PharmacologyBiochemistry& Behavior. Vol. 38, pp. 781-788. ©Pergamon Press plc, 1991. Printed in the U.S.A.
0091-3057/91 $3.00 + .00
Benzodiazepine Receptor Ligands and
Sexual Behavior in the Male Rat:
The Role of GABAergic Mechanisms
ANDERS ,~GMO ~ AND HILDA FERNANDEZ
Department o f Psychology, Universidad Andhuac, Mexico City
R e c e i v e d 5 D e c e m b e r 1989
/~GMO, A. AND H. FERNANDEZ. Benzodiazepine receptor ligands and sexual behavior in the male rat: The role of GABAergic
mechanisms. PHARMACOL BIOCHEM BEHAV 38(4) 781-788, 1991.--Diazepam and chlordiazepoxide produced a dose-dependent inhibition of ambulatory activity, motor execution and sexual behavior. The benzodiazepine antagonist flumazenil had no effect on these behaviors, while the inverse agonist FG 7142 inhibited sexual behavior without affecting motor functions. The GABA
antagonist bicuculline was ineffective in all behavioral paradigms, while picrotoxin inhibited all behaviours. Picrotoxin blocked the
motor effects of low doses of the benzodiazepines, but not those of higher doses. Neither did this drug block the effects of benzodiazepines on sexual behavior. Bicuculline was unable to block the effects of benzodiazepines on all behaviors. FG 7142, in a low
dose, inhibited the effects of diazepam and chlordiazepoxide on ambulatory activity, but not their effects on motor execution or
sexual behavior. The effects of the benzodiazepines and picrotoxin on sexual behavior could be a consequence of the motor impairment produced by these drugs, since the doses required to affect these two behaviors were similar. However, the fact that picrotoxin could block the motor deficiencies induced by the benzodiazepines without restoring sexual behavior suggests that these
behavioral actions of the drugs can be differentiated. While some evidence was obtained suggesting a role of GABA in the motor
effects of benzodiazepines, no evidence could be found for a role of GABA in their effects on sexual behavior.
Benzodiazepines
GABA
Sexual behavior
Ambulatory activity
DURING the last few years, the GABAergic control of male sexual behavior has been the subject of several studies. It appears
that the GABA-B receptor agonist baclofen inhibits that behavior
independently of actions on motor systems (3). A detailed study
of the effects of baclofen on sociosexual interaction showed that
this drug specifically inhibits precopulatory behaviors (26). Low
doses of baclofen also inhibit penile reflexes ex copula, without
affecting sexual behavior (19).
The role of the G A B A - A receptor is less clear. Although it
has been shown that the G A B A - A antagonist bicuculline reduces
the postejaculatory and the interintromission interval after infusion into the medial preoptic area (11), G A B A - A agonists, such
as THIP or 3-aminopropanesulfonic acid or GABA transaminase
inhibitors, do not have the opposite effect (3). Rather, they produce a nonspecific suppression of sexual behavior. It has even
been suggested that the inhibitory effects on sexual behavior of
this kind of drugs are a consequence of their motor actions (4).
Since benzodiazepines are believed to facilitate GABAergic
neurotransmission through an interaction with G A B A - A receptors
[reviewed in (10, 25, 29)], it was considered of interest to study
the effects of this class of compounds on male sexual behavior.
The purpose of the present experiments, therefore, was to evalu-
Motor execution
ate the role of the benzodiazepine binding site in the control of
male rat sexual behavior, and the possible involvement of
GABAergic mechanisms in the actions of benzodiazepines. The
effects of several doses of the benzodiazepines diazepam and
chlordiazepoxide on male rat sexual behavior were evaluated.
These drugs were then combined with the G A B A antagonists
bicuculline and picrotoxin, for the purpose of determining the
GABAergic involvement in their actions. Additionally, the effects of the G A B A antagonists alone on sexual behavior were
determined. The effects of an inverse benzodiazepine agonist were
also evaluated. In order to determine the specificity of the actions
of the drugs on sexual behavior, their effects on ambulatory activity and motor execution were also studied.
METHOD
Subjects
Male Wistar rats (300--400 g) from a local colony were housed
under a reversed light/dark cycle (12/12 h) in a room with a constant temperature (22°C) and given commercial rat pellets and
water ad lib.
Animals to be used in tests for sexual behavior were subjected
~Requests for reprints should be addressed to Anders/~gmo, Escuela de Psicologia, Universidad Amihuac, Apdo. Postal 10-844, 11000 Mexico, D.F.,
Mexico.
781
782
to three preliminary mating tests of 30 rain duration. Only animals that ejaculated at least once in these tests were included in
the study. Since benzodiazepines affect testicular androgen production (31), and since changes in testosterone levels have been
shown to have short-term effects on sexual behaviour (22), the
animals were castrated under ether anesthesia and subcutaneously
implanted with a 20 mm long Silastic capsule (0.062 in. i.d.;
0.125 in. o.d.; Dow Coming Corp.) filled with crystalline testosterone (Sigma). Such an implant has been shown to maintain sexual behavior similar to that of intact rats for several months (9).
Experiments were initiated about one week after castration.
Males employed in tests of locomotor activity and motor execution were left intact. Unpublished data have shown that drug
effects on these behaviors appear to be similar in intact and in
castrated, testosterone-implanted males.
Females used in tests for sexual behavior were ovariectomized
at least two weeks before use and subcutaneously injected with
estradiol benzoate (25 Ixg/rat; Sigma) 52-56 h before tests and
with progesterone (1 mg/rat; Aldrich) 4-6 h before tests. The
steroids were dissolved in corn oil and injected in a volume of 0.2
murat.
Procedure
Sexual behavior was evaluated in rectangular observation cages
(40 × 60 × 30 cm high). The male was introduced into the cage
where a receptive female had already been placed. The following
parameters of sexual behavior were registered: Mount latency,
time from introduction of the male until first mount with pelvic
thrusting; intromission latency, time from introduction of the male
until first mount with vaginal penetration; ejaculation latency,
time from the first intromission until ejaculation; postejaculatory
interval, time from ejaculation until the following intromission;
number of mounts during the test or until ejaculation; number of
intromissions during the test or until ejaculation. The mating test
was ended at the end of the postejaculatory interval or 15 min after introduction of the male if no ejaculation had occurred. This
test duration has been found adequate to detect drug effects on
sexual behavior in several studies (1, 3, 4).
Ambulatory activity was quantified in a circular arena (diameter 60 cm) surrounded by a 37.5 cm high wall. Six photocells
covered by infrared filters were located around the wall, 2.5 cm
above the grid floor. The number of photobeam interruptions during the 10 min following introduction of the male constituted the
measure of ambulatory activity. Before drug treatments, the animals were habituated to the activity cages during three 10-min
sessions, separated by at least 48 h.
Motor execution was evaluated using a treadmill (rotarod).
The animals were placed on a cylinder (diameter 16 cm) rotating
at 11 rpm. Whenever an animal fell down, it was replaced on the
cylinder. The number of falls during a 3-min test was counted.
Before experiments, animals were trained to walk on the cylinder
during a 15-min session. The animals that fell down more than 3
times during the last 5 min were eliminated.
All behavioral tests were performed between the 3rd and the
6th h of the dark period under dim white light. The procedures
used have been described in detail before (1,4).
/~GMO AND FERN/~NDEZ
Biochemicals) was suspended in the same way. Picrotoxin (Sigma) was dissolved in hot physiological saline. Bicuculline (Sigma) was dissolved in hot physiological saline to which one drop
of glacial acetic acid had been added. The solution was then cooled
and kept in ice until injection. All drugs were administered intraperitoneally in a volume of 1 ml/kg b.wt. (chlordiazepoxide,
picrotoxin and bicuculline) or 2 ml/kg b.wt. (diazepam, flumazenil and FG 7142). The interval between drug injection and behavioral observation was 30 min for chlordiazepoxide, diazepam and
flumazenil, 20 min for FG 7142 and 10 min for bicuculline and
picrotoxin.
Control treatments always consisted of the appropriate vehicle, administered the same time before behavioral observation as
the respective drug.
Experimental Design
In tests for sexual behavior, drugs were administered according to a latin square design. In that way, each animal received all
the doses of a given drug, or all combinations of drugs in a given
experiment. Upon all sessions, all doses of a drug, or all combinations of drugs, were administered to approximately equal numbers of animals. No subject was used in more than one experiment.
In tests of locomotor activity or motor execution, a counterbalanced design was used. On the first experimental session, half
of the animals in the group were given drug and the other half the
appropriate vehicle. The following session, treatments were reversed. No subject was used in more than one experiment.
Experimental sessions were separated by 7 days. This interval
should be sufficient to avoid drug effects from the previous session being carried over. Separate groups of animals were used for
sexual behavior, ambulatory activity and motor execution tests.
Statistical Analysis
Data from experiments on sexual behavior were evaluated with
the following tests: The Cochran Q-test followed by the McNemar's test for the significance of changes, or the binomial test
where appropriate, for the proportion of animals displaying mounts,
intromissions and ejaculation; Friedman's two-way ANOVA followed by the Wilcoxon matched-pairs signed-ranks test for number of mounts and intromissions; Kruskal-Wallis ANOVA followed
by the Mann-Whitney U-test for the latencies and the postejaculatory interval (these parameters were not always registered from
all animals, making the use of tests for independent groups necessary). Motor execution was analyzed with the Wilcoxon test.
Nonparametric tests were used to analyze the sex behavior and
motor execution data since the distribution deviated considerably
from normality and error variances were not homogenous. Ambulatory activity was evaluated with the t-test for repeated measures because data appeared to be normally distributed. When
several doses of the same drug was administered, the significance
level for all t-tests was corrected with the Bonferroni procedure.
All probabilities given are two-tailed.
RESULTS
Ambulatory Activity
Drugs
Chlordiazepoxide (CDP in the tables; Roche de Mexico) was
dissolved in distilled water, while diazepam and flumazenil
(Hoffmann-La Roche) were suspended in distilled water to which
two drops of Tween 80 had been added. The inverse agonist
N-methyl 13-carboline-3-carboxamide (FG 7142; Research
As can be seen in Fig. 1, both benzodiazepines caused a dosedependent reduction of locomotor activity. The antagonist fiumazenil as well as the inverse agonist FG 7142 were without effect
in the dose range employed. The GABA antagonist bicuculline
was also without effect, while picrotoxin produced a dose-dependent reduction in locomotor activity, the lowest effective dose
B E N Z O D I A Z E P I N E S A N D SEX B E H A V I O R
783
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A
15"
it
I--Z
o
tj
U.
DOSE
/
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FIG. 1. Ambulatory activity in male rats treated with benzodiazepine agonists and antagonists. N = 9-I 1 per dose. Control activity counts varied
between 131.5 - 13.13 and 217.8 ± 28.87 (mean ± S.E.). Doses in mg/
kg. O, Chiordiazepoxide; I-7, diazepam; A, flumazenil; x , FG 7142. ~ ,
Different from vehicle, p<0.05, "k'k, p<0.01.
¢o
tO
_.1
_J
o.'~
i
2
~,~
io
2'o
DOSE
being 1 mg/kg (data not shown).
The inhibitory effect o f both diazepam (1 mg/kg) and chlordiazepoxide (3.125 mg/kg) could be blocked by concurrent administration o f picrotoxin (0.5 mg/kg), by flumazenil (10 mg/kg) and
by FG 7142 (1 mg/kg), but not by bicuculline (2 mg/kg) (data not
shown). A n effort was then made to block the effects o f chlordiazepoxide (6.25 mg/kg) with picrotoxin. Neither 0.5 mg/kg nor
1 mg/kg o f the latter drug was effective (data not shown).
Motor Execution
The benzodiazepines impaired motor execution in a dose-de-
FIG. 2. Motor execution in male rats treated with chlordiazepoxide and
diazepam, and with the GABA antagonist picrotoxin. N = 10 per dose.
The number of falls in the vehicle-treated animals varied between 0 and
3. Doses in mg/kg. O, Chlordiazepoxide; [~, diazepam; A, picrotoxin. ~,,
Different from control, p<0.05, ~ ' k , p<0.01, ~ r ,
p<0.001.
pendent way, the m i n i m u m effective dose o f diazepam being 4
mg/kg and o f chlordiazepoxide 12.5 mg/kg. Picrotoxin also impaired motor execution w h e n given in a dose o f 2 mg/kg (Fig. 2).
TABLE 1
ANTAGONISM BY GABA AND BENZODIAZEPINE ANTAGONISTS OF THE EFFECTS OF CHLORDIAZEPOXIDE
(12.5 mg/kg) AND DIAZEPAM (4 mg/kg) ON MOTOR EXECUTION
Treatment
Falls/3 min
Treatment
Falls/3 min
Vehicle + vehicle
CDP + vehicle
1.0 __- 0.52
8.7 --- 1.575
Vehicle + vehicle
Diazepam + vehicle
Vehicle + vehicle
CDP + picrotoxin 0.5
3.0 - 1.18
4.4 -+ 1.28
Vehicle + vehicle
Diazepam + picrotoxin 0.5
0.1 +-- 0.1
0.9 ± 0.26
Vehicle + vehicle
CDP + picrotoxin 1
2.0 ± 0.96
0.7 ± 0.21
Vehicle + vehicle
Diazepam + picrotoxin 1
2.6 ± 0.82
3.3 ± 1.54
Vehicle + vehicle
CDP + bicuculline 1
0.3 ± 0.24
7.6 _ 1.88t
Vehicle + vehicle
Diazepam + bicuculline 1
0.6 ± 0.34
8.9 ± 2.1t
Vehicle + vehicle
CDP + bicuculline 2
0.1 ± 0.1
7.8 - 1.08t
Vehicle + vehicle
Diazepam + bicuculline 2
0.3 ± 0.24
4.0 ± 1.75"
Vehicle + vehicle
CDP + flumazenil 10
3.5 ± 1.20
4.3 ± 2.06
Vehicle + vehicle
Diazepam + flumazenil 10
1.8 ± 0.36
2.1 ± 0.48
Vehicle + vehicle
CDP + FG 7142 1
1.6 ± 1.19
5.9 ± 2.02*
Vehicle + vehicle
Diazepam + FG 7142 1
0.4 _+ 0.31
4.2 -+ 1.36"
*Different from vehicle + vehicle, p<0.05, tp<0.01, ~:p<0.001.
Ten animals per group. Data are means --- S.E. Doses in mg/kg.
3.4 - 1.09
12.5 -+ 3.33t
784
/~GMO AND FERNANDEZ
TABLE 2
PARAMETERS OF SEXUAL BEHAVIOR IN MALE RATS TREATED WITH VARYING
DOSES OF CHLORDIAZEPOXIDE
Behavior
Parameter
Mount
percentage
Intromission
percentage
Ejaculation
percentage
Mount
latency b
Intromission
latency b
Postejaculatory
intervalb
Number of
mounts
Number of
intromissions
Vehicle
CDP 3.125
CDP 6.25
CDP 12.5
CDP 25
88
94
88
315-
31 t
88
94
69
19t
6t
56
38
31
0t
6t
0.6±0.10
1.5---0.62
2.1 ---0.88
4.1 ± 1.43t
0.8 ± 0.18
3.0 ---0.90
3.8 - 0.96t
10.2 ± 2.51 #
6.2_+0.43
8.9+0.61 *
7.5-+0.51
5.5 -+ 1.6
8.7 ± 1.38
8.2 --- 1.83
1.9 -- 1.05*
0.8 ± 0.39¢
7.8±0.94
5.6±0.80
3.1 ±0.69+
0.3-0.20t
0.4-0.44t
a
2.7 + 1.70
_ a
a
*Different from vehicle, p < 0 . 0 5 , tp<0.01, aData obtained from 0--1 animal, bOnly animals that displayed
the behaviors are included.
N = 16. Data are means ± S.E. Doses in mg&g.
Bicuculline h a d no effect in d o s e s up to 2 m g / k g . H i g h e r d o s e s
were not tried, b e c a u s e o f the h i g h incidence o f c o n v u l s i o n s . F G
7142 and f l u m a z e n i l were also ineffective in d o s e s o f 5 and 10
m g / k g , respectively (data not s h o w n for these latter drugs).
T h e m o t o r i m p a i r m e n t p r o d u c e d by chlordiazepoxide (12.5
m g / k g ) a n d by d i a z e p a m (4 m g / k g ) w a s blocked by picrotoxin
(0.5 or 1 m g / k g ) , by f l u m a z e n i l (10 m g / k g ) but not by bicucul-
line (1 or 2 m g / k g ) nor by F G 7142 (1 m g / k g ) (Table 1). T h e effects o f h i g h e r d o s e s o f the b e n z o d i a z e p i n e s were not blocked by
picrotoxin (data not s h o w n ) .
Sexual Behavior
N o n e of the treatments affected ejaculation latency. This pa-
TABLE 3
PARAMETERS OF SEXUAL BEHAVIOR IN MALE RATS TREATED WITH VARYING DOSES OF DIAZEPAM
Behavior
Parameter
Mount
percentage
Intromission
percentage
Ejaculation
percentage
Mount
latency b
Intromission
latency b
Postejaculatory
interval b
Number of
mounts
Number of
intromissions
Vehicle
Diazepam
1
Diazepam
2
Diazepam
4
Diazepam
8
94
94
75
25*
25aP
81
69
56
19*
13*
56
44
31
6*
13*
2.0---0.95
2.2±0.94
3.3--- 1.21
1.7±0.36
0.7±0.56
1.1 - 0.31
2.4 - 0.82
3.6 ± 1.74
8.7 ± 1.84
5.6 ---3.28
6.4 ± 0.78
6.8 ---0.36
8.0 ± 1.09
--a
5.7 ---0.77
7.1 ± 1.08
9 . 4 ± 1.73
5.0+-- 1.05
2 . 2 ± 1.25t
3.6--- 1.98t
7.8--- 1.39
5.2--- 1.20
3.4± 1.04t
0.7±0.395-
0.6±0.435-
*Different from vehicle, p<0.05, tp<0.01, aData obtained from 1 animal, bOnly animals that displayed
the behavior are included.
N = 16. Data are means---S.E. Doses in mg/kg.
BENZODIAZEPINES AND SEX BEHAVIOR
785
TABLE 4
SEXUAL BEHAVIOR IN MALE RATS TREATED WITH CHLORDIAZEPOX/DE 12.5 mg/kg IN COMBINATION
WITH GABA AND BENZODIAZEPINE ANTAGONISTS
Behavior
Parameter
Mount
percentage
Intromission
percentage
Ejaculation
percentage
Mount
latencyc
Intromission
latency c
Postejaculatory
intervalc
Number of
mounts
Number of
intromissions
Vehicle +
Vehicle
CDP +
Vehicle
CDP +
Picrotoxin
CDP +
Bicuculline
CDP +
Flumazenil
CDP +
FG 7142
100
75
75
69
75
56*
88
25t
63
38t
63 b
38*
56
19
6t
31
13 *
1.6_+0.56
3.7_+1.01
3.1__.0.93
2.0_+0.73
2.5_+1.15
2.4_+1.02
1.5 _+0.42
4.5 +--1.23t
5.5_+ 1.52t
2.0_+ 1.13
2.1 _+0.92
7.4_+ 1.99t
5.7 _+0.46
13.4 _+2.57t
--~
8.0 _+ 1.07
9.6 --- 1.04*
7.5 _+ 1.21
5.0_+ 1.26
5.0_+ 1.41
5.4_+ 1.35
7.0_+ 1.75
6.4_+ 1.92
6.3_+0.87
0.9_+0.46t
1.1-+0.38t
1.8_+0.72t
3 . 4 + 0 . 8 4 *b
1.2_+0.44t
6t
--~
*Different from vehicle, p<0.05, t p < 0 . 0 1 . "Data obtained from 1 animal, bDifferent from CDP + vehicle, p<0.05. COnly animals that displayed the behavior are included.
N = 16. Data are means_+ S.E. The doses of the antagonists were: picrotoxin, 1 mg/kg; bicuculline, 2 mg/
kg; flumazenil, 10 mg/kg; FG 7142, 1 mg/kg.
r a m e t e r is therefore not further d i s c u s s e d n o r s h o w n in the tables.
Effects of chlordiazepoxide and diazepam. Both benzodiazepines inhibited s e x u a l b e h a v i o r in a d o s e - d e p e n d e n t fashion. T h e
proportion o f a n i m a l s displaying m o u n t s , i n t r o m i s s i o n s and ejaculation w a s reduced after chlordiazepoxide 12.5 a n d 25 m g / k g ,
and after d i a z e p a m 4 and 8 m g / k g (Tables 2 and 3). A n analysis
o f the parameters o f sexual b e h a v i o u r s h o w e d that chlordiazepoxide (3.125 m g / k g ) p r o l o n g e d the postejaculatory interval, and
chlordiazepoxide (6.25 m g / k g ) p r o l o n g e d the i n t r o m i s s i o n latency
and reduced the n u m b e r o f intromissions. A h i g h e r dose (12.5
TABLE 5
SEXUAL BEHAVIOR IN MALE RATS TREATED WITH DIAZEPAM 4 mg/kg IN COMBINATION WITH GABA
AND BENZODIAZEPINE ANTAGONISTS
Behavior
Parameter
Mount
percentage
Intromission
percentage
Ejaculation
percentage
Mount
latency b
Intromission
latencyb
Postejaculatory
intervalb
Number of
mounts
Number of
intromissions
Vehicle +
Vehicle
Diazepam +
Vehicle
Diazepam +
Picrotoxin
Diazepam +
Bicuculline
Diazepam +
Flumazenil
69
39
31
15 *
54
8t
62
31
15"
0t
39
0t
0*
0*
23
23*
0.8_+0.04
1.8_+0.57
--a
a
3.6_+1.88
--~
--~
6.0 -+ 1.33
--~
46
0*
1.6+0.49
5.0_+2.10
1.7_+0.57
1.3-+0.35
4.0_+2.34
7.3_+3.68
--~
Diazepam +
FG 7142
8.9 _+ 1.92
--a
4.0_+1.48
1.9_+0.86
2.6-+1.29
0.9_+0.58
2.6_+1.15
0.1_+0.08"
3.9_+ 1.10
0.8-+0.43t
0.8_+0.57*
0t
1.7---0.75
0t
*Different from vehicle, p < 0 . 0 5 , tp<0.01, aData obtained from 0-1 animal, bOnly animals that displayed
the behaviors are included.
N = 13. Data are means-+S.E. The doses of the antagonists were the following: picrotoxin, 1 mg/kg;
bicuculline, 2 mg/kg; flumazenil, 10 mg/kg; FG 7142, 1 mg/kg.
786
,~GMO AND FERN/~NDEZ
mg/kg) prolonged mount and intromission latencies and reduced
the number of mounts and intromissions (Table 2). Diazepam had
no effects on latencies, but 2 mg/kg reduced the number of intromissions, while higher doses reduced both the number of mounts
and intromissions (Table 3).
Effects of bicuculline and picrotoxin. Bicuculline (1 and 2 mg/
kg) lacked effect, while picrotoxin (2 mg/kg) reduced the proportion of animals displaying mounts and ejaculation, as well as the
number of intromissions. Lower doses had no effects (data not
shown).
Effects of flumazenil and FG 7142. The benzodiazepine antagonist flumazenil had no effect on sexual behavior in doses of 1
or 10 mg/kg. The inverse agonist FG 7142 had no effect in a dose
of 1 mg/kg, but produced a considerable inhibition in a dose of 5
mg/kg. The proportion of animals displaying mounts, intromissions and ejaculation was reduced. Mount and intromission latencies were prolonged, while the number of mounts was reduced
(data not shown).
Inhibition of the effects of chlordiazepoxide with GABA and
benzodiazepine antagonists. An effort was made to block the slight
inhibitory effect of chlordiazepoxide (6.25 mg/kg) with doses of
GABA and benzodiazepine antagonists which lacked effects by
themselves. It was found that the GABA antagonists inhibited the
effects of this dose of chlordiazepoxide on 1 out of 3 affected
parameters, while flumazenil and FG 7142 inhibited the effects
on 2 out of 3 affected parameters (data not shown). Since these
results were not very clearcut, although suggestive, it was decided to study the effects of the antagonists after a higher dose
of chlordiazepoxide. In an additional experiment, 12.5 mg/kg
of chlordiazepoxide was administered concurrently with the antagonists.
Table 4 summarizes the results of this experiment. Picrotoxin
inhibited the effects of chlordiazepoxide on intromission percentage, but the ejaculation percentage, not significantly reduced after chlordiazepoxide + vehicle, was now reduced. Bicuculline
inhibited the increase in intromission latency, but it reinforced the
inhibitory effect of chlordiazepoxide on ejaculation percentage.
Flumazenil blocked most of the inhibitory effects of chlordiazepoxide. Only the number of intromissions remained reduced,
although it was significantly higher than after chlordiazepoxide
+ vehicle. FG 7142 did not block any of the effects of chlordiazepoxide.
Inhibition of the effects of diazepam with GABA and benzodiazepine antagonists. When the effects of a low dose of diazepam
(2 mg/kg) were studied after concurrent administration of antagonists, very clear results emerged. Both picrotoxin and bicuculline not only failed to block the only significant effect produced
by diazepam 2 mg/kg, a reduction of the number of intromissions, but their concurrent administration also produced a reduction in the number of mounts. Diazepam had no effect at all when
combined with flumazenil, while diazepam + FG 7142 produced
effects identical to those of diazepam + vehicle (data not shown).
A higher dose of diazepam (4 mg/kg) was then administered
together with the antagonists. Again, picrotoxin and bicuculline
seemed to reinforce the effects of diazepam rather than inhibit
them. The same appeared to be the case with FG 7142. Flumazenil, however, blocked all effects of diazepam. Data are summarized in Table 5.
DISCUSSION
In agreement with previous studies in rodents and humans (7,
18, 23, 24, 38), benzodiazepines inhibited male sexual behavior.
However, these drugs do not appear to be particularly potent inhibitors of that behavior. The doses required to produce a clearcut
reduction of sexual behavior were four times those required to
reduce ambulatory activity, and sufficiently high to produce deficiencies in motor execution. They are also well above those necessary for anticonflict effects. Using the Vogel procedure (40),
we have found that 1 mg/kg of diazepam is an effective dose, as
well as 2.5 mg/kg of chlordiazepoxide (~gmo et al., unpublished
observations). It is, therefore, not likely that the anxiolytic actions of benzodiazepines are of any importance for male sexual
behavior. However, they could become of importance in stressful situations, as shown to be the case in stallions (20,21) and in
talapoin monkeys (39). In these contexts, diazepam or midazolam
were found to facilitate sexual interactions in rather low doses.
The lack of facilitatory effects in rats could suggest that sexual
interaction is not associated with stress in this species, at least
under laboratory conditions.
In order to try to block the actions of benzodiazepines on sexual behavior with GABA antagonists, it was necessary to determine the effects of these latter agents when administered alone.
We have previously reported bicuculline to be without effect in
castrated animals maintained at a low sexual activity by weekly
injections of testosterone propionate (3), while Fernandez-Guasti
et al. (12) found that an infusion of bicuculline into the medial
preoptic area stimulated sexual behavior in castrated rats shortly
after injection of a high dose of testosterone. However, in the
present studies, no stimulatory effect could be observed with
bicuculline. Picrotoxin, on the other hand, reduced sexual activity. Since the dose required to observe this effect was such as
to produce motor deficiencies, it is difficult to determine its
specificity.
The benzodiazepine antagonist flumazenil was without effect
on sexual behavior. This may suggest that possible endogenous
benzodiazepine receptor ligands do not exert a tonic inhibition of
this behavior. The inverse benzodiazepine agonist FG 7142 was
found to have multiple effects on sexual activity, including increased mount and intromission latencies when administered in a
dose of 5 mg/kg. Since this drug did not affect motor functions,
it is probable that the effect is specific to sexual behavior. Another 13-carboline, 13-carboline carboxylic acid ethyl ester, has
been found to inhibit sexual behavior in dominant talapoin monkeys (39), and the authors suggested that the anxiogenic action of
the compound could be responsible for this effect. FG 7142 has
been reported to be anxiogenic in several behavioral paradigms
(8, 27, 37). It could, therefore, be supposed that its anxiogenic
actions could be responsible for its inhibition of sexual behavior
in the male rat. However, other treatments, such as electric shock
to the skin (5,6) or frequent handling (18), which could be considered as generating anxiety, stimulate male rat sexual behavior
instead of inhibiting it. Until further studies have been performed,
it is not possible to determine the exact mechanism of action of
FG 7142.
An additional difficulty in interpreting the effects of FG 7142
stems from the fact that its actions are similar to those of benzodiazepine agonists and of picrotoxin. It appears that most modifications of the GABA/benzodiazepine system impair sexual behavior.
This can be due to multiple actions of these systems at multiple
sites within the central nervous system. For example, it has been
proposed that 13-carbolines preferentially bind to the benzodiazepine type I receptor, while diazepam and chlordiazepoxide have
similar affinities for both type I and type II receptors (36). Moreover, the distribution of the receptor types appears to be uneven
(30). Differential actions at specific sites could perhaps explain
the observation that FG 7142 has actions similar to those of diazepam and chlordiazepoxide.
In order to elucidate the exact functions of the benzodiazepines,
it may be necessary to infuse drugs at specific brain sites and
employ receptor-specific drugs. Until this has been done, it would
be premature to speculate about the localization of the effects and
BENZODIAZEPINES AND SEX BEHAVIOR
787
the involvement of particular benzodiazepine receptor types.
The role of GABA in the behavioral actions of benzodiazepines has been much discussed [for reviews see (33-35)]. The
present data show that the effects of both diazepam and chlordiazepoxide on ambulatory activity and motor execution cannot be
blocked by the GABA-A antagonist bicuculline. Picrotoxin, however, blocked the benzodiazepine actions on both ambulatory activity and motor execution. This is in agreement with previous
reports (13). It is important to note, though, that the blocking capacity of picrotoxin is dependent on benzodiazepine dose. Complete inhibition of the effects of chlordiazepoxide (3.125 mg/kg)
on ambulatory activity was observed with picrotoxin (0.5 mg/kg).
The effects of a higher dose of chlordiazepoxide (6.25 mg/kg)
could not be blocked by picrotoxin in any dose tried. The antagonism by picrotoxin of benzodiazepine actions on motor execution also seemed to be dose-dependent. Both 0.5 and 1 mg/kg
blocked the effects of chlordiazepoxide (12.5 mg/kg) and of diazepam (4 mg/kg). However, the effects of chlordiazepoxide (25
mg/kg) and of diazepam (8 mg/kg) could not be blocked by picrotoxin. In order to evaluate a possible interaction between benzodiazepines and GABA it therefore seems necessary to use an
extensive range of doses of both kinds of drugs.
The actions of the benzodiazepines on sexual behavior could
be indirect, their primary effect being on motor execution. It has
previously been proposed that sexual behavior is impaired whenever motor execution is impaired (4). However, when the benzodiazepines were administered together with picrotoxin in doses
such that actions on motor execution were antagonized, the effects on sexual behavior persisted. It can, therefore, be proposed
that the inhibitory actions of benzodiazepines on sexual behavior
are not solely a consequence of motor deficiencies.
Even though the GABA antagonist picrotoxin blocked motor
effects of the benzodiazepines, at least under some conditions,
the drug was, as mentioned, unable to block their actions on sexual behavior. It could be argued, of course, that the dose of picrotoxin was not sufficiently large to effectively antagonize
enhanced GABAergic neurotransmission. This is unlikely, however, since even half the dose used in studies of sexual behavior
was sufficient to antagonize benzodiazepine actions on motor execution.
Rather than antagonizing the effects of the benzodiazepines on
sexual behavior, the GABA antagonists seemed to reinforce them.
There is no explanation available for this at present, and the importance of this observation can only be determined by further
studies. Nevertheless, it was not possible to obtain any definite
evidence for GABAergic mediation of benzodiazepine effects on
sexual behavior. A similar conclusion was reached with regard to
the hyperphagia induced by chlordiazepoxide (32). Indeed, it appears that GABA involvement in anticonvulsive and motor effects
of benzodiazepines is probable (14), whereas the evidence is
equivocal for other benzodiazepine actions (33,35). It is important to observe that not all GABA receptors are associated with
benzodiazepines, and that not all benzodiazepine receptors are
associated with GABA (15,16). This affords a structural basis for
the proposal that benzodiazepine action on sexual behavior may
be independent of GABAergic mechanisms. There is, indeed,
quite a lot of evidence showing that several other actions of the
benzodiazepines do not depend on GABA systems [reviewed in
(28)]. The fact that the benzodiazepine antagonist flumazenil inhibited most effects of the benzodiazepines on motor functions
and on sexual behavior provides evidence for a specific action
on benzodiazepine receptors.
FG 7142 inhibited the actions of benzodiazepines on ambulatory activity, but not those on sexual behavior or motor execution. This can be due to the relatively low dose used in these
experiments (1 mg/kg) in relation to the high doses of benzodiazepines. However, a higher dose could not reasonably be employed, since it had effects by its own on sexual behavior.
To summarize, the present data show that benzodiazepines inhibit sexual behavior in the male rat, and offers evidence suggesting that this inhibition is not only a consequence of motor
impairment. While a role of GABA in the motor effects of the
benzodiazepines could be demonstrated, no such evidence was
found regarding their actions on sexual behavior.
ACKNOWLEDGEMENTS
Financial support was received from the Universidad Anahuac. Chlordiazepoxide was generously supplied by Dr. Juan Barrera of Roche de
Mexico, and diazepam and flumazenil by Drs. H. Gutmann and E. Kyburz of F. Hoffmann-La Roche, Switzerland. The technical assistance of
Mr. Ramon Perez and Ms. Maria Teresa Hernandez is gratefully acknowledged.
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