Social isolation (SI) of male mice lasting >4 weeks is associated with aggression toward intruders and a down-regulation of brain allopregnanolone (Allo) content. SI of female mice fails to downregulate brain Allo content or to induce aggressiveness. Fluoxetine (Prozac in clinical use) is an S-and R-fluoxetine (FLX) mixture, which in mammals is metabolized into S-and R-norfluoxetine (NFLX). The S isomers of FLX and NFLX are more active than their respective R isomers in normalizing brain Allo down-regulation and in reducing the aggressiveness induced by SI. Thus, FLX stereospecifically reduces brain Allo down-regulation and the aggressiveness induced by SI, whereas serotonin (5-HT) uptake inhibition lacks stereospecificity. The doses of S-FLX and S-NFLX that reduce aggressiveness and Allo brain content down-regulation induced by SI are at least one order of magnitude lower than the doses that block 5-HT reuptake. Doses of imipramine that inhibit 5-HT uptake neither reduce aggressiveness nor normalize brain Allo downregulation. We conclude that Allo brain content normalization is a better candidate than 5-HT reuptake inhibition to explain the reduction of aggressiveness elicited by S-FLX and S-NFLX.A ggressive behavior and violence are included in the phenotypic expression of several central nervous system disorders (i.e., schizophrenia, premenstrual dysphoria, major manicdepressive illness, posttraumatic stress disorder, and epilepsy).Human and animal studies suggest that often a genetic component contributes to aggressive behavior. For example, the altered transcription of genes encoding for various serotonin (5-HT) receptor subtypes or for the 5-HT transporter has been implicated in the pathophysiology of violence and aggression in humans and other mammals (1-3). However, a Mendelian inheritance of these 5-HT neurotransmission dysregulations could not be demonstrated (4). Probably, epigenetic factors contribute to aggressive behavior.Social isolation (SI) of male mice for Ͼ4 weeks causes a syndrome characterized by anxiety, decreased susceptibility to barbiturates and other ␥-aminobutyric acid (GABA)mimetic drugs, and frequent severe attacks against an intruder mouse (5, 6). Socially isolated (SI) male mice also show a marked decrease of Allo brain content (5, 7) and a down-regulation of serotonergic neurotransmission (8-10).Valzelli and his coinvestigators (11) pioneered studies of SI-induced aggression in mice and concluded that this aggressiveness involves an impairment of 5-HT neurotransmission (11,12). This conclusion was supported by mouse knockout studies of the 5-HT transporter (3), and by other studies in which mice received selective 5-HT reuptake inhibitors (SSRIs), which mitigate aggression in psychiatric patients (13,14) and reduce SI-induced aggression in mice (5, 6).In patients with major depression, the allopregnanolone (Allo) content of cerebrospinal fluid (CSF) is reduced, and this reduction is reversed by appropriate treatment with fluoxetine (FLX) or fluvoxamine (15). Interestingly, in depr...