Child Youth and Emerging Adult Programme, Centre for Addiction & Mental Health, Toronto, ON, Canada.
Department of Psychiatry and Neuroscience, Université Laval, Québec, QC, Canada.
J Psychopharmacol. 2019 Jan;33(1):101-108. doi: 10.1177/0269881118784872. Epub 2018 Jul 3.
Early life adversities are risk factors for anxiety disorders and for pain syndromes, which are, in turn, highly comorbid with anxiety disorders. Repeated cross-fostering mouse pups to adoptive lactating females induces epigenetic modification and heightened mRNA-expression of the acid-sensing-ion-channel-1 gene, altered nociception, and hypersensitivity to 6% carbon dioxide air mixtures, a trait marker of specific human anxiety disorders such as, most clearly and prominently, panic disorder.
We hypothesized that the acid-sensing ion channel inhibitor amiloride can modulate repeated cross-fostering animals' exaggerated responses to carbon dioxide and nociceptive thermal stimulation.
Respiratory carbon dioxide sensitivity was assessed by plethysmography during 6% carbon dioxide air mixture challenges, and nociception was assessed by latency of paw withdrawal to thermal stimulation, in repeated cross-fostering and control animals. To circumvent the blood-brain barrier, prior to testing, amiloride was nebulized in a plethysmograph. Data were analyzed by general linear models.
Analyses of tidal volume responses to 6% carbon dioxide of animals pre-treated with nebulized amiloride/saline in a randomized crossover design showed significant modulatory effect of amiloride, and amiloride×repeated cross-fostering interaction. In contrast, repeated cross-fostering animals' responses to 6% carbon dioxide after intraperitoneal amiloride, saline, or no treatment, were no different. Analyses of responses to thermal stimuli showed a significant modulatory effect of nebulized amiloride, and repeated cross-fostering×amiloride interaction.
Single-dose nebulized amiloride decreased repeated cross-fostering animals' carbon dioxide sensitivity and nociception indices to levels that were no different from those of control animals. Inasmuch as these results pertain to human anxiety and/or pain hypersensitivity, our findings provide a rationale for studying inhaled amiloride in some anxiety disorders and/or pain syndromes.
早期生活逆境是焦虑障碍和疼痛综合征的危险因素,而疼痛综合征又与焦虑障碍高度共病。将小鼠幼仔反复寄养给代孕哺乳母亲会导致表观遗传修饰和酸敏离子通道 1 基因的 mRNA 表达增加,改变伤害感受,对 6%二氧化碳空气混合物产生超敏反应,这是特定人类焦虑障碍的特征性标记物,如最明显和突出的恐慌障碍。
我们假设酸敏离子通道抑制剂阿米洛利可以调节反复寄养动物对二氧化碳和伤害性热刺激的过度反应。
通过 plethysmography 在 6%二氧化碳空气混合物挑战期间评估呼吸二氧化碳敏感性,通过热刺激时的爪子撤回潜伏期评估伤害感受,在反复寄养和对照动物中进行。为了绕过血脑屏障,在测试前,阿米洛利通过雾化器雾化。通过一般线性模型分析数据。
对用雾化阿米洛利/生理盐水预处理的动物进行随机交叉设计的 6%二氧化碳潮气量反应的分析显示,阿米洛利具有显著的调节作用,以及阿米洛利×反复寄养的相互作用。相比之下,反复寄养动物在腹腔内给予阿米洛利、生理盐水或未治疗后对 6%二氧化碳的反应没有差异。对热刺激反应的分析显示,雾化阿米洛利具有显著的调节作用,以及反复寄养×阿米洛利的相互作用。
单次剂量雾化阿米洛利降低了反复寄养动物的二氧化碳敏感性和伤害感受指数,使其与对照动物的水平没有差异。由于这些结果与人类焦虑和/或疼痛敏感性有关,我们的发现为研究吸入阿米洛利在某些焦虑障碍和/或疼痛综合征中的应用提供了依据。