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Paroxetine Triggers Inflammatory State on Zebrafish Early Embryonic Development.
Elena Maria Scalisi1, Agata Scalisi1, Stefania Indelicato1
1Department of Biological, Geological and Environmental Science, University of Catania, 95124 Catania, Italy.
Life (Basel, Switzerland)
|October 29, 2025
Summary
Paroxetine (PRX) exposure during development causes larval inflammation and reduced acetylcholinesterase activity, indicating neurotoxic effects. Further warnings are needed for pregnant women using this antidepressant.
Area of Science:
- Environmental toxicology
- Developmental biology
- Neuroscience
Background:
- Paroxetine (PRX) is a widely used antidepressant, often prescribed during pregnancy.
- Increased environmental paroxetine levels raise concerns about unintended embryonic exposure.
- The impact of PRX on early embryonic neurodevelopment remains understudied.
Purpose of the Study:
- To investigate the toxicological effects of paroxetine on early embryonic development.
- To assess the impact of PRX on the embryonic brain and associated biomarkers.
Main Methods:
- Utilized the Zebrafish Embryo Toxicity Test (ZFET) to expose Danio rerio embryos to varying concentrations of PRX (1, 10, 100 μg/L).
- Assessed embryonic development, larval heart rate, inflammatory markers (ROS, apoptotic cells), and acetylcholinesterase activity via immunofluorescence.
Main Results:
- Paroxetine exposure did not impede overall embryonic development.
- Larvae exposed to PRX exhibited adverse effects, including cardiac irregularities and inflammation.
- Significant reduction in acetylcholinesterase activity was observed in paroxetine-exposed larvae, particularly in the head region.
Conclusions:
- Paroxetine can penetrate the developing nervous system during embryogenesis.
- Observed neurotoxic effects, including reduced acetylcholinesterase activity, suggest potential risks to embryonic neurodevelopment.
- The findings support the need for increased caution regarding paroxetine use during pregnancy.

