Serotonin, anxiety and depression Flashcards

1
Q

How can anxiety be measured in animal models

A

Using unconditioned, ethological tests of anxiety such as the elevated plus maze or food hyponeophagia

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2
Q

What is the elevated plus maze

A

A cross shaped maze raised above the ground featuring two open arms and two closed arms
Anxiety is captured by approach/avoid conflict between the competing goals/drives of the dark enclosed safe spaces and exploratory drive.
Measured by open arm entries/ total entries.

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3
Q

What are the effects of benzodiazepines on EPM (Pellow et al., 1985)

A

validation of the EPM paradigm as a measure of anxiety (two open two closed arms in a + maze design)
confinement to the open arms was associated with higher levels of plasma corticosterone and more anxiety-related behaviour than rats confined to the closed arms.
administration of anxiolytic drug diazepam was associated with more time spent in the open arms
administration of the anxiogenic drug amphetamine was associated with less time spent in the open arms.

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4
Q

what is the difference between axiolytic and anxiogenic drugs?

A

anxiolytic drugs such as benzodiazepine reduce anxiety
anxiogenic drugs such as amphetamine and haloperidol increase anxiety

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5
Q

what is hyponeophagia

A

Novelty-suppressed feeding
Mice and rats cannot vomit so to overcome the problem of potential food toxicity they have evolved a strategy of first ingesting only very small amounts of novel substances.
Bait shyness is now used in the behavioural laboratory as a way of measuring anxiety.
A highly palatable but novel substance is offered in a novel situation, such as a new cage.
The latency to consume a defined amount of the new food is then measured.

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6
Q

Fossat et al., 2014

A

Demonstrated that serotonin increases anxiety in crayfish using an aquatic plus maze.
When allowed to freely explore the plus maze, lobsters show a preference for the dark arms.
Administering a shock increases the time spent in the dark arms, demonstrating this is an anxiety-related behaviour.
HPLC chromatography which quantitively measured the composition of plasma (drugs and their metabolites) found that the shock and subsequent anxiety-related behaviour were associated with higher levels of 5-HT.
Administration of 5-HT antagonists (e.g minaserin and methysergide) block 5-HT receptors, and blocked the increase in anxiety-related behaviour following shock.
Injection of 5-HT increased anxiety-related behaviours (increased time spent in the dark arm) in the absence of a shock.
Thus, stress increases 5-HT, which increases anxiety-related behaviours.

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7
Q

Brilley et al., 1990

A

demonstrated that selective serotonin lesions reduce anxiety-related behaviour on the EPM in rats.
Administered 5,7, hydroxytryptamine as a selective toxin of 5-HT neurons to produce selective 5-HT depletion.
2 weeks later rats tested on the EPM, those with selective 5-HT lesions spent more time on the open arms of the maze compared to controls. Post-mortem HPLC confirmed that 5-HT was depleted in the HPC and cortex.

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8
Q

Ohmura et al., 2015

A

Optogenetic technique used to selectively activate MRN and DRN 5-HT neurons to release serotonin and measured effect on EPM.
ChR2 expression is controlled by Tryptophan hydroxylase promoter, only expressed in 5-HT neurons. ChR2 is light sensitive, light induces a conformation change resulting in opening of an ion channel, influx of Na+ and so depolarisation. Thus, blue light activation should cause the release of serotonin.
Validated this histologically: stained THP and FYP (which correspond to 5-HT neurons and ChR2 expressing neurons respectively) demonstrated overlap.
Electrophysiologically: blue light activation demonstrated to cause an increase in firing rate (so depolarisation and subsequent action potential is occurring)
in vivo micro-dialysis in ventral HPC of CSF fluid demonstrated corresponding increase in 5-HT levels following blue light stimulation.

Behaviourally, activation of MRN neurons resulted in more time spent in the enclosed arms (so more anxiety-related behaviour) compared to controls. Not seen for DRN stimulation.

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9
Q

What determines the emotional response to a given aversive situation

A

the proximity and intensity of danger (defensive distance) and whether an animal is approaching or leaving the danger (defensive direction). An important caveat is then whether it is possible to avoid the threat given the environmental constraints, i.e. is there an escape route.
Each emotional response is associated with a distinct behavioural profile which has evolved for the demands of the situation

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10
Q

Explain defensive distance

A

Defensive distance can be considered as a graded scale moving from potential, to imminent, and current threat.
When threat is potential, such as if a mouse were to detect the odour of a cat, it induces anxiety (passive avoidance).
if the mouse now sees the cat, the threat becomes imminent inducing fear (active avoidance).
If the cat were to move to attack the mouse, the threat is current and the mouse would enter a state of panic resulting in an undirected escape attempt.

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11
Q

what is active and passive avoidance

A

If the mouse withholds from entering, anxiety has facilitated passive avoidance of danger where the defensive direction is ‘not towards’ threat. In contrast, if the mouse now sees the cat, the threat becomes imminent inducing fear. The emotional response of fear drives the animal to actively avoid the danger, moving away from threat.

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12
Q

what are the neural correlates of aversive emotional responses (Graeff, 1994)

A

Analysis of the underlying neural correlates to these emotional responses has led to the conception of a hierarchical defence system where progressively more central structures deal with progressively more complex aspects of defence (Graeff, 1994).
Here, the lowest level of the hierarchy is the periaqueductal grey (PAG) which coordinates undirected escape, then the medial hypothalamus mediates directed escape, the amygdala mediates freezing and active avoidance, while at the highest level the hippocampus mediates anxiety and risk assessment behaviour.

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13
Q

How do studies of pain support the theoretical distinction between fear and anxiety.

A

Fanselow 1979: shuttle box experiment where rats show a preference for side of cage associated with predictable shocks. This preference is removed if nalaxone is administered. Indicates that anelgesic endorphins are released in anticipation of the shock to reduce subjective pain.
Bolles & Fanselow 1979
This effect is dose-dependent and learning dependent and is not seen if naloxone is administered after the shock, or if the animal has only received a single shock
Bolles & Fanselow 1980
This behaviour helps the animal to avoid danger because analgesics suppress recuperative behaviours such as wound licking which could interfere with fight, flight or freeze responses in the face of danger.
Ploghaus et al., 2001
anxiety increases sensitivity to pain - signalling reduced fitness and so increasing avoidance behaviour. E.g human fMRI where HA stimulus is associated with either painful hot stimulus to wrist as well as low temp stimulus, LA stimulus only associated with low temp. Greater subjective pain reported for same low temp stimulus when cued by HA stimulus compared to LA stimulus. Associated with activity in HPC formation (before we were able to measure deep brain structures like ventral HPC). Implications for pain management. Highlights importance of preparatory cues.

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14
Q

What are the neural correlates of learning about ambiguous and unambiguous cues

A

Need to learn about cues that indicate increasing proximity of danger.
Some are innate → unconditioned anxiety.
Others need to be learnt/ acquired.
Cues that signal potential vs imminent threat are differentially disrupted by lesions.

Phillips & LeDoux, 1992
Measured conditioned freezing in response to tone and chamber following administration of shock. Control rats freeze in the chamber before and after the tone. HPC lesion rats only freeze to tone. Amygdala lesion rats freeze to neither shock and tone.
McNish et al., 1997
Rats with dorsal HPC lesions unimpaired on contextual fear-potentiated startle. Explained by unconditioned effect on activity that impaired freezing such that relatively weaker conditioning is associated with contextual learning and is not sufficient to induce freezing.
Richmon et al., 1999
Cytotoxic lesions to dorsal vs ventral HPC on freeze response to context measured. Here, it was demonstrated that lesions of the ventral hippocampus but not dorsal impair contextual fear conditioning. Dorsal hippocampal lesions led to impairment on the watermaze task, a test of spatial reference learning. Thus, the ventral hippocampus seems to support anxiety, and its disruption leads to deficits in learning about more distal, ambiguous cues that suggest potential danger.
Bannerman et al., 2004
Effects of ventral HPC lesions on unconditioned anxiety

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15
Q

Glover et al. 2017

A

In a genetically modified mouse which expresses thymidine kinase selectively in newborn cells, valganciclovir can be used to selectively inhibit neurogenesis.
Enables comparison of the relative contribution of newborn cells in the HPC to learning about ambiguous cues.
Tone-shock conditioning to CS+ and 50%CS.
Transgenic mice without neurogenesis showed reduced defensive behaviour than control mice for 50%CS.
Fos gene analysis of network activity in HPC and amygdala showed fewer activated mature granule cells in CA3 and CA1 in ambiguous relative to unambiguous fear condition. Not seen in amygdala or controls.
Control mice use the predictability of prior threat to adapt levels of cautious anxiodepressive-like behaviour in subsequent feeding environments. Mice lacking neurogenesis showed no difference in novelty-suppressed feeding latency in either condition, taking longer following predictable cues, and less time following ambiguous cues relative to controls.
General increase in anxiodepressive-like behaviours irrespective of the shock predictability. Furthermore, mice who were adrenalectomized (blocking stress-induced glucocorticoids release) failed to show the increase in novelty-suppressed feeding latency in control mice following learning about an ambiguous predictor of danger. Therefore, learning about ambiguous predictors of threat result in an increase in defensive behaviour and this generalises to subsequent novel contexts and this process depends on hippocampal neurogenesis and glucocorticoids.

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16
Q

What is special about HPC neurogenesis

A

Cameron & McKay, 2001
BrdU labelling of proliferating cells combined with neuronal markers identified around 9000 newborn neurons including in rat’s subventricular zone in dentate gyrus of the HPC formation

Schmidt-Hieber et al., 2004
New neurons have different membrane properties than mature neurons.
Ca2+ channels can generate isolated Ca2+ spikes and boost fast Na+ action potentials so LTP is more readily induced

17
Q

Browning et al., 2007

A

healthy human participants were either administered SSRI (citalopram) or placebo before completing a series of tests including (visual-probe task), perception (categorisation of facial affect), memory (emotional memory) and reactivity to threat (emotion potentiated startle). Participants who had received the SSRI showed better recognition of fearful faces and fear potentiated startle. Supporting initial increase in anxiety due to acute SSRIs in humans. However, there was also improved memory for positive words compared to controls so there may be a more general effect of serotonin increasing attention/learning and response to both positive and negative cues.

18
Q

what is the role of inhibitory GABA-interneurons

A

originally thought to decrease anxiety (Pellow et al., 1985)
but subsequently been shown to increase defensive distance (Blanchard et al., 1990)
highlight that different anxiolytic drugs have very different action
all function to reduce HPC theta.

19
Q

yokoyama et al., 2005

A

Continuously monitor changes in extracellular levels of glutamate, dopamine and serotonin in the amygdala at acquisition (day 1) and recall (day 2) of conditioned fear. Placed in a chamber fixed interval tone followed by inescapable shock. 24 hours later (freezing behaviour now stopped) played tone again and freezing behaviour was observed.
In vivo microdialysis of CSF in amygdala HPLC used to determine levels of monoamines (DA, 5-HT) and amino acids (glu, gly, tau). Glu higher in shocked animals 0-20 mins after initiating fear conditioning. DA and 5-HT levels higher than controls on both days. Elevated periods were longer on day 1 than day 2.

20
Q

Johnson et al., 2015

A

Pharmacological depletion of serotonin in the basolateral amygdala complex disrupts fear conditioning. 5,7-Dihydroxytryptamine lesions of the amygdala. 5 days later increase in duration of social interaction time. Cue-induced fear conditioning protocol with shock as the unconditioned stimulus and tone as the conditioned stimulus. 5,7-DHT rats had reduced acquisition of fear during conditioning as measured by freezing time during tone and reduced fear recall on subsequent testing days. Ex vivo analyses revealed that 5,7-DHT reduced local 5-HT concentrations in the BLC by 40% without altering local norepinephrine or DA concentrations.

21
Q

cohen et al., 2015

A

Transgenic mice who express Cre recombinase under the control of tryptophan hydroxylase promoter were injected with a virus containing channelrhodopsin2. ChR2 is a light-dependent cation that is then selectively expressed in 5-HT neurons. Able to validate that they were recording from 5-HT neurons by this optotagging method as blue light stimulation results in depolarisation.
Recorded from 5-HT neurons while the thirsty mice were presented with different odours predictive of reward (water), neutral outcome or punishment (air puff) in different blocks. They found that tonic 5-HT fired with a value corresponded to whether the mice were in a punishing or rewarding block based on pre-trial activity. 12/29 showed different activity depending on rewarding or punishing block. Phasic 5-HT responded to punishing stimuli (28/29). But half of the 5-HT neurons also responded to reward, and 9/15 of these did so more strongly than they responded to punishment. Subsequent analysis measuring the area under the ROC curve demonstrated that the phasic release tracked the value of stimuli rather than salience. Thus, 5-HT neurons respond to reward-predicting stimuli.