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Anxiety-related diseases are more than twice as common in women than in men, and in women, symptoms may be exacerbated during the late luteal phase of the menstrual cycle. Despite this, most research into the underlying mechanisms, which drives drug development, have been carried out using male animals. In an effort to redress this imbalance, we compared responses of male and female Wistar rats during exposure to two unconditioned threatening stimuli that evoke panic-related defensive behaviours: confrontation with a predator (Bothrops alternatus) and acute exposure to hypoxia (7% O2 ). Threatened by venomous snake, male and female rats initially displayed defensive attention, risk assessment, and cautious interaction with the snake, progressing to defensive immobility to overt escape. Both males and females displayed higher levels of risk assessment but less interaction with the predator. They also spent more time in the burrow, displaying inhibitory avoidance, and more time engaged in defensive attention, and non-oriented escape behaviour. In females, anxiety-like behaviour was most pronounced in the oestrous and proestrus phases whereas panic-like behaviour was more pronounced during the dioestrus phase, particularly during late dioestrus. Acute hypoxia evoked panic-like behaviour (undirected jumping) in both sexes but in females, responsiveness in late dioestrus was significantly greater than at other stages of the cycle. The results reveal that females respond in a qualitatively similar manner to males during exposure to naturally occurring threatening stimuli, but the responses of females is oestrous cycle dependent with a significant exacerbation of panic-like behaviour in the late dioestrus phase.

Aims: Acute restraint stress (RS) has been reported to cause neuronal activation in the supraoptic nucleus of the hypothalamus (SON). The aim of the study was to evaluate the role of SON on autonomic (mean arterial pressure [MAP], heart rate [HR], and tail temperature), neuroendocrine (corticosterone, oxytocin, and vasopressin plasma levels), and behavioral responses to RS. Methods: Guide cannulas were implanted bilaterally in the SON of male Wistar rats for microinjection of the unspecific synaptic blocker cobalt chloride (CoCl2, 1 mM) or vehicle (artificial cerebrospinal fluid, 100 nL). A catheter was introduced into the femoral artery for MAP and HR recording. Rats were subjected to RS, and it was studied the effect of microinjection of CoCl2 or vehicle into the SON on pressor and tachycardic responses, drop in tail temperature, plasma oxytocin, vasopressin, and corticosterone levels, and anxiogenic-like effect induced by RS. Results: SON pretreatment with CoCl2 reduced the RS-induced MAP and HR increase, without affecting the RS-evoked tail temperature decrease. Microinjection of CoCl2 into areas surrounding the SON did not affect RS-induced increase in MAP and HR, reinforcing the idea that SON influences RS-evoked cardiovascular responses. Also, SON pretreatment with CoCl2 reduced RS-induced increase in corticosterone and oxytocin, without affecting vasopressin plasma levels, suggesting its involvement in RS-induced neuroendocrine responses. Finally, the CoCl2 microinjection into SON inhibited the RS-caused delayed anxiogenic-like effect. Conclusion: The results indicate that SON is an important component of the neural pathway that controls autonomic, neuroendocrine, and behavioral responses induced by RS.

The lateral wings subnucleus of the dorsal raphe nucleus (lwDR) has been implicated in the modulation of panic-like behaviors, such as escape. Infusion of non- excitotoxic doses of the excitatory amino acid kainic acid into this subnucleus promptly evokes a vigorous escape response. In addition, rats exposed to panic-inducing situations show an increase in Fos protein expression in neurons within the lwDR. In the present study, we first investigated whether key structures associated with the mediation of escape behavior are recruited after chemical stimulation of the lwDR with kainic acid. We next investigated whether the infusion of the GABAA receptor antagonist bicuculline into the lwDR also evoked escape responses measured both in a circular arena and in the rat elevated T-maze. The effects of bicuculline in the circular arena were compared to those caused by the infusion of this antagonist into the ventrolateral periaqueductal gray (vlPAG), an area in close vicinity to the lwDR. The results showed that kainic acid infusion into the lwDR increased Fos protein immunostaining in brain structures deeply involved in panic-like defensive behaviors, such as the periaqueductal gray and hypothalamus, but not the amygdala. As observed with kainic acid, bicuculline evoked a pronounced escape response in the circular arena when microinjected in the lwDR, but not in the vlPAG. The escape-promoting effect of bicuculline in the lwDR was also evidenced in the elevated T-maze. These findings strength the view that dysfunction in mechanisms controlling escape in the lwDR is critically implicated in the pathophysiology of panic disorder.

Background:Stimulation of serotonergic neurons within the dorsal raphe dorsomedial subnucleus facilitates inhibitory avoidance acquisition in the elevated T-maze. It has been hypothesized that such anxiogenic effect is due to serotonin release in the basolateral nucleus of the amygdala, where facilitation of serotonin 2C receptor-mediated neurotransmission increases anxiety. Besides the dorsal raphe dorsomedial subnucleus, the dorsal raphe caudal subnucleus is recruited by anxiogenic stimulus/situations. However, the behavioral consequences of pharmacological manipulation of this subnucleus are still unknown.Aims:Investigate whether blockade of serotonin 2C receptors in the basolateral nucleus of the amygdala counteracts the anxiogenic effect caused by the stimulation of dorsal raphe dorsomedial subnucleus serotonergic neurons. Evaluate the effects caused by the excitatory amino acid kainic acid or serotonin 1A receptor-modulating drugs in the dorsal raphe caudal subnucleus.Methods:Male Wistar rats were tested in the elevated T-maze and light-dark transition tests after intra-basolateral nucleus of the amygdala injection of the serotonin 2C receptor antagonist SB-242084 (6-chloro-2,3-dihydro-5-methyl-N-[6-[(2-methyl-3-pyridinyl)oxy]-3-pyridinyl]-1H-indole-1-carboxyamide dihydrochloride) followed by intra-dorsal raphe dorsomedial subnucleus administration of the serotonin 1A receptor antagonist WAY-100635 (N-[2-[4-2-methoxyphenyl)-1-piperazinyl]ethyl]-N-2-pyridinil-cyclohexanecarboxamide maleate). In the dorsal raphe caudal subnucleus, animals were injected with kainic acid, WAY-100635 or the serotonin 1A receptor agonist 8-OH-DPAT ((±)-8-hydroxy-2-(di-n-propylamino) tetralin hydrobromide) and tested in the elevated T-maze.Results:SB-242084 in the basolateral nucleus of the amygdala blocked the anxiogenic effect caused by the injection of WAY-100635 in the dorsal raphe dorsomedial subnucleus. Kainic acid in the dorsal raphe caudal subnucleus increased anxiety, but also impaired escape expression in the elevated T-maze. Neither WAY-100635 nor 8-OH-DPAT in the dorsal raphe caudal subnucleus affected rat’s behavior in the elevated T-maze.Conclusion:Serotonin 2C receptors in the basolateral nucleus of the amygdala mediate the anxiogenic effect caused by the stimulation of serotonergic neurons in the dorsal raphe dorsomedial subnucleus. The dorsal raphe caudal subnucleus regulates anxiety- and panic-like behaviors, presumably by a serotonin 1A receptor-independent mechanism.

Uma série de evidências indica que o núcleo dorsal da rafe (NDR) é uma estrutura heterogênea, composta por populações de neurônios serotoninérgicos, anatômica e funcionalmente distintas, que foram implicadas de maneira diferente na fisiopatologia da ansiedade. Evidências do nosso grupo mostraram que a facilitação da neurotransmissão serotoninérgica do subnúcleo dorsomedial (DRD) do NDR favorece a aquisição da esquiva inibitória, sugerindo um efeito ansiogênico, e inibe a expressão da resposta de fuga, efeito do tipo panicolítico, no labirinto em T elevado (LTE). Por outro lado, a ativação das asas laterais do NDR apenas altera o desempenho na tarefa de fuga, efeito do tipo panicolítico, no LTE. Essas descobertas sustentam que diferentes vias serotoninérgicas provenientes do NDR modulam comportamentos associados à ansiedade e ao pânico. O presente estudo teve como objetivo investigar se as asas laterais enviam projeções serotoninérgicas para a substância cinzenta periaquedutal dorsal (SCPd), estruturas chave na modulação de comportamentos relacionados ao pânico, através da técnica de neurotraçamento anterógrado. Em seguida, avaliamos, através de manipulações farmacológicas, o papel desta via na modulação de respostas defensivas avaliadas no LTE. Estendemos esta investigação farmacológicas para o hipotálamo dorsomedial (dmHIP), outra estrutura chave na evocação de comportamentos relacionados ao pânico. Além disso, investigamos o papel da via serotoninérgica que parte do DRD para o núcleo basolateral de amígdala (BLA) na evocação de comportamentos defensivos no ETM e no teste de transição claro-escuro. Com base em estudos prévios do nosso grupo que mostram que a tarefa de esquiva inibitória no LTE ativa o subnúcleo caudal (DRC), realizamos as primeiras observações das consequências comportamentais no LTE após manipulações farmacológicas deste subnúcleo. Primeiramente, verificamos se as asas laterais enviam projeções serotoninérgicas para a SCPd através do neurotraçador anterógrado amina dextrano biotinilado não fluorescente e da imunomarcação para a enzima triptofano hidroxilase. Em seguida, investigamos o efeito da microinjeção do antagonista seletivo de receptores 5-HT1A WAY-100635 nas asas laterais de ratos que receberam administração prévia da mesma droga na SCPd. Dados anteriores do nosso grupo mostraram que a administração de WAY-100635 no NDR, sem diferenciar os subnúcleos, promove efeito do tipo panicolítico no LTE, e este efeito era bloqueado pelo antagonismo dos receptores 5-HT1A na SCPd. Nossa hipótese é que o antagonismo dos receptores 5-HT1A nas asas laterais resulte em um aumento na liberação de serotonina (5-HT) na SCPd, promovendo o efeito do tipo panicolítico. Portanto, o WAY-100635 administrado anteriormente na SCPd bloquearia o efeito panicolítico observado na tarefa de fuga no LTE. Estendemos essa investigação farmacológica, também utilizando o WAY-100635, para o dmHIP. Em passo seguinte, com base em resultados prévios de imuno-histoquímica do nosso grupo que mostraram que a tarefa de esquiva inibitória, mas não a resposta de fuga, ativa o DRC, avaliamos o comportamentos de ratos submetidos ao LTE após a manipulação farmacológica dos receptores do tipo 5-HT1A neste subnúcleo. Esperávamos que a microinjeção de WAY-100635 no DRC facilitasse a aquisição da esquiva inibitória, enquanto que a administração do agonista seletivo de receptores 5-HT1A, 8-OH-DPAT, prejudicasse esta tarefa no LTE. Em uma etapa posterior, investigamos se o efeito ansiogênico observado após a administração de WAY- 100635 no DRD era dependente da ativação de receptores 5-HT2C no BLA. Nosso grupo mostrou que a administração de 5-HT no BLA promove efeito ansiogênico no LTE, e este efeito é bloqueado pelo antagonista de receptores 5-HT2C, SB-242084. Para responder esta pergunta, injetamos WAY-100635 no DRD de ratos que receberam a administração prévia de SB-242084 no BLA. Assim, se o antagonismo de receptores 5-HT1A no DRD resulta em um aumento da liberação de 5-HT no BLA, esperávamos que o SB-242084 administrado no BLA bloquearia o efeito ansiogênico observado no LTE. Nossos resultados mostraram que as asas laterais envia projeções serotoninérgicas para a SCPd. Os resultados farmacológicos mostraram que o tratamento prévio com WAY-100635 na SCPd bloqueia o efeito de tipo panicolítico observado após a administração de WAY-100635 nas asas laterais, sem interferir na tarefa de esquiva inibitória no LTE. Por outro lado, o tratamento prévio com SB-242084 no BLA bloqueou o efeito ansiogênico observado após a administração de WAY-100635 no DRD, sem interferir na resposta de fuga no LTE. Este resultado também foi confirmado em outro teste relacionado à ansiedade, o teste de transição claro-escuro. As manipulações farmacológicas no DRC apontaram para o não envolvimento deste subnúcleo na modulação de respostas associadas à ansiedade e ao pânico. Nossos resultados sugerem ainda que as vias asas laterais- SCPd e asas laterais-dmHIP modulam comportamentos de defesa associados ao pânico, enquanto a via DRD-BLA está relacionada à modulação das respostas relacionadas à ansiedade. A wealth of evidence indicates that the dorsal raphe nucleus (DR) is a heterogeneous structure, composed of anatomically and functionally distinct populations of serotonergic neurons, which have been differently implicated in the pathophysiology of anxiety. Evidences from our group showed that serotonergic neurotransmission activation via dorsomedial subnucleus (DRD) of the DR facilitated inhibitory avoidance acquisition, suggesting an anxiogenic effect, and inhibited escape expression, a panicolytic-like effect in the elevated T maze (ETM). On the other hand, in the ETM, activation of the lateral wings (lwDR) of the DR only altered escape response, a panicolytic-like effect. These findings support that different DR serotonergic pathways regulate anxiety and panic-like behaviors. The present study aimed to investigate whether the lwDR send serotonergic projections to the dorsal periaqueductal gray (dPAG), a key structure in the modulation of panic-related behaviors, through the anterograde neurotrace technique. Next, we evaluated, through pharmacological manipulations, the role of this pathway in the modulation of defensive responses evaluated in the ETM. We extend this pharmacological investigation to the dorsomedial hypothalamus (dmHIP), another key structure in the evocation of panic-related behaviors. In addition, we investigated the role of the serotonergic pathway from the DRD to the basolateral nucleus of amygdala (BLA) in the elicitation of defensive behaviors in the ETM and in the light-dark transition test. Based on previous studies from our group that show that inhibitory avoidance task in the ETM activates the caudal subnucleus (DRC) of the DR, we performed the first behavioral observations in the ETM after the pharmacological manipulations of this DR subnucleus. First, we labeled the lwDR to dPAG pathway using the anterograde tracer non-fluorescent biotinylated dextran amine and performed an immunostaining for the enzyme tryptophan hydroxylase. Next, we investigated the effect of the microinjection of the selective 5-HT1A antagonist WAY-100635 in the lwDR of rats that have received previous administration of the same drug in the dPAG. Previous data from our group showed that the administration of WAY-100635 in the DR, without differentiating subnuclei, promotes panicolytic effect in the ETM, and this effect was blocked by the 5-HT1A receptors antagonism in the dPAG. Our hypothesis is that the antagonism of 5-HT1A receptors in the lwDR results in an increase in the release of serotonin (5-HT) in the dPAG, promoting the panicolytic effect. Therefore, WAY- 100635 previously administered in dPAG would block the panicolytic effect observed in the escape task in the ETM. We extended this pharmacological investigation, also using WAY-100635, to dmHIP. In the next step, based on previous immunohistochemistry results from our group that show that the inhibitory avoidance task, but not the escape response, activates the DRC, we investigated the behavior of rats submitted to the ETM after the pharmacological manipulation of the 5-HT1A receptors in this subnucleus. We expected that the microinjection of WAY-100635 in the DRC would facilitate the inhibitory avoidance acquisition, whereas the administration of the selective 5-HT1A agonist 8-OH-DPAT would hinder this task in the ETM. At a later stage, we investigated whether the anxiogenic effect observed after administration of WAY-100635 in the DRD is dependent on activation of 5-HT2C receptors in the BLA. Our group has shown that the administration of 5-HT in the BLA promotes an anxiogenic effect in the ETM, and this effect was blocked by the 5- HT2C receptor antagonist, SB-242084. To answer these questions, we microinjected WAY-100635 in the DRD of rats that received prior administration of SB-242084 in the BLA. Thus, if 5-HT1A receptor antagonism in the DRD results in an increase of 5- HT released in the BLA, we expected that SB-242084 administered in the BLA blocks the anxiogenic effect in the LTE. Our results showed that the lwDR send serotonergic projections to the dPAG. The pharmacological results showed that previous treatment with WAY-100635 in the dPAG or dmHIP blocked the panicolytic-like effect observed after WAY-100635 administration in the lwDR, without interfering in the inhibitory avoidance response in the ETM. On the other hand, previous treatment with SB-242084 in the BLA blocked the anxiogenic effect observed after WAY- 100635 administration in the DRD, without interfering in the escape response in the ETM. The later result was also confirmed in another anxiety-related test, the light/dark transition test. The results of the pharmacological manipulations of the DRC do not support an involvement of this subnucleus in the modulation of defensive responses associated with anxiety and panic. Our results suggest that lwDR-PAG and lwDR-dmHIP pathways modulate panic-like defense behaviors while DRD-BLA pathway is implicated in the modulation of anxiety responses.

Dorsal raphe nucleus (DRN) neurons are reciprocally connected to the locus coeruleus (LC) and send neural pathways to the medial hypothalamus (MH). The aim of this work was to investigate whether the blockade of α1-, α2- or β-noradrenergic receptors in the DRN or the inactivation of noradrenergic neurons in the LC modify defensive behaviours organised by MH neurons. For this purpose, Wistar male rats received microinjections of WB4101, RX821002, propranolol (α1-, α2- and β-noradrenergic receptor antagonists, respectively) or physiological saline in the DRN, followed 10 min later by MH GABAA receptor blockade. Other groups of animals received DSP-4 (a noradrenergic neurotoxin), physiological saline or only a needle insertion (sham group) into the LC, and 5 days later, bicuculline or physiological saline was administered in the MH. In all these cases, after MH treatment, the frequency and duration of defensive responses were recorded over 15 min. An anterograde neural tract tracer was also deposited in the DRN. DRN neurons send pathways to lateral and dorsomedial hypothalamus. Blockade of α1- and β-noradrenergic receptors in the DRN decreased escape reactions elicited by bicuculline microinjections in the MH. In addition, a significant increase in anxiety-like behaviours was observed after the blockade of α2-noradrenergic receptors in the DRN. LC pretreatment with DSP-4 decreased both anxiety- and panic attack-like behaviours evoked by GABAA receptor blockade in the MH. In summary, the present findings suggest that the norepinephrine-mediated system modulates defensive reactions organised by MH neurons at least in part via noradrenergic receptors recruitment on DRN neurons.

The dorsal raphe nucleus (DR), the main source of 5-HT projections to brain areas involved in anxiety regulation, is composed by 5 subnuclei that differ morphologically, functionally and neurochemically. Based on immunohistochemical evidence, it has been proposed that whereas 5-HT cells of the dorsomedial (dmDR) and caudal subnuclei are implicated in the pathophysiology of generalized anxiety disorder (GAD), neurons of the lateral wings (lwDR) are associated with panic disorder (PD). We here tested this hypothesis from a behavioral perspective by investigating the consequences of the non-selective stimulation of neurons within the dmDR and lwDR, or the pharmacological manipulation of 5-HT1A receptors located in these nuclei, of male Wistar rats exposed to the elevated T-maze. This test allows the measurement of both a GAD- (i.e. inhibitory avoidance) and a PD- (i.e. escape) related response in the same animal. Intra-dmDR injection of either the excitatory amino acid kainic acid or the 5-HT1A receptor antagonist WAY-100635 facilitated inhibitory avoidance acquisition, suggesting an anxiogenic effect, and inhibited escape expression, a panicolytic-like effect. Microinjection of the 5-HT1A receptor agonist 8-OH-DPAT caused the opposite effect. Administration of the same drugs into the lwDR only altered escape performance. Whereas kainic acid and 8-OH-DPAT facilitated its expression, WAY-100635 inhibited it. At higher doses, kainic acid administration evoked vigorous escape reactions as measured in an open-field. These findings implicate 5-HT neurons of the dmDR in the regulation of both GAD- and PD-related defensive behaviors. They also support a primary role of the lwDR in the mediation of PD-associated responses.

The elevated T-maze was developed to test the hypothesis that serotonin plays an opposing role in the regulation of defensive behaviors associated with anxiety and panic. Previous pharmacological exploitation of this test supports the association between inhibitory avoidance acquisition and escape expression with anxiety and fear/panic, respectively. In the present study, we extend the pharmacological validation of this test by investigating the effects of other putative or clinically effective anxiety- and panic-modulating drugs. The results showed that chronic, but not acute injection of the reversible monoamine oxidase-A inhibitor moclobemide (3, 10 and 30mg/kg) inhibited escape expression, indicating a panicolytic-like effect. The same effect was observed after either acute or chronic treatment with alprazolam (1, 2 and 4mg/kg), a high potency benzodiazepine. This drug also impaired inhibitory avoidance acquisition, suggesting an anxiolytic effect. On the other hand, subcutaneous administration of the 5-HT1D/1B receptor agonist sumatriptan (0.1, 0.5 and 2.5μg/kg) facilitated escape performance, indicating a panicogenic-like effect, while treatment with α-para-chlorophenylalanine (p-CPA; 4days i.p injections of 100mg/kg, or a single i.p injection of 300mg/kg), which caused marked 5-HT depletion in the amygdala and striatum, was without effect. Altogether, these results are in full agreement with the clinical effects of these compounds and offer further evidence that the elevated T-maze has broad predictive validity for the effects of anxiety- and panic-modulating drugs.