5-羟色胺转运体可用性与恐惧性心动过缓的神经相关性之间的关联。
The association between serotonin transporter availability and the neural correlates of fear bradycardia.
机构信息
Donders Institute for Brain, Cognition, and Behaviour, Radboud University, 6500 HB Nijmegen, The Netherlands.
Department of Cognitive Neuroscience, Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands.
出版信息
Proc Natl Acad Sci U S A. 2019 Dec 17;116(51):25941-25947. doi: 10.1073/pnas.1904843116. Epub 2019 Nov 26.
Susceptibility to stress-related psychopathology is associated with reduced expression of the serotonin transporter (5-HTT), particularly in combination with stress exposure. Aberrant physiological and neuronal responses to threat may underlie this increased vulnerability. Here, implementing a cross-species approach, we investigated the association between 5-HTT expression and the neural correlates of fear bradycardia, a defensive response linked to vigilance and action preparation. We tested this during threat anticipation induced by a well-established fear conditioning paradigm applied in both humans and rodents. In humans, we studied the effect of the common 5-HTT-linked polymorphic region (5-HTTLPR) on bradycardia and neural responses to anticipatory threat during functional magnetic resonance imaging scanning in healthy volunteers ( = 104). Compared with homozygous long-allele carriers, the 5-HTTLPR short-allele carriers displayed an exaggerated bradycardic response to threat, overall reduced activation of the medial prefrontal cortex (mPFC), and increased threat-induced connectivity between the amygdala and periaqueductal gray (PAG), which statistically mediated the effect of the 5-HTTLPR genotype on bradycardia. In parallel, 5-HTT knockout (KO) rats also showed exaggerated threat-related bradycardia and behavioral freezing. Immunohistochemistry indicated overall reduced activity of glutamatergic neurons in the mPFC of KO rats and increased activity of central amygdala somatostatin-positive neurons, putatively projecting to the PAG, which-similarly to the human population-mediated the 5-HTT genotype's effect on freezing. Moreover, the ventrolateral PAG of KO rats displayed elevated overall activity and increased relative activation of CaMKII-expressing projection neurons. Our results provide a mechanistic explanation for previously reported associations between 5-HTT gene variance and a stress-sensitive phenotype.
对与应激相关的精神病理学的易感性与 5-羟色胺转运体 (5-HTT) 的表达减少有关,尤其是在与应激暴露相结合的情况下。异常的生理和神经元对威胁的反应可能是这种易感性增加的基础。在这里,我们采用跨物种的方法,研究了 5-HTT 表达与恐惧性心动过缓的神经相关性之间的关联,恐惧性心动过缓是一种与警惕和行动准备相关的防御反应。我们在人类和啮齿动物中应用了一种成熟的恐惧条件反射范式来测试这一点。在人类中,我们研究了 5-羟色胺转运体相关多态性区域 (5-HTTLPR) 对健康志愿者功能磁共振成像扫描期间预期威胁时心动过缓以及神经反应的影响 ( = 104)。与纯合长等位基因携带者相比,5-HTTLPR 短等位基因携带者对威胁的心动过缓反应更为明显,中前额叶皮层 (mPFC) 的整体激活减少,以及杏仁核和导水管周围灰质 (PAG) 之间的威胁诱导连接增加,这在统计学上介导了 5-HTTLPR 基因型对心动过缓的影响。与此同时,5-HTT 敲除 (KO) 大鼠也表现出过度的与威胁相关的心动过缓和行为冻结。免疫组织化学表明 KO 大鼠 mPFC 中谷氨酸能神经元的整体活性降低,中央杏仁核生长抑素阳性神经元的活性增加,可能投射到 PAG,与人类群体类似,介导了 5-HTT 基因型对冻结的影响。此外,KO 大鼠的腹外侧 PAG 显示出整体活性升高和表达 CaMKII 的投射神经元的相对激活增加。我们的研究结果为先前报道的 5-HTT 基因变异与应激敏感表型之间的关联提供了机制解释。