DOES OLANZAPINE-INDUCED OBESITY CAUSE PATHOLOGICAL CHANGES IN THE ESOPHAGEAL MUCOSA OF ANIMALS?
M.А. Shchetinin1, A.А. Kotvytska1, K.V. Tikhonovych1, M.V. Bilets1, O.Y. Omelchenko1, D.O. Khmil1, K.S. Neporada1
- Poltava State Medical University, Ukraine
DOI: https://doi.org/10.15407/fz72.02.057

Abstract
Recent experimental and clinical studies have expanded the
understanding of the mechanisms underlying metabolic and
gastrointestinal adverse effects of olanzapine, an atypical anti-
psychotic widely used in the treatment of psychotic disorders
and associated with the development of obesity. The present
study aimed to elucidate the mechanisms of pathological
changes in the esophageal mucosa of rats under conditions of
administration of different doses of olanzapine. A total of 15
male rats were included and randomly assigned to experimental
groups. Biochemical parameters of the esophageal mucosa
were assessed, including the content of glycosaminoglycans
(GAGs), free fucose, hydroxyproline, thiobarbituric acid-
reactive substances (TBARS), oxidatively modified proteins
(OMP), as well as the activity of catalase, proteinases, and their
inhibitors. It was found that endogastric administration of olan-
zapine at doses of 4 mg/kg and 8 mg/kg body weight resulted in
the development of visceral obesity, as evidenced by a signifi-
cant increase in body mass index, Lee index, and visceral fat
mass in experimental animals compared with intact controls.
Analysis of changes in the esophageal mucosa revealed that
olanzapine-induced visceral obesity led to the activation of free
radical processes, as indicated by a significant increase in the
levels of OMP and TBARS compared to intact animals. Ad-
ditionally, a significant increase in GAGs, hydroxyproline, and
free fucose content in the esophageal mucosa of experimental
rats was observed compared with the control group, indicat-
ing enhanced catabolism of glycoproteins and proteoglycans
in the connective tissue of the rat esophagus. Thus, the use of
atypical antipsychotics, particularly olanzapine, contributes to
the development of oxidative stress, activation of proteolysis,
and intensified degradation of fucoproteins, proteoglycans, and
collagen proteins of the esophagus.
Keywords:
olanzapine, obesity, esophagus, oxidative stress, fucose, hydroxyproline
References
- Sowa-Kućma M, Stachowicz K. Molecular research on mental disorders. Int J Mol Sci. 2023 Apr 12;24(8):7104. doi: 10.3390/ijms24087104.
- Parra-Medina D, Mojica C, Liang Y , Ouyang Y , Ramos AI, Gomez I. Promoting Weight maintenance among overweight and obese hispanic children in a rural practice. Childhood Obesity 2015;11:355-63. doi:10.1089/ chi.2014.0120.
- Meares A, Satraitis A, Santhanam N, Yu Z, Ptaszek M. Deep-red emissive BODIPY–chlorin arrays excitable with green and red wavelengths. J Org Chem. 2015;80:3858-69. doi:10.1021/acs.joc.5b00119.
- Kulshreshtha G, Burlot A-S, Marty C, Critchley A, Hafting J, Bedoux G, et al. Enzyme-assisted extraction of bioactive material from chondrus crispus and codium fragile and its effect on herpes simplex virus (HSV-1). Marine Drug. 2015;13:558-80. doi:10.3390/md13010558.
- DeRubeis RJ, Zajecka J, Shelton RC, Amsterdam JD, Fawcett J, Xu C, Young PR, Gallop R, Hollon SD. Prevention of recurrence after recovery from a major depressive episode with antidepressant medication alone or in combination with cognitive behavioral therapy: Phase 2 of a 2-phase randomized clinical trial. JAMA Psychiatr. 2020 Mar 1;77(3):237-45. doi: 10.1001/jamapsychiatry.2019.3900.
- Amin QK, Arshad S, Anthony N, Yousafzai ZA, Arshad S. Case report on crossed fused renal ectopia with a large calculus and its management. Cureus. 2021. doi:10.7759/ cureus.15512.
- Li H, Peng S, Li S, Liu S, Lv Y , Yang N, et al. Chronic olanzapine administration causes metabolic syndrome through inflammatory cytokines in rodent models of insulin resistance. Sci Rep. 2019;9:1582. doi:10.1038/ s41598-018-36930-y.
- Matsuo T, Omori Y, Tomita T, Sadzuka Y. Olanzapine enhances adipogenesis and suppresses lipolysis in 3T3-L1 adipocytes under low-glucose and weak differentiation/ maturation conditions. Exp Ther Med. 2022;24:647. doi :10.3892/etm.2022.11584.
- Alastanos JN, Suri D, DeLellis H, Mapugay A. A case report and literature review of olanzapine-associated hyperglycemia with previous history of gestational diabetes. Mental Health Clin. 2022;12:37-44. doi:10.9740/ mhc.2022.01.037.
- He M, Qian K, Zhang Y , Huang X-F, Deng C, Zhang B, et al. Olanzapine-induced activation of hypothalamic astrocytes and toll-like receptor-4 signaling via endoplasmic reticulum stress were related to olanzapine-induced weight gain. Front Neurosci. 2021;14:589650. doi:10.3389/ fnins.2020.589650.
- Cotel M-C, Lenartowicz EM, Natesan S, Modo MM, Cooper JD, Williams SCR, et al. Microglial activation in the rat brain following chronic antipsychotic treatment at clinically relevant doses. Eur Neuropsychopharmacol. 2015;25:2098-107. doi:10.1016/j.euroneuro.2015.08.004.
- Ghaben AL, Scherer PE. Adipogenesis and metabolic health. Nat Rev Mol Cell Biol 2019;20:242-58. doi:10.1038/ s41580-018-0093-z.
- Li S, Fu Y, Wang W, Qiu J, Huang Y, Li X, et al. Olanzapine induces adipogenesis and glucose uptake by activating glycolysis and synergizing with the PI3KAKT Pathway. CN. 2025;23:412-25. doi:10.2174/ 1570159X22666240815120547.
- Davey KJ, Cotter PD, O'Sullivan O, Crispie F, Dinan TG, Cryan JF, et al. Antipsychotics and the gut microbiome: olanzapine-induced metabolic dysfunction is attenuated by antibiotic administration in the rat. Transl М.А. Щетінін, А.А. Котвицька, К.В. Тихонович, М.В. Білець, О.Є. Омельченко, Д.О. Хміль, К.С. Непорада 64 Psychiatr. 2013;3:e309-e309. doi:10.1038/tp.2013.83.
- Berkalo LV , Bobovich OV , Bobrova NO, et al. Meth-ods of clinical and experimental research in medicine Edited by Kaydashev IP. Poltava: Polymet, 2003. ISBN 966-96063-3-0.
- Albaugh VL, Judson JG, She P, Lang CH, Maresca KP, Joyal JL, et al. Olanzapine promotes fat accumulation in male rats by decreasing physical activity, repartitioning energy and increasing adipose tissue lipogenesis while impairing lipolysis. Mol Psychiatr. 2011;16:569-81. doi:10.1038/mp.2010.33.
- Fernø J, Varela L, Skrede S, Vázquez MJ, Nogueiras R, Diéguez C, et al. Olanzapine-induced hyperphagia and weight gain associate with orexigenic hypothalamic neuropeptide signaling without concomitant AMPK phosphorylation. PLoS ONE.2011;6:e20571. doi:10.1371/ journal.pone.0020571.
- Reynolds GP, Kirk SL. Metabolic side effects of antipsychotic drug treatment – pharmacological mechanisms. Pharmacol Therapeut. 2010;125:169-79. doi https:10.1016/j.pharmthera.2009.10.010.
- Albaugh VL, Vary TC, Ilkayeva O, Wenner BR, Maresca KP, Joyal JL, et al. Atypical antipsychotics rapidly and inappropriately switch peripheral fuel utilization to lipids, impairing metabolic flexibility in rodents. Schizophrenia Bull. 2012;38:153-66. doi:10.1093/schbul/sbq053.
- Holt RIG, Peveler RC. Obesity, serious mental illness and antipsychotic drugs. Diabet Obes Metabol. 2009;11:665- 79. doi:10.1111/j.1463-1326.2009.01038.x.
- Albaugh VL, Vary TC, Ilkayeva O, Wenner BR, Maresca KP, Joyal JL, et al. Atypical antipsychotics rapidly and inappropriately switch peripheral fuel utilization to lipids, impairing metabolic flexibility in rodents. Schizophrenia Bull. 2012;38:153-66. doi:10.1093/schbul/sbq053.
- Davey KJ, O'Mahony SM, Schellekens H, O'Sullivan O, Bienenstock J, Cotter PD, et al. Gender-dependent consequences of chronic olanzapine in the rat: effects on body weight, inflammatory, metabolic and microbiota parameters. Psychopharmacology 2012;221:155-69. doi:10.1007/s00213-011-2555-2.
|