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24 October 2025

15 Pages

Perinatal Fluoxetine Exposure Has No Major Effect on Myelin-Associated Glycoprotein and Myelin Basic Protein Levels in Auditory Brain Regions

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1
Department of Otorhinolaryngology and Head/Neck Surgery, University of Groningen, University Medical Center Groningen, 9713 GZ Groningen, The Netherlands
2
Neurobiology, Groningen Institute for Evolutionary Life Sciences, University of Groningen, 9747 AG Groningen, The Netherlands
3
Department of Neuroscience, School of Medicine and Health Science, Carl von Ossietzky Universität Oldenburg, 26129 Oldenburg, Germany
4
Department of Psychology, UiT The Arctic University of Norway, 9037 Tromsø, Norway
This article belongs to the Special Issue Pathophysiology of Hearing Loss

Simple Summary

Hearing is important for social interactions and learning, but both hearing loss and changes in brain chemistry can affect how the brain develops. One important brain chemical is serotonin, which helps regulate mood and development. Some medications that increase serotonin, such as fluoxetine (commonly prescribed as an antidepressant), are sometimes taken during pregnancy, but it is not clear how they might influence brain development related to hearing. In this study, we tested whether exposure to fluoxetine during pregnancy and early life affected how the brain produces myelin, a protective coating that helps nerve cells transmit signals efficiently. We studied young rats at two different ages and examined brain areas important for hearing and communication. We found that fluoxetine had no major effect on myelin development. However, we did observe changes in myelin as the brain matured, and these changes were different across brain regions. These findings show that brain development in hearing pathways is highly dynamic during early life, but exposure to fluoxetine alone may not disrupt this process. Understanding how medications and hearing-related brain development interact is important for making informed decisions about maternal health and child development.

Abstract

Hearing loss and serotonergic dysfunction both impact social and cognitive behaviors, yet their neurobiological interplay remains poorly understood. This study investigated whether perinatal fluoxetine exposure alters myelination in (auditory) brain regions during development. Female Wistar rats received 10 mg/kg fluoxetine from gestational day 1 until postnatal day (PND)21. Brain tissue was collected from male offspring at PND21 and PND35. Myelination was assessed via immunohistochemical analysis of Myelin-Associated Glycoprotein (MAG) and Myelin Basic Protein (MBP) in the auditory cortex, inferior colliculus, and corpus callosum. MAG+ cell counts, MBP+ area, and MBP fluorescence intensity were quantified. No major effects of fluoxetine were observed on myelin markers in any brain region or developmental stage. However, changes in myelination emerged between PND21 and PND35. MAG+ cell density declined in the inferior colliculus but remained stable in the auditory cortex. MBP+ area decreased over time in both the corpus callosum and auditory cortex, while MBP fluorescence intensity increased in the corpus callosum. These results suggest that myelination changes between PND21 and PND35 are region- and age-dependent and not altered by fluoxetine. These findings highlight the dynamic nature of postnatal myelination and suggest that serotonergic alterations alone may be insufficient to disrupt structural maturation in auditory regions.

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