- A new treatment pathway for anxiety and stress has been identified.
- The new treatment seeks to use the body’s response to stress and anxiety for productive tasks.
- This is called reversal of stress and anxiety.
A new therapeutic approach to anxiety disorder and stress aims at reversing the process of anxiety and stress in order to use them toward a more productive activity.
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."
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.
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."
- NPY Induces Stress Resilience via Downregulation of Ih in Principal Neurons of Rat Basolateral Amygdala - ( http://www.jneurosci.org/content/38/19/4505)