PMID- 22575330 OWN - NLM STAT- MEDLINE DCOM- 20121204 LR - 20221207 IS - 1879-1379 (Electronic) IS - 0022-3956 (Linking) VI - 46 IP - 8 DP - 2012 Aug TI - The administration of olanzapine and fluoxetine has synergistic effects on intracellular survival pathways in the rat brain. PG - 1029-35 LID - 10.1016/j.jpsychires.2012.04.016 [doi] AB - Recently, several studies have emerged suggesting a role of the intracellular survival pathways in the treatment of mood disorders. In addition, the beneficial effects of using a combination of antipsychotics and antidepressants have been shown. With this in mind, we evaluated the effects of the acute administration of fluoxetine (FLX), olanzapine (OLZ) and the combination of fluoxetine/olanzapine on the brain-derived-neurotrophic factor (BDNF), cAMP response element-binding (CREB), Protein Kinase B (PKB, Akt), B-cell lymphoma 2 (Bcl-2) and Bcl-2-associated death promoter (BAD) in the rat brain. Adult Wistar rats received an acute injection of OLZ (3 or 6 mg/kg) and/or FLX (12.5 or 25 mg/kg), and were evaluated for Akt, BDNF, CREB, Bcl-2 and BAD protein levels in the prefrontal cortex, hippocampus and striatum. Our results showed that treatment with FLX and OLZ alone or in combination increased the Akt, CREB, BDNF, Bcl-2 and BAD levels in the prefrontal cortex, hippocampus and striatum. However, the combination of FLX and OLZ at high doses was associated with a greater increase in the levels of Akt in the prefrontal cortex, and did not have an effect on the levels of BAD in any of the brain areas that we evaluated. Finally, these findings further support the hypothesis that treatment with FLX and OLZ alone or in combination exert neuroprotective effects, and that intracellular survival pathways could be involved in the therapeutic effects of combining antipsychotic and antidepressant drugs in mood disorders. CI - Copyright (c) 2012 Elsevier Ltd. All rights reserved. FAU - Reus, Gislaine Z AU - Reus GZ AD - Laboratorio de Neurociencias, Instituto Nacional de Ciencia e Tecnologia Translacional em Medicina (INCT-TM), and Nucleo de Excelencia em Neurociencias Aplicadas de Santa Catarina, Unidade Academica de Ciencias da Saude, Universidade do Extremo Sul Catarinense, Criciuma, SC, Brazil. gislainezilli@hotmail.com FAU - Abelaira, Helena M AU - Abelaira HM FAU - Agostinho, Fabiano R AU - Agostinho FR FAU - Ribeiro, Karine F AU - Ribeiro KF FAU - Vitto, Marcelo F AU - Vitto MF FAU - Luciano, Thais F AU - Luciano TF FAU - Souza, Claudio T de AU - Souza CT FAU - Quevedo, Joao AU - Quevedo J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120508 PL - England TA - J Psychiatr Res JT - Journal of psychiatric research JID - 0376331 RN - 0 (Bad protein, rat) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Cyclic AMP Response Element-Binding Protein) RN - 0 (Drug Combinations) RN - 0 (Neuroprotective Agents) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (Serotonin Uptake Inhibitors) RN - 0 (bcl-Associated Death Protein) RN - 0 (olanzapine-fluoxetine combination) RN - 01K63SUP8D (Fluoxetine) RN - 12794-10-4 (Benzodiazepines) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) SB - IM MH - Animals MH - Benzodiazepines/*administration & dosage MH - Brain-Derived Neurotrophic Factor/metabolism MH - Cyclic AMP Response Element-Binding Protein/metabolism MH - Dose-Response Relationship, Drug MH - Drug Combinations MH - Drug Synergism MH - Fluoxetine/*administration & dosage MH - Male MH - Neuroprotective Agents/*administration & dosage MH - Proto-Oncogene Proteins c-akt/metabolism MH - Proto-Oncogene Proteins c-bcl-2/metabolism MH - Rats MH - Rats, Wistar MH - Selective Serotonin Reuptake Inhibitors/*administration & dosage MH - Signal Transduction/*drug effects MH - bcl-Associated Death Protein/metabolism EDAT- 2012/05/12 06:00 MHDA- 2012/12/10 06:00 CRDT- 2012/05/12 06:00 PHST- 2012/03/07 00:00 [received] PHST- 2012/04/12 00:00 [revised] PHST- 2012/04/13 00:00 [accepted] PHST- 2012/05/12 06:00 [entrez] PHST- 2012/05/12 06:00 [pubmed] PHST- 2012/12/10 06:00 [medline] AID - S0022-3956(12)00130-6 [pii] AID - 10.1016/j.jpsychires.2012.04.016 [doi] PST - ppublish SO - J Psychiatr Res. 2012 Aug;46(8):1029-35. doi: 10.1016/j.jpsychires.2012.04.016. Epub 2012 May 8.