Clinical and preclinical studies that have examined the neurobiology of persistent fear memory in posttraumatic stress disorder (PTSD) have focused on the medial prefrontal cortex, hippocampus, and amygdala. Sensory systems, the periaqueductal gray (PAG), and midline thalamic nuclei have been implicated in fear and extinction memory, but whether neural activity in these substrates is sensitive to traumatic stress (at baseline or during emotional learning and memory) remains unexplored. To address this, we used the single prolonged stress (SPS) model of traumatic stress. SPS and control rats were either subjected to fear conditioning (CS-fear) or presented with CSs alone (CS-only) during fear conditioning. All rats were then subjected to extinction training and testing. A subset of rats were euthanized after each behavioral stage and c-Fos and c-Jun used to measure neural activation in all substrates. SPS lowered c-Jun levels in the dorsomedial and lateral PAG at baseline, but the elevated c-Jun expression in the PAG during emotional learning and memory. SPS also altered c-Fos expression during fear and extinction learning/memory in midline thalamic nuclei. These findings suggest changes in neural function in the PAG and midline thalamic nuclei could contribute to persistent fear memory induced by traumatic stress. Interestingly, SPS effects were also observed in animals that never learned fear or extinction (i.e., CS-only). This raises the possibility that traumatic stress could have broader effects on the psychological function that are dependent on the PAG and midline thalamic nuclei.
Clinical and preclinical studies that have examined the neurobiology of persistent fear memory in posttraumatic stress disorder (PTSD) have focused on the medial prefrontal cortex, hippocampus, and amygdala. Sensory systems, the periaqueductal gray (PAG), and midline thalamic nuclei have been implicated in fear and extinction memory, but whether neural activity in these substrates is sensitive to traumatic stress (at baseline or during emotional learning and memory) remains unexplored. To address this, we used the single prolonged stress (SPS) model of traumatic stress. SPS and control rats were either subjected to fear conditioning (CS-fear) or presented with CSs alone (CS-only) during fear conditioning. All rats were then subjected to extinction training and testing. A subset of rats were euthanized after each behavioral stage and c-Fos and c-Jun used to measure neural activation in all substrates. SPS lowered c-Jun levels in the dorsomedial and lateral PAG at baseline, but the elevated c-Jun expression in the PAG during emotional learning and memory. SPS also altered c-Fos expression during fear and extinction learning/memory in midline thalamic nuclei. These findings suggest changes in neural function in the PAG and midline thalamic nuclei could contribute to persistent fear memory induced by traumatic stress. Interestingly, SPS effects were also observed in animals that never learned fear or extinction (i.e., CS-only). This raises the possibility that traumatic stress could have broader effects on the psychological function that are dependent on the PAG and midline thalamic nuclei.
The single prolonged stress (SPS) model is an animal model of traumatic stress that mimics both the neuroendocrinological and behavioral symptoms of posttraumatic stress disorder (PTSD). Following exposure to SPS, which consists of 2-h restraint, 20-min forced swim, and exposure to diethyl ether, rodents display increases in arousal (Khan and Liberzon 2004; Kohda et al. 2007), abnormal sleep patterns (Vanderheyden et al. 2015), enhanced negative feedback of the hypothalamic–pituitary–adrenal (HPA) axis, up-regulated glucocorticoid receptor (GR) expression (Liberzon et al. 1997, 1999b; Knox et al. 2012b; Ganon-Elazar and Akirav 2013; George et al. 2015), decreased excitation in the medial prefrontal cortex (mPFC) (Knox et al. 2010, 2016), changes in the function of norepinephrine systems in the brain (George et al. 2012) and fear learning that is resistant to extinction (i.e., persistent fear memory) (Yamamoto et al. 2008; Knox et al. 2012a,b, 2016; George et al. 2015). These effects replicate the characteristic neuroendocrinological and behavioral features of PTSD (American Psychiatric Association 1994; Yehuda et al. 1996, 2006; Bremner et al. 1999; Liberzon et al. 1999a; Rothbaum and Davis 2003; Shin et al. 2004; Liberzon and Sripada 2008; van Zuiden et al. 2011, 2013; Bowers and Ressler 2015), and validate the use of SPS as an appropriate model of PTSD in rodents (Armario et al. 2008; Bowers and Ressler 2015; Deslauriers et al. 2018).Animal models are particularly useful for examining neurobiological processes that lead to specific PTSD symptoms (Armario et al. 2008; Bowers and Ressler 2015; Deslauriers et al. 2018). Previous studies that have identified neural substrates through which SPS exposure leads to persistent fear memory have focused on the mPFC, basolateral amygdala (BLA), and hippocampus (Kohda et al. 2007; Knox et al. 2010, 2012b, 2016, 2018; George et al. 2014;). These substrates have been consistently implicated in the etiology of PTSD (Liberzon and Sripada 2008; Maren et al. 2013; Bowers and Ressler 2015; Badura-Brack et al. 2018; Butler et al. 2018).Sensory systems, neural substrates that generate fear output responses, and nonrelay midline thalamic nuclei are also critically involved in emotional learning and memory. The medial geniculate nucleus (MGN) and auditory cortex (AUD) are critical for auditory sensory processing, but may facilitate fear memory formation (Weinberger 2011; Aizenberg and Geffen 2013; Grosso et al. 2015; Gruene et al. 2016). The PAG, which serves as an output region for fearful behavior (Maren 2001; Paré et al. 2004; Orsini and Maren 2012; Assareh et al. 2016; Deng et al. 2016), has been implicated in fear and extinction memory formation (Carrive et al. 1997; McNally et al. 2004; Johansen et al. 2010; Kim et al. 2013; Koutsikou et al. 2015; Watson et al. 2016). The PAG is also critical for pain processing (Behbehani 1995; Heinricher et al. 2009) and specifically pain processing during fear learning (Rea et al. 2011; Kincheski et al. 2012).Nonrelay midline thalamic nuclei have been implicated in fear and extinction memory. Neurons in the paraventricular nucleus of the dorsal midline thalamus (PVT) synapse on somatostatin-expressing neurons in the central amygdala and are critical for fear memory (Do-Monte et al. 2015; Penzo et al. 2015). The rhomboid (Rh) nucleus shows increased c-Fos expression following fear extinction (Furlong et al. 2016). The Rh and the ventrally adjacent nucleus reunions (RE) are important for facilitating functional connectivity between the mPFC and hippocampus (Hallock et al. 2016; Maisson et al. 2018) and is specifically critical for retrieval of specific contextual information during fear conditioning (Ramanathan et al. 2018). The medial habenula (mHab) has been implicated in the regulation of fear behavior (Zhang et al. 2016).The effects of traumatic stress on neural activation in the AUD, MGN, PAG, PVT, Rh, Re, and mHab during fear and extinction memory remain unexplored. To address this SPS and control rats were fear conditioned, then subjected to extinction training and testing (CS-fear). The second set of SPS and control rats were presented with CSs during fear conditioning in the absence of footshocks, then subjected to extinction training and testing (CS-only). We have previously shown that animals in the CS-fear group, but not CS-only group, form fear and extinction memory (Knox et al. 2016). After fear conditioning, extinction training, or extinction testing, subsets of rats were euthanized to assay c-Fos and c-Jun in the AUD, MGN, PAG, PVT, mHab, Rh, and Re. We used these two immediate early genes because they are sometimes differentially regulated during emotional learning and memory (Knox et al. 2016, 2018). We also assayed c-Fos and c-Jun levels in a third set of SPS and control rats after immediate removal from the housing colony to establish baseline c-Fos and c-Jun levels. The experimental design is illustrated in Figure 1.
Figure 1.
Experimental design used in this study.
Experimental design used in this study.
C-Fos and c-Jun expression
Expression of c-Fos and c-Jun in brain regions are illustrated in Figure 2. c-Fos and c-Jun levels during all behavioral sessions were separately analyzed using a learning (baseline, CS-fear, CS-only) × stress (SPS vs. control) factor design or expressed relative to baseline levels (i.e., normalized) and analyzed using a stress × normalized learning (CS-fear vs. CS-only) factor design.
Figure 2.
Representative high resolution (21 µm) scanned images of brain regions obtained using the Licor Odyssey scanner. Eight hundred nanaometers near-infrared fluorescence was used to measure c-Fos and c-Jun levels in all brain regions. (A) Sensory regions showing the AUD and MGN. (B) The PAG was divided into dorsal PAG (dPAG), lateral PAG (lPAG), and ventral PAG (vPAG). (C) Midline thalamic nuclei analyzed in this study. (left) mHab and PVT. (right) Rh nucleus and nucleus reuniens (RE). White horizontal line denotes 1 mm distance.
Representative high resolution (21 µm) scanned images of brain regions obtained using the Licor Odyssey scanner. Eight hundred nanaometers near-infrared fluorescence was used to measure c-Fos and c-Jun levels in all brain regions. (A) Sensory regions showing the AUD and MGN. (B) The PAG was divided into dorsal PAG (dPAG), lateral PAG (lPAG), and ventral PAG (vPAG). (C) Midline thalamic nuclei analyzed in this study. (left) mHab and PVT. (right) Rh nucleus and nucleus reuniens (RE). White horizontal line denotes 1 mm distance.
MGN and AUD
SPS had no effect on the expression of c-Fos or c-Jun at baseline (P’s > 0.05). Both the MGN and AUD showed significant differences in c-Fos expression during fear conditioning. There was a significant main effect of learning for signal activity in the MGN (F(2,52) = 4.413, P = 0.017) and AUD (F(2,52) = 4.526, P = 0.015) as well as normalized activity (MGN: F(1,28) = 4.906, P = 0.035; AUD: F(1,28) = 6.009, P = 0.021). Rats in the CS-fear group had significantly higher c-Fos expression than animals in the CS-only group (Fig. 3A). There was no significant effect of stress on c-Fos expression during fear conditioning or significant effects of stress and/or learning on c-Fos expression in the AUD and MGN during extinction training and testing (P’s > 0.05). There were also no significant effects of stress and/or learning on c-Jun expression (P’s > 0.05, Fig. 3B).
Figure 3.
Effect of SPS and emotional learning/memory on c-Fos and c-Jun levels in the AUD and MGN. (A) During fear conditioning (FC) c-Fos levels were elevated in the AUD and MGN in all animals in the CS-fear (CS-F) group relative to the CS-only (CS-O). These effects were equivalent in SPS (S) and control (C) rats. Neither stress nor learning had any effect on c-Fos expression during extinction training (ExtTrain) or extinction testing (ExtTest). (B) Neither stress nor learning had any effect on c-Jun expression in the AUD and MGN. (*) P < 0.05.
Effect of SPS and emotional learning/memory on c-Fos and c-Jun levels in the AUD and MGN. (A) During fear conditioning (FC) c-Fos levels were elevated in the AUD and MGN in all animals in the CS-fear (CS-F) group relative to the CS-only (CS-O). These effects were equivalent in SPS (S) and control (C) rats. Neither stress nor learning had any effect on c-Fos expression during extinction training (ExtTrain) or extinction testing (ExtTest). (B) Neither stress nor learning had any effect on c-Jun expression in the AUD and MGN. (*) P < 0.05.
Periaqueductal gray
SPS had no effect on c-Fos expression at baseline in any PAG region (P’s > 0.05), but decreased c-Jun expression in the dorsomedial PAG (dmPAG) (t(25) = 2.21, P = 0.036). Also, c-Jun signal values were lower in the lPAG of SPSrats, which was suggested by a t-test comparison that approached significance (t(25) = 1.99, P = 0.057).In all regions of the PAG, c-Fos expression was elevated in the CS-fear group during fear conditioning. These effects were revealed by significant main effects of learning for c-Fos signal values in the vPAG (F(2,53) = 7.153, P = 0.002), dmPAG (F(2,55) = 5.788, P = 0.005), and lPAG (F(2,55) = 6.82, P = 0.002). Post-hoc comparisons for CS-fear vs. baseline (vPAG: t(41) = 3.265, P = 0.006; dmPAG: t(42) = 3.355, P = 0.006; lPAG: t(42) = 3.987, P < 0.001) also supported this assertion. These post-hoc comparisons were not significant for CS-only vs. CS-baseline (P’s > 0.05). Analysis of c-Fos normalized values resulted in a significant effect of learning (F(1,28) = 7.157, P = 0.012) with c-Fos normalized values being higher for the CS-fear vs. CS-only group. It should be noted that in the vPAG, significant effects of learning were driven largely by enhancements in c-Fos values in the SPSrats in the CS-fear condition. Enhanced c-Fos signal (F(2,47) = 4.768, P = 0.013) and normalized (F(1,29) = 4.489, P = 0.043) values in the dmPAG during extinction training was revealed by significant main effects of learning. Enhanced c-Fos signal values (F(2,55) = 5.274, P = 0.008) were also observed in the lPAG during extinction training. These two effects represented enhanced c-Fos signal values in the CS-fear group vs. baseline (dmPAG: t(41) = 4.144, P < 0.001; lPAG: t(41) = 3.638, P = 0.002), but not CS-only vs. baseline (P’s > 0.05). C-Fos values in the vPAG were equivalent among all groups during extinction training (P’s > 0.05). During extinction testing, c-Fos values were equivalent among all groups in all PAG regions (P’s > 0.05). These results are illustrated in Figure 4A.
Figure 4.
Effect of SPS and emotional learning/memory on c-Fos and c-Jun levels in the PAG. (A) FC enhanced c-Fos expression in all PAG regions and enhanced c-Fos signal values during extinction training in the dmPAG and lPAG. SPS had no effect on c-Fos expression in any PAG region. (B) SPS decreased basal levels of c-Jun in the dmPAG and possibly decreased basal levels of c-Jun in the lPAG (effect approached significance). SPS also enhanced c-Jun expression (relative to controls) during ExtTrain and ExtTest in the vPAG, during all behavioral sessions in the dmPAG, and during ExtTest in the lPAG. Black * represents the effects of learning while red * represents the effects of stress. All * are for statistical comparisons at P < 0.05 criterion.
Effect of SPS and emotional learning/memory on c-Fos and c-Jun levels in the PAG. (A) FC enhanced c-Fos expression in all PAG regions and enhanced c-Fos signal values during extinction training in the dmPAG and lPAG. SPS had no effect on c-Fos expression in any PAG region. (B) SPS decreased basal levels of c-Jun in the dmPAG and possibly decreased basal levels of c-Jun in the lPAG (effect approached significance). SPS also enhanced c-Jun expression (relative to controls) during ExtTrain and ExtTest in the vPAG, during all behavioral sessions in the dmPAG, and during ExtTest in the lPAG. Black * represents the effects of learning while red * represents the effects of stress. All * are for statistical comparisons at P < 0.05 criterion.Analysis of signal values for c-Jun expression in the vPAG and lPAG did not reveal significant comparisons for fear conditioning (P’s > 0.05). There was a stress × learning interaction that approached significance (F(2,54) = 2.864, P = 0.066) for c-Jun signal values in the dmPAG. This reflected the tendency for c-Jun expression to increase (relative to baseline) in SPSrats, but decrease (relative to baseline) in control rats. Consistent with this interpretation, analysis of normalized c-Jun expression was higher in the dmPAG of SPSrats during fear conditioning (main effect of stress: F(1,29) = 3.056, P = 0.04). Analysis of c-Jun signal values for extinction training did not reveal significant effects in the dmPAG (P’s > 0.05), but c-Jun normalized values were enhanced in SPSrats (main effect of stress: F(1,31) = 5.561, P = 0.025). SPS also enhanced signal (stress × learning interaction: F(2,56) = 3.422, P = 0.04) and normalized (main effect of stress: F(1,31) = 11.959, P = 0.002) dmPAG c-Jun values during extinction testing. SPS enhanced normalized c-Jun values during extinction training (main effect of stress: F(1,31) = 14.269, P = 0.001) and testing (main effect of stress: F(1,31) = 12.762, P = 0.001) in the vPAG and during extinction testing in the lPAG (main effect of stress: F(1,31) = 14.168, P = 0.001). Notably, all of these stress effects were observed in SPSrats in the CS-fear and CS-only conditions. These results are illustrated in Figure 4B.
Thalamic nuclei
Baseline levels of c-Fos and c-Jun were equivalent in all midthalamic regions between SPS and control rats (P’s > 0.05). During fear conditioning, there were no significant effects of stress and learning on c-Fos signal values (P’s > 0.05). In the Rh, SPS decreased c-Fos normalized values during fear conditioning (main effect of stress: F(1,29) = 10.889, P = 0.003). Significant one-sample t-test for c-Fos normalized values in the PVT (t(32) = 3.259, P = 0.003), mHab (t(32) = 3.628, P = 0.001), and RE (t(32) = 3.257, P = 0.003) reflected enhanced c-Fos levels relative to baseline in all rats. During extinction training, c-Fos signal values were lower in the CS-fear and CS-only conditions, relative to baseline, in the PVT (main effect of learning: F(2,57) = 7.607, P = 0.001), mHab (main effect of learning: F(2,57) = 7.937, P = 0.001 ), and RE (main effect of learning: F(2,61) = 9.174, P = 0.001).Analysis of c-Fos normalized values in the PVT (F(1,32) = 4.446, P = 0.043), mHab (F(1,32) = 6.891, P = 0.0103), and RE (F(1,31) = 5.212, P = 0.029) revealed main effects of stress during extinction training. This reflected the enhancements in c-Fos normalized values in SPSrats (in the CS-fear and CS-only conditions) relative to control rats. In the Rh, SPS decreased c-Fos normalized values during extinction training (main effect of stress: F(1,31) = 16.340, P < 0.001). During extinction testing there was a significant effect of learning with c-fos signal values being lower in the CS-fear and CS-only groups, relative to baseline, in the PVT (F(2,56) = 5.16, P = 0.009), mHab (F(2,56) = 4.476, P = 0.016), and RE (F(2,55) = 5.17, P = 0.009). SPS decreased c-Fos normalized values in the Rh during extinction testing (main effect of stress: F(1,31) = 46.986). There was also the main effect of learning during extinction testing for c-Fos normalized values in the Rh (F(1,32) = 4.768, P = 0.037). This reflected a decrease in c-Fos normalized values in the CS-fear relative to the CS-only group, but this effect was primarily driven by decreased c-Fos normalized values in SPSrats. These results are illustrated in Figure 5A.
Figure 5.
Effect of SPS and emotional learning/memory on c-Fos and c-Jun levels in midline thalamic regions. (A) During FC c-Fos levels were enhanced in all midline thalamic regions, then decreased below baseline levels during ExtTrain and ExtTest. During ExtTrain this decrease was lower in SPS rats in comparison to control rats in the PVT, mHab, and RE. SPS lowered normalized c-Fos levels in the Rh during FC, ExtTrain, and ExtTest. Y-axes for normalized c-Fos values are split to visualize stress effects during ExtTrain. (B) During FC and ExtTrain, c-Jun levels decreased in all midline thalamic regions relative to baseline. SPS had no effect on c-Jun levels in any midline thalamic region. Black * represent the effects of learning while red * represent the effects of stress. All * are for statistical comparisons at P < 0.05 criterion.
Effect of SPS and emotional learning/memory on c-Fos and c-Jun levels in midline thalamic regions. (A) During FC c-Fos levels were enhanced in all midline thalamic regions, then decreased below baseline levels during ExtTrain and ExtTest. During ExtTrain this decrease was lower in SPSrats in comparison to control rats in the PVT, mHab, and RE. SPS lowered normalized c-Fos levels in the Rh during FC, ExtTrain, and ExtTest. Y-axes for normalized c-Fos values are split to visualize stress effects during ExtTrain. (B) During FC and ExtTrain, c-Jun levels decreased in all midline thalamic regions relative to baseline. SPS had no effect on c-Jun levels in any midline thalamic region. Black * represent the effects of learning while red * represent the effects of stress. All * are for statistical comparisons at P < 0.05 criterion.During fear conditioning c-Jun signal values decreased in the PV, mHab, RE, and Rh in the CS-fear and CS-only conditions relative to baseline. This was evidenced by main effects of learning that approached significance for c-Jun signal values in the mHab (F(2,54) = 3.135, P = 0.056), main effects of learning for c-Jun signal values in the RE (F(2,54) = 3.279, P = 0.045) and Rh (F(2,54) = 3.279, P = 0.045), and significant one-sample t-tests for normalized c-Jun values in all midline thalamic regions (PV: t(31) = −13.116, P < 0.001, mHab: t(31) = −15.002, P < 0.001, RE: t(31) = −21.449, P < 0.001, Rh: t(31) = −21.728, P < 0.001). Lowered c-Jun expression in midline thalamic brain regions was also observed during extinction training. C-Jun signal values in the mHab (learning: F(2,57) = 3.003, P = 0.058), RE (learning: F(2,57) = 3.135, P = 0.051), and Rh (learning: F(2,54) = 3.142, P = 0.051) were lower than baseline, though all effects of learning approached significance. One-sample t-tests for normalized c-Jun values in all midline thalamic brain regions during extinction training were significant (PV: t(34) = −7864, P < 0.001, mHab: t(34) = −6.219, P < 0.001, RE: t(34) = −8.546, P < 0.001, Rh: t(34) = −8.454, P < 0.001), which reflected lowered c-Jun values during extinction training. There were no significant effects for c-Jun signal values observed during extinction testing. Results for expression of c-Jun in thalamic nuclei are shown in Figure 5B.
Discussion
The goal of this study was to determine if SPS alters neural activation in the PAG and midline thalamic nuclei during emotional learning and memory. SPS induced changes in neural activation (measured using c-Fos and c-Jun) in the PAG at baseline and during fear conditioning, extinction training, and extinction testing. SPS also induced changes in neural activation in midline thalamic nuclei during fear conditioning, extinction training, and extinction testing. These findings suggest that SPS-induced changes in neural activation in the PAG and midline thalamic nuclei could contribute to persistent fear memory in the SPS model. Previous studies have observed that changes in neural activation in the mPFC, BLA, and hippocampus (dorsal and ventral) may contribute to persistent fear memory in the SPS model (Knox et al. 2016, 2018). Together, these findings suggest that persistent fear memory in the SPS model may be due to changes in neural activation throughout multiple nodes within the fear circuit that either strengthen fear memory or bias fear memory expression.In the vPAG there was an enhancement in c-Fos levels in the CS-fear group, with the largest effect being observed in the SPS/CS-fear group. This could be related to fear memory formation, but it could also be due to the processing of pain with footshock presentation. SPS effects in the dmPAG and lPAG, as well as midline thalamic nuclei during emotional learning and memory, were present in both CS-fear and CS-only groups. The CS-only group never learned fear and thus never learned extinction. Similar effects have been observed in the mPFC, BLA, and hippocampus (Knox et al. 2016, 2018). These particular results suggest two things. (1) SPS-induced changes in neural activation in the PAG and midline thalamic nuclei occur when there is evoked neural activation in these substrates; not just during emotional learning and memory. (2) SPS could induce changes in psychological function that depend on the PAG (e.g., pain processing) or midline thalamic nuclei (e.g., spatial working memory). Previous studies support this hypothesis as SPS alters pain tolerance and disrupts spatial memory in the Morris Water Maze (Imanaka et al. 2006; Wang et al. 2010).In all midline thalamic nuclei, there was a decrease in c-Fos expression after fear conditioning or initial CS exposure. This suggests that these midline thalamic nuclei respond to novelty and decrease neural activation with repeated stimulus presentation. In the Re, PVT, and mHab this decrease in responsivity after fear conditioning or initial CS exposure was inhibited in SPS animals during extinction training. Given that habituation and extinction learning/memory share common neurobiological processes (Furlong et al. 2016; Knox et al. 2016, 2018), this decrease in habituation observed in SPSrats could be relevant to persistent fear memory in the SPS model. Further research is needed to examine this possibility.Learning-specific effects were observed in sensory brain regions and in the PAG, where animals in the CS-fear group showed enhance neural activation relative to baseline and the CS-only group during fear conditioning (see Results). These findings are consistent with the role of these brain regions in facilitating fear memory (see Introduction). However, c-Jun expression never followed changes in c-Fos expression with no c-Jun up-regulation in sensory brain regions, no learning-specific changes in c-Jun expression in the PAG, and down-regulation of c-Jun expression in midline thalamic regions with fear conditioning and extinction training. These findings replicate previous findings that suggest c-Fos and c-Jun are not regulated in an equivalent manner with evoked neural activity (Schneider et al. 1992; Eferl and Wagner 2003; Teather et al. 2005; Madsen et al. 2006; Windak et al. 2013; Knox et al. 2016, 2018). This differential response of these two immediate early genes could represent different populations of neurons in respective brain regions or specific activity in molecular pathways within the same neuron. Further research examining these possibilities is needed as evoked c-Fos and c-Jun expression in different brain regions may be used to monitor more specific activity in neurons.
The role of PAG subregions and midline thalamic nuclei in emotional memory
Both the PAG and midline thalamic nuclei have roles to play in emotional memory which further reinforces the possibility that SPS could act through these substrates to enhance persistent fear memory. The dmPAG is critical for fear memory (Carrive et al. 1997; Liberzon et al. 1999a; Maren 2001; McNally et al. 2004; Paré et al. 2004; Johansen et al. 2010; Orsini and Maren 2012; Kim et al. 2013; Assareh et al. 2016; Watson et al. 2016; Butler et al. 2018). A previous study has observed that c-Fos is elevated in the vPAG during fear conditioning (Carrive et al. 1997) and the lPAG is involved in the generation and inhibition of fear responses (Assareh et al. 2016). Activation of the ventrolateral PAG has been previously shown to be critical for extinction memory (McNally et al. 2004; Assareh et al. 2016).The Rh and Re, due to its interconnectivity with both the mPFC and hippocampus, is critical for spatial working memory (Hallock et al. 2016) as well as contextual fear memory (Ramanathan et al. 2018). Extinction memory recall is heavily dependent on contextual feature processing during extinction training and testing (Bouton et al. 2006; Maren et al. 2013). Thus the Rh and Re could affect either formation or expression of extinction memory by altering contextual processing during extinction learning and memory recall. The PVT and mHab are critical for fear memory with the PVT being critical for the consolidation of long-term fear memory (Do-Monte et al. 2015; Zhang et al. 2016) while input from the mHab to the interpeduncular nucleus being critical for the inhibition of fear memory (Zhang et al. 2016).There are a number of mechanisms via which SPS-induced changes in PAG and midline thalamic neurobiology could contribute to persistent fear memory in the SPS model. Further research is needed to identify exact mechanisms.
Conclusions
The data presented here suggest that SPS, a well-validated rodent model of PTSD, has significant effects on basal and evoked neural activation in the PAG and neural activation in midline thalamic nuclei. SPS decreased basal neural activation in the dmPAG and lPAG, enhanced evoked neural activation in the dmPAG, lPAG, and vPAG, and had a consistent decrease in evoked Rh neural activation. SPS also consistently disrupted habituation in the PVT, Re, and mHab during extinction training. When taken together with previous findings (Kohda et al. 2007; Knox et al. 2016, 2018) our results raise the possibility that persistent fear induced by traumatic stress may represent the synergistic action of neural activation across multiple nodes within the fear circuit, which could explain why persistent fear memory that accompanies traumatic stress exposure can be difficult to treat. All SPS effects during emotional learning and memory were not specific to emotional learning and memory. This suggests that SPS induced changes in neural activation in the PAG and midline thalamic nuclei could disrupt psychological function that are dependent on these neural substrates.
Materials and Methods
Animals
For this study, 136 adult male Sprague Dawley rats (150 g upon arrival) were obtained from Charles River Inc. This strain and sex of rat was used because SPS-induced changes in emotional memory has been extensively characterized in this strain and sex of rat (Imanaka et al. 2006; Iwamoto et al. 2007; Kohda et al. 2007; Knox et al. 2012a,b, 2016; George et al. 2014; Noble et al. 2017). Rats were kept on a 12-h light/dark cycle. Prior to SPS exposure, all rats were pair housed and had ad libitum access to food initially, but were then restricted to the manufacturer's recommended diet (LabDiet) of 23 g per day. Access to water was ad libitum for the duration of the study. Experimental manipulations commenced after rats had been in the housing colony for at least 5 d. All experimental procedures were performed in the animals’ light cycle and all behavioral tests were conducted between 9:00 a.m. and 2:00 p.m. All experiments were approved by the University of Delaware Institutional Animal Care and Use Committee following guidelines established by the National Institutes of Health (NIH).
SPS and behavioral procedures
Rats were assigned at random to either the SPS or control group. SPS was conducted as previously described (Liberzon et al. 1997; Knox et al. 2010) and consisted of 2 h of restraint, 20 min of forced swim, and ether exposure until general anesthesia was induced. Rats assigned to the control group were removed from the colony room and placed in a novel room for the duration of SPS. After SPS, all rats were returned to the housing colony and singly housed for a poststress incubation period of 7 d prior to behavioral testing. This incubation period as well as the combination of restraint, forced swim, and ether exposure is necessary to observe effects in the SPS model (Liberzon et al. 1997, 1999a; Knox et al. 2012a,b).SPS and control rats were then divided into three further groups based on their behavioral treatment. A baseline group used to establish baseline levels of c-Fos and c-Jun expression, was removed from the housing colony and immediately euthanized. The CS-fear group was subjected to auditory fear conditioning, then extinction training and testing (see below). The CS-only group was presented with CSs in the absence of footshock during fear conditioning, then presented with CSs in an identical manner to animals in the CS-fear group undergoing extinction training and testing. We used the CS-only treatment in order to control for changes in c-Fos and c-Jun expression driven by habituation to a tone or a context. We have previously shown that conditioned freezing in the CS-only group is low throughout all behavioral sessions (Knox et al. 2016).Fear conditioning was conducted in a distinct context (Context A) and consisted of five presentations of a 10 sec auditory CS (2 kHz, 80 dB) coterminating with a 1 mA, 1 sec footshock unconditioned stimulus (UCS). The CS-only group had CS presentations in the absence of footshocks. Extinction training in a novel context (Context B) commenced 1 d after fear conditioning and consisted of 30 unpaired CS presentations. Extinction testing, also in Context B, was conducted 1 d after extinction training and consisted of 10 unpaired CS presentations. Contexts A and B were created by manipulating multiple sensory cues, including house light color, contextual odor, and the identity of the experimenter (Knox et al. 2012a). All behavioral sessions consisted of a baseline period of 210 sec and inter-stimulus intervals (ISIs) of 60 sec.
c-Fos and c-Jun immunocytochemistry
Rats were euthanized via rapid decapitation either after immediate removal from the housing colony (baseline group) or 60 min after the start of fear conditioning, extinction training, or extinction testing (CS-fear and CS-only groups). Brains were then extracted and flash frozen in chilled isopentane and stored in a −80°C freezer until further processing. Brains were thawed to −13°C in a cryostat (Leica CM1350) and 30 µm coronal sections through the thalamus and PAG were mounted onto superfrost slides. Brain sections were then stored in a −80°C freezer until time of assay.In order to perform c-Fos and c-Jun immunocytochemistry, sections were fixed in 4% paraformaldehyde in 0.2 M phosphate buffered saline (PBS). Sections were then incubated in Triton X-100, rinsed in 0.1 M tris buffered saline (TBS) and incubated in 3% goat serum. Sections were rinsed again in TBS and incubated with either a rabbit polyclonal c-Fos (1:500) or c-Jun (1:1000) antibody (Santa Cruz Biotechnology, sc-52) in PBS overnight at 4°C. Sections were then rinsed in TBS containing 0.01% Tween-20 (TBS-T). After this, sections were incubated in a solution consisting of TBS, 1.5% goat serum, 0.1% Triton X-100, and goat anti-rabbit IgG antibody 800CW (Li-cor Biotechnology 926-32211) in a dilution of 1:2000 for 2 h. Sections were rinsed in TBS-T, TBS, and then deionized water. Sections were then left to air-dry overnight.
Data and statistical analysis
We have previously validated the use of the 800CW secondary antibody to detect c-Fos and c-Jun using immunohistochemistry (e.g., see Knox et al. 2012b, 2018). Dried brain sections were scanned at 21 µm resolution in the Odyssey scanner. Fluorescent activity in the PAG (with dorsal, lateral, and ventral regions separately scored), PVT, Rh, mHab, RE, MGN, and AUD was scored manually using ImageStudio software (Licor Inc.) and expressed as a percent change from activity in the corpus callosum. We refer to this as a signal activity. Signal activity from all brain regions in the baseline condition was subjected to t-test (SPS vs. control). Signal activity obtained from rats euthanized after fear conditioning, extinction training, and testing was analyzed using a stress × learning separately for fear conditioning, extinction training, and extinction testing. The signal activity was also normalized with respect to baseline signal activity. For example, vPAG signal activity from an SPS rat in the CS-only condition was normalized relative to averaged vPAG signal activity of SPSrats in the baseline condition. We refer to this as a normalized activity. The normalized activity was constructed so that signal activity during fear conditioning, extinction training and testing that was equal to baseline signal activity would yield a normalized score of 100% (i.e., (signal activity/averaged baseline activity) × 100). The normalized activity of c-Fos and c-Jun in all brain regions during fear conditioning, extinction training, and extinction testing were subjected to separate stress × normalized learning factor designs.All statistical tests were performed in IBM SPSS statistics 24. For all factor designs, main effects and interactions were analyzed using analysis of variance (ANOVA) while simple comparisons were analyzed using t-test with Bonferroni corrections applied where necessary. Normalized data was used for the fear conditioning, extinction training, and testing phases, while signal activity was examined in baseline groups using t-tests. All graphs plot means along with standard error. Statistical significance was assumed with a criterion of P < 0.05 for all statistical tests.
Competing interest statement
D.K., N.M., and R.D.V have no conflict of interest concerning the findings presented in this manuscript.
Authors: Lisa M Shin; Scott P Orr; Margaret A Carson; Scott L Rauch; Michael L Macklin; Natasha B Lasko; Patricia Marzol Peters; Linda J Metzger; Darin D Dougherty; Paul A Cannistraro; Nathaniel M Alpert; Alan J Fischman; Roger K Pitman Journal: Arch Gen Psychiatry Date: 2004-02