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. 2019 Jun 19;17:112. doi: 10.1186/s12916-019-1346-1

Table 1.

Studies of second-generation antipsychotics and microbiota in rodents

Cohort description Drug(s) Microbial taxonomy alterations Microbial diversity alterations Host metabolic alteration Country Reference
Rats (treated in high/low doses vs. control) Olanzapine Firmicutes ↑, Bacteroidetes↓, Proteobacteria↓, Actinobacteria↓ (in female rats only) Diversity ↓

In females:

Weight gain in females, rise in food intake, increased liver size, increased visceral fat.

In males and females:

Increased visceral fat, increased macrophage infiltration to adipose tissue, decreased locomotion

Ireland [42]
Rats (treated vs. control) Olanzapine Firmicutes ↑, Bacteroidetes ↓, Proteobacteria Rapid weight gain, increased visceral fat, increased macrophage infiltration to adipose tissue, increased free fatty acids in plasma. Ireland [95]
Rats (treated vs. treated with antibiotics) Olanzapine and antibiotics Following antibiotics: Firmicutes ↓, Bacteroidetes ↑, Proteobacteria Following antibiotics: less weight gain Ireland [95]
Mice (treated vs. control from 8 strains) Olanzapine and high fat diet Erysipelotrichi ↑, Gammaproteobacteria ↑, Bacteroidia Weight gain differing by strain USA [49]
Mice (treated germ-free) Olanzapine (with/without fecal transplant) Weight gain only after fecal transplants from conventionally raised mice USA [49]
Female mice (treated vs. control) Risperidone Erysipelotrichaceae family ↑, Mollicutes class ↑, Alistipes spp. ↑, Actinobacteria phylum ↑ Weight gain, reduction in energy expenditure USA [96]