Chronic treatment of rats with the antidepressant amitriptyline attenuates the activity of the hypothalamic-pituitary-adrenocortical system

Endocrinology. 1993 Jul;133(1):312-20. doi: 10.1210/endo.133.1.8391426.

Abstract

The effects of the tricyclic antidepressant amitriptyline on the rat hypothalamic-pituitary-adrenocortical (HPA) system were studied. The time-course experiments showed that amitriptyline, given via the drinking water (4.5 mg/kg.day), produces significant decreases (P < 0.05) in adrenal weight after 5 (-20%) and 7 weeks (-21%) of treatment. Hippocampal mineralocorticoid receptor (MR) levels were down-regulated at days 3 (-27%) and 7 (-20%), and transiently up-regulated at 2 (+40%), 5 (+74%), and 7 (+18%) weeks of treatment. Hippocampal glucocorticoid receptor (GR) levels were slightly down-regulated at days 3 (-8%) and 7 (-17%), transiently up-regulated by 26% at 5 weeks, and indistinguishable from controls after 7 weeks of treatment. MR levels were unchanged in the hypothalamus and neocortex, whereas hypothalamic GR concentrations were elevated and neocortical receptor levels were not altered. Dose-response experiments showed significant decreases in adrenal weight when rats were treated with 4.5 (-14%), 8.8 (-16%) and 14.5 (-13%) mg/kg.day antidepressant, but this applied only for the 4.5- (-14%) and 8.8- (-12%) mg/kg.day doses when the ratio of adrenal weight to body weight was considered. The dose-response relationship regarding hippocampal GR content displayed an inverted U-shaped curve, whereas this was less marked for MR levels. A dose of 4.5 mg/kg.day appeared to be optimal for the rise in MR as well as GR. Concerning the neuroendocrine implications of chronic antidepressant treatment, amitriptyline (5 weeks, 4.5 mg/kg.day) produced significant decreases in basal (ACTH, -47%; corticosterone, -31%) as well as stress (30 min novel environment)-induced plasma ACTH (-38%) and corticosterone (-57%) levels. Previous experiments have forwarded a role of limbic MR in the tonic control of basal HPA activity. Based on the present data, we hypothesize that during amitriptyline treatment a rise in limbic MR may be the initial phenomenon in a successively adjusting HPA system, as evidenced by the decreasing plasma hormone concentrations, declining adrenal size, and up-regulation of GR in particular brain regions.

MeSH terms

  • Adrenal Cortex / drug effects*
  • Adrenal Cortex / physiology
  • Adrenal Glands / anatomy & histology
  • Adrenocorticotropic Hormone / blood
  • Amitriptyline / administration & dosage
  • Amitriptyline / pharmacology*
  • Animals
  • Corticosterone / blood
  • Dose-Response Relationship, Drug
  • Down-Regulation / drug effects
  • Hippocampus / drug effects
  • Hippocampus / metabolism
  • Hypothalamus / drug effects*
  • Hypothalamus / physiology
  • Kinetics
  • Male
  • Organ Size / drug effects
  • Pituitary Gland / drug effects*
  • Pituitary Gland / physiology
  • Rats
  • Rats, Wistar
  • Receptors, Glucocorticoid / metabolism
  • Receptors, Mineralocorticoid
  • Receptors, Steroid / metabolism
  • Up-Regulation / drug effects

Substances

  • Receptors, Glucocorticoid
  • Receptors, Mineralocorticoid
  • Receptors, Steroid
  • Amitriptyline
  • Adrenocorticotropic Hormone
  • Corticosterone