Arch. Environ. Contam. Toxicol. 52, 163–170 (2007)DOI: 10.1007/s00244-005-7190-7
Effects of Pharmaceuticals on Aquatic Invertebrates. Part II: The AntidepressantDrug Fluoxetine
Department of Aquatic Ecotoxicology, J.W. Goethe-University Frankfurt am Main, Siesmayerstrasse 70, D-60054 Frankfurt, Germany
Received: 27 July 2005 /Accepted: 2 May 2006
Abstract. Fluoxetine, a selective serotonin reuptake inhibitor
This is of concern because some residues have been detected
antidepressant and high-prescription-volume drug, is excreted
in drinking water (Ternes 2000). Although most of these
unchanged or as a glucuronide from the human organism.
compounds occur in surface waters in the nanogram-per-liter
Little is known about its fate in sewage treatment plants. Ef-
range, hazards for aquatic biota cannot be excluded because of
fects of fluoxetine on life-cycle parameters of the midge
high biological activity. This has been demonstrated for
Chironomus riparius, especially development (mean emer-
endocrine active pharmaceuticals such as ethinylestradiol,
gence time), emergence, sex ratio, and fecundity, were as-
which already affects aquatic wildlife at concentrations be-
sessed, as well as effects on reproduction of the oligochaete
tween 1 and 10 ng/L (Jobling et al. 2004) and particularly fish
Lumbriculus variegatus and of the freshwater mudsnail
populations, even in the subnanogam-per-liter range (Young
Potamopyrgus antipodarum. Due to the moderate lipophilic
et al. 2002). Because the active ingredients of many drugs are
properties of the compound with a log POW of 4.05, C. riparius
quite stable, they persist in the environment and are hardly
and L. variegatus were exposed to fluoxetine via spiked arti-
changed during sewage treatment. Such is the case for
ficial sediment at a nominal concentration range between 0.15
the antiepileptic agent carbamazepine, of which only 7% is
and 5.86 mg/kg (dry weight). Additionally, a test was
eliminated by sewage treatment, and the lipid-lowering agent
performed exposing P. antipodarum via water in a nominal
clofibric acid, persistent with a half-life-time (DT50) greater
concentration range between 0.64 and 400 lg/L. As endpoints,
than 365 days (Ternes 1998). Despite the widespread occur-
emergence rate and timing, sex ratio, clutch numbers and
rence of pharmaceuticals, chronic ecotoxicological effect data
clutch size of the midges, the number of worms in the oligo-
are sparse (Kolpin et al. 2002; Ternes 1998; Tixier et al. 2003).
chaete test, as well as the number of embryos in the snail test
In the present study, part of a project assessing the envi-
were monitored. For C. riparius, no clear substance-related
ronmental impact of a range of pharmaceuticals, the effects of
effects were observed; for L. variegatus, the results indicated a
the antidepressant drug fluoxetine on the freshwater mudsnail
slight increase in reproduction, which was statistically signif-
Potamopyrgus antipodarum, the nonbiting midge Chironomus
icant at nominal fluoxetine concentrations of 0.94 and 2.34
riparius, and the oligochaete Lumbriculus variegatus were
mg/kg. In P. antipodarum, the antidepressant reduced repro-
assessed. Ecotoxicological research on drugs such as fluoxe-
duction significantly. No observed effect concentration
tine is important because they are prescribed in large amounts.
(NOEC) and 10% effect concentration (EC10) were determined
Schwabe and Paffrath (2004) reported that 23.1 million De-
to be 0.47 and 0.81 lg/L, respectively, based on measured
fined Daily Doses were prescribed in 2003 in Germany,
fluoxetine concentrations in water. These low values indicate
reflecting a total amount of 4.62 tons. In the United States,
that P. antipodarum and possibly other aquatic mollusks are
fluoxetine was widely prescribed after its introduction in 1988
sensitive to fluoxetine and that the drug might pose a risk to
under the brand names of ProzacÒ and SarafemÒ. It was soon
advertised in the lay press and, according to Olfson et al. (1998), is often used without any medical necessity, as alifestyle drug. Medawar (1994) stated that annual sales ofProzac exceeded 1.2 billion US dollars in 1994. Prescriptionamounts continued to increase after less costly generic prod-
During the last 10–15 years, an increasing number of phar-
ucts became available (Schwabe and Paffrath 2004) and it is
maceutical residues have been detected in the aquatic envi-
often used for the treatment of maladies other than depression
ronment (Sattelberger 1999; Ternes 1998; Tixier et al. 2003).
(Barondes 1994). Fluoxetine is excreted 20–30% unchanged;the rest is excreted as fluoxetine glucuronide and norfluoxe-tine, the active metabolite (Hartke and Mutschler 1993). Theparent compound can be reactivated in wastewater treatment
plants by cleavage of the glucuronides (Mçhle et al. 1999).
Fluoxetine has previously been detected in the environment.
Metcalfe et al. (2003) found quantities up to 0.099 lg/L in the
The midge, C. riparius, usually breeds within 24 h after emergence.
Little River (Canada) below a sewage treatment plant. Kolpin
Females extrude gelatinous egg clutches containing approximately
et al. (2002) reported fluoxetine levels up to 0.012 lg/L in US
400 eggs into the water and the larvae hatch after 2–4 days. After four
streams. Weston et al. (2001) estimated fluoxetine concen-
instar stages, they molt to a pharate pupa and emerge.
trations of 0.54 lg/L in sewage treatment plant effluents.
The oligochaete L. variegatus is a common subject for sediment
toxicity tests (Egeler et al. 1997; Leppänen and Kukkonen 1998;
Because of its serotonergic action, fluoxetine can influence
Phipps et al. 1993; West and Ankley 1998) and thus recommended by
the reproductive behavior of mollusks (Hecker 2004). Several
the American Society for Testing and Materials (ASTM) as a standard
studies have shown that spawning and oocyte maturation is
organism to be used in bioaccumulation and sediment studies (ASTM
directly controlled by serotonin in several taxa of this phylum
(Fong et al. 1994; Fong 1998; Hirai et al. 1988, Krantic et al. 1991, Ram et al. 1993). Exogenous application of serotonin aswell as fluoxetine to Dreissena polymorpha induced spawning
Fifty-Six-Day Water Test with P. antipodarum
(Fong et al. 1993, 1996, 1998; Ram et al. 1993). The lowestobserved effect concentration (LOEC) of 0.155 mg fluoxetine/
Sexually mature snails of the prosobranch P. antipodarum (shell
L for male mussels and 1.55 mg/L for female mussels has been
height >3.7 mm) were exposed to fluoxetine via water at a nominal
concentration of 0.64, 3.2, 16, 80, and 400 lg/L. For each concen-
We assessed the effects of fluoxetine on the mudsnail
tration and the control, three replicates were used. The experiment
P. antipodarum to investigate whether representatives of
was conducted in a semistatic system with complete renewal of the
different mollusk classes react in a similar way. Recent re-
test medium every 48 h. The snails were kept in 1-L Erlenmeyer
ports have dealt with the effects in bivalve mollusks. Mud-
flasks at 16 € 1°C and a light–dark rhythm of 16:8 h. All snails were
snails have proved to be sensitive test organisms in several
fed with ground TetraPhyllÒ daily ad libitum. At the beginning of the
studies (Duft et al. 2003a, 2003b; Schulte-Oehlmann 1997;
experiment (day 0), 80 snails per replicate were exposed to fluoxetine
Schulte-Oehlmann et al. 2001). Additionally, Brooks et al.
in the test vessels. The number of embryos (differentiated by indi-
(2003) detected effects of fluoxetine on the midge Chirono-
viduals with and without a shell) of 20 individuals per replicate in thebrood pouch of each maternal snail was determined at days 14, 21, 28,
mus tentans. For this reason we assessed effects via sediment
and 56. To count the embryos, the maternal snails were anesthetized
exposure on the sediment-dwelling organisms Chironomus
in MgCl2 (2.5%), and the shell was broken (for details, cf. Duft et al.
riparius and Lumbriculus variegatus. Because sediments can
serve as a repository for many toxic compounds (Fiedler andRçsler 1993; Loeffler 2003), this study was designed toinvestigate whether representatives of the benthic biological
Twenty-Eight-Day Sediment Tests with C. riparius and
community are affected by fluoxetine when exposed via
spiked sediments. Because fluoxetine has a log POW of 4.05,its water solubility is not high. Therefore, accumulation in thesediment is likely.
The sediment tests were performed according to the OECD Guide-line 218 (OECD 2004) except that kaolin was not mixed into thesediment and ground leaves were used instead of peat moss ascarbon sources. Quartz sand was purchased from Quarzwerke Fre-
chen (Germany). The grain size of test sediments was as follows:90–125 lm, 1%; 125–180 lm, 27%; 180–250 lm, 57%; 250–355 lm, 14%; 355–500 lm, 1%. For the Lumbriculus assay, 1.6%
(dry weight [dw]) pulverized alder leaves (Alnus glutinosa) wereused as the carbon source. In the experiment with C. riparius, 0.5%
Fluoxetine (CAS 54910-89-3) was purchased as fluoxetine hydro-
(dw) pulverized leaves of stinging nettle (Urtica dioica) and alder
chloride from Alltech Associates Inc. (State College, PA, USA).
(Alnus glutinosa) were added. Thus, it was not necessary to feed the
Relevant physical and chemical properties are as follows: chemical
animals during the experiments. The total content of organic carbon
purity >99%, water solubility = 38.4 mg/l at 25°C, log KOW = 4.05,
in the sediment, per beaker, was 1.36% for L. variegatus and 0.85%
and vapor pressure = 8.9E-007 mm Hg (25°C).
for C. riparius. In both assays, the light regime was 16:8 h light:dark
The compound exerts its effects by raising the serotonin level by
(light intensity 500–1000 lux) and the temperature was 20 € 1°C.
means of inhibiting neuronal and muscle 5-hydroxytryptamine (5-HT)
For the life-cycle test with C. riparius, the artificial sediment was
receptors, thereby increasing the serotonergic synaptic action. It is
spiked with fluoxetine in the following concentrations: 0.15, 0.38,
mainly used for depression treatment and against premenstrual dis-
0.94, 2.34, and 5.86 mg/kg, expressed on a dry-weight basis. The
orders (Wong et al. 1995). Because the drug also has tranquillizing
concentrations are referred to as treatment 0.15, 0.38, 0.94, 2.34, and
and mood-lightening effects, it is often used for the treatment of
5.86, respectively. The experiments were conducted in 600-ml glass
nongenuine depression (Olfson et al. 1998).
beakers measuring 9 cm in diameter. The beakers contained 1 cm ofartificial sediment corresponding to a total of 100 g dw, coveredwith 400 ml reconstituted water (Oetken et al. 2005). As fluoxetineis easily soluble in water, no solvent was needed for spiking. A
stock solution of 4.91 mg fluoxetine hydrochloride in 100 ml de-ionized water was prepared. From this solution, the necessary
All tests were conducted as part of a diploma thesis (Hecker 2004). The
amount of fluoxetine was removed and diluted in 30 ml reconsti-
organisms used were the same as described by Oetken et al. (2005).
tuted water. The sediment was soaked with this solution and left
P. antipodarum is a small freshwater snail with shell heights up to 6
overnight to dry. After complete drying, 400 ml reconstituted water
mm. The snails feed on plants and detritus. Due to parthenogenecity,
were added without disturbing the sediment. Due to the low vapor
European populations consist almost exclusively of females.
pressure of fluoxetine, it is unlikely that a significant amount of the
Effects of Fluoxetine on Aquatic Invertebrates
Table 1. The 56-day reproduction test with P. antipodarum
Measured concentrations of fluoxetine and norfluoxetine directly and 24, 48, and 72 h after a change of test medium [detection limit in water:1 lg/L; therefore, the lowest concentration (0.64 lg/L) was not detectable (n.d.)]. Data from Hecker (2004).
substance evaporated while drying. All tests were run with four
ment samples were centrifuged; the samples were then mixed with
replicates, including a control. In each beaker, a glass Pasteur pipette
100 ml methanol and extracted in an ultrasonic bath for 10 min. The
was fixed 2–3 cm above the sediment layer for gentle aeration. After
the end of the equilibration period, 20 first-instar larvae were placedrandomly in each test beaker. Emergence and sex ratio were re-corded daily and emerged adults were removed. All midges fromone treatment were collected in a glass aquarium in which a water
beaker was placed. The number of clutches and the clutch size(number of eggs per clutch) were counted as additional end points
Statistical analysis was performed using GraphPad Prism 4.0 for
next to the percentage of emerged midges, the mean emergence time
Windows (GraphPad Software, San Diego, CA). The no observed
(EmT50) (i.e., the time at which 50% of the midges emerged), and
effect concentration (NOEC)/LOEC values were determined by
analysis of variance (one-way analysis of variance [ANOVA]) fol-
The reproduction test with L. variegatus was conducted using 500-
lowed by DunnettÕs post hoc test. In case of non-Gaussian distribution,
ml glass beakers that measured 8 cm in diameter and were covered by
a Kruskal–Wallis test with DunnÕs post hoc test was used. Effects
a plastic screw cap (Oetken et al. 2005). Each beaker was filled with
concentrations (EC(x)) concentrations were calculated using a
40 g dw artificial sediment and 200 ml reconstituted water. In this
LogNorm or Weibull nonlinear regression model (Kusk 2003).
experiment, the same fluoxetine concentrations were used as in the
Differences in EmT50 values were analyzed according to Sprague and
experiment with C. riparius. Ten worms of the same developmental
status were randomly inserted in each test beaker. For aeration, a glassPasteur pipette was fixed with the plastic cap 0.5 cm above the sed-iment layer. At the end of the test, the worms were removed from thesediment and the number of worms as well as their biomass (dry
weight) were recorded as end points.
Table 1 summarizes the measured fluoxetine and norfluoxe-tine concentrations in the P. antipodarum assay directly after
The chemical analysis was performed by Medizinisches Labor Bre-
the changing and spiking of the test medium (0 h) and 24, 48,
men GmbH. Water samples were taken directly after placing the snails
and 72 h after a water change. Because the detection limit was
in fresh test medium and 24, 48, and 72 h after changing the test
1 lg/L, water from the 0.64-lg/L exposure group was not
medium. They were shipped to the analyzing laboratory in glass
analyzed. The data show that concentrations did not vary
bottles without being frozen. Samples were mixed with the internal
exorbitantly during the cycle. Thus, snails were exposed to a
standard Perphenazin, then diluted in a 1:8 ratio and injected into a
relatively constant concentration of fluoxetine in the assay.
high-performance liquid chromatography (HPLC) system. The ana-
The rate of recovery after an exposure of 72 h was between
lytes were separated using a HPLC column (Chromolith Speed ROD
62.5% (3.2 lg/L) and 86.3% (400 lg/L). Due to a mean flu-
C18 5 lm, 50 · 4.6 mm;, VWR/Merck). The mobile phase, a mixtureof acetonitrile and 5 mM acetic acid (36:64 v/v), was adjusted with
oxetine recovery rate of 73.4% in water, the concentration of
ammonia to pH 3.9. The flow rate was 1 ml/min. Subsequently, the
the lowest treatment can be estimated at 0.47 lg/L. Table 2
analyte was analyzed with a tandem mass spectrometer (ABI 4000
shows that the recovery rates of fluoxetine are low when
Mass Spectrometer; Applied Biosystems) turbo ion spray interface
sediment was used in the tests (C. riparius assay). The con-
using a positive multiple reaction monitoring (MRM) mode. At a
centration in the water samples of the treatments varied from
retention time of 2 min, separation of the fluoxetine molecule ion
<1 to 130 lg/L. The fluoxetine concentration of the sediment
occurred at 310.1 m/z and at 148.1 m/z for the fluoxetine fragment ion.
samples ranged from 53 to 1120 lg/kg. Thus, between 18.1%
Given a retention time of 1.8 min, the values were 296.1 m/z and
(2.34 mg/kg) and 35.3% (0.15 mg/kg) of the nominal con-
134.1 m/z, respectively. In the analysis, the fragment ions were de-
centrations could be detected analytically.
tected and quantified. Validation data from the laboratory were as
On day 28, a decrease of fluoxetine in both water and
follows: In a linear array of 5–500 ll/min, the detection limit was1 lg/L for water samples and sediment extracts. The serial precision
sediment samples associated with a slight increase of the main
was 11.4% and the recovery rate was 111%. Water samples were
metabolite norfluoxetine was observed. Measured initial flu-
filtered before analysis and directly measured. Before analysis, sedi-
oxetine concentrations between 8.7% and 16.8% were still
Table 2. Life-cycle test with C. riparius
Measured concentrations in sediment (mg/kg)Control
Measured concentrations in water (lg/l)Control
Detected concentrations of fluoxetine (FLX) and its metabolite norfluoxetine (NFL) in water and sediment at day 0 and day 28 (detection limit:1 lg/L in water and 1 lg/kg dw in sediment; n.d. = not detectable). Data from Hecker (2004).
present in the sediments. The low recovery might be due to
action of the neurotransmitter serotonin (5-HT) by raising
strong adsorption or covalent binding between substance and
serotonin concentrations in the synaptic cleft. A range of ef-
sediment. If such a covalent binding did occur, the bound part
fects on aquatic invertebrates, mainly mollusks and arthropods,
of the analyte would not have been detected in the analysis by
caused by 5-HT and antidepressants has been reported (Avila
et al. 1996; Fong et al. 1998). Fong (1998) performed labo-ratory experiments with the zebra mussel Dreissena poly-morpha to determine the effects of some antidepressants. After
Fifty-Six-Day Water Test with P. antipodarum
fluoxetine application, spawning was observed in both sexes. The LOEC was 155 lg/L for male mussels and 1.5 mg/L for
Potamopyrgus antipodarum has been shown to be a suitable
female mussels. Honkoop et al. (1999) confirmed these results
test organism for toxicity testing (Duft et al. 2003a, 2003b;
for a marine bivalve species, Macoma balthica, at a fluoxetine
Oetken et al. 2005; Schulte-Oehlmann 1997). In this investi-
concentration of 1 mg/L. In gastropods, spawning was not
gation, the snails were used to evaluate the reproductive tox-
reported after application of fluoxetine, but a SSRI-induced
icity of fluoxetine in an aqueous exposure assay. From the
cilia-driven rotational behavior of embryos in the freshwater
beginning of the assay, almost all snails exposed to the highest
gastropod Physa elliptica was observed at nominal fluoxetine
level of fluoxetine were immobile on the bottom of the test
concentrations of 309 lg/L and 3.09 mg/L (Uhler et al. 2000).
beaker. A small percentage of the snails recovered and began
Avila et al. (1996) found an increased metamorphosis success
grazing on food after a few days. Up to 70 of the 80 snails per
in laboratory cultures of the nudibranch Hermissenda crassi-
replicate remained immobile, and at day 56, 100% mortality
cornis at serotonin concentrations of 1.76 and 17.6 mg/L. EC10
occurred in all replicates exposed to the highest fluoxetine
and NOEC values determined here show that effects of fluo-
level. The embryos in the dead snails, if present, were counted.
xetine can occur at much lower concentrations than have
At the first evaluation on day 14, a significant reduction of the
mean embryo number was detected at nominal concentrationsof 80 and 400 lg/L, following a concentration response curve(Figure 1A). This reduction was detected over the whole
Twenty-Eight-Day Sediment Test with C. riparius
exposure time. At day 56, the three highest fluoxetine treat-ment levels significantly reduced reproduction in P. anti-
As shown in Table 3, fluoxetine had no effect on emergence
podarum (Figure 1C). The number of embryos without a shell
except at the highest exposure level (5.86 mg/kg dw). Brooks et
was already significantly reduced at measured fluoxetine
al. (2003) evaluated the potential aquatic toxicity of fluoxetine
concentrations of 11.5 lg/L (Figure 1B, p < 0.001) and
using the arthropods Ceriodaphnia dubia and C. tentans.
2.25 lg/L (Figure 1D, p < 0.001) at days 28 and 56, respec-
Fecundity of the crustacean was decreased at a concentration of
tively, resulting in a NOEC of 0.47 lg/L and an EC10 of
223 lg/L fluoxetine. In a 10-day sediment toxicity test with
0.81 lg/L, based on measured concentrations, at day 56.
C. tentans, a LC50 of 15.2 mg/kg dw was found (Brooks et al.
Therefore, the endpoint—embryos without a shell—was more
2003). A significant reduction in the growth of C. tentans oc-
sensitive to fluoxetine than the total number of embryos.
curred already at a LOEC of 1.3 mg/kg. If the reduction in
Selective serotonin reuptake inhibitors (SSRIs) increase the
emergence of C. riparius is due to fluoxetine, the LOEC found
Effects of Fluoxetine on Aquatic Invertebrates
day 28 total number of embryos (mean day 28 number of embryos without shell (mean fluoxetine concentrations [µg/L] fluoxetine concentrations [µg/L]
Fig. 1. The 56-day reproductiontest with P. antipodarum. Total
number of embryos (A, C) andnumber of embryos without a shell
days (mean € SD). Asterisksindicate significant differences
compared to the control (Kruskal–Wallis test with DunnÕs post
day 56 total number of embryos (mean day 56 number of embryos without shell (mean
hoc test: *p < 0.05, **p < 0.01, ***p
fluoxetine concentrations [µg/L] fluoxetine concentrations [µg/L]
Table 3. Life-cycle test with C. riparius
Mean emergence (€ SD), sex-specific mean emergence times (EmT50), clutch size (eggs per clutch), and numbers for all treatments (one-wayANOVA with DunnettÕs post hoc test, *p < 0.05; **p < 0.01). Data from Hecker (2004).
in our experiment would be 1.12 mg/kg, based on measured
Twenty-Eight-Day Sediment Test with L. variegatus
values, and thus at a comparable concentration to that reportedby Brooks et al. (2003) for C. tentans. Regarding the EmT50 of
Fluoxetine effects on reproduction in L. variegatus resemble
both males and females, no differences between the control and
an inverted U-shaped concentration–response curve (Table 4
the treatments were observed. Egg clutches exposed to the
and Figure 2). Starting at the lowest fluoxetine concentration,
highest fluoxetine concentration contained significantly more
the total number of worms increases, compared to the control.
eggs than the control (Table 3). However, because this effect
For the treatments 0.94 mg/kg dw and 2.34 mg/kg dw, sig-
occurred at only one treatment level, the data do not allow
nificantly more worms were found (18.8 and 16.5, respec-
conclusions to be drawn about possible effects of fluoxetine on
tively). At the highest exposure level, the mean number of
reproduction in C. riparius. The increased number of eggs at
worms was lower (15.3). The mean number of juvenile worms
the highest exposure level could be due to an enhanced egg cell
showed the same tendency as the total numbers, with signifi-
proliferation rate. Williams and Herrup (1988) showed that
cantly more worms than at 0.94 mg/kg dw. This could indicate
fluoxetine could accelerate cell proliferation. Therefore, the
a stimulating effect on reproduction of L. variegatus at low
increased clutch size could be due to fluoxetine. Further
concentrations of fluoxetine, possibly caused by an increased
experiments at higher concentrations would be necessary to
division rate in the worms. However, because the reproduction
confirm a potential reduced emergence and increased clutch
rate in the control is low, this potential effect needs verifica-
size. However, higher sediment concentrations of fluoxetine
than employed in our study are beyond environmental
The observation could be explained either by a specific
effect on reproduction or by an unspecific stimulation of
Table 4. Number of worms in the 28-day sediment test with L. variegatus
Data given as mean € SD. One-way ANOVA with DunnettÕs post hoc test: *p < 0.05; **p < 0.01. Data from Hecker (2004).
L. variegatus. This might be due to a higher reproduction ratewith exclusively asexual reproduction under laboratory con-ditions (Brust et al. 2001). Accelerated proliferation could lead
to more and faster division of the worms. Because the test didnot match the validity criterion of a minimum of 20% repro-
duction in the controls, proposed by Egeler et al. (2005), theresults need confirmation in further experiments. In these as-says, use of the sediment mixture proposed by Egeler et al.
(2005) should be considered. When repeating the experiments,
worms (mean
mixtures with and without kaolin should be compared to
day 28 total number of
determine the influence of kaolin on the bioavailability offluoxetine. fluoxetine concentrations [mg/kgdw]
Environmental Risk Assessment of Fluoxetine
The European Agency for the Evaluation of Medicinal Prod-ucts (EMEA) has proposed a scheme for environmental riskassessment (ERA) for pharmaceuticals (EMEA 2005), based
on a two-phased, tiered assessment concept. Phase I consists of
a crude initial predicted environmental concentration assess-ment of the substance in surface water (PECsw). If the PECsw is
below 0.01 lg/L, no testing or evaluations will be requiredunless the compound exhibits specific modes of action such asendocrine activity. If the PECsw is above 0.01 lg/L, a Phase II,
worms (mean
Tier A environmental effect analysis should be performed. day 28 number of juvenile
Metcalfe et al. (2003) investigated surface water of the LittleRiver (Canada), measuring mean fluoxetine concentrations of
0.099 lg/L near a sewage treatment plant. Kolpin et al. (2002)
reported a median fluoxetine concentration of 0.012 lg/L in
fluoxetine concentrations [mg/kg dw]
American streams, indicating that the threshold value forPhase II analyses according to EMEA (2005) is exceeded by
Fig. 2. The 28-day reproduction test with L. variegatus. Total number
of worms (A) and number of juvenile worms (B) after 28 days
In the present study, the ratio between predicted environ-
(mean € SD). Asterisks indicate significant differences compared to
mental concentration and predicted no effect concentration
the control (one-way-ANOVA with DunnettÕs post hoc test: *p < 0.05,
(PEC/PNEC) is 1.48, indicating a risk to the population level.
**p < 0.01; C = control). Data from Hecker (2004)
The calculation is founded on an EC10 of 0.81 lg/L (based on
physiological parameters in the sense of a general stress re-
measured concentrations) for reproduction in P. antipodarum
sponse. In the latter case, fluoxetine would not directly affect
with an assessment factor of 100 (EU 2003) and using the
reproductive mechanisms, but would constitute a stressor for
median fluoxetine concentrations of 0.012 lg/L from Kolpin
which L. variegatus compensates with increased reproduction.
et al. (2002) as the PEC. The use of the assessment factor 100
This explanation is not likely due to the declining reproduction
according to EU (2003) is warranted because all test organisms
rate at the highest fluoxetine concentration. Because annelids
in the present study represent one trophic level (consumer).
have serotonergic neurons (Hessling et al. 1999), an increased
Based on this calculation, it is likely that the drug poses a risk
serotonin level might have specific effects on the test organ-
to the survival of gastropod populations in the field. Sebastine
ism. Furthermore, because serotonin acts as a mitogenic factor,
and Wakeman (2003) quoted a PEC/PNEC ratio of 14.2 for
fluoxetine might lead to an enhanced proliferation rate in
fluoxetine, one order of magnitude higher. This supports the
Effects of Fluoxetine on Aquatic Invertebrates
evaluation of fluoxetine as an environmentally relevant sub-
Fong PP, Wall DM, Ram JL (1993) Characterization of serotonin
stance. Significant effects on reproduction as a population-
receptors in the regulation of spawning in the zebra mussel
relevant end point occurred at a measured concentration of
Dreissena polymorpha (Pallas). J Exp Zool 267:475–482
2.25 lg/L (nominal concentration = 3.2 lg/L). In the field,
Fong PP, Duncan J, Ram JL (1994) Inhibition and sex specific
induction of spawning by serotonergic ligands in the zebra
other stress factors act on a population, and in this way, toxic
mussel Dreissena polymorpha (Pallas). Experientia 50:506–
compounds might affect wildlife populations at even lower
concentrations than in the laboratory.
Fong PP, Deguchi R, Kyozuka K (1996) Serotonergic ligands induce
spawning but not oocyte maturation in the bivalve Mactra chin-ensis from Central Japan. Biol Bull 191:27–32
We thank Gabi Elter for excellent technical
Fong PP, Huminski PT, DÕUrso LM (1998) Induction and potentiation
assistance, the Center of Environmental Research (ZUF) at the Uni-
of parturition in fingernail clams (Sphaerium striatinum) by
versity Frankfurt am Main for financial support, and two anonymous
selective serotonin re-uptake inhibitors (SSRIs). J Exp Zool
reviewers for their valuable comments. Many thanks also to Karen
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MICROBIOLOGY: Triple-Threat Microbe Gained Powers From Another Bug Dan Ferber Science 2003: 302 The long-dreaded superbug surfaced on a summer Friday in 2002. The new strain of Staphylococcus aureus , cultured from foot ulcers on a diabetes patient in a Detroit dialysis center, had developed resistance to vancomycin, one of the few antibiotics left that reliably kills staph. Doctors
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