Ganella Despina E, Kim Jee Hyun
Behavioural Neuroscience Division, The Florey Institute of Neuroscience and Mental Health, Parkville, VIC, Australia; Florey Department of Neuroscience and Mental Health, University of Melbourne, Parkville, VIC, Australia.
Br J Pharmacol. 2014 Oct;171(20):4556-74. doi: 10.1111/bph.12643. Epub 2014 Jul 1.
Anxiety disorders pose one of the biggest threats to mental health in the world, and they predominantly emerge early in life. However, research of anxiety disorders and fear-related memories during development has been largely neglected, and existing treatments have been developed based on adult models of anxiety. The present review describes animal models of anxiety disorders across development and what is currently known of their pharmacology. To summarize, the underlying mechanisms of intrinsic 'unlearned' fear are poorly understood, especially beyond the period of infancy. Models using 'learned' fear reveal that through development, rats exhibit a stress hyporesponsive period before postnatal day 10, where they paradoxically form odour-shock preferences, and then switch to more adult-like conditioned fear responses. Juvenile rats appear to forget these aversive associations more easily, as is observed with the phenomenon of infantile amnesia. Juvenile rats also undergo more robust extinction, until adolescence where they display increased resistance to extinction. Maturation of brain structures, such as the amygdala, prefrontal cortex and hippocampus, along with the different temporal recruitment and involvement of various neurotransmitter systems (including NMDA, GABA, corticosterone and opioids) are responsible for these developmental changes. Taken together, the studies described in this review highlight that there is a period early in development where rats appear to be more robust in overcoming adverse early life experience. We need to understand the fundamental pharmacological processes underlying anxiety early in life in order to take advantage of this period for the treatment of anxiety disorders.
焦虑症是世界范围内对心理健康构成的最大威胁之一,且主要在生命早期出现。然而,发育过程中焦虑症及与恐惧相关记忆的研究在很大程度上被忽视了,现有的治疗方法是基于成人焦虑模型开发的。本综述描述了发育过程中焦虑症的动物模型及其目前已知的药理学特性。总之,内在“未习得”恐惧的潜在机制了解甚少,尤其是在婴儿期之后。使用“习得”恐惧的模型表明,在发育过程中,大鼠在出生后第10天之前表现出应激低反应期,在此期间它们反常地形成气味-电击偏好,然后转变为更类似成年动物的条件性恐惧反应。幼年大鼠似乎更容易忘记这些厌恶关联,这与婴儿期遗忘现象一致。幼年大鼠的消退也更强烈,直到青春期它们对消退表现出更强的抵抗力。大脑结构(如杏仁核、前额叶皮质和海马体)的成熟,以及各种神经递质系统(包括NMDA、GABA、皮质酮和阿片类物质)在不同时间的募集和参与,是造成这些发育变化的原因。综上所述,本综述中描述的研究强调,在发育早期存在一个阶段,大鼠似乎在克服早期不良生活经历方面更强健。为了利用这一时期治疗焦虑症,我们需要了解生命早期焦虑背后的基本药理学过程。