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Possible New Pathway to Treat Anxiety

Summary: Researchers have identified a new neural pathway that may provide a good target for a drug to reduce anxiety symptoms.

Source: University of Alberta.

Researchers know that anxiety is a result of repeated stress. William Colmers, a University of Alberta professor in the Department of Pharmacology, is trying to understand why stress affects people differently, and to identify possible new therapeutic approaches to anxiety disorders.

The body is designed to deal with stress thanks to a “fight or flight” response that helps prepare your mind and body to either defend yourself or get away from stressors. Normally, this response reverses once the danger is over, but the over-use of this stress response can also end up causing anxiety.

“Your resources become depleted,” said Colmers. “It’s like gunning your engine to take off, but if you don’t stop, you’ll run out of gas at some point.”

Anxiety disorders are widespread in today’s society. One in four people have an incident in their lifetime, the severity of which can range from manageable to debilitating.

The Colmers lab is interested in the reversal process–turning the stress back down to a level where you can use the resources that you are wasting on the flight or fight response to do other essential things.

The U of A team has identified a new pathway in the brain that might be a good target for a drug to reduce the symptoms of anxiety.

“It’s a whole new way of looking at how anxiety can be regulated. It gives us a great deal of hope in terms of finding new avenues for treatment,” said Colmers.

Peptide pivot point influences anxiety

To do this, Colmers studied the stress hormone, a peptide called corticotropin-releasing hormone (CRH), and the anti-stress hormone that stops the cycle, called neuropeptide-Y (NPY).

NPY is a brain chemical messenger that the Colmers lab has studied in relation to epilepsy and appetite. He is now investigating how the hormone affects a stress-sensitive part of the brain called the amygdala and its action in reversing stress responses.

It has been shown that NPY causes an animal to become less stressed, acting as an anxiolytic?reducing anxiety. The response to NPY can be observed by testing if the animal is more willing to interact with other animals it does not know, which can be a stressful experience.

While the effect of exposure to NPY lasts just a short while, multiple exposures make the animal resilient to stress for weeks or months.

The Colmers lab identified the exact mechanism that elicits this response:

Activity in the output neurons of the amygdala signals fear or danger. Anything that slows their activity down causes anxiolysis (inhibiting anxiety). The stress hormone CRH increases the activity of these neurons, while NPY does the opposite, slowing down the firing of these neurons.

The same ion channel in the nerve cell’s membrane is activated by CRH to excite these neurons, and is shut down by NPY to silence them.

“The same pivot point is being used by the peptides that cause or reduce anxiety,” said Colmers.

Colmers observed that over a longer period, the ion channels that NPY shuts down disappear from the membrane, so there are less of those ion channels around.

In a collaboration with Janice Urban’s laboratory at Rosalind Franklin University in North Chicago, IL, the U of A team tested to see how important the channel was for behavior.

an anxious looking woman

This is active neural connections in rat spinal cord. NeuroscienceNews.com image is adapted from the King’s College London news release.

The lab used a small hairpin RNA (shRNA), which can prevent the protein from being made by the nerve cell. They used a tailored virus to get the nerve cells to produce the shRNA that stops their normal production of the ion channel. It is a very selective method, and can be put in very precise regions of the brain using this viral delivery system.

The group found that within a week of inhibiting the protein, the animals were more likely to interact, and the change lasted for at least eight weeks.

“Knocking down the ion channel protein causes animals to be less anxious,” said Colmers. “This gives us a new drug target, and we now have a better understanding of how that area of the brain works.”

About this neuroscience research article

Funding: The research was funded by the National Institutes of Health in the United States and was a collaboration with Janice Urban, professor and Chair of Physiology at Rosalind Franklin University in Chicago and the Director of the Center for Stress Resilience and Psychiatric Disorders.

Source: Shelby Soke – University of Alberta
Publisher: Organized by NeuroscienceNews.com.
Image Source: NeuroscienceNews.com image is in the public domain.
Original Research: Abstract for “NPY Induces Stress Resilience via Downregulation of Ih in Principal Neurons of Rat Basolateral Amygdala” by Heika Silveira Villarroel, Maria Bompolaki, James P. Mackay, Ana Pamela Miranda Tapia, Sheldon D. Michaelson, Randy J. Leitermann, Robert A. Marr, Janice H. Urban and William F. Colmers in Journal of Neuroscience. Published May 9 2018.
doi:10.1523/JNEUROSCI.3528-17.2018

Cite This NeuroscienceNews.com Article
University of Alberta “Possible New Pathway to Treat Anxiety.” NeuroscienceNews. NeuroscienceNews, 13 June 2018.
<http://neurosciencenews.com/crh-genetics-anxiety-9344/>.
University of Alberta (2018, June 13). Possible New Pathway to Treat Anxiety. NeuroscienceNews. Retrieved June 13, 2018 from http://neurosciencenews.com/crh-genetics-anxiety-9344/
University of Alberta “Possible New Pathway to Treat Anxiety.” http://neurosciencenews.com/crh-genetics-anxiety-9344/ (accessed June 13, 2018).

Abstract

NPY Induces Stress Resilience via Downregulation of Ih in Principal Neurons of Rat Basolateral Amygdala

Neuropeptide Y (NPY) expression is tightly linked with the development of stress resilience in rodents and humans. Local NPY injections targeting the basolateral amygdala (BLA) produce long-term behavioral stress resilience in male rats via an unknown mechanism. Previously, we showed that activation of NPY Y1 receptors hyperpolarizes BLA principal neurons (PNs) through inhibition of the hyperpolarization-activated, depolarizing H-current, Ih. The present studies tested whether NPY treatment induces stress resilience by modulating Ih. NPY (10 pmol) was delivered daily for 5 d bilaterally into the BLA to induce resilience; thereafter, the electrophysiological properties of PNs and the expression of Ih in the BLA were characterized. As reported previously, increases in social interaction (SI) times persisted weeks after completion of NPY administration. In vitro intracellular recordings showed that repeated intra-BLA NPY injections resulted in hyperpolarization of BLA PNs at 2 weeks (2W) and 4 weeks (4W) after NPY treatment. At 2W, spontaneous IPSC frequencies were increased, whereas at 4W, resting Ih was markedly reduced and accompanied by decreased levels of HCN1 mRNA and protein expression in BLA. Knock-down of HCN1 channels in the BLA with targeted delivery of lentivirus containing HCN1-shRNA increased SI beginning 2W after injection and induced stress resilience. NPY treatment induced sequential, complementary changes in the inputs to BLA PNs and their postsynaptic properties that reduce excitability, a mechanism that contributes to less anxious behavior. Furthermore, HCN1 knock-down mimicked the increases in SI and stress resilience observed with NPY, indicating the importance of Ih in stress-related behavior.

SIGNIFICANCE STATEMENT Resilience improves mental health outcomes in response to adverse situations. Neuropeptide Y (NPY) is associated with decreased stress responses and the expression of resilience in rodents and humans. Single or repeated injections of NPY into the basolateral amygdala (BLA) buffer negative behavioral effects of stress and induce resilience in rats, respectively. Here, we demonstrate that repeated administration of NPY into the BLA unfolds several cellular mechanisms that decrease the activity of pyramidal output neurons. One key mechanism is a reduction in levels of the excitatory ion channel HCN1. Moreover, shRNA knock-down of HCN1 expression in BLA recapitulates some of the actions of NPY and causes potent resilience to stress, indicating that this channel may be a possible target for therapy.

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