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      A novel arousal-based individual screening reveals susceptibility and resilience to PTSD-like phenotypes in mice

      research-article
      a , a , b , 1 , a , c , 1 , a , a , a , d , e , a , d , e , a , a , d , f , g , h , a , a , a , 1 , a , , 2
      Neurobiology of Stress
      Elsevier
      Animal model, Susceptibility, Resilience, Fear conditioning, Stress, Z-score, 5-trial SM, 5-trial social memory, ASR, acoustic startle reactivity, Amy, amygdala, AIS, arousal-based individual screening, BST, basal synaptic transmission, BDNF, brain derived neurotropic factor, C, control, CORT, corticosterone, DSM-5, Diagnostic and Statistical Manual of Mental Disorders, EPM, elevated plus maze, fEPSPs, field excitatory post-synaptic potentials, FKBP5, FK506 binding protein 5, FDA, Food and Drug Administration, FST, forced swim test, HT, hypothalamus, HPA, hypothalamic–pituitary–adrenal, HIP, hippocampus, mPFC, medial prefrontal cortex, OF, open field, PTSD, post-traumatic stress disorder, SSRIs, selective serotonin reuptake inhibitors, SGK1, serum/glucocorticoid-regulated kinase 1, TE, trauma-exposed

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          Abstract

          Translational animal models for studying post-traumatic stress disorder (PTSD) are valuable for elucidating the poorly understood neurobiology of this neuropsychiatric disorder. These models should encompass crucial features, including persistence of PTSD-like phenotypes triggered after exposure to a single traumatic event, trauma susceptibility/resilience and predictive validity. Here we propose a novel arousal-based individual screening (AIS) model that recapitulates all these features. The AIS model was designed by coupling the traumatization (24 h restraint) of C57BL/6 J mice with a novel individual screening. This screening consists of z-normalization of post-trauma changes in startle reactivity, which is a measure of arousal depending on neural circuits conserved across mammals. Through the AIS model, we identified susceptible mice showing long-lasting hyperarousal (up to 56 days post-trauma), and resilient mice showing normal arousal. Susceptible mice further showed persistent PTSD-like phenotypes including exaggerated fear reactivity and avoidance of trauma-related cue (up to 75 days post-trauma), increased avoidance-like behavior and social/cognitive impairment. Conversely, resilient mice adopted active coping strategies, behaving like control mice. We further uncovered novel transcriptional signatures driven by PTSD-related genes as well as dysfunction of hypothalamic–pituitary–adrenal axis, which corroborated the segregation in susceptible/resilient subpopulations obtained through the AIS model and correlated with trauma susceptibility/resilience. Impaired hippocampal synaptic plasticity was also observed in susceptible mice. Finally, chronic treatment with paroxetine ameliorated the PTSD-like phenotypes of susceptible mice. These findings indicate that the AIS model might be a new translational animal model for the study of crucial features of PTSD. It might shed light on the unclear PTSD neurobiology and identify new pharmacological targets for this difficult-to-treat disorder.

          Highlights

          • The AIS model includes highly requested features necessary to shape a translational PTSD animal model.

          • Susceptible mice identified through the AIS model exhibited persistent PTSD-like phenotypes.

          • Resilient mice identified through the AIS model adopted active coping strategies.

          • The AIS model revealed molecular adaptations underlying trauma susceptibility/resilience.

          • The AIS model meets the criterion of predictive validity by exclusively using susceptible mice.

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          Most cited references98

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          Posttraumatic stress disorder in the National Comorbidity Survey.

          Data were obtained on the general population epidemiology of DSM-III-R posttraumatic stress disorder (PTSD), including information on estimated life-time prevalence, the kinds of traumas most often associated with PTSD, sociodemographic correlates, the comorbidity of PTSD with other lifetime psychiatric disorders, and the duration of an index episode. Modified versions of the DSM-III-R PTSD module from the Diagnostic Interview Schedule and of the Composite International Diagnostic Interview were administered to a representative national sample of 5877 persons aged 15 to 54 years in the part II subsample of the National Comorbidity Survey. The estimated lifetime prevalence of PTSD is 7.8%. Prevalence is elevated among women and the previously married. The traumas most commonly associated with PTSD are combat exposure and witnessing among men and rape and sexual molestation among women. Posttraumatic stress disorder is strongly comorbid with other lifetime DSM-III-R disorders. Survival analysis shows that more than one third of people with an index episode of PTSD fail to recover even after many years. Posttraumatic stress disorder is more prevalent than previously believed, and is often persistent. Progress in estimating age-at-onset distributions, cohort effects, and the conditional probabilities of PTSD from different types of trauma will require future epidemiologic studies to assess PTSD for all lifetime traumas rather than for only a small number of retrospectively reported "most serious" traumas.
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            The stressed synapse: the impact of stress and glucocorticoids on glutamate transmission.

            Mounting evidence suggests that acute and chronic stress, especially the stress-induced release of glucocorticoids, induces changes in glutamate neurotransmission in the prefrontal cortex and the hippocampus, thereby influencing some aspects of cognitive processing. In addition, dysfunction of glutamatergic neurotransmission is increasingly considered to be a core feature of stress-related mental illnesses. Recent studies have shed light on the mechanisms by which stress and glucocorticoids affect glutamate transmission, including effects on glutamate release, glutamate receptors and glutamate clearance and metabolism. This new understanding provides insights into normal brain functioning, as well as the pathophysiology and potential new treatments of stress-related neuropsychiatric disorders.
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              Neuronal circuits for fear and anxiety.

              Decades of research has identified the brain areas that are involved in fear, fear extinction, anxiety and related defensive behaviours. Newly developed genetic and viral tools, optogenetics and advanced in vivo imaging techniques have now made it possible to characterize the activity, connectivity and function of specific cell types within complex neuronal circuits. Recent findings that have been made using these tools and techniques have provided mechanistic insights into the exquisite organization of the circuitry underlying internal defensive states. This Review focuses on studies that have used circuit-based approaches to gain a more detailed, and also more comprehensive and integrated, view on how the brain governs fear and anxiety and how it orchestrates adaptive defensive behaviours.
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                Author and article information

                Contributors
                Journal
                Neurobiol Stress
                Neurobiol Stress
                Neurobiology of Stress
                Elsevier
                2352-2895
                24 December 2020
                May 2021
                24 December 2020
                : 14
                : 100286
                Affiliations
                [a ]Department of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy
                [b ]INSERM, U1215 Neurocentre Magendie and University of Bordeaux, Bordeaux, France
                [c ]Research Group “Neuronal Plasticity”, Max Planck Institute of Psychiatry, Munich, Germany
                [d ]Oasi Research Institute-IRCCS, Troina, Italy
                [e ]Department of Drug Sciences, University of Catania, Catania, Italy
                [f ]Genetics of Cognition Laboratory, Neuroscience area, Istituto Italiano di Tecnologia, Genova, Italy
                [g ]Department of Physiology and Pharmacology “Vittorio Erspamer”, Sapienza University of Rome, Rome, Italy
                [h ]Neurobiology of Behavior Laboratory, Santa Lucia Foundation, Rome, Italy
                Author notes
                []Corresponding author.Department of Biomedical and Biotechnological Sciences, Catania University of Catania, Via Santa Sofia 97, 95123 Catania, Italy. gianmarco.leggio@ 123456unict.it
                [1]

                Shared second authorship.

                [2]

                Shared last authorship.

                Article
                S2352-2895(20)30076-X 100286
                10.1016/j.ynstr.2020.100286
                7772817
                33392367
                5730a77f-5795-4933-a878-6637f0d981fb
                © 2020 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 28 August 2020
                : 21 November 2020
                : 6 December 2020
                Categories
                Original Research Article

                animal model,susceptibility,resilience,fear conditioning,stress,z-score,5-trial sm, 5-trial social memory,asr, acoustic startle reactivity,amy, amygdala,ais, arousal-based individual screening,bst, basal synaptic transmission,bdnf, brain derived neurotropic factor,c, control,cort, corticosterone,dsm-5, diagnostic and statistical manual of mental disorders,epm, elevated plus maze,fepsps, field excitatory post-synaptic potentials,fkbp5, fk506 binding protein 5,fda, food and drug administration,fst, forced swim test,ht, hypothalamus,hpa, hypothalamic–pituitary–adrenal,hip, hippocampus,mpfc, medial prefrontal cortex,of, open field,ptsd, post-traumatic stress disorder,ssris, selective serotonin reuptake inhibitors,sgk1, serum/glucocorticoid-regulated kinase 1,te, trauma-exposed

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