Abstract

The processes by which fear memory is encoded, consolidated, and re-consolidated are extremely complex and appear to require the release of stress hormones, especially adrenaline (AD). AD improves contextual fear memory, acting specifically on peripheral β2-adrenoceptors. Propranolol (peripheral and central β-adrenoceptor antagonist) treatment was shown to prevent post-traumatic stress disorder (PTSD) development and reduce its symptoms. However, propranolol has several side effects. Thus, we aimed to evaluate if sotalol (a peripheral β-adrenoceptor antagonist) treatment interferes with retrieval, expression, and/or reconsolidation of traumatic memories in a validated mice model that mimics the signs/symptoms of PTSD, thus intending to decrease them. Female mice were induced with PTSD following an established protocol. Sotalol (2.0 mg/kg) or vehicle were administered on days 2, 7, and 14. The percentage of freezing was calculated, and behavioral tests were carried out. Catecholamines in plasma were quantified by HPLC with electrochemical detection. Quantitative real-time polymerase chain reaction (qPCR) was used to evaluate mRNA expression of NR4A family genes in hippocampus. Following the submission of the animals to the same aversive context on days 2, 7, and 14, sotalol-treated mice exhibited significant less freezing behavior. In the elevated plus-maze test, the time spent and number of entries in the open arms, and total arm entries were increased in sotalol-treated mice. Also, the light-dark transition test revealed higher time spent, number of transitions to the light, and total number of transitions in sotalol-treated mice. Moreover, plasma AD was significantly decreased in sotalol-treated mice. On day 14, sotalol-treated mice exhibited a decrease in mRNA expression of Nr4a1 in the hippocampus. In conclusion, in PTSD mice model, sotalol appears to decrease traumatic memories and anxiety-like behavior, probably due to a decrease in peripheral adrenergic activity, which influences traumatic memories. The effects of sotalol upon re-exposure to the traumatic context may be consistent with interference in the retrieval, expression, and/or reconsolidation processes of contextual traumatic memory, resulting in a long-term reduction of PTSD symptoms and signs. The decreased Nr4a1 mRNA expression in the hippocampal formation may be crucial for these mice to develop diminished traumatic contextual memories after sotalol therapy in PTSD.

Highlights

  • Stress is an important response to maintain homeostasis when a threat occurs (McEwen, 1998)

  • We have formerly reported that AD is increased in this post-traumatic stress disorder (PTSD) mice model, leading to long-lasting contextual traumatic memories and anxiety-like behavior (Martinho et al, 2020)

  • Several foot shocks have been reported to mimic the traumatic event that typically leads to the appearance of the symptoms and signs seen in patients diagnosed with PTSD and comorbid disorders, such as anxiety (Fanselow et al, 1993; Brady et al, 2000; Rau et al, 2005)

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Summary

Introduction

Stress is an important response to maintain homeostasis when a threat occurs (McEwen, 1998). When such responses are inaccurately activated and regulated it may lead to serious pathologies, such as post-traumatic stress disorder (PTSD) (VanElzakker et al, 2014). PTSD evolves from exposure to significant traumatic, frightening, or stressful experiences (Bracha, 2004; Goswami et al, 2013; Huang et al, 2020; Cenkner et al, 2021). Patients diagnosed with PTSD present higher levels of hormones related to stress in plasma, namely catecholamines, such as noradrenaline (NA) and adrenaline (AD) (Sherin and Nemeroff, 2011; Pan et al, 2018). There are studies reporting autonomic nervous system’s hyperactivity in PTSD patients (Li et al, 2006; Sherin and Nemeroff, 2011)

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