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