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Background: Learning by conditioning is a key ability of animals and humans for acquiring novel behavior necessary for survival in a changing environment. Aberrant conditioning has been considered a crucial factor in the etiology and maintenance of panic disorder with agoraphobia (PD/A). Cognitive-behavioral therapy (CBT) is an effective treatment for PD/A. However, the neural mechanisms underlying the effects of CBT on conditioning processes in PD/A are unknown. Methods: In a randomized, controlled, multicenter clinical trial in medication-free patients with PD/A who were treated with 12 sessions of manualized CBT, functional magnetic resonance imaging (fMRI) was used during fear conditioning before and after CBT. Quality-controlled fMRI data from 42 patients and 42 healthy subjects were obtained. Results: After CBT, patients compared to control subjects revealed reduced activation for the conditioned response (CS+ > CS–) in the left inferior frontal gyrus (IFG). This activation reduction was correlated with reduction in agoraphobic symptoms from t1 to t2. Patients compared to control subjects also demonstrated increased connectivity between the IFG and regions of the “fear network” (amygdalae, insulae, anterior cingulate cortex) across time. Conclusions: This study demonstrates the link between cerebral correlates of cognitive (IFG) and emotional (“fear network”) processing during symptom improvement across time in PD/A. Further research along this line has promising potential to support the development and further optimization of targeted treatments.

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Une mémoire émotionnelle normale se base sur la sélection de stimuli prédictifs d’un événement important pour l’individu. Cependant, ce processus de sélection peut être compromis en situation de forte intensité émotionnelle. En particulier, la sélection d’un élément saillant non nécessairement prédictif, associée à une amnésie de type déclaratif pour les éléments contextuels, caractérise les altérations mnésiques de l’état de stress post-traumatique (ESPT). Les données de la littérature suggèrent que l’action de glucocorticoïdes dans l’hippocampe serait l’une des causes possibles du développement de troubles mnésiques de type ESPT. Nos travaux ont porté sur les conditions dans lesquelles les glucocorticoïdes dans l’hippocampe peuvent altérer les fonctions mnésiques chez la souris.En utilisant des procédures de conditionnement classique aversif, nous montrons que l’injection post-apprentissage de corticostérone dans l’hippocampe dorsal, en situation de forte intensité émotionnelle, conduit (1) à une sélection incorrecte du stimulus saillant non prédictif du choc électrique au détriment des éléments contextuels (2) et à des dysfonctionnements d’activité neuronale au sein du circuit hippocampo-amygdalien (expression de c-Fos). De façon intéressante, par une action sur le même type de récepteurs (aux glucocorticoïdes, GR), l’injection de corticostérone dans l’hippocampe ventral conduit également à un processus incorrect de sélection du stimulus prédictif mais en faveur des éléments contextuels. Enfin, un apprentissage en labyrinthe radiaire révèle que l’injection de corticostérone dans l’hippocampe dorsal altère spécifiquement la mémoire relationnelle, analogue de la mémoire déclarative humaine, uniquement chez les animaux ayant été au préalable exposés à un stress.L’ensemble de nos données révèlent qu’un excès de glucocorticoïdes dans l’hippocampe contribue (1) à des déficits de mémoires émotionnelle et relationnelle, (2) à la sélection inadaptée de stimuli non prédictifs d’un événement aversif (3) reposant sur des dysfonctionnements du circuit hippocampo-amygdalien, le tout, correspondant à des altérations mnésiques de type ESPT. / Normal emotional memory is based on the selection of cues predicting threatening events. However, exposure to extreme threatening situation can compromise the selection of the correct cues. In particular, selection of a salient not necessarily predictive cue, associated with declarative amnesia for peritraumatic contextual cues, characterizes the memory disturbances of posttraumatic stress disorder (PTSD). Accumulating evidence suggest that action of glucocorticoids into the hippocampus could be a potential mechanism for PTSD-related memory disturbances. Hence, we studied the conditions for which glucocorticoids into the hippocampus can alter memory functions in mice.Using Pavlovian fear conditioning, we showed that post-training infusion of glucocorticoids in the dorsal hippocampus, in stressful situation, resulted in (1) selection of a salient non predictive cue instead of contextual cues and in (2) dysfunctions of neural activity of the hippocampal-amygdalar circuit (c-Fos expression). Interestingly, via action on the same receptor subtype (glucocorticoid receptors, GR), infusion of glucocorticoids in the ventral hippocampus also resulted in incorrect selection of predictive cue but in favor of contextual cues. Finally, using radial-maze task, we showed that infusion of glucocorticoids in the dorsal hippocampus specifically impaired relational declarative-like memory, only in mice previously exposed to stress.Altogether, our findings reveal that excess glucocorticoids in the hippocampus contributes to (1) deficits in emotional and relational memories, (2) incorrect selection of predictive cues (3) based to dysfunctions of the hippocampal-amygdalar circuit, all, corresponding to PTSD-related memory disturbances.

La peur est ce qui permet de réagir à un stimulus aversif par une réponse de défense adaptée à la situation. Elle peut être générée par un ensemble de stimuli naturellement aversifs ou par des stimuli ayant acquis une valeur aversive par apprentissage associatif. Cette thèse a pour but d'étudier les caractéristiques et modifications de la réponse de peur à ces deux types de stimuli au cours de l'ontogenèse. Les études présentées ici utilisent un conditionnement de peur à l'odeur chez le rat qui associe une odeur à un stimulus aversif et permet d'induire très rapidement et durablement des mémoires de peur à l'odeur. La réponse de défense peut alors être étudiée à la fois envers l'odeur apprise et envers le stimulus naturellement aversif. Nous montrons en particulier que la réponse de peur à l'odeur apprise présente un décours temporel corrélé à la durée de l'intervalle de temps entre l'odeur et le stimulus aversif, permettant d'affirmer que les animaux mémorisent et estiment le temps, et ce dès les premiers âges étudiés, avant la maturation des structures cérébrales classiquement impliquées dans cette mémoire temporelle. Par ailleurs, nous nous sommes intéressés aux vocalisations ultrasonores émises en réponse au stimulus aversif et à leur modification au cours de l'ontogenèse. Nous avons mis en évidence deux types de vocalisations chez le raton, dont les caractéristiques et critères d'induction laissent présager un rôle différentiel qui reste à explorer. L'ensemble de ces travaux soulignent que, même si les réponses de défense du rat changent au cours du développement, la capacité à produire ces réponses de manière temporellement adaptée est observée dès le plus jeune âge / Fear allows individuals to react to an aversive stimulus by a defense response adapted to the situation. It can be triggered by naturally aversive stimuli or in response to stimuli that acquired an aversive valence through associative learning. This thesis investigated the characteristics and modifications of fear responses to these two types of stimuli throughout ontogeny. The studies presented here used olfactory fear conditioning in rat, in which an odor is paired with an aversive event and allows to rapidly induce long lasting odor fear memories. Defense responses can then be studied both to the learned odor and to the naturally aversive stimulus. We showed in particular that fear response to the learned odor presents a temporal pattern correlated with the duration of the time interval between the odor and the aversive event, showing that rats can learn about time and they do so at the youngest ages studied here, before the maturation of the brain structures classically involved in interval timing. We also studied the ultrasonic vocalizations emitted in response to the aversive stimulus and their changes throughout ontogeny. We described two types of vocalizations in pups that differ in their characteristics and emission context, suggesting they could have different functions, which needs further exploration. These thesis findings highlight that although the rat’s defense responses changes through ontogeny, the ability to produce temporally adapted responses occurs from the youngest age

A substância cinzenta periaquedutal dorsal (SCPd) é considerada uma das principais estruturas do teto mesencefálico envolvida no substrato neural da aversão a estímulos proximais. GABA e 5-HT são apontados como neurotransmissores envolvidos na modulação das respostas defensivas elaboradas na SCPd. Recentemente, mecanismos neurocininérgicos também têm sido propostos como mediadores das reações de defesa organizadas nessa estrutura. O objetivo do presente estudo foi avaliar o envolvimento dos receptores NK-1 e NK-3 da SCPd no comportamento defensivo induzido pela estimulação elétrica dessa região em ratos com e sem experiência prévia ao condicionamento contextual aversivo. Para isso, os limiares aversivos de congelamento e fuga foram medidos durante a estimulação elétrica da SCPd em ratos ingênuos e em animais submetidos previamente ao procedimento de condicionamento contextual aversivo. A mediação destas repostas defensivas pelos receptores NK-1 e NK-3 foi avaliada pela injeção local de spantide (100 pmol/0,2 L) e SB 222200 (50 e 100 pmol/0,2 L), antagonistas seletivos de receptores NK-1 e NK-3, respectivamente. Os resultados mostraram que a injeção intra-SCPd de spantide aumentou os limiares aversivos determinados pela estimulação elétrica da SCPd em animais ingênuos e com experiência aversiva prévia. Injeções similares de 100 pmol de SB 222200 na SCPd também causaram um aumento nos limiares de congelamento e fuga. Entretanto, esses efeitos devem ser atribuídos a um déficit motor causado por essa dose da droga, uma vez que SB 222200 na dose de 100 pmol, reduziu significativamente a atividade motora dos animais submetidos ao teste do campo aberto. Estes resultados sugerem que receptores NK-1, mas não NK-3, estão envolvidos na mediação do comportamento defensivo induzido pela estimulação elétrica da SCPd. / The dorsal periaqueductal gray (dPAG) constitutes the main structure of the neural substrate for the defensive response to proximal aversive stimuli. It is well established that GABA and 5-HT are important neuromediators of the defense reaction at the dPAG level but neurokinin-mediated mechanisms have also been recently implicated in these processes. The aim of the present investigation was to examine the involvement of NK-1 and NK-3 receptors of the dPAG in the unconditioned defensive behaviors induced by electrical stimulation of the dPAG of rats with and without previous experience with contextual fear conditioning. For this, aversive thresholds were measured as the lowest intensity of electric current to produce freezing and escape behaviors using a procedure of gradual increases of the electrical stimulation of the dPAG. These thresholds were also measured in rats previously submitted to a contextual fear conditioning procedure. The mediation of these defensive responses by NK-1 and NK-3 receptors of the dPAG was evaluated by local injections of spantide (100 pmol/0.2 L) and SB 222200 (50 and 100 pmol/0.2 L), selective antagonists of NK-1 and NK-3 receptors, respectively. The present results showed that spantide injections into the dPAG increased the aversive thresholds (anti-aversive effects) determined by stimulation of the dPAG in naive and in animals subjected previously to the contextual fear conditioning. Similar injections of SB 222200 100 pmol into the dPAG increased the freezing and escape thresholds. However, this effect can be attributable to a motor deficit since this dose of SB 222200 decreased the exploratory activity of the animals subjected to the open field test. These results suggest that NK-1 receptors, but not NK-3 receptors, are involved in the mediation of the defensive behaviors induced by electrical stimulation of the dPAG.

O comportamento emocional tem sido considerado fundamental para a sobrevivência dos animais, sendo o medo uma se suas mais primitivas e importantes formas. A substância cinzenta periaquedutal dorsal (SCPD) tem-se destacado como uma estrutura importante na organização das respostas defensivas. Estudos usando estimulação elétrica e química da SCPD e microinjeções de drogas agonistas e antagonistas de receptores serotoninérgicos mostraram uma mediação serotoninérgica através dos subtipos de receptores 5-HT1A e 5-HT2A na regulação do comportamento defensivo organizado nesta estrutura. O objetivo deste trabalho foi examinar a mediação serotoninérgica na SCPD através de receptores 5-HT1A nas respostas defensivas de animais sem e com experi~encia aversiva prévia. Para isto, os limiares de congelamento e fuga foram determinados em ratos implantados com uma cânula acoplada a um eletrodo na SCPD, antes e após microinjeção local do agonista 8-OH-DPAT (4 e 8 nmol) e do antagonista WAY100635 (10 nmol). Os efeitos destas drogas injetadas na SCPD foram avaliados também sobre o tempo de congelamento pós-estimulação em animais ingênuos e também em animais colocados em um contexto no qual receberam choques inescapáveis nas patas 24h antes (medo condiconado contextual). O 8-OH-DPAT, de maneira dose dependente, produziu um efeito anti-aversivo sobre os limiares de congelamento e fuga em ratos sem experiência aversiva prévia, mas não nos animais com experiência aversiva prévia quando comparado com seus controles. Por outro lado, este agonista 5-HT1A reduziu o tempo de congelamento contextual. Já o WAY100635 não produziu alterações significativas sobre os limiares aversivos em ratos ingênuos ou com experiência aversiva prévia, mas elevou o tempo de congelamento contextual nestes aniamis (efeito pró-aversivo). Estes resultados estão em concordância com a idéia de uma modulação fásica exercida pela 5-HT sobre os substratos neurais do medo organizado na SCPD. Por outro lado, mecanismos mediados pelos receptores 5-HT1A não são alterados em animais com experiência aversiva prévia. Acreditamos que estes resultados trazem uma contribuição importante para a nossa compreensão sobre a integração de estados aversivos no SNC e, particularmente sobre o funcionamento destes substratos neurais de defesa na SCPD de animais com experiência aversiva prévia. / It is well established that 5-HT1 mechanisms modulate the defensive behavior produced by stimulation of the dorsal periaqueductal gray (dPAG). However, in spite of the notion that past stressful experiences play a role in certain types of anxiety only few studies with stimulation of the dPAG of rats without previous aversive experience have been conducted so far. In this study, we examined the mediation of 5-HT1 receptors of the dPAG in rats naive and in rats previously submitted to contextual fear conditionong (CFC). Defensive behaviors induced by activation of the dPAG were assessed by measuring the lowest intensity of electric current applied to this structure (threshold) able to produce freezing and escape responses during testing sessions of CFC, in which animals were placed in a context previously paired to footshocks. The persistence of the freezing behavior after the interruption of the dPAG electrical stimulation was also evaluated. The 5-HT1 function of the dPAG in this condition was evaluated by local injectinos of 8-OH-DPAT (4 and 8 nmol/) and WAY100635 (10nmol), selective agonist and antagonist of 5-HT1 receptors, respectively. In accordance with previous studies, 8-OH-DPAT increased the aversive thresholds (antiaversive effects) and injection of WAY100635 into the dPAG did not produce significant effects in naive rats. On the contrary, both serotonergic drugs 8-OH-DPAT and WAY100635 did not produce any significant effects on the aversive thresholds. Post-stimulation freezing was not affected by any treatment given to animals before or after CFC. However, the contextual conditioned freezing was attenuated or enhanced by intra-dPAG of 8-OH-DPAT and WAY100635, respectively. The present results suggest that 5-HT1 receptor-mediated mechanisms exert a phasic inhibition on the neural substrates of fear in the dPAG in naive rats whereas past stressful experience does not produce significant changes in the synaptic function of 5-HT1 receptors within the dPAG.