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1.
Neuropharmacology ; 187: 108499, 2021 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-33600842

RESUMO

Stress and trauma exposure disturbs stress regulation systems and thus increases the vulnerability for stress-related disorders which are characterized by negative affect, including major depressive disorder, anxiety disorders and posttraumatic stress disorder. Similarly, stress and trauma exposure results in increased vulnerability to problematic alcohol use and alcohol use disorder, especially among women, who are more likely to drink to cope with negative affect than their male counterparts. Given these associations, the relationship between stress-related disorders and alcohol use is generally stronger among women leading to complex comorbidities across these disorders and alcohol misuse. This review highlights the therapeutic potential for progestogen- and androgen-derived neurosteroids, which affect both stress- and alcohol-related disorders, to target the overlapping symptoms related to negative affect. This article is part of the special issue on 'Vulnerabilities to Substance Abuse.'


Assuntos
Transtornos Relacionados ao Uso de Álcool/metabolismo , Androgênios/metabolismo , Neuroesteroides/metabolismo , Pregnanolona/metabolismo , Progestinas/metabolismo , Transtornos de Estresse Traumático/metabolismo , Afeto , Desidroepiandrosterona/metabolismo , Estradiol/metabolismo , Feminino , Humanos , Masculino , Progesterona/metabolismo , Fatores Sexuais , Testosterona/metabolismo
2.
Pharmacol Ther ; 214: 107602, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32512017

RESUMO

Oxytocin (OT) is a neurohypophysial hormone and neuropeptide produced by the hypothalamus and released by the pituitary gland. It has multiple physiological roles including stimulation of parturition and lactation, and promotion of pro-adaptive social behaviors necessary for mammalian survival. OT interacts with one receptor subtype: the OT receptor (OTR) which, upon stimulation, triggers different intracellular signal transduction cascades to mediate its physiological actions. Preclinical studies show that OT regulates social behaviors such as pair bonding, recognition and social interaction. It also coordinates the activation of the hypothalamic-pituitary-adrenal (HPA) axis and the release of corticotrophin-releasing hormone. Further evidence suggests that OT plays an important role in regulating caloric intake and metabolism, and in maintaining electrolyte and cardiovascular homeostasis. OT is also involved in attenuating the neurophysiological and neurochemical effects of trauma on the brain and body by facilitating both physical attachment such as wound healing, and psychological/social attachment, thereby increasing resilience to subsequent traumatic events. Clinical trials have reported that intranasal administration of OT provides therapeutic benefits for patients diagnosed with traumatic stress-related diseases such as major depressive disorders and post-traumatic stress disorder. OT's therapeutic benefits may result from context-dependent interactions with key neural pathways (social, cognitive, and reward), neurotransmitters (dopamine, norepinephrine, serotonin, and endogenous opioids), and biomarkers (adrenocorticotropic hormone, cortisol, and dehydroepiandrosterone sulfate), that lead to a decrease in stress -associated behaviors, and facilitate post-traumatic growth, ultimately leading to increased resilience, through improved social cohesion and attachment. OT induced-augmentation of physical and cognitive resilience may play a significant role in both the prevention of, and improved clinical outcomes for, traumatic stress-related disorders following either acute or enduring traumatic experiences.


Assuntos
Sistema Hipotálamo-Hipofisário/metabolismo , Apego ao Objeto , Ocitocina/metabolismo , Receptores de Ocitocina/metabolismo , Resiliência Psicológica , Transtornos de Estresse Traumático/metabolismo , Adaptação Psicológica , Animais , Humanos , Sistema Hipotálamo-Hipofisário/efeitos dos fármacos , Sistema Hipotálamo-Hipofisário/fisiopatologia , Ocitocina/uso terapêutico , Resiliência Psicológica/efeitos dos fármacos , Transdução de Sinais , Transtornos de Estresse Traumático/tratamento farmacológico , Transtornos de Estresse Traumático/fisiopatologia , Transtornos de Estresse Traumático/psicologia
3.
Artigo em Inglês | MEDLINE | ID: mdl-32161213

RESUMO

Memory retrieval is not a passive process. When a memory is retrieved, the retrieved memory is destabilized, similar to short-term memory just after learning, and requires memory reconsolidation to re-stabilize the memory. Recent studies characterizing destabilization and reconsolidation showed that a retrieved memory is not always destabilized and that there are boundary conditions that determine the induction of destabilization and reconsolidation according to certain parameters, such as the duration of retrieval and the memory strength and age. Moreover, the reconsolidation of contextual fear memory is not independent of memory extinction; rather, these memory processes interact with each other. There is an increasing number of findings suggesting that destabilization following retrieval facilitates the modification, weakening, or strengthening of the original memory, and the resultant updated memory is stabilized through reconsolidation. Reconsolidation could be targeted therapeutically to improve emotional disorders such as post-traumatic stress disorder and phobia. Thus, this review summarizes recent findings to understand the mechanisms and function of reconsolidation.


Assuntos
Extinção Psicológica/fisiologia , Consolidação da Memória/fisiologia , Animais , Encéfalo , Medo , Humanos , Transtornos da Memória/metabolismo , Transtornos Mentais/metabolismo , Transtornos Fóbicos/metabolismo , Transdução de Sinais , Transtornos de Estresse Traumático/metabolismo
4.
Psychoneuroendocrinology ; 113: 104579, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31931471

RESUMO

INTRODUCTION: Findings concerning the relationship between maternal prenatal and child cortisol concentrations are inconsistent. This study examined whether the influence of an objective traumatic stressor during pregnancy, distance from a natural flood disaster, moderated the association between prenatal maternal diurnal cortisol and 9-year old offspring hair cortisol concentrations. METHODS: Data were collected from 56 of the mothers who took part in a study of flood-related pregnancy outcomes in 2009 and their children. Data included distance of the maternal home from evacuation areas, four maternal saliva cortisol assessments (waking, 30 min after waking, afternoon, and before bed) provided within 3-months of the flood crest and child hair samples to assess cortisol secretion over the past month. RESULTS: There was a significant interaction between proximity to flooding during pregnancy and maternal cortisol AUC predicting child hair cortisol, after controlling for maternal age, gestational age at cortisol sampling, sex of the child, current socioeconomic status and current maternal stress. At greater distance from flooding (lower stress conditions) there was a non-statistically significant positive association between maternal cortisol and child cortisol. In contrast, living closer to flooding (higher stress conditions) produced a significant negative association between maternal and child cortisol. CONCLUSION: Experiencing a traumatic stressor during pregnancy may alter maternal-fetal programming of the hypothalamic-pituitary-adrenal axis. The direct threat of flooding led to offspring cortisol concentrations that resembled cortisol production seen in mothers with symptoms of PTSD and their offspring. This alteration is evident in nine-year-old offspring and may help explain inconsistencies in the previous literature.


Assuntos
Hidrocortisona/análise , Transtornos de Estresse Traumático/metabolismo , Estresse Psicológico/metabolismo , Criança , Feminino , Desenvolvimento Fetal/efeitos dos fármacos , Desenvolvimento Fetal/fisiologia , Seguimentos , Previsões , Cabelo/química , Humanos , Sistema Hipotálamo-Hipofisário/metabolismo , Masculino , Sistema Hipófise-Suprarrenal/metabolismo , Gravidez , Resultado da Gravidez/psicologia , Efeitos Tardios da Exposição Pré-Natal/metabolismo , Transtornos de Estresse Traumático/fisiopatologia , Estresse Psicológico/psicologia
5.
Neuropsychopharmacology ; 45(3): 472-481, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31539899

RESUMO

Post-traumatic stress disorder and cocaine use disorder are highly co-morbid psychiatric conditions. The onset of post-traumatic stress disorder generally occurs prior to the development of cocaine use disorder, and thus it appears that the development of post-traumatic stress disorder drives cocaine use vulnerability. We recently characterized a rat model of post-traumatic stress disorder with segregation of rats as susceptible and resilient based on anxiety-like behavior in the elevated plus maze and context avoidance. We paired this model with in vivo fast scan cyclic voltammetry in freely moving rats to test for differences in dopamine signaling in the nucleus accumbens core at baseline, in response to a single dose of cocaine, and in response to cocaine-paired cues. Further, we examined differences in the acquisition of cocaine self-administration across groups. Results indicate that susceptibility to traumatic stress is associated with alterations in phasic dopamine signaling architecture that increase the rate at which dopamine signals entrain to cocaine-associated cues and increase the magnitude of persistent cue-evoked dopamine signals following training. These changes in phasic dopamine signaling correspond with increases in the rate at which susceptible rats develop excessive cocaine-taking behavior. Together, our studies demonstrate that susceptibility to traumatic stress is associated with a cocaine use-vulnerable phenotype and suggests that differences in phasic dopamine signaling architecture may contribute to the process by which this vulnerability occurs.


Assuntos
Transtornos Relacionados ao Uso de Cocaína/metabolismo , Cocaína/administração & dosagem , Dopamina/metabolismo , Núcleo Accumbens/efeitos dos fármacos , Núcleo Accumbens/metabolismo , Transtornos de Estresse Traumático/metabolismo , Animais , Aprendizagem da Esquiva/efeitos dos fármacos , Aprendizagem da Esquiva/fisiologia , Cocaína/efeitos adversos , Transtornos Relacionados ao Uso de Cocaína/etiologia , Transtornos Relacionados ao Uso de Cocaína/psicologia , Relação Dose-Resposta a Droga , Masculino , Ratos , Ratos Sprague-Dawley , Autoadministração , Transtornos de Estresse Traumático/complicações , Transtornos de Estresse Traumático/psicologia
6.
Mol Psychiatry ; 25(2): 283-296, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31745239

RESUMO

Adverse posttraumatic neuropsychiatric sequelae (APNS) are common among civilian trauma survivors and military veterans. These APNS, as traditionally classified, include posttraumatic stress, postconcussion syndrome, depression, and regional or widespread pain. Traditional classifications have come to hamper scientific progress because they artificially fragment APNS into siloed, syndromic diagnoses unmoored to discrete components of brain functioning and studied in isolation. These limitations in classification and ontology slow the discovery of pathophysiologic mechanisms, biobehavioral markers, risk prediction tools, and preventive/treatment interventions. Progress in overcoming these limitations has been challenging because such progress would require studies that both evaluate a broad spectrum of posttraumatic sequelae (to overcome fragmentation) and also perform in-depth biobehavioral evaluation (to index sequelae to domains of brain function). This article summarizes the methods of the Advancing Understanding of RecOvery afteR traumA (AURORA) Study. AURORA conducts a large-scale (n = 5000 target sample) in-depth assessment of APNS development using a state-of-the-art battery of self-report, neurocognitive, physiologic, digital phenotyping, psychophysical, neuroimaging, and genomic assessments, beginning in the early aftermath of trauma and continuing for 1 year. The goals of AURORA are to achieve improved phenotypes, prediction tools, and understanding of molecular mechanisms to inform the future development and testing of preventive and treatment interventions.


Assuntos
Transtornos de Estresse Traumático/metabolismo , Transtornos de Estresse Traumático/fisiopatologia , Transtornos de Estresse Traumático/psicologia , Encéfalo/metabolismo , Encéfalo/fisiopatologia , Feminino , Humanos , Estudos Longitudinais , Masculino , Militares/psicologia , Fatores de Risco , Transtornos de Estresse Pós-Traumáticos/metabolismo , Transtornos de Estresse Pós-Traumáticos/fisiopatologia , Veteranos/psicologia
7.
Learn Mem ; 26(10): 1-9, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31527186

RESUMO

Clinical and preclinical studies that have examined the neurobiology of persistent fear memory in posttraumatic stress disorder (PTSD) have focused on the medial prefrontal cortex, hippocampus, and amygdala. Sensory systems, the periaqueductal gray (PAG), and midline thalamic nuclei have been implicated in fear and extinction memory, but whether neural activity in these substrates is sensitive to traumatic stress (at baseline or during emotional learning and memory) remains unexplored. To address this, we used the single prolonged stress (SPS) model of traumatic stress. SPS and control rats were either subjected to fear conditioning (CS-fear) or presented with CSs alone (CS-only) during fear conditioning. All rats were then subjected to extinction training and testing. A subset of rats were euthanized after each behavioral stage and c-Fos and c-Jun used to measure neural activation in all substrates. SPS lowered c-Jun levels in the dorsomedial and lateral PAG at baseline, but the elevated c-Jun expression in the PAG during emotional learning and memory. SPS also altered c-Fos expression during fear and extinction learning/memory in midline thalamic nuclei. These findings suggest changes in neural function in the PAG and midline thalamic nuclei could contribute to persistent fear memory induced by traumatic stress. Interestingly, SPS effects were also observed in animals that never learned fear or extinction (i.e., CS-only). This raises the possibility that traumatic stress could have broader effects on the psychological function that are dependent on the PAG and midline thalamic nuclei.


Assuntos
Condicionamento Clássico/fisiologia , Extinção Psicológica/fisiologia , Medo/fisiologia , Memória/fisiologia , Núcleos da Linha Média do Tálamo/fisiopatologia , Substância Cinzenta Periaquedutal/fisiopatologia , Proteínas Proto-Oncogênicas c-fos/metabolismo , Proteínas Proto-Oncogênicas c-jun/metabolismo , Transtornos de Estresse Traumático/fisiopatologia , Estresse Psicológico/fisiopatologia , Animais , Comportamento Animal/fisiologia , Modelos Animais de Doenças , Núcleos da Linha Média do Tálamo/metabolismo , Substância Cinzenta Periaquedutal/metabolismo , Ratos , Transtornos de Estresse Traumático/metabolismo , Estresse Psicológico/metabolismo
8.
Annu Rev Clin Psychol ; 15: 257-284, 2019 05 07.
Artigo em Inglês | MEDLINE | ID: mdl-30698994

RESUMO

Although the fear response is an adaptive response to threatening situations, a number of psychiatric disorders feature prominent fear-related symptoms caused, in part, by failures of extinction and inhibitory learning. The translational nature of fear conditioning paradigms has enabled us to develop a nuanced understanding of extinction and inhibitory learning based on the molecular substrates to systems neural circuitry and psychological mechanisms. This knowledge has facilitated the development of novel interventions that may augment extinction and inhibitory learning. These interventions include nonpharmacological techniques, such as behavioral methods to implement during psychotherapy, as well as device-based stimulation techniques that enhance or reduce activity in different regions of the brain. There is also emerging support for a number of psychopharmacological interventions that may augment extinction and inhibitory learning specifically if administered in conjunction with exposure-based psychotherapy. This growing body of research may offer promising novel techniques to address debilitating transdiagnostic fear-related symptoms.


Assuntos
Tonsila do Cerebelo , Transtornos de Ansiedade , Encéfalo , Condicionamento Clássico/fisiologia , Terapia por Estimulação Elétrica , Extinção Psicológica/fisiologia , Medo/fisiologia , Terapia Implosiva , Inibição Psicológica , Transtornos de Estresse Traumático , Estimulação Magnética Transcraniana , Tonsila do Cerebelo/fisiopatologia , Transtornos de Ansiedade/metabolismo , Transtornos de Ansiedade/fisiopatologia , Transtornos de Ansiedade/terapia , Encéfalo/efeitos dos fármacos , Encéfalo/metabolismo , Encéfalo/fisiopatologia , Humanos , Transtornos de Estresse Traumático/metabolismo , Transtornos de Estresse Traumático/fisiopatologia , Transtornos de Estresse Traumático/terapia
9.
Psychoneuroendocrinology ; 94: 38-48, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29754004

RESUMO

We investigated the effects of a natural disaster (a sudden flood) as a source of prenatal maternal stress (PNMS) on the placental glucocorticoid system and glucose transporters. Whether the gestational age at the time of the flood moderated these effects was also evaluated. Placental samples were collected from participants in the 2011 Queensland Flood Study (QF2011) who were pregnant in the first or second trimester at the onset of the flood. Detailed questionnaire results for objective hardship and composite subjective distress were obtained to assess stress levels. Subjective distress was significantly associated with a reduction in placental NR3C1-ß mRNA levels for males only (ß = -0.491, p = 0.005). In female placentas, objective hardship was marginally linked with lower SLC2A1 mRNA levels while subjective distress was a marginally significant predictor of higher placental SLC2A4 mRNA levels. Gestational age at the time of the flood was a significant moderator of the effect of subjective distress on placental mRNA levels for NR3C1-α (p = 0.046) and HSD11B1 (p = 0.049) in male placentas: if the flood occurred in mid-pregnancy, lower subjective distress predicted higher HSD11B1 while higher subjective distress predicted lower NR3C1-α placental mRNA level. While results did not show any PNMS effects on placental HSD11B2 mRNA and protein levels, and activity, we showed a reduction in placental NR3C1-ß mRNA level in male placentas. Our results show evidence of distinct placental glucocorticoid and glucose systems adaptations to PNMS as a function of fetal sex and gestational timing of exposure, with high subjective PNMS in mid-pregnancy associated with lower levels of expression of glucocorticoid-promoting gene in males, leaving the fetus less protected against maternal stress. The exact mechanism by which natural disaster-related PNMS acts on the placenta and the impact on fetal programming requires further investigation.


Assuntos
Efeitos Tardios da Exposição Pré-Natal/metabolismo , Estresse Psicológico/metabolismo , 11-beta-Hidroxiesteroide Desidrogenase Tipo 2/metabolismo , Desastres , Feminino , Desenvolvimento Fetal/fisiologia , Inundações , Idade Gestacional , Glucocorticoides/metabolismo , Humanos , Masculino , Desastres Naturais , Placenta/metabolismo , Gravidez , Efeitos Tardios da Exposição Pré-Natal/psicologia , Queensland , Receptores de Glucocorticoides/metabolismo , Fatores Sexuais , Transtornos de Estresse Traumático/metabolismo
10.
Psychol Med ; 48(2): 327-336, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28641601

RESUMO

BACKGROUND: Disturbances in Pavlovian valuation systems are reported to follow traumatic stress exposure. However, motivated decisions are also guided by instrumental mechanisms, but to date the effect of traumatic stress on these instrumental systems remain poorly investigated. Here, we examine whether a single episode of severe traumatic stress influences flexible instrumental decisions through an impact on a Pavlovian system. METHODS: Twenty-six survivors of the 2011 Norwegian terror attack and 30 matched control subjects performed an instrumental learning task in which Pavlovian and instrumental associations promoted congruent or conflicting responses. We used reinforcement learning models to infer how traumatic stress affected learning and decision-making. Based on the importance of dorsal anterior cingulate cortex (dACC) for cognitive control, we also investigated if individual concentrations of Glx (=glutamate + glutamine) in dACC predicted the Pavlovian bias of choice. RESULTS: Survivors of traumatic stress expressed a greater Pavlovian interference with instrumental action selection and had significantly lower levels of Glx in the dACC. Across subjects, the degree of Pavlovian interference was negatively associated with dACC Glx concentrations. CONCLUSIONS: Experiencing traumatic stress appears to render instrumental decisions less flexible by increasing the susceptibility to Pavlovian influences. An observed association between prefrontal glutamatergic levels and this Pavlovian bias provides novel insight into the neurochemical basis of decision-making, and suggests a mechanism by which traumatic stress can impair flexible instrumental behaviours.


Assuntos
Condicionamento Clássico/fisiologia , Condicionamento Operante/fisiologia , Tomada de Decisões/fisiologia , Giro do Cíngulo/metabolismo , Reforço Psicológico , Transtornos de Estresse Traumático/metabolismo , Transtornos de Estresse Traumático/fisiopatologia , Adolescente , Adulto , Feminino , Ácido Glutâmico/metabolismo , Glutamina/metabolismo , Giro do Cíngulo/diagnóstico por imagem , Humanos , Espectroscopia de Ressonância Magnética , Masculino , Transtornos de Estresse Traumático/diagnóstico por imagem , Sobreviventes , Terrorismo , Adulto Jovem
11.
Curr Psychiatry Rep ; 19(10): 75, 2017 Aug 29.
Artigo em Inglês | MEDLINE | ID: mdl-28852965

RESUMO

PURPOSE OF REVIEW: The aim of this paper is to review the recent literature on traumatic stress-related accelerated aging, including a focus on cellular mechanisms and biomarkers of cellular aging and on the clinical manifestations of accelerated biological aging. RECENT FINDINGS: Multiple lines of research converge to suggest that PTSD is associated with accelerated aging in the epigenome, and the immune and inflammation systems, and this may be reflected in premature onset of cardiometabolic and cardiovascular disease. The current state of research paves the way for future work focused on identifying the peripheral and central biological mechanisms linking traumatic stress to accelerated biological aging and medical morbidity, with an emphasis on processes involved in inflammation, immune functioning, oxidative stress, autonomic arousal, and stress response. Ultimately, such work could help reduce the pace of biological aging and improve health and wellness.


Assuntos
Senilidade Prematura , Doenças Cardiovasculares , Senescência Celular/fisiologia , Transtornos de Estresse Traumático , Senilidade Prematura/metabolismo , Senilidade Prematura/psicologia , Doenças Cardiovasculares/metabolismo , Doenças Cardiovasculares/psicologia , Epigenômica , Humanos , Imunossenescência/fisiologia , Estresse Oxidativo/fisiologia , Transtornos de Estresse Traumático/metabolismo , Transtornos de Estresse Traumático/fisiopatologia
12.
Vitam Horm ; 103: 85-129, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28061977

RESUMO

In the study of complex, heterogeneous disorders, such as anxiety and stress-related disorders, epigenetic factors provide an additional level of heritable complexity. MicroRNAs (miRNAs) are a class of small, noncoding RNAs that function as epigenetic modulators of gene expression by binding to target messenger RNAs (mRNAs) and subsequently blocking translation or accelerating their degradation. In light of their abundance in the central nervous system (CNS) and their involvement in synaptic plasticity and neuronal differentiation, miRNAs represent an exciting frontier to be explored in the etiology and treatment of anxiety and stress-related disorders. This chapter will present a thorough review of miRNAs, their functions, and mRNA targets in the CNS, focusing on their role in anxiety and stress-related disorders as described by studies performed in animals and human subjects.


Assuntos
Transtornos de Ansiedade/metabolismo , Ansiedade/metabolismo , Sistema Nervoso Central/metabolismo , Epigênese Genética , MicroRNAs/metabolismo , Modelos Neurológicos , Transtornos de Estresse Traumático/metabolismo , Animais , Ansiolíticos/farmacologia , Ansiolíticos/uso terapêutico , Ansiedade/tratamento farmacológico , Ansiedade/etiologia , Transtornos de Ansiedade/tratamento farmacológico , Transtornos de Ansiedade/etiologia , Sistema Nervoso Central/efeitos dos fármacos , Epigênese Genética/efeitos dos fármacos , Humanos , MicroRNAs/antagonistas & inibidores , Neurônios/efeitos dos fármacos , Neurônios/metabolismo , Transtornos de Estresse Traumático/tratamento farmacológico , Transtornos de Estresse Traumático/etiologia
13.
Horm Behav ; 65(4): 416-26, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24657521

RESUMO

Child abuse is the most potent experiential risk factor for developing a mood disorder later in life. The effects of child abuse are also more severe in girls and women than in men. In this review, we explore the origins of this epidemiological sex difference. We begin by offering the hypothesis that a sex-specific risk factor that influences how social cues are perceived and remembered makes girls more susceptible to the effects of child abuse. We then discuss the neural systems that mediate emotion and stress, and, how child abuse and/or mood disorders like anxiety and depression affect them. Drawing upon human and animal research, several candidates for such a risk factor are discussed. They include glucocorticoid receptor trafficking and corticotropin releasing factor receptor binding and signaling. Our own research shows that the morphometry of the prepubertal amygdala is sexually dimorphic, and could contribute to a sex difference in stimulus appraisal. We have also found that the brain of juvenile female rats is less selective than males' for threatening social stimuli. Thus, one way that women may be more vulnerable to the effects of child abuse is that they are more likely to perceive objectively benign stimuli as threatening. This bias in perception could compound with the genuinely traumatic memories caused by child abuse; the burden of traumatic memories and the increasingly reactive stress response systems could then dispose more women than men to develop depression and/or anxiety.


Assuntos
Encéfalo/fisiopatologia , Maus-Tratos Infantis/psicologia , Percepção Social , Transtornos de Estresse Traumático/fisiopatologia , Animais , Encéfalo/metabolismo , Pré-Escolar , Feminino , Humanos , Masculino , Ratos , Transtornos de Estresse Traumático/metabolismo
14.
Nat Med ; 19(3): 337-44, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23416703

RESUMO

Depression induces structural and functional synaptic plasticity in brain reward circuits, although the mechanisms promoting these changes and their relevance to behavioral outcomes are unknown. Transcriptional profiling of the nucleus accumbens (NAc) for Rho GTPase-related genes, which are known regulators of synaptic structure, revealed a sustained reduction in RAS-related C3 botulinum toxin substrate 1 (Rac1) expression after chronic social defeat stress. This was associated with a repressive chromatin state surrounding the proximal promoter of Rac1. Inhibition of class 1 histone deacetylases (HDACs) with MS-275 rescued both the decrease in Rac1 transcription after social defeat stress and depression-related behavior, such as social avoidance. We found a similar repressive chromatin state surrounding the RAC1 promoter in the NAc of subjects with depression, which corresponded with reduced RAC1 transcription. Viral-mediated reduction of Rac1 expression or inhibition of Rac1 activity in the NAc increases social defeat-induced social avoidance and anhedonia in mice. Chronic social defeat stress induces the formation of stubby excitatory spines through a Rac1-dependent mechanism involving the redistribution of synaptic cofilin, an actin-severing protein downstream of Rac1. Overexpression of constitutively active Rac1 in the NAc of mice after chronic social defeat stress reverses depression-related behaviors and prunes stubby spines. Taken together, our data identify epigenetic regulation of RAC1 in the NAc as a disease mechanism in depression and reveal a functional role for Rac1 in rodents in regulating stress-related behaviors.


Assuntos
Espinhas Dendríticas/patologia , Transtorno Depressivo Maior/genética , Núcleo Accumbens/metabolismo , Transtornos de Estresse Traumático/genética , Estresse Psicológico/genética , Proteínas rac1 de Ligação ao GTP/genética , Proteínas rac1 de Ligação ao GTP/metabolismo , Fatores de Despolimerização de Actina/metabolismo , Animais , Antidepressivos Tricíclicos/farmacologia , Comportamento Animal , Transtorno Depressivo Maior/metabolismo , Transtorno Depressivo Maior/patologia , Epigênese Genética , Perfilação da Expressão Gênica , Histonas/metabolismo , Humanos , Imipramina/farmacologia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Dados de Sequência Molecular , Regiões Promotoras Genéticas , Comportamento Social , Transtornos de Estresse Traumático/tratamento farmacológico , Transtornos de Estresse Traumático/metabolismo , Transtornos de Estresse Traumático/patologia , Estresse Psicológico/tratamento farmacológico , Estresse Psicológico/metabolismo , Estresse Psicológico/patologia , Transcrição Gênica
15.
Cell ; 150(5): 1055-67, 2012 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-22939628

RESUMO

The type 2 ryanodine receptor/calcium release channel (RyR2), required for excitation-contraction coupling in the heart, is abundant in the brain. Chronic stress induces catecholamine biosynthesis and release, stimulating ß-adrenergic receptors and activating cAMP signaling pathways in neurons. In a murine chronic restraint stress model, neuronal RyR2 were phosphorylated by protein kinase A (PKA), oxidized, and nitrosylated, resulting in depletion of the stabilizing subunit calstabin2 (FKBP12.6) from the channel complex and intracellular calcium leak. Stress-induced cognitive dysfunction, including deficits in learning and memory, and reduced long-term potentiation (LTP) at the hippocampal CA3-CA1 connection were rescued by oral administration of S107, a compound developed in our laboratory that stabilizes RyR2-calstabin2 interaction, or by genetic ablation of the RyR2 PKA phosphorylation site at serine 2808. Thus, neuronal RyR2 remodeling contributes to stress-induced cognitive dysfunction. Leaky RyR2 could be a therapeutic target for treatment of stress-induced cognitive dysfunction.


Assuntos
Transtornos Cognitivos/metabolismo , Canal de Liberação de Cálcio do Receptor de Rianodina/metabolismo , Animais , Cálcio/metabolismo , Hipocampo/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Transtornos de Estresse Traumático/metabolismo
16.
J Psychopharmacol ; 26(3): 349-59, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21937687

RESUMO

Variation in genes implicated in serotonin neurotransmission may interact with environmental factors to influence antidepressant response. We aimed to determine how a range of polymorphisms in serotonergic genes determine this response to treatment and how they interact with childhood trauma and recent life stress in a Chinese sample. In total, 14 single nucleotide polymorphisms (SNPs) in coding regions of 10 serotonergic genes (HTR1A, HTR1B, HTR1D, HTR2A, HTR3A, HTR3C, HTR3D, HTR3E, HTR5A and TPH2) were genotyped in 308 Chinese Han patients with major depressive disorder. Response to 6 weeks' antidepressant treatment was determined by change in the 17-item Hamilton Depression Rating Scale (HDRS-17) score, and previous stressful events were evaluated by the Life Events Scale (LES) and Childhood Trauma Questionnaire-Short Form (CTQ-SF). Two 5-HT1B receptor SNPs (rs6296 and rs6298) and one tryptophan hydroxylase2 (rs7305115) SNP were significantly associated with antidepressant response in this Chinese sample, as was a haplotype in TPH2 (rs7305115 and rs4290270). A gene-gene interaction on antidepressant response was found between SNPs in HTR1B, HTR3A and HTR5A in female subjects. The HTR1B SNPs demonstrated interaction with recent stress, while that for TPH2 interacted with childhood trauma to influence antidepressant response.


Assuntos
Antidepressivos/uso terapêutico , Transtorno Depressivo Maior/tratamento farmacológico , Polimorfismo de Nucleotídeo Único , Receptor 5-HT1B de Serotonina/genética , Inibidores Seletivos de Recaptação de Serotonina/uso terapêutico , Transtornos de Estresse Traumático/tratamento farmacológico , Triptofano Hidroxilase/genética , Adulto , Povo Asiático , China , Transtorno Depressivo Maior/genética , Transtorno Depressivo Maior/metabolismo , Transtorno Depressivo Maior/psicologia , Manual Diagnóstico e Estatístico de Transtornos Mentais , Resistência a Medicamentos , Feminino , Estudos de Associação Genética , Haplótipos , Humanos , Masculino , Pessoa de Meia-Idade , Receptor 5-HT1B de Serotonina/metabolismo , Receptores de Serotonina/genética , Receptores de Serotonina/metabolismo , Receptores 5-HT3 de Serotonina/genética , Receptores 5-HT3 de Serotonina/metabolismo , Caracteres Sexuais , Transtornos de Estresse Traumático/genética , Transtornos de Estresse Traumático/metabolismo , Transtornos de Estresse Traumático/psicologia , Triptofano Hidroxilase/metabolismo , Adulto Jovem
17.
Endocrinology ; 152(12): 4496-503, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21971152

RESUMO

Several stress-associated neuropsychiatric disorders, notably posttraumatic stress disorder and chronic pain and fatigue syndromes, paradoxically exhibit somewhat low plasma levels of the stress hormone cortisol. The effects appear greatest in those initially traumatized in early life, implying a degree of developmental programming, perhaps of both lower cortisol and vulnerability to psychopathology. In these conditions, lowered cortisol is not due to any adrenal or pituitary insufficiency. Instead, two processes appear involved. First, there is increased target cell sensitivity to glucocorticoid action, notably negative feedback upon the hypothalamic-pituitary-adrenal (stress) axis. Altered density of the glucocorticoid receptor is inferred, squaring with much preclinical data showing early life challenges can permanently program glucocorticoid receptors in a tissue-specific manner. These effects involve epigenetic mechanisms. Second, early life trauma/starvation induces long-lasting lowering of glucocorticoid catabolism, specifically by 5α-reductase type 1 (predominantly a liver enzyme) and 11ß-hydroxysteroid dehydrogenase type 2 (in kidney), an effect also seen in model systems. These changes reflect a plausible early-life adaptation to increase the persistence of active cortisol in liver (to maximize fuel output) and kidney (to increase salt retention) without elevation of circulating levels, thus avoiding their deleterious effects on brain and muscle. Modestly lowered circulating cortisol and increased vulnerability to stress-associated disorders may be the outcome. This notion implies a vulnerable early-life phenotype may be discernable and indicates potential therapy by modest glucocorticoid replacement. Indeed, early clinical trials with cortisol have shown a modicum of promise.


Assuntos
Hidrocortisona/sangue , Transtornos Mentais/metabolismo , Transtornos de Estresse Traumático/metabolismo , Dor Crônica , Fadiga , Glucocorticoides/farmacologia , Hidrocortisona/análise , Fígado/química , Fígado/metabolismo
18.
Zhonghua Yi Xue Za Zhi ; 89(14): 939-42, 2009 Apr 14.
Artigo em Chinês | MEDLINE | ID: mdl-19671301

RESUMO

OBJECTIVE: To investigate the response of NR1 subunit of N-methyl-D-aspartate (NMDA) receptor to restraint stress in intestinal tract. METHODS: Thirty Sprague-Dawley rats were randomly divided into 3 equal groups: acute stress group undergoing intraperitoneal injection of normal saline (NS), acute stress + MK-801 group, undergoing intraperitoneal injection of MK-801, a NMDA receptor inhibitor, and then acute restraint for 1 h, 30 min after the injection. Control group underwent intraperitoneal injection of NS without acute restraint to be used as. Then all rats underwent colorectal distension (CRD) at the pressure levels of 20, 40, 60, and 80 mm Hg respectively for 10 s 3 times with an interval of 40 s so as to establish visceral hypersensitivity models. Electromyography was performed at the external oblique muscle of abdomen to record the frequency of discharge to evaluate the visceral sensitivity. Then the rats were killed and specimens of ileocecum and the proximal and distal ends of colon were obtained. RT-PCR and Western blotting were used to detect the mRNA and protein expression of NMDA receptor NR1 subunit in intestinal tract. RESULTS: (1) The frequencies of discharge of external oblique muscle of abdomen responding to CRD of the acute stress group at the pressure levels of 40, 60, and 80 mm Hg were 925 +/- 217, 1480 +/- 347, and 1732 +/- 344 respectively, all significantly higher than those of the control group (188 +/- 31, 510 +/- 68, and 765 +/- 103, all P < 0.01) and the acute stress + MK-801 group (210 +/- 47, 525 +/- 97, 841 +/- 156, all P < 0.05). But no significantly different from the acute stress + MK-801 group and the control group (all P > 0.05). (2) The A values of the mRNA expression of NR1 in the ileocecal junction, proximal colon end, and distal colon end of the acute stress group were 1.57 +/- 0.20, 2.00 +/- 0.20, and 1.36 +/- 0.17 respectively, all significantly higher than those of the control group (0.68 +/- 0.10, 0.87 +/- 0.19, and 0.74 +/- 0.15, all P < 0.01) and the acute stress + MK-801 group (0.84 +/- 0.13, 0.91 +/- 0.16, 0.79 +/- 0.13, all P < 0.05). But no significantly different from the acute stress + MK-801 group and the control group (all P > 0.05). (3) The A values of the protein expression of NR1 in the ileocecal junction, proximal colon end, and distal colon end of the acute stress group were 1.69 +/- 0.20, 1.41 +/- 0.12, and 1.63 +/- 0.15 respectively, all significantly higher than those of the control group (0.54 +/- 0.11, 0.71 +/- 0.06, 0.71 +/- 0.07, all P = 0.000) and the acute + MK-801 group (0.75 +/- 0.09, 0.70 +/- 0.11, 0.63 +/- 0.11, all P = 0.000). But no significantly different from the acute stress + MK-801 group and the control group (all P > 0.05). CONCLUSION: NMDA receptor plays an important role in the visceral sensitivity induced by acute restraint stress.


Assuntos
Neurônios/metabolismo , Receptores de N-Metil-D-Aspartato/metabolismo , Transtornos de Estresse Traumático/metabolismo , Animais , Colo/metabolismo , Modelos Animais de Doenças , Maleato de Dizocilpina , Masculino , RNA Mensageiro/metabolismo , Ratos , Ratos Sprague-Dawley
20.
Neurosignals ; 13(3): 130-3, 2004.
Artigo em Inglês | MEDLINE | ID: mdl-15067200

RESUMO

To elucidate the effect of traumatic stress on the lateral habenular nucleus, we investigated the time course of the expression of c-Fos protein in this nucleus of the Japanese monkey (Macaca fuscata) after enucleation of one eye using c-Fos protein immunocytochemistry. c-Fos protein-like immunoreactive neurons were significantly increased; the increase started 1 h after the enucleation and remained high for 3-9 h in the lateral habenular nucleus on both sides. These results suggest that the prolonged expression of c-Fos protein occurred in the lateral habenular nucleus after traumatic stress through multiple transsynaptic activations.


Assuntos
Oftalmopatias/metabolismo , Enucleação Ocular , Habenula/metabolismo , Proteínas Proto-Oncogênicas c-fos/biossíntese , Animais , Modelos Animais de Doenças , Enucleação Ocular/métodos , Feminino , Lateralidade Funcional , Habenula/química , Imuno-Histoquímica/métodos , Macaca fascicularis , Masculino , Proteínas Proto-Oncogênicas c-fos/análise , Transtornos de Estresse Traumático/metabolismo , Fatores de Tempo
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