Spennato Guillaume, Zerbib Carine, Mondadori Cesare, Garcia René
Laboratoire de Neurobiologie et Psychopathologie, Université de Nice-Sophia Antipolis, JE2441 Nice, France.
Psychopharmacology (Berl). 2008 Mar;196(4):583-9. doi: 10.1007/s00213-007-0993-7. Epub 2007 Nov 9.
Contextual fear conditioning can produce both changes in hippocampal synaptic efficacy and potentiation of subsequent fear learning.
In this study, we tested whether fluoxetine reverses these effects.
In the first experiment, we examined alterations of baseline synaptic efficacy and induction of synaptic plasticity in the CA3 region of the hippocampus during re-exposure of rats, treated with fluoxetine (7 mg/kg) or vehicle, in a context where they previously received 15 eyelid shocks or no shock (controls). In the second experiment, fear learning potentiation was examined in rats that were initially submitted to conditioning (15 eyelid shocks) and extinction training and then re-exposed to a less intense stressor (three eyelid shocks).
Conditioned fear stress decreased synaptic efficacy and blocked the induction of synaptic potentiation in the fimbria-CA3 pathway. Conditioned rats treated with fluoxetine were protected against these electrophysiological changes and did not differ from controls (i.e., no depression and normal induction of potentiation of synaptic efficacy). However, fluoxetine treatment did not suppress conditioned freezing. After fear extinction, exposure of rats to a subconditioning stressor provoked conditioning (fear learning potentiation) in rats treated with vehicle but not in those treated with fluoxetine.
These findings indicate that fluoxetine treatment, which is ineffective on conditioned fear stress-induced freezing, may have beneficial effects on conditioned fear stress-induced disturbance of hippocampal plasticity. These data also suggest that restoration of hippocampal functioning may contribute to protection against exaggerated reactions to mild stressors reported in patients with post-traumatic stress disorder.
情境恐惧条件反射可导致海马突触效能的改变以及后续恐惧学习的增强。
在本研究中,我们测试了氟西汀是否能逆转这些效应。
在第一个实验中,我们检查了用氟西汀(7毫克/千克)或赋形剂处理的大鼠在重新暴露于它们之前接受过15次眼睑电击或未接受电击(对照组)的情境时,海马CA3区基线突触效能的改变以及突触可塑性的诱导情况。在第二个实验中,我们检查了最初接受条件反射(15次眼睑电击)和消退训练,然后重新暴露于强度较低的应激源(3次眼睑电击)的大鼠的恐惧学习增强情况。
条件性恐惧应激降低了突触效能,并阻断了海马伞 - CA3通路中突触增强的诱导。用氟西汀处理的条件性大鼠免受这些电生理变化的影响,与对照组无差异(即突触效能无降低且突触增强诱导正常)。然而,氟西汀治疗并未抑制条件性僵住。在恐惧消退后,将大鼠暴露于低于条件反射强度的应激源会引发用赋形剂处理的大鼠的条件反射(恐惧学习增强),但在用氟西汀处理的大鼠中则不会。
这些发现表明,对条件性恐惧应激诱导的僵住无效的氟西汀治疗,可能对条件性恐惧应激诱导的海马可塑性障碍具有有益作用。这些数据还表明,海马功能的恢复可能有助于预防创伤后应激障碍患者对轻度应激源的过度反应。