Lee Younglim, Fitz Stephanie, Johnson Philip L, Shekhar Anantha
Department of Psychiatry, Institute of Psychiatric Research, Indiana University, Indianapolis, IN 46202, USA.
Neuropsychopharmacology. 2008 Oct;33(11):2586-94. doi: 10.1038/sj.npp.1301674. Epub 2008 Feb 20.
Increased extra-hypothalamic corticotrophin-releasing factor (CRF) neurotransmission has been suggested as one putative factor in the pathophysiology of anxiety disorders. We have previously reported that administering repeated subanxiogenic doses (termed 'priming') of the CRF receptor agonist urocortin 1 (Ucn1) into the basolateral amygdala (BLA) of rats elicited long-lasting behavioral changes in social interaction (SI) and elevated plus maze (EPM) tests of anxiety. Although substantial similarity exists, the bed nucleus of the stria terminals (BNST) and the amygdala are thought to play distinct roles in anxiety responses. Rats primed with Ucn1 in the BLA not only demonstrated increased anxiety-like behaviors, but also physiological sensitivity to intravenous sodium lactate infusions, which is seen in subjects with panic or posttraumatic stress disorders, but not social or generalized anxiety disorders. In the present study, we tested if similar priming with subanxiogenic doses of Ucn1 in the BNST of rats will induce either chronic anxiety or sensitivity to sodium lactate. After determining the dose of Ucn1 that is subanxiogenic when injected into the BNST, repeated intra-BNST injections of this subanxiogenic dose of Ucn1 (6 fmol/100 nl) elicited persistent (present even after 4 weeks) anxiety-like responses in the SI but not EPM test. Prior local injection of a CRF receptor antagonist, astressin, into the BNST blocked this effect. Unlike Ucn1 priming in the BLA, rats primed in the BNST showed no cardiovascular changes following lactate infusion. Thus, BNST priming appears to selectively model the pathophysiology of subjects with anxiety syndromes like social anxiety, which are not lactate sensitive.
下丘脑外促肾上腺皮质激素释放因子(CRF)神经传递增加被认为是焦虑症病理生理学中的一个潜在因素。我们之前报道过,向大鼠基底外侧杏仁核(BLA)重复给予亚焦虑剂量(称为“启动”)的CRF受体激动剂尿皮质素1(Ucn1),会在社交互动(SI)和高架十字迷宫(EPM)焦虑测试中引发持久的行为变化。尽管存在很大相似性,但终纹床核(BNST)和杏仁核被认为在焦虑反应中发挥不同作用。在BLA中用Ucn1启动的大鼠不仅表现出焦虑样行为增加,而且对静脉注射乳酸钠有生理敏感性,这在患有惊恐或创伤后应激障碍的受试者中可见,但在社交或广泛性焦虑障碍患者中未见。在本研究中,我们测试了在大鼠BNST中用亚焦虑剂量的Ucn1进行类似启动是否会诱发慢性焦虑或对乳酸钠的敏感性。在确定注入BNST时为亚焦虑剂量的Ucn1后,向BNST重复注射该亚焦虑剂量的Ucn1(6飞摩尔/100纳升)会在SI测试中引发持续(即使在4周后仍存在)的焦虑样反应,但在EPM测试中未引发。事先向BNST局部注射CRF受体拮抗剂阿斯特辛可阻断这种效应。与在BLA中用Ucn1启动不同,在BNST中启动的大鼠在输注乳酸后未出现心血管变化。因此,BNST启动似乎选择性地模拟了社交焦虑等焦虑综合征患者的病理生理学,这些患者对乳酸不敏感。