A dor pediátrica tem sido o foco de estudo de muitos pesquisadores nas últimas décadas devido à constatação de que neonatos apresentam menor limiar para estímulos nocivos e inócuos em comparação aos adultos. Em decorrência disto, o uso de analgésicos tem sido frequente em ambiente hospitalar. A morfina é um dos analgésicos opióides mais utilizados para sedação e analgesia nestes pacientes. Este opióide apresenta maior potência analgésica no período neonatal, sendo o receptor μ mais expresso em neurônios medulares com pico de densidade em P7 e diminuindo até o P21, atingindo então níveis de adulto. Nosso grupo mostrou que ratos neonatos submetidos ao tratamento repetido com morfina não apresentam tolerância. Porém, permanecem maior tempo em analgesia ao final do tratamento do que no 1º dia. Além disto, após dois dias do término do tratamento os animais apresentaram alterações na atividade e expressão gênica da NTPDase 1 (enzima que hidrolisa ATP até adenosina) em medula espinal e córtex cerebral, sugerindo modulação nos níveis extracelulares de nucleotídeos, o que pode levar alterações na resposta nociceptiva. Além do sistema purinérgico outro importante sistema no processamento da resposta nociceptiva é o glutamatérgico. Desde o período neonatal o glutamato é o responsável pelos estímulos nociceptivos em medula espinal, e transportadores no terminal pré-sináptico ou glia são responsáveis pela captação do glutamato liberado, controlando seus níveis. A exposição à morfina também leva a mudanças comportamentais, conhecidas por sensibilização comportamental, que são dependentes, em parte, da ativação do receptor dopaminérgico D2 no sistema límbico. Além disso, esta exposição pode alterar os níveis de BDNF em estruturas relacionadas à nocicepção. Levando em consideração a carência de estudos focados nos efeitos da exposição repetida a opióides em neonatos, o objetivo deste estudo foi verificar os efeitos a curto (P16), médio (P30) e longo prazo (P60) do tratamento com 5 μg de morfina, uma vez ao dia, do P8 ao P14, sobre comportamento nociceptivo; captação de glutamato em medula espinal; comportamentos exploratórios e do tipo ansioso, avaliando o envolvimento do receptor D2; níveis de BDNF e TNF-α, e estresse oxidativo em hipocampo; atividades de nucleotidases solúveis em soro; e além disso avaliar a ação antinociceptiva da melatonina nas respostas nociceptivas alteradas. Os animais que receberam morfina demonstraram em P30 e P60: aumento da resposta nociceptiva que foi revertida por antagonista do receptor NMDA; diminuição da captação de glutamato em medula espinal; aumento dos níveis de BDNF em hipocampo, e diminuição da atividade da SOD no P60; alterações nas atividades das nucleotidases solúveis; aumento do comportamento exploratório no P16 e P30; efeito antinociceptivo da melatonina na hiperalgesia. Estes dados demonstram a necessidade de pesquisas que sejam focadas nos efeitos do tratamento com morfina no período neonatal ao longo da vida, bem como buscar alternativas terapêuticas que possam reverter possíveis alterações. / The study of pediatric pain has been the focus of many researchers in recent decades due to the fact that neonates have a lower threshold for innocuous and noxious stimuli compared to adults. As a result, the use of analgesics has been frequent in hospitals. Morphine is an opioid analgesic commonly used for sedation in these patients. This opioid presents greater analgesic potency in the neonatal period in which the μ opioid receptor is over expressed in neurons of the spinal cord, with peak binding on day 7 and decreasing until day 21, reaching adult levels then. Our research group has shown that neonate rats subjected to repeated treatment with morphine not present tolerance. However, they remain with more time of analgesia at the end of treatment than on first day. Moreover, two days after the end of treatment the animals showed changes in activity and gene expression of NTPDase 1 (enzyme that hydrolyzes ATP to adenosine) in spinal cord and cerebral cortex, suggesting modulation of nucleotides extracellular levels which can alters nociceptive response. Besides the purinergic system another important system associated with nociceptive pathways is glutamatergic. Since the neonatal period glutamate is responsible for nociceptive stimulus in spinal cord, being its level controlled by transporters in the presynaptic terminal or glia responsible for the uptake of glutamate released. Importantly, studies have shown that morphine administration in adult animals can lead to behavioral changes, known as behavioral sensitization, dependent of activation of the limbic dopamine system, with the D2 dopamine receptor is associated with these changes. Moreover, such exposure may lead to altered levels of BDNF on the nociception related structures. Considering the lack of studies focused on the effects of repeated exposure to opioids in neonates, the objective of this study was to assess the short-(P16), medium (P30) and long term (P60) effects of treatment with 5 μg of morphine, once a day, from 8 to 14 days old, on nociceptive behavioral responses; glutamate uptake in the spinal cord; exploratory and type anxiously behavioral responses assessing the involvement of the dopamine receptor D2; levels of BDNF and TNF-α, and oxidative stress in the hippocampus; activities of serum soluble nucleotidases, and furthermore evaluate the antinociceptive action of melatonin on nociceptive responses changed. The results obtained with this study show that in P30 and P60 the animals that had received morphine: increase of the nociceptive response that was reversed by NMDA receptor antagonist, decreased glutamate uptake in spinal cord; increasing levels of BDNF in hippocampus, and decreased activity of the antioxidant enzyme SOD in P60; changes in nucleotide hydrolysis; increased exploratory behavior in P16 and P30; antinociceptive effect of melatonin on nociceptive responses increased. These data demonstrate the need for further research that are focused on the effects of morphine treatment in the neonatal period lifelong and seek alternative therapies that can reverse any changes.

Curiosity is thought to be an intrinsically motivated driving force for seeking information. Thus, the opportunity for an information gain (IG) should instil curiosity in humans and result in information gathering actions. To investigate if, and how, information acts as an intrinsic reward, a search task was set in a context of blurred background images which could be revealed by iterative clicking. The search task was designed such that it prevented efficient IG about the underlying images. Participants therefore had to trade between clicking regions with high search target probability or high expected image content information. Image content IG was established from “information-maps” based on participants exploration with the intention of understanding (1) the main theme of the image and (2) how interesting the image might appear to others. Note that IG is in this thesis not identical with the information theoretic concept of information gain, the quantities are however probably related. It was hypothesised that participants would be distracted by visually informative regions and that images independently rated as more interesting would yield higher image based IG. It was also hypothesised that image based IG would increase as a function of time. Results show that participants sometimes explored images driven by curiosity, and that there was considerable individual variation in which images participants were curious about. Independent interest ratings did not account for image based IG. The level of IG increased over trials, interestingly without affecting participants’ performance on the visual search task designed to prevent IG. Results support that IG is rewarding as participants learned to optimize IG over trials without compromising performance on the extrinsically motivated search; managing to both keep the cake and eat it.

O labirinto em cruz elevado é um teste comportamental sensível à iluminação ambiental. Na ausência de luz, ratos testados neste modelo exibem aumento da exploração dos braços abertos, quando comparados com animais testados em ambientes iluminados. No presente trabalho investigou-se a expressão da proteína Fos em cérebro de ratos expostos ao labirinto em cruz elevado na presença e ausência de iluminação. Duas horas depois do teste no labirinto em cruz elevado, ratos foram perfundidos com paraformaldeído juntamente com outros que somente permaneceram em uma gaiola enquanto os primeiros eram testados no labirinto. Para cada par (labirinto e gaiola) manteve-se a mesma condição de iluminação: claro ou escuro. Ainda, ratos de um terceiro grupo que permanecia no biotério eram perfundidos juntamente com cada dupla. Os cérebros foram retirados e preparados para inicio do procedimento imunoistoquímico da marcação da proteína Fos e posterior contagem de células marcadas. De um modo geral, animais expostos ao labirinto em cruz elevado sem iluminação, exibiram aumento na porcentagem de entradas e tempo de permanência nos braços abertos, assim como aumento da expressão de Fos em diferentes regiões do cérebro. A comparação entre os grupos sugere que a lâmina intergeniculada se relaciona provavelmente com a detecção de iluminação. A exploração de ambientes novos ou familiares envolve a participação do córtex cingulado e do locus coeruleus. Animais testados no labirinto em cruz elevado no escuro exibiram aumentos significativos na expressão de Fos nos núcleos da amígdala lateral, basolateral e medial, núcleos do hipotálamo lateral anterior e dorsomedial, quando comparados com os animais testados no mesmo modelo na presença de luz e com os que somente permaneceram na gaiola no escuro. Além disso, na ausência de luz, correlações significativas entre medidas comportamentais no labirinto em cruz elevado e número de neurônios marcados por Fos mostraram uma relação entre o aumento da exploração dos braços abertos e ativação de neurônios pertencentes à maioria dos núcleos descritos. Os resultados sugerem que a detecção de luminosidade em ambientes novos inibe a ativação neuronal e comportamental inicial. Esse processo induziria uma diminuição do número de neurônios ativos e comportamentos relacionados com ansiedade. A ausência de luz, pelo contrario, manteria a ativação inicial gerada pela novidade e envolveria comportamentos de exploração subjacentes ao aumento da expressão de Fos sobretudo no complexo amigdalóide e córtex piriforme. / The elevated plus-maze is a behavioral test sensitive to environmental illumination. In the absence of light, rats tested in with this model exhibit increases in the exploration of the open arms, when compared to animals tested in illuminated environments. The present work investigated Fos protein expression in the brain of rats exposed to the elevated plus-maze in the presence and absence of illumination. Two hours after the test in the plus-maze, the rats were perfused with paraformaldehyde together with others that just remained in a cage while the first were tested in the maze. For each pair (maze and cage) the same illumination condition was maintained: light or dark. Also, rats from a third group that only remained in the vivarium were perfused together with each pair. The brains were removed and prepared for the procedure of immunohistochemical staining for Fos followed by cell counting. In general, rats exposed to the elevated plus-maze in the dark exhibited increases in the percentage of entries and time spent in the open arms, as well as increases in Fos expression in different brain areas. Comparisons among groups suggests that intergeniculate leaflet is probably related to illumination detection. The exploration of novel of familiar environments involves the cingulate cortex and the locus coeruleus. Rats tested inn the elevated plus-maze in the dark exhibited significant increases in Fos expression in the lateral, basolateral, medial and central amygdala nuclei, lateral anterior and dorsomedial hypothalamic nuclei when compared to rats tested in this model under illumination and rats that remained in the cage in the dark. Besides, in the dark, significant correlations between behavioral measurements in the maze and amount of Fos-stained cells indicates a relationship between open arm exploration and neuron activation in most of the studied nuclei. The results suggest that light detection in novel environments inhibits the initial neuronal and behavioral activation. This process induces a decrease in the number of active neurons and behaviors related to anxiety. The absence of light, on the other hand, keeps the initial activation generated by novelty and involves the exploratory behaviors subserved by the increases in the expression of Fos protein, mainly in the amygdaloid complex and piriform cortex.

Thesis (Ph. D.)--Uniformed Services University of the Health Sciences, 2005. / Typescript (photocopy).

O labirinto em cruz elevado é um teste comportamental sensível à iluminação ambiental. Na ausência de luz, ratos testados neste modelo exibem aumento da exploração dos braços abertos, quando comparados com animais testados em ambientes iluminados. No presente trabalho investigou-se a expressão da proteína Fos em cérebro de ratos expostos ao labirinto em cruz elevado na presença e ausência de iluminação. Duas horas depois do teste no labirinto em cruz elevado, ratos foram perfundidos com paraformaldeído juntamente com outros que somente permaneceram em uma gaiola enquanto os primeiros eram testados no labirinto. Para cada par (labirinto e gaiola) manteve-se a mesma condição de iluminação: claro ou escuro. Ainda, ratos de um terceiro grupo que permanecia no biotério eram perfundidos juntamente com cada dupla. Os cérebros foram retirados e preparados para inicio do procedimento imunoistoquímico da marcação da proteína Fos e posterior contagem de células marcadas. De um modo geral, animais expostos ao labirinto em cruz elevado sem iluminação, exibiram aumento na porcentagem de entradas e tempo de permanência nos braços abertos, assim como aumento da expressão de Fos em diferentes regiões do cérebro. A comparação entre os grupos sugere que a lâmina intergeniculada se relaciona provavelmente com a detecção de iluminação. A exploração de ambientes novos ou familiares envolve a participação do córtex cingulado e do locus coeruleus. Animais testados no labirinto em cruz elevado no escuro exibiram aumentos significativos na expressão de Fos nos núcleos da amígdala lateral, basolateral e medial, núcleos do hipotálamo lateral anterior e dorsomedial, quando comparados com os animais testados no mesmo modelo na presença de luz e com os que somente permaneceram na gaiola no escuro. Além disso, na ausência de luz, correlações significativas entre medidas comportamentais no labirinto em cruz elevado e número de neurônios marcados por Fos mostraram uma relação entre o aumento da exploração dos braços abertos e ativação de neurônios pertencentes à maioria dos núcleos descritos. Os resultados sugerem que a detecção de luminosidade em ambientes novos inibe a ativação neuronal e comportamental inicial. Esse processo induziria uma diminuição do número de neurônios ativos e comportamentos relacionados com ansiedade. A ausência de luz, pelo contrario, manteria a ativação inicial gerada pela novidade e envolveria comportamentos de exploração subjacentes ao aumento da expressão de Fos sobretudo no complexo amigdalóide e córtex piriforme. / The elevated plus-maze is a behavioral test sensitive to environmental illumination. In the absence of light, rats tested in with this model exhibit increases in the exploration of the open arms, when compared to animals tested in illuminated environments. The present work investigated Fos protein expression in the brain of rats exposed to the elevated plus-maze in the presence and absence of illumination. Two hours after the test in the plus-maze, the rats were perfused with paraformaldehyde together with others that just remained in a cage while the first were tested in the maze. For each pair (maze and cage) the same illumination condition was maintained: light or dark. Also, rats from a third group that only remained in the vivarium were perfused together with each pair. The brains were removed and prepared for the procedure of immunohistochemical staining for Fos followed by cell counting. In general, rats exposed to the elevated plus-maze in the dark exhibited increases in the percentage of entries and time spent in the open arms, as well as increases in Fos expression in different brain areas. Comparisons among groups suggests that intergeniculate leaflet is probably related to illumination detection. The exploration of novel of familiar environments involves the cingulate cortex and the locus coeruleus. Rats tested inn the elevated plus-maze in the dark exhibited significant increases in Fos expression in the lateral, basolateral, medial and central amygdala nuclei, lateral anterior and dorsomedial hypothalamic nuclei when compared to rats tested in this model under illumination and rats that remained in the cage in the dark. Besides, in the dark, significant correlations between behavioral measurements in the maze and amount of Fos-stained cells indicates a relationship between open arm exploration and neuron activation in most of the studied nuclei. The results suggest that light detection in novel environments inhibits the initial neuronal and behavioral activation. This process induces a decrease in the number of active neurons and behaviors related to anxiety. The absence of light, on the other hand, keeps the initial activation generated by novelty and involves the exploratory behaviors subserved by the increases in the expression of Fos protein, mainly in the amygdaloid complex and piriform cortex.

Stress has been reported to activate the locus coeruleus (LC)-noradrenergic system. In this study, corticosterone (CORT) was orally administrated to rats for 21 days to mimic stress status. In situ hybridization measurements showed that CORT ingestion significantly increased mRNA levels of norepinephrine transporter (NET) and dopamine β-hydroxylase (DBH) in the LC region. Immunofluorescence staining and western blotting revealed that CORT treatment also increased protein levels of NET and DBH in the LC, as well as NET protein levels in the hippocampus, the frontal cortex and the amygdala. However, CORT-induced increase in DBH protein levels only appeared in the hippocampus and the amygdala. Elevated NET and DBH expression in most of these areas (except for NET protein levels in the LC) was abolished by simultaneous treatment with combination of corticosteroid receptor antagonist mifepristone and spironolactone (s.c. for 21 days). Also, treatment with mifepristone alone prevented CORT-induced increases of NET expression and DBH protein levels in the LC. In addition, behavioral tasks showed that CORT ingestion facilitated escape in avoidance trials using an elevated T-maze, but interestingly, there was no significant effect on the escape trial. Corticosteroid receptor antagonists failed to counteract this response in CORT-treated rats. In the open-field task, CORT treatment resulted in less activity in a defined central zone compared to controls and corticosteroid receptor antagonist treatment alleviated this increase. In conclusion, this study demonstrates that chronic exposure to CORT results in a phenotype that mimics stress-induced alteration of noradrenergic phenotypes, but the effects on behavior are task dependent. As the sucrose consumption test strongly suggests CORT ingestion-induced depression-like behavior, further elucidation of underlying mechanisms may improve our understanding of the correlation between stress and the development of depression.