Combined Neuropeptide S and D-Cycloserine Augmentation Prevents the Return of Fear in Extinction-Impaired Rodents: Advantage of Dual versus Single Drug Approaches

Autor: Conor P. Murphy, Nicolas Singewald, Claudia Schmuckermair, Verena Maurer, Nigel Whittle, Simone B. Sartori, Patrick Muigg, Inga D. Neumann
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Male
Time Factors
medicine.medical_treatment
Exposure therapy
Conditioning
Classical

Anxiety
Extinction
Psychological

0302 clinical medicine
Cognition
Recurrence
Pharmacology (medical)
Fear conditioning
Behavior
Animal

Fear
musculoskeletal system
humanities
3. Good health
Psychiatry and Mental health
Tolerability
fear relapse
Drug Therapy
Combination

medicine.symptom
Psychology
geographic locations
Research Article
Mice
129 Strain

medicine.drug_class
D-cycloserine
neuropeptide S
Implosive Therapy
Anxiolytic
03 medical and health sciences
Neuropeptide S
medicine
Animals
natural sciences
Pharmacology
renewal
Benzodiazepine
Neuropeptides
Rats
Inbred Strains

Extinction (psychology)
social sciences
030227 psychiatry
Disease Models
Animal

Fear extinction
Anti-Anxiety Agents
Cycloserine
Neuroscience
030217 neurology & neurosurgery
Zdroj: International Journal of Neuropsychopharmacology
ISSN: 1469-5111
1461-1457
Popis: Background: Despite its success in treating specific anxiety disorders, the effect of exposure therapy is limited by problems with tolerability, treatment resistance, and fear relapse after initial response. The identification of novel drug targets facilitating fear extinction in clinically relevant animal models may guide improved treatment strategies for these disorders in terms of efficacy, acceleration of fear extinction, and return of fear. Methods: The extinction-facilitating potential of neuropeptide S, D-cycloserine, and a benzodiazepine was investigated in extinction-impaired high anxiety HAB rats and 129S1/SvImJ mice using a classical cued fear conditioning paradigm followed by extinction training and several extinction test sessions to study fear relapse. Results: Administration of D-cycloserine improved fear extinction in extinction-limited, but not in extinction-deficient, rodents compared with controls. Preextinction neuropeptide S caused attenuated fear responses in extinction-deficient 129S1/SvImJ mice at extinction training onset and further reduced freezing during this session. While the positive effects of either D-cycloserine or neuropeptide S were not persistent in 129S1/SvImJ mice after 10 days, the combination of preextinction neuropeptide S with postextinction D-cycloserine rendered the extinction memory persistent and context independent up to 5 weeks after extinction training. This dual pharmacological adjunct to extinction learning also protected against fear reinstatement in 129S1/SvImJ mice. Conclusions: By using the potentially nonsedative anxiolytic neuropeptide S and the cognitive enhancer D-cycloserine to facilitate deficient fear extinction, we provide here the first evidence of a purported efficacy of a dual over a single drug approach. This approach may render exposure sessions less aversive and more efficacious for patients, leading to enhanced protection from fear relapse in the long term.
Databáze: OpenAIRE