks<br />

Control male animals<br />

Treated animals; male<br />

Control female animals<br />

Treated animals; female<br />

Figure 12: In an animal model, male rats with prenatal damage to <strong>the</strong> hippocampus show a statistically significant lack <strong>of</strong> weight gain, unlike female<br />

animals. A weight reduction during puberty in male patients can <strong>the</strong>refore be taken as a possible indicator <strong>of</strong> a schizophrenic disorder (Figure modified<br />

after: v Wilmsdorff M, Sprick U,Bouvier ML, Schulz D, Schmitt A, Gaebel W: Sex-dependent behavioral effects and morphological changes in <strong>the</strong><br />

hippocampus after prenatal invasive interventions in rats: implications for animal models <strong>of</strong> schizophrenia. Clinics. 2010; 65(2): 209–219)<br />

**<br />

**<br />

In order to clarify <strong>the</strong> influence <strong>of</strong> typical and atypical<br />

antipsychotic drugs, male and female Sprague Dawley rats<br />

(aged 12 weeks) were given an exactly-defined amount <strong>of</strong><br />

medicine in <strong>the</strong>ir food every day over 12 weeks. Weight, food<br />

and water intake were calculated per week. At <strong>the</strong> end <strong>of</strong><br />

<strong>the</strong> investigation, <strong>the</strong> weight <strong>of</strong> <strong>the</strong> fat and liver tissues was<br />

determined. The leptin, adiponectin, insulin and ghrelin<br />

levels in <strong>the</strong> serum were assessed (using ELISA tests), in<br />

addition to a range <strong>of</strong> o<strong>the</strong>r blood parameters (leukocyte,<br />

erythrocyte and thrombocyte counts), HBA1c, glucose,<br />

cholesterol including HDL and LDL, and triglycerides. In<br />

contrast to haloperidol, clozapine resulted in weight gain<br />

in male animals and in a range <strong>of</strong> associated metabolic<br />

changes, such as increased glucose and triglyceride levels;<br />

<strong>the</strong>se results are comparable with those <strong>of</strong> investigations in<br />

patients on clozapine medication.

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