Liu Na, Wang Jun, Wang Huan, Gao Bin, Lin Zheng, Xu Tian-Le, Duan Shumin, Xu Han
Department of Psychiatry of The Second Affiliated Hospital and School of Brain Science and Brain Medicine, Zhejiang University School of Medicine, Hangzhou, China.
Nanhu Brain-Computer Interface Institute, Hangzhou, China.
J Clin Invest. 2025 Aug 15;135(16). doi: 10.1172/JCI188246.
Anxiety disorders pose a substantial threat to global mental health, with chronic stress identified as a major etiologic factor. Over the past few decades, extensive studies have revealed that chronic stress induces anxiety states through a distributed neuronal network of interconnected brain structures. However, the precise circuit mechanisms underlying the transition from chronic stress to anxiety remain incompletely understood. Employing the chronic social defeat stress (CSDS) paradigm in mice, we uncovered a critical role of the parasubthalamic nucleus (PSTh) in both the induction and expression of anxiety-like behavior. The anxiogenic effect was mediated by an excitatory trisynaptic circuitry involving the lateral parabrachial nucleus (LPB), PSTh, and bed nucleus of the stria terminalis (BNST). Furthermore, CSDS downregulated Kv4.3 channels in glutamatergic neurons of the PSTh. Reexpression of these channels dampened neuronal overexcitability and alleviated anxiety-like behavior in stressed animals. In parallel with the well-known anxiety network centered on the amygdala, here we identify a noncanonical LPB-PSTh-BNST pathway in the transformation of stress into anxiety. These findings suggest that the PSTh may serve as a potential therapeutic target for anxiety-related disorders.
焦虑症对全球心理健康构成重大威胁,慢性应激被认为是主要病因。在过去几十年中,广泛的研究表明,慢性应激通过相互连接的脑结构组成的分布式神经网络诱发焦虑状态。然而,从慢性应激转变为焦虑的确切神经回路机制仍未完全明了。利用小鼠慢性社会挫败应激(CSDS)模型,我们发现了丘脑底旁核(PSTh)在焦虑样行为的诱发和表现中起关键作用。这种致焦虑作用是由一条涉及外侧臂旁核(LPB)、PSTh和终纹床核(BNST)的兴奋性三突触回路介导的。此外,CSDS使PSTh谷氨酸能神经元中的Kv4.3通道下调。这些通道的重新表达减弱了神经元的过度兴奋性,并减轻了应激动物的焦虑样行为。与以杏仁核为中心的众所周知的焦虑网络并行,我们在此确定了一条在应激转化为焦虑过程中的非典型LPB-PSTh-BNST通路。这些发现表明,PSTh可能是焦虑相关疾病的潜在治疗靶点。