Early Post-Stressor Intervention with High-Dose Corticosterone Attenuates Posttraumatic Stress Response in an Animal Model of Posttraumatic Stress Disorder

BACKGROUND The therapeutic value of corticosteroids in the aftermath of traumatic experience has been questioned. We used an animal model of posttraumatic stress disorder (PTSD) to assess long-term behavioral effects of a single administration of various doses of corticosterone (CORT), administered immediately after exposure to psychogenic stress. METHODS Animals were exposed to predator scent stress and treated 1 hour later with various doses of CORT or saline. The outcome measures included behavior in an elevated plus-maze (EPM) and acoustic startle response (ASR) 30 days after the initial exposure and freezing behavior upon exposure to a trauma-related cue on day 31. Pre-set cut-off behavioral criteria (CBC) classified exposed animals according to behavioral responses in EPM and ASR paradigms as those with "extreme behavioral response," "minimal behavioral response," or "intermediate response." Non-spatial memory task and 24-hour locomotor activity were assessed immediately after injection with CORT or vehicle. RESULTS Early treatment with high-dose CORT reduced the prevalence of PTSD-like behavioral responses relative to saline-control treatment. Cue-induced freezing was significantly lower in the high-dose CORT-treated group. Lower doses of CORT significantly increased anxiety-like behavior, mean startle amplitude, and prevalence of PTSD-like behavioral disruptions, compared with saline-control treatment. The attenuated cue-responsiveness and impaired performance on a memory task imply that one key factor in this effect is the disruption of traumatic memory consolidation. CONCLUSIONS Single treatment with high-dose CORT immediately after stressful exposure reduces the prevalence rate of extreme behavioral disruption 30 days later. Corticosterone might disrupt the consolidation of aversive or fearful memories.

[1]  J. D. McGaugh,et al.  Stress‐Activated Hormonal Systems and the Regulation of Memory Storage a , 1997, Annals of the New York Academy of Sciences.

[2]  Carmen Sandi,et al.  Experience‐dependent Facilitating Effect of Corticosterone on Spatial Memory Formation in the Water Maze , 1997, The European journal of neuroscience.

[3]  O. Wolkowitz Prospective controlled studies of the behavioral and biological effects of exogenous corticosteroids , 1994, Psychoneuroendocrinology.

[4]  K. Kohda,et al.  Glucocorticoid receptor activation is involved in producing abnormal phenotypes of single-prolonged stress rats: A putative post-traumatic stress disorder model , 2007, Neuroscience.

[5]  Benno Roozendaal,et al.  Glucocorticoids and the regulation of memory consolidation , 2000, Psychoneuroendocrinology.

[6]  E. D. de Kloet,et al.  Antiglucocorticoid RU 38486 attenuates retention of a behaviour and disinhibits the hypothalamic-pituitary adrenal axis at different brain sites. , 1988, Neuroendocrinology.

[7]  M. Joëls Corticosteroid effects in the brain: U-shape it. , 2006, Trends in pharmacological sciences.

[8]  J. D. McGaugh,et al.  Glucocorticoid receptor activation in the rat nucleus of the solitary tract facilitates memory consolidation: involvement of the basolateral amygdala , 1999, The European journal of neuroscience.

[9]  Yaniv Ziv,et al.  Maladaptation to mental stress mitigated by the adaptive immune system via depletion of naturally occurring regulatory CD4+CD25+ cells. , 2006, Journal of neurobiology.

[10]  B. Roozendaal,et al.  Exposure to high stress in the intensive care unit may have negative effects on health-related quality-of-life outcomes after cardiac surgery , 2003, Critical care medicine.

[11]  R. Sapolsky,et al.  How do glucocorticoids influence stress responses? Integrating permissive, suppressive, stimulatory, and preparative actions. , 2000, Endocrine reviews.

[12]  Carmen Sandi,et al.  Corticosterone enhances long-term retention in one-day-old chicks trained in a weak passive avoidance learning paradigm , 1994, Brain Research.

[13]  M. Oitzl,et al.  Selective corticosteroid antagonists modulate specific aspects of spatial orientation learning. , 1992, Behavioral neuroscience.

[14]  B. Roozendaal,et al.  The effect of stress doses of hydrocortisone during septic shock on posttraumatic stress disorder in survivors , 2001, Biological Psychiatry.

[15]  James L. McGaugh,et al.  Stress and glucocorticoids impair retrieval of long-term spatial memory , 1998, Nature.

[16]  Selective impairment of long-term but not short-term conditional fear by the N-methyl-D-aspartate antagonist APV. , 1992 .

[17]  C. Sandi,et al.  A role for brain glucocorticoid receptors in contextual fear conditioning: dependence upon training intensity , 1998, Brain Research.

[18]  J. Delacour,et al.  A new one-trial test for neurobiological studies of memory in rats. 1: Behavioral data , 1988, Behavioural Brain Research.

[19]  R. Greene,et al.  Postreactivation Glucocorticoids Impair Recall of Established Fear Memory , 2006, The Journal of Neuroscience.

[20]  James L. McGaugh,et al.  Amygdaloid Nuclei Lesions Differentially Affect Glucocorticoid-Induced Memory Enhancement in an Inhibitory Avoidance Task , 1996, Neurobiology of Learning and Memory.

[21]  B. Roozendaal Systems mediating acute glucocorticoid effects on memory consolidation and retrieval , 2003, Progress in Neuro-Psychopharmacology and Biological Psychiatry.

[22]  P Maquet,et al.  The Role of Sleep in Learning and Memory , 2001, Science.

[23]  Chris L. S. Coryn,et al.  Short-term memory , 1975 .

[24]  G. Schelling Effects of Stress Hormones on Traumatic Memory Formation and the Development of Posttraumatic Stress Disorder in Critically Ill Patients , 2002, Neurobiology of Learning and Memory.

[25]  R. Weizman,et al.  Decreased circulatory levels of neuroactive steroids in behaviourally more extremely affected rats subsequent to exposure to a potentially traumatic experience. , 2007, The international journal of neuropsychopharmacology.

[26]  P. Maquet Sleep on it! , 2000, Nature Neuroscience.

[27]  J. Born,et al.  Brief Sleep After Learning Keeps Emotional Memories Alive for Years , 2006, Biological Psychiatry.

[28]  J. Zohar,et al.  Anisomycin, a Protein Synthesis Inhibitor, Disrupts Traumatic Memory Consolidation and Attenuates Posttraumatic Stress Response in Rats , 2006, Biological Psychiatry.

[29]  P. Meerlo,et al.  Effects of sleep deprivation on cardiac autonomic and pituitary-adrenocortical stress reactivity in rats , 2006, Psychoneuroendocrinology.

[30]  Hagit Cohen,et al.  An Animal Model of Posttraumatic Stress Disorder: The Use of Cut‐Off Behavioral Criteria , 2004, Annals of the New York Academy of Sciences.

[31]  A. Geva,et al.  Post-traumatic stress behavioural responses in inbred mouse strains: can genetic predisposition explain phenotypic vulnerability? , 2008, The international journal of neuropsychopharmacology.

[32]  J. Zohar,et al.  The immediate early gene Arc is associated with behavioral resilience to stress exposure in an animal model of posttraumatic stress disorder , 2008, European Neuropsychopharmacology.

[33]  J. Zohar,et al.  Long-term down-regulation of BDNF mRNA in rat hippocampal CA1 subregion correlates with PTSD-like behavioural stress response. , 2007, The international journal of neuropsychopharmacology.

[34]  B. Roozendaal,et al.  Stress doses of hydrocortisone, traumatic memories, and symptoms of posttraumatic stress disorder in patients after cardiac surgery: a randomized study , 2004, Biological Psychiatry.

[35]  Benno Roozendaal,et al.  Memory enhancement of classical fear conditioning by post-training injections of corticosterone in rats , 2004, Neurobiology of Learning and Memory.

[36]  Edward L. Bennett,et al.  Memory facilitating and anti-amnesic effects of corticosteroids , 1978, Pharmacology Biochemistry and Behavior.

[37]  M. Haller,et al.  The effect of stress doses of hydrocortisone during septic shock on posttraumatic stress disorder and health-related quality of life in survivors. , 1999, Critical care medicine.

[38]  J. Zohar,et al.  The Effect of Early Poststressor Intervention with Sertraline on Behavioral Responses in an Animal Model of Post-Traumatic Stress Disorder , 2006, Neuropsychopharmacology.

[39]  J. Zohar,et al.  The Contribution of an Animal Model Toward Uncovering Biological Risk Factors for PTSD , 2006, Annals of the New York Academy of Sciences.

[40]  Andreas Papassotiropoulos,et al.  Low-dose cortisol for symptoms of posttraumatic stress disorder. , 2004, The American journal of psychiatry.

[41]  J. Zohar,et al.  Setting Apart the Affected: The Use of Behavioral Criteria in Animal Models of Post Traumatic Stress Disorder , 2004, Neuropsychopharmacology.

[42]  B. McEwen,et al.  Support for a Bimodal Role for Type II Adrenal Steroid Receptors in Spatial Memory , 1999, Neurobiology of Learning and Memory.

[43]  Amir B. Geva,et al.  Unsupervised Fuzzy Clustering Analysis Supports Behavioral Cutoff Criteria in an Animal Model of Posttraumatic Stress Disorder , 2005, Biological Psychiatry.

[44]  S Laureys,et al.  Sleeping brain, learning brain. The role of sleep for memory systems , 2001, Neuroreport.

[45]  D. D. de Quervain,et al.  Stress doses of hydrocortisone reduce chronic stress symptoms and improve health-related quality of life in high-risk patients after cardiac surgery: a randomized study. , 2006, The Journal of thoracic and cardiovascular surgery.

[46]  F. Rougé-Pont,et al.  Glucocorticoids have state-dependent stimulant effects on the mesencephalic dopaminergic transmission. , 1996, Proceedings of the National Academy of Sciences of the United States of America.

[47]  J. Zohar,et al.  Blunted HPA Axis Response to Stress Influences Susceptibility to Posttraumatic Stress Response in Rats , 2006, Biological Psychiatry.

[48]  J. Zohar,et al.  Long-lasting behavioral effects of juvenile trauma in an animal model of PTSD associated with a failure of the autonomic nervous system to recover , 2007, European Neuropsychopharmacology.

[49]  G. Metz,et al.  Modulation of motor function by stress: a novel concept of the effects of stress and corticosterone on behavior , 2005, The European journal of neuroscience.

[50]  G. Kovacs,et al.  Dose-dependent action of corticosteroids on brain serotonin content and passive avoidance behavior , 1977, Hormones and Behavior.

[51]  J. Zohar,et al.  Gender-related qualitative differences in baseline and post-stress anxiety responses are not reflected in the incidence of criterion-based PTSD-like behaviour patterns , 2009, The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry.

[52]  J. D. McGaugh,et al.  Glucocorticoid effects on object recognition memory require training-associated emotional arousal. , 2004, Proceedings of the National Academy of Sciences of the United States of America.

[53]  R. Sapolsky,et al.  Mineralocorticoid Receptor Overexpression Differentially Modulates Specific Phases of Spatial and Nonspatial Memory , 2007, The Journal of Neuroscience.

[54]  Hagit Cohen,et al.  The relevance of differential response to trauma in an animal model of posttraumatic stress disorder , 2003, Biological Psychiatry.