Abstract
Fear extinction learning, the ability to reassess a learned cue of danger as safe when it no longer predicts aversive events, is often dysregulated in anxiety disorders. Selective serotonin reuptake inhibitors (SSRI’s) enhance neural plasticity and their ability to enhance fear extinction learning may explain their anxiolytic properties. Caloric restriction (CR) has SSRI-like effects on neural plasticity and anxiety-related behavior. We implemented CR in mice to determine its effects on conditioned-fear responses. Wild type and serotonin transporter (SERT) knockout mice underwent CR for 7 days leading to significant weight loss. Mice were then tested for cued fear learning and anxiety-related behavior. CR markedly enhanced fear extinction learning and its retention in adolescent female mice, and adults of both sexes. These effects of CR were absent in SERT knockout mice. Moreover, CR phenocopied behavioral and molecular effects of chronic fluoxetine, but there was no additive effect of CR in fluoxetine-treated mice. These results demonstrate that CR enhances fear extinction learning through a SERT-dependent mechanism. These results may have implications for eating disorders such as anorexia nervosa (AN), in which there is a high prevalence of anxiety before the onset of dietary restriction and support proposals that in AN, CR is a motivated effort to control dysregulated fear responses and elevated anxiety.
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References
Bailer UF, Kaye WH (2003). A review of neuropeptide and neuroendocrine dysregulation in anorexia and bulimia nervosa. Curr Drug Targets CNS Neurol Disord 2: 53–59.
Battersby S, Ogilvie AD, Blackwood DH, Shen S, Muqit MM, Muir WJ et al (1999). Presence of multiple functional polyadenylation signals and a single nucleotide polymorphism in the 3′ untranslated region of the human serotonin transporter gene. J Neurochem 72: 1384–1388.
Bengel D, Murphy DL, Andrews AM, Wichems CH, Feltner D, Heils A et al (1998). Altered brain serotonin homeostasis and locomotor insensitivity to 3, 4-methylenedioxymethamphetamine (‘Ecstasy’) in serotonin transporter-deficient mice. Mol Pharmacol 53: 649–655.
Caligioni CS (2009). Assessing reproductive status/stages in mice. Current protocols in neuroscience/editorial board, Jacqueline N. Crawley... [et al.] Appendix 4: Appendix 4I.
Chen ZY, Jing D, Bath KG, Ieraci A, Khan T, Siao CJ et al (2006). Genetic variant BDNF (Val66Met) polymorphism alters anxiety-related behavior. Science 314: 140–143.
Ellison Z, Foong J, Howard R, Bullmore E, Williams S, Treasure J (1998). Functional anatomy of calorie fear in anorexia nervosa. Lancet 352: 1192.
Ennaceur A, Aggleton JP (1997). The effects of neurotoxic lesions of the perirhinal cortex combined to fornix transection on object recognition memory in the rat. Behav Brain Res 88: 181–193.
Espeset EM, Gulliksen KS, Nordbo RH, Skarderud F, Holte A (2012). The link between negative emotions and eating disorder behaviour in patients with anorexia nervosa. European Eating Disorders Review: The Journal of the Eating Disorders Association 20: 451–460.
Frank GK, Roblek T, Shott ME, Jappe LM, Rollin MD, Hagman JO et al (2012). Heightened fear of uncertainty in anorexia and bulimia nervosa. Int J Eat Disord 45: 227–232.
Gelegen C, Collier DA, Campbell IC, Oppelaar H, van den Heuvel J, Adan RA et al (2007). Difference in susceptibility to activity-based anorexia in two inbred strains of mice. European Neuropsychopharmacology: The Journal of the European College of Neuropsychopharmacology 17: 199–205.
Godart NT, Flament MF, Lecrubier Y, Jeammet P (2000). Anxiety disorders in anorexia nervosa and bulimia nervosa: co-morbidity and chronology of appearance. European Psychiatry: The Journal of the Association of European Psychiatrists 15: 38–45.
Graham BM, Milad MR (2011). The study of fear extinction: implications for anxiety disorders. Am J Psychiatry 168: 1255–1265.
Gyawali S, Subaran R, Weissman MM, Hershkowitz D, McKenna MC, Talati A et al (2010). Association of a polyadenylation polymorphism in the serotonin transporter and panic disorder. Biol Psychiatry 67: 331–338.
Hartley CA, McKenna MC, Salman R, Holmes A, Casey BJ, Phelps EA et al (2012). Serotonin transporter polyadenylation polymorphism modulates the retention of fear extinction memory. Proc Nat Acad Sci Usa 109: 5493–5498.
Hildebrandt T, Bacow T, Markella M, Loeb KL (2012). Anxiety in anorexia nervosa and its management using family-based treatment. European Eating Disorders Review: The Journal of the Eating Disorders Association 20: e1–16.
Hudson JI, Hiripi E, Pope HG, Kessler RC (2007). The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry 61: 348–358.
Joos AA, Saum B, van Elst LT, Perlov E, Glauche V, Hartmann A et al (2011). Amygdala hyperreactivity in restrictive anorexia nervosa. Psychiat Res 191: 189–195.
Kang EH, Shim HB, Kim KJ, Park JE, Lee IS, Yu BH (2010). Platelet serotonin transporter function after short-term paroxetine treatment in patients with panic disorder. Psychiat Res 176: 250–253.
Kaplan GB, Moore KA (2011). The use of cognitive enhancers in animal models of fear extinction. Pharmacol Biochem Behav 99: 217–228.
Karpova NN, Pickenhagen A, Lindholm J, Tiraboschi E, Kulesskaya N, Agustsdottir A et al (2011). Fear erasure in mice requires synergy between antidepressant drugs and extinction training. Science 334: 1731–1734.
Kaye WH, Barbarich NC, Putnam K, Gendall KA, Fernstrom J, Fernstrom M et al (2003). Anxiolytic effects of acute tryptophan depletion in anorexia nervosa. Int J Eat Disord 33: 257–267 discussion 268–270.
Kaye WH, Fudge JL, Paulus M (2009). New insights into symptoms and neurocircuit function of anorexia nervosa. Nat Rev Neurosci 10: 573–584.
Kaye WH, Nagata T, Weltzin TE, Hsu LK, Sokol MS, McConaha C et al (2001). Double-blind placebo-controlled administration of fluoxetine in restricting- and restricting-purging-type anorexia nervosa. Biol Psychiatry 49: 644–652.
Lebron-Milad K, Milad MR (2012). Sex differences, gonadal hormones and the fear extinction network: implications for anxiety disorders. Biology of Mood & Anxiety Disorders 2: 3.
LeDoux JE (2012). Evolution of human emotion: a view through fear. Prog Brain Res 195: 431–442.
Mao SC, Hsiao YH, Gean PW (2006). Extinction training in conjunction with a partial agonist of the glycine site on the NMDA receptor erases memory trace. The Journal of Neuroscience: The Official Journal of the Society for Neuroscience 26: 8892–8899.
Maron E, Kuikka JT, Shlik J, Vasar V, Vanninen E, Tiihonen J (2004). Reduced brain serotonin transporter binding in patients with panic disorder. Psychiat Res 132: 173–181.
Maya Vetencourt JF, Sale A, Viegi A, Baroncelli L, De Pasquale R, O’Leary OF et al (2008). The antidepressant fluoxetine restores plasticity in the adult visual cortex. Science 320: 385–388.
Milad MR, Rauch SL (2012). Obsessive-compulsive disorder: beyond segregated cortico-striatal pathways. Trends Cogn Sci 16: 43–51.
Monfils MH, Cowansage KK, Klann E, LeDoux JE (2009). Extinction-reconsolidation boundaries: key to persistent attenuation of fear memories. Science 324: 951–955.
Murrough JW, Huang Y, Hu J, Henry S, Williams W, Gallezot JD et al (2011). Reduced amygdala serotonin transporter binding in posttraumatic stress disorder. Biol Psychiatry 70: 1033–1038.
Nelson JF, Gosden RG, Felicio LS (1985). Effect of dietary restriction on estrous cyclicity and follicular reserves in aging C57BL/6J mice. Biol Reprod 32: 515–522.
Reimold M, Smolka MN, Zimmer A, Batra A, Knobel A, Solbach C et al (2007). Reduced availability of serotonin transporters in obsessive-compulsive disorder correlates with symptom severity—a [11C]DASB PET study. J Neural Transm 114: 1603–1609.
Runker AE, O’Tuathaigh C, Dunleavy M, Morris DW, Little GE, Corvin AP et al (2011). Mutation of Semaphorin-6A disrupts limbic and cortical connectivity and models neurodevelopmental psychopathology. PloS One 6: e26488.
Soliman F, Glatt CE, Bath KG, Levita L, Jones RM, Pattwell SS et al (2010). A genetic variant BDNF polymorphism alters extinction learning in both mouse and human. Science 327: 863–866.
Sotres-Bayon F, Bush DE, LeDoux JE (2007). Acquisition of fear extinction requires activation of NR2B-containing NMDA receptors in the lateral amygdala. Neuropsychopharmacology: Official Publication of the American College of Neuropsychopharmacology 32: 1929–1940.
Spolidoro M, Baroncelli L, Putignano E, Maya-Vetencourt JF, Viegi A, Maffei L (2011). Food restriction enhances visual cortex plasticity in adulthood. Nature Communications 2: 320.
Steinglass J, Albano AM, Simpson HB, Carpenter K, Schebendach J, Attia E (2012). Fear of food as a treatment target: exposure and response prevention for anorexia nervosa in an open series. Int J Eat Disord 45: 615–621.
Steinglass J, Sysko R, Schebendach J, Broft A, Strober M, Walsh BT (2007). The application of exposure therapy and D-cycloserine to the treatment of anorexia nervosa: a preliminary trial. J Psychiatr Pract 13: 238–245.
Steinglass JE, Sysko R, Mayer L, Berner LA, Schebendach J, Wang Y et al (2010). Pre-meal anxiety and food intake in anorexia nervosa. Appetite 55: 214–218.
Stutzmann GE, LeDoux JE (1999). GABAergic antagonists block the inhibitory effects of serotonin in the lateral amygdala: a mechanism for modulation of sensory inputs related to fear conditioning. The Journal of Neuroscience: The Official Journal of the Society for Neuroscience 19: RC8.
Takano A, Shiga T, Kitagawa N, Koyama T, Katoh C, Tsukamoto E et al (2001). Abnormal neuronal network in anorexia nervosa studied with I-123-IMP SPECT. Psychiat Res 107: 45–50.
Wagner A, Aizenstein H, Venkatraman VK, Fudge J, May JC, Mazurkewicz L et al (2007). Altered reward processing in women recovered from anorexia nervosa. Am J Psychiatry 164: 1842–1849.
Wellman CL, Izquierdo A, Garrett JE, Martin KP, Carroll J, Millstein R et al (2007). Impaired stress-coping and fear extinction and abnormal corticolimbic morphology in serotonin transporter knock-out mice. The Journal of Neuroscience: The Official Journal of the Society for Neuroscience 27: 684–691.
Wildes JE, Ringham RM, Marcus MD (2010). Emotion avoidance in patients with anorexia nervosa: initial test of a functional model. Int J Eat Disord 43: 398–404.
Yamamoto Y, Tanahashi T, Kawai T, Chikahisa S, Katsuura S, Nishida K et al (2009). Changes in behavior and gene expression induced by caloric restriction in C57BL/6 mice. Physiol Genomics 39: 227–235.
Zheng D, Cabeza de Vaca S, Carr KD (2012). Food restriction increases acquisition, persistence and drug prime-induced expression of a cocaine-conditioned place preference in rats. Pharmacol Biochem Behav 100: 538–544.
Acknowledgements
We thank F Lee and J Steinglass for assistance in the design of experiments, interpretation of results, and reviewing this manuscript. This work was supported by The Hartwell Foundation (CEG), National Institute of Health Medical Scientist Training Program grant GM07739 (MCR), and the National Institutes of Mental Health (P50 MH62196 to BJC).
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Riddle, M., McKenna, M., Yoon, Y. et al. Caloric Restriction Enhances Fear Extinction Learning in Mice. Neuropsychopharmacol 38, 930–937 (2013). https://doi.org/10.1038/npp.2012.268
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DOI: https://doi.org/10.1038/npp.2012.268
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