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Cardiac Outcomes after Perinatal Sertraline Exposure in Mice
Journal article   Open access   Peer reviewed

Cardiac Outcomes after Perinatal Sertraline Exposure in Mice

Sarah E. Haskell, Cecilia Lo, Mitchell E. Kent, Timothy M. Eggleston, Kenneth A. Volk, Benjamin E. Reinking and Robert D. Roghair
Journal of cardiovascular pharmacology, Vol.70(2), pp.119-127
08/01/2017
DOI: 10.1097/FJC.0000000000000501
PMCID: PMC5538912
PMID: 28459713
url
https://www.ncbi.nlm.nih.gov/pmc/articles/5538912View
Open Access

Abstract

Selective serotonin reuptake inhibitors are prescribed to 6–10% of pregnant women in the United States. Using an intrauterine plus neonatal exposure model to represent exposure throughout human pregnancy, we hypothesized sertraline exposure would impact intracardiac serotonin signaling and lead to small left heart syndrome in the absence of maternal psychopathology. C57BL/6 adult female mice received sertraline (5 mg/kg/d IP) or saline throughout pregnancy to time of delivery. Pups maintained exposure on postnatal days 1–14 to encompass the developmental window analogous to human gestation. Sertraline-exposed mice had increased cardiac hydroxyproline content, decreased 5-HT 2B receptor mRNA levels, and increased 5-HT 2A receptor and serotonin transporter mRNA levels on postnatal day 21 (p<0.05). These changes were associated with diminished exercise capacity at 6 weeks (p<0.05) and decreased adult shortening fraction and stroke volume at 5 months of age. Isolated cardiomyocytes from neonatal sertraline-exposed mice had significantly decreased proliferation, cross-sectional area and phosphorylation of Akt (p<0.05 versus neonatal control mice). Perinatal sertraline exposure alters neonatal cardiac development and produces long standing changes in adult cardiac function and exercise capacity. Further studies are needed to assess if similar findings are present in the growing population that has been exposed to SSRIs during development.
cardiac development cardiac function selective serotonin reuptake inhibitors serotonin receptors

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