Prävention ist der zentrale Hebel, um dem gesundheitspolitischen und sozialen Problem der Alzheimer-Krankheit (AD) zu begegnen. Ein Ansatz ist der Einsatz krankheitsmodifizierender Therapien in der präklinischen Krankheitsphase. Zwei mögliche Früherkennungsmethoden sind die somatosensibel evozierten Potenziale des Nervus vagus (VSEP) und das Aufmerksamkeitsblinzeln (Attentional Blink, ATB). Beide werden möglicherweise über den Locus coeruleus vermittelt, der sehr früh im Krankheitsverlauf strukturelle Veränderungen aufweist. Ziel der Arbeit war es, Korrelationen zwischen den Parametern beider Methoden zu untersuchen. Hierfür mussten individuumspezifische ATB-Parameter entwickelt werden. Außerdem wurden Korrelationen mit psychometrischen Parametern der Demenzdiagnostik und Gruppenunterschiede zwischen Personen mit und ohne Mild Cognitive Impairment (MCI) analysiert. Es wurden insgesamt 108 Teilnehmer der „Vogel-Studie“, einer prospektiven Längsschnittstudie zur Frühdiagnostik dementieller Erkrankungen, untersucht. Die VSEP wurden mittels der durch Fallgatter et al. (2003) entwickelten Technik bestimmt. Die ATB-Messung erfolgte in einem an Zylberberg et al. (2012) angelehnten Versuchsablauf. Die gemessenen Parameter siedelten sich zwischen dem aus der Literatur bekannten Wertebereich gesunder und an Alzheimer-Demenz erkrankter Probanden an. Auffallend war das Auftreten von Attentional Masking Errors (AME), die bisher ausschließlich bei Patienten mit Alzheimer- und Lewy-Body-Demenz beschrieben wurden. Somit sprechen die Ergebnisse für eine beginnende Alzheimer-Pathologie im untersuchten Studienkollektiv. Es konnten keine signifikanten Korrelationen zwischen VSEP- und ATB-Parametern nachgewiesen werden. Die explorative Analyse weist auf zahlreiche Zusammenhänge zwischen ATB-Parametern und psychometrischen Tests hin. 16 % der Probanden erfüllten die Kriterien eines MCI (Portet et al., 2006). Wie in der vorbestehenden Literatur ergaben sich auch in dieser Arbeit keine signifikanten Gruppenunterschiede zwischen Probanden mit und ohne MCI. Die Ergebnisse dieser Arbeit unterstützen die bestehende Evidenz dahingehend, dass beide Methoden frühe subklinische Alzheimer-Pathologien detektieren könnten. Insbesondere AME scheinen ein vielversprechender Parameter zu sein. Weiterführende Ergebnisse zum Vorhersagewert der einzelnen Parameter wird das Follow-Up der „Vogel-Studie“ erbringen. / Prevention is the key to address the public health and social problem of Alzheimer's disease (AD). One approach is the use of disease-modifying therapies in the preclinical phase. Two potential early detection methods are the somatosensory evoked potentials of the vagus nerve (VSEP) and the attentional blink (ATB). Both are possibly mediated by the locus coeruleus, which shows structural changes very early on in the course of the disease. The aim of this thesis was to investigate correlations between the parameters of both methods. For this purpose, individual-specific ATB parameters had to be developed first. In addition, correlations with psychometric tests of dementia diagnosis and group differences between individuals with and without Mild Cognitive Impairment (MCI) were analyzed. A total of 108 participants of the "Vogel Study," a prospective longitudinal study on early diagnosis of dementia, were examined. VSEP were determined using the technique developed by Fallgatter et al. (2003). ATB measurement was performed in an experimental procedure adapted from Zylberberg et al. (2012). The measured parameters corresponded with the value range known from healthy subjects and subjects suffering from Alzheimer's dementia. The occurrence of attentional masking errors (AME), which have so far been described exclusively in patients with Alzheimer's and Lewy body dementia, was striking. Thus, the results are suggestive of incipient AD pathology in the examined study population. No significant correlations were found between VSEP and ATB parameters. Exploratory analysis indicates numerous correlations between ATB parameters and psychometric tests. 16% of subjects met criteria for MCI (Portet et al., 2006). As in the prior literature, this study found no significant group differences between subjects with and without MCI. The results of this thesis support the existing evidence that both methods could detect early subclinical AD pathologies. In particular, AME seem to be a promising parameter. Further results on the predictive value of the investigated parameters will be provided by the follow-up of the "Vogel study".

Recent postmortem studies have demonstrated deficits in glia in major depressive disorder, including reductions in the astrocyte specific interfilament glial fibrillary acidic protein (GFAP) in the prefrontal cortex and cerebellum of depressed patients. Astrocytes serve important roles in influencing neuronal activity in the CNS, one of which is to remove neurotransmitters from the extracellular space. The present study investigated the levels of GFAP in the locus coeruleus (LC) of human subjects. The LC is the principal source of norepinephrine in the brain and neurochemical pathology of the LC has been demonstrated in major depressive disorder (MDD) and suicide. Tissue punches of the LC were obtained from postmortem brains collected from subjects with MDD who died by suicide and psychiatrically normal control subjects (n=9 per group). The age of the subjects ranged from 17 to 65 years (control 37±4 y; MDD 39±5 y) and postmortem intervals ranged from 17 to 44 h (control 20±1 h; MDD 25±3 h). GFAP-immunoreactivity (ir) was measured by quantitative Western blotting. Alpha-tubulin-ir was used to control for protein loading and transfer. Amounts of GFAP-ir were highly variable within both control and MDD subjects, ranging 15-fold across control subjects and 24-fold across MDD subjects. There was a modest trend for lower GFAP-ir in the LC from MDD subjects relative to control subjects, but this difference was not significantly different. In control subjects, there was no significant correlation of GFAP-ir levels with age. In contrast, GFAP-ir levels were positively correlated with age in MDD subjects. In younger MDD subjects (<40 y), GFAP-ir was consistently lower as compared to matched control subjects. Amounts of GFAP-ir did not correlate with postmortem intervals. These findings are consistent with a previous report demonstrating age effects on GFAP in frontal cortex in depressed but not control subjects. Glia deficits reported in frontal cortex and cerebellum from depressed subjects may also occur in the brainstem, and these deficits may contribute to disruption of monoamine chemistry in depression. Given the variability of GFAP levels in the LC between subjects, other markers of glia should be pursued to evaluate the potential role of glia in brainstem pathology associated with MDD.

Glutamate receptors are promising drug targets for the treatment of urgent suicide ideation and chronic major depressive disorder (MDD) that may lead to suicide completion. Antagonists of glutamatergic NMDA receptors reduce depressive symptoms faster than traditional antidepressants, with beneficial effects occurring within hours. Glutamate is the prominent excitatory input to the noradrenergic locus coeruleus (LC). The LC is activated by stress in part through this glutamatergic input. Evidence has accrued demonstrating that the LC may be overactive in MDD, while treatment with traditional antidepressants reduces LC activity. Pathological alterations of both glutamatergic and noradrenergic systems have been observed in depressive disorders, raising the prospect that disrupted glutamate-norepinephrine interactions may be a central component to depression and suicide pathobiology. This study examined the gene expression levels of glutamate receptors in post-mortem noradrenergic LC neurons from subjects with MDD (most died by suicide) and matched psychiatrically normal controls. Gene expression levels of glutamate receptors or receptor subunits were measured in LC neurons collected by laser capture microdissection. MDD subjects exhibited significantly higher expression levels of the NMDA receptor subunit genes, GRIN2B and GRIN2C, and the metabotropic receptor genes, GRM4 and GRM5, in LC neurons. Gene expression levels of these receptors in pyramidal neurons from prefrontal cortex (BA10) did not reveal abnormalities in MDD. These findings implicate disrupted glutamatergic-noradrenergic interactions at the level of the stress-sensitive LC in MDD and suicide, and provide a theoretical mechanism by which glutamate antagonists may exert rapid antidepressant effects.

Recent data suggest novel functional roles for cerebellar involvement in a number of neurologic diseases. Function of cerebellar neurons is known to be modulated by norepinephrine and adrenergic receptors. The distribution of adrenergic receptor subtypes has been described in experimental animals, but corroboration of such studies in the human cerebellum, necessary for drug treatment, is still lacking. In the present work we studied cell-specific localizations of α1 adrenergic receptor subtype mRNA (α1a, α1b, α1d), and α2 adrenergic receptor subtype mRNA (α2a, α2b, α2c) by in situ hybridization on cryostat sections of human cerebellum (cortical layers and dentate nucleus). We observed unique neuron-specific α1 adrenergic receptor and α2 adrenergic receptor subtype distribution in human cerebellum. The cerebellar cortex expresses mRNA encoding all six α adrenergic receptor subtypes, whereas dentate nucleus neurons express all subtype mRNAs, except α2a adrenergic receptor mRNA. All Purkinje cells label strongly for α2a and α2b adrenergic receptor mRNA. Additionally, Purkinje cells of the anterior lobe vermis (lobules I to V) and uvula/tonsil (lobules IX/HIX) express α1a and α2c subtypes, and Purkinje cells in the ansiform lobule (lobule HVII) and uvula/tonsil express α1b and α2c adrenergic receptor subtypes. Basket cells show a strong signal for α1a, moderate signal for α2a and light label for α2b adrenergic receptor mRNA. In stellate cells, besides a strong label of α2a adrenergic receptor mRNA in all and moderate label of α2b message in select stellate cells, the inner stellate cells are also moderately positive for α1b adrenergic receptor mRNA. Granule and Golgi cells express high levels of α2a and α2b adrenergic receptor mRNAs. These data contribute new information regarding specific location of adrenergic receptor subtypes in human cerebellar neurons. We discuss our observations in terms of possible modulatory roles of adrenergic receptor subtypes in cerebellar neurons responding to sensory and autonomic input signals, and review species differences in cerebellar adrenergic receptor expression.

It is now well accepted that there is a close relationship between noradrenergic and dopaminergic neurons in the brain, especially referring to the modulation of the locus coeruleus–norepinephrine (LC-NE) system on dopamine transmission. The disturbance of this modulation may contribute to neurodegeneration of dopaminergic neurons in Parkinson’s disease. In this article, we briefly review evidence related to such modulation. Firstly, we illustrated the noradrenergic innervation and functional implication for the LC-NE system and nigra–striatum dopaminergic system. Furthermore, we depicted neuroprotective effects of the LC-NE on dopaminergic neurons in vivo and in vitro. Moreover, we present data implicating the potential mechanisms underlying the modulation of the LC-NE system on dopaminergic neurons, in particular the effects of NE as a neurotrophic factor and through its ability to stimulate the expression of other neurotrophic factors, such as the brain-derived neurotrophic factor. Finally, we discussed other mechanisms intrinsic to NE’s effects. A better understanding of the noradrenergic modulation on dopaminergic neurons may be rewarding by significant advances in etiologic study and promising treatment of Parkinson’s disease.

La neuromodulation apporte une extraordinaire richesse à la dynamique des réseaux de neurones. Parmi les neuromodulateurs du système nerveux central, la noradrénaline permettrait de faciliter l'adaptation du comportement face aux variations des contraintes environnementales en modulant l'attention, cette fonction au coeur de la cognition qui nous permet de sélectionner l'information la plus pertinente en fonction de notre but. Ce processus complexe qui opère à chaque instant à la fois dans l'espace et le temps, constitue une étape essentielle dans cette adaptation comportementale. Cependant, à ce jour, les mécanismes par lesquels ce neuromodulateur exerce ses effets sur le cerveau sain demeurent mal connus. Mon travail de thèse a pour objectif d'examiner les déterminants comportementaux et les marqueurs neuronaux de l'effet stimulant des agonistes noradrénergiques. La question posée était : "Comment la noradrénaline agit-elle pour optimiser l'attention?" Pour répondre à cette question, j'ai choisi de combiner la pharmacologie, l'analyse du comportement, et l'imagerie par résonnance magnétique fonctionnelle chez le singe. Un des principaux résultats de mes travaux est que l'administration d'agents noradrénergiques induit une large réorganisation des réseaux cérébraux, qui pourrait être à l'origine de l'optimisation des réponses comportementales observées parallèlement / Neuromodulation provides an extraordinary wealth to the dynamics of neural networks. Among the neuromodulators of the central nervous system, noradrenaline would facilitate behavioral adaptation facing variations of environmental constraints by modulating attention, this function at the heart of cognition that allows us to select the most relevant information based our goal. This complex process that operates at every moment both in space and time, is an essential step in this behavioral adaptation. However, to date, the mechanisms by which this neuromodulator exerts its effects on healthy brain remain unknown. My thesis aims to examine the behavioral and neural markers of the boosting effect of noradrenergic agonists. The question asked was: "How does noradrenaline optimize attention?" To answer this question, I chose to combine pharmacology, behavior analysis, and functional Magnetic Resonance Imaging in monkeys. One of the main results of my work is that the administration of noradrenergic agents induced a large-scale brain networks reorganization, which could be responsible for optimizing behavioral responses observed in parallel

O gás composto monóxido de carbono (CO), está envolvido na modulação de diferentes funções orgânicas, tais como a regulação cardiovascular, a temperatura corporal e a nocicepção. A participação do CO nos processos fisiológicos ocorre por meio da atividade da enzima heme-oxigenase (HO), e seu produto CO, o qual por sua vez aumenta a produção de guanosina monofosfato ciclíco intracelular (GMPc). De particular interesse, o locus coeruleus possui elevada expressão da enzima HO-2 sugerindo o envolvimento do gasotransmissor CO na modulação das funções executadas por esta estrutura encefálica. O objetivo deste trabalho foi avaliar o envolvimento da via HO-CO do LC na modulação da ansiedade, avaliada pelo teste de labirinto em cruz elevado e teste claro-escuro; nocicepção aguda, avaliada pelo teste de retirada de cauda e a nocicepção inflamatória, avaliada pelo teste de formalina em ratos. Para atingir estes objetivos, ratos (± 250grs; Wistar) foram anestesiados (ketamina 75 mg/kg e xilasina 10 mg/kg i.m.) e submetidos à cirurgia estereotáxica para implante unilateral de cânulas-guias direcionadas para o LC, e para o ventrículo lateral. Após o período de recuperação, os ratos foram divididos em distintos grupos experimentais para administração intra-LC do ZnDPBG (inibidor inespecífico da enzima HO, nas doses 5,50 ou 200 nmol/0,1 µl) ou seu veículo, Na2CO3 (50 mmol/0,1 µl); do Heme-lisinato (150, 300 ou 600 nmol/0,1 µl) ou seu veículo, L-lisina (14,2 µmol/0,1 µl); do ODQ i.c.v. (inibidor específico da enzima guanilase ciclase solúvel, 1,3 nmol/1,0 µl) ou seu veículo (DMSO 1%, 1,0 µl) e após 15 min o Heme-lisinato (600 nmol/0,1 µl) ou seu veículo (L-lisina, 14,2 µmol/0,1 µl), intra-LC. Após o tempo de 15 min, os ratos foram avaliados no teste de LCE ou no TCE por 5 minutos, no teste de retirada de cauda por 120 minutos e no teste de formalina intra-podal por 45 minutos. Os resultados obtidos mostram que o aumento da produção do neuromodulador gasoso CO no LC, pela ativação da via HO-CO-GMPc com Heme-lisinato, promove efeito ansiolítico avaliado no teste do LCE e no TCE, evidenciado pelo aumento do tempo de permanência e pelo aumento do número de entradas nos braços abertos do LCE, e pelo aumento tempo de permanência no compartimento claro do TCE. Este efeito ansiolítico é dependente da atividade de GMPc intracelular, desde que o tratamento i.c.v. com inibidor específico da enzima GCs bloqueou os efeitos do Heme-lisinato no LCE e no TCE. Ainda, a ativação da via HO-CO-GMPc por meio da administração intra-LC do Heme-lisinato promoveu efeito antinociceptivo frente estímulo térmico agudo (teste de retirada de cauda em ratos), sendo este efeito dependente da atividade do GMPc, desde que o pré-tratamento com o inibidor da enzima guanilase ciclase solúvel, ODQ, bloqueou o aumento do IARC. O bloqueio da via HO-CO promove efeito hipernociceptivo em modelo de dor inflamatória, desde que o tratamento intra-LC com inibidor inespecífico da HO, ZnDPBG aumenta o número de sacudidas no teste de formalina intra-podal. Assim, este estudo é pioneiro em demonstrar que o neuromodulador CO do LC modula a ansiedade e a nocicepção aguda térmica e inflamatória. / The gas composed carbon monoxide (CO) is involved in the modulation of various physiological functions such as cardiovascular regulation, nociception and body temperature. CO participation in physiological processes occurs through the activity of the enzyme heme oxygenase (HO), and its product CO, which in turn increases the production of intracellular cyclic guanosine monophosphate (cGMP). In particular interest, the locus coeruleus (LC) has a high HO-2 enzyme expression suggesting the involvement of CO in the modulation of the functions performed by this brain structure. The aim of this study was to evaluate the involvement of HO-CO pathway of LC in modulating anxiety, assessed by elevated plus maze test and light-dark box test. Additionally, acute nociception, as assessed by the tail flick test and inflammatory nociception, as assessed by formalin test in rats were analyzed after HO-CO pathway activation. Rats (±250 grs; Wistar) were anesthetized (ketamine 75 mg/kg and xylazine 10 mg/kg im) and underwent stereotactic surgery for cannulas guides unilateral implantation directed to the LC, and to the lateral ventricle. After the recovery period, rats were divided into distinct experimental groups for intra-LC ZnDPBG (nonspecific enzyme inhibitor HO doses 5, 50 or 200 nmol/0.l µl) or its vehicle, Na2CO3 (50 mmol/0.l µl); Heme-lysinate (150, 300 or 600 nmol/0.l µl) or its vehicle, L-lysine (14.2 nmol/0.1 µl), the ODQ i.c.v. (specific inhibitor of the enzyme guanilase soluble cyclase, 1.3 nmol/1.0 µl) or its vehicle (1% DMSO, 1.0 µl) and after 15 min the Heme-lysinate (600 nmol/0.1 µl), or its vehicle (L-lysine, 14.2 mmol/0.1 µl), intra-LC. After time 15 min, rats were evaluated in the EPM test or LDB for 5 minutes and in the tail flick test for 120 minutes and in the formalin test for 45 minutes. The results show that CO increased production in LC, by HO-CO-cGMP pathway activation, promotes anxiolytic effect evaluated in the EPM test and LDB. The anxiolytic effect is dependent on the activity of intracellular cGMP, since treatment i.c.v. with enzyme sGC inhibitor blocked the effects of Heme-lysinate. Moreover, the activation of the HO-CO-cGMP pathway into the LC promoted antinociceptive effect in the tail flick test, this effect being dependent on the activity of cGMP, since pre-treatment with the guanilase cyclase soluble inhibitor, ODQ, blocked the increase in analgesic index. Furthermore, the block of the HO-CO pathway intra-LC promoted hypernociception in a model of inflammatory pain, since treatment with nonspecific inhibitor HO, ZnDPBG, increases the nociceptive behavior in the formalin test. Thus, this study is the first to demonstrate that the CO neuromodulator into LC modulates anxiety and acute thermal and inflammatory nociception.

Nous avons pris le parti pour cette thèse d'étudier en Imagerie par Résonance Magnétique fonctionnelle deux éléments sémiologiques de la maladie de Parkinson : les mouvements en miroir et l'akinésie. Ces deux phénomènes reflètent une plasticité cérébrale anormale dans cette maladie. Notre première expérience révèle que les mouvements en miroir chez les patients parkinsoniens sont contemporains 1/ d'un défaut d'inhibition, notamment réactive. 2/ de nombreuses hyperactivations, pouvant refléter soit un recrutement compensateur soit une perte délétère de la sélectivité de l'activation corticale. La deuxième expérience s'intéresse à une autre forme d'inhibition, l'inhibition proactive. Nos résultats révèlent que les structures participant au contrôle moteur proactif et notamment le précuneus et les cortex cingulaires postérieur et antérieur sont modulés par le système noradrénergiques chez le sujet sain. Dans une troisième expérience nous avons appliqué ce protocole expérimental à des sujets parkinsoniens. La comparaison avec les données issues de la première expérience révèlent 1/ que les sujets parkinsoniens ont une implémentation anormale du réseau d'inhibition proactive avec une difficulté à se placer en condition de déverrouillage moteur. Ce phénomène pourrait allonger le temps de réaction et participer à l'akinésie. 2/ que l'administration de clonidine renforce encore ce phénomène, en agissant sur les structures antérieures du réseau d'inhibition proactive (cortex cingulaire antérieur et cortex préfrontal dorsomédial). Tous ensembles ces résultats suggèrent une plasticité anormale dans la maladie de Parkinson sousjacente aux mouvements en miroir et à l'akinésie. Celle-ci se traduit 1/ par des défauts d'inhibition, notamment réactive, favorisant l'apparition de mouvements parasites, les mouvements en miroir, 2/ par un renforcement pathologique de l'inhibition proactive qui pourrait participer à l'allongement du temps de réaction et à l'akinésie. La découverte d'une modulation noradrénergique de ce réseau ouvre des portes thérapeutiques nouvelles dans l akinésie parkinsonienne mais également dans l'impulsivité dont certains composants, notamment moteur, semblent être liés à l'inhibition proactive / Mirror movements and akinesia can be both found during Parkinson’s disease. Although very different, they may both reflect an abnormal cerebral plasticity during the disease and the perturbation of the motor inhibitory control. This work reveals that mirror movements are linked to a1/ disruption of the reactive inhibitory control and 2/ to the overactivation of numerous cortical areas. The latter could be the result of a compensatory recruitment aiming at improving the movement. But they could as well reflect a deleterious loss of cerebral activation specificity during Parkinson’s disease. The second experience shows that in healthy subject, the proactive inhibitory control is underpinned by the noradrenergic system. Last but not least the third part of this work reveals an abnormal implementation of the proactive inhibitory control in Parkinson’s disease and suggests its involvement in akinesia. Brought together these results suggest that an abnormal plasticity phenomenon underlies the mirror movements and the akinesia in Parkinson’s disease. More precisely, we observed a default of the reactive inhibitory control associated to mirror movements in Parkinson’s disease and an excess of proactive inhibitory control that seems to be linked to akinesia. The finding of an adrenergic modulation of the proactive inhibitory control opens the fields for the development of noradrenergic therapeutics in akinesia

O gás composto monóxido de carbono (CO), está envolvido na modulação de diferentes funções orgânicas, tais como a regulação cardiovascular, a temperatura corporal e a nocicepção. A participação do CO nos processos fisiológicos ocorre por meio da atividade da enzima heme-oxigenase (HO), e seu produto CO, o qual por sua vez aumenta a produção de guanosina monofosfato ciclíco intracelular (GMPc). De particular interesse, o locus coeruleus possui elevada expressão da enzima HO-2 sugerindo o envolvimento do gasotransmissor CO na modulação das funções executadas por esta estrutura encefálica. O objetivo deste trabalho foi avaliar o envolvimento da via HO-CO do LC na modulação da ansiedade, avaliada pelo teste de labirinto em cruz elevado e teste claro-escuro; nocicepção aguda, avaliada pelo teste de retirada de cauda e a nocicepção inflamatória, avaliada pelo teste de formalina em ratos. Para atingir estes objetivos, ratos (± 250grs; Wistar) foram anestesiados (ketamina 75 mg/kg e xilasina 10 mg/kg i.m.) e submetidos à cirurgia estereotáxica para implante unilateral de cânulas-guias direcionadas para o LC, e para o ventrículo lateral. Após o período de recuperação, os ratos foram divididos em distintos grupos experimentais para administração intra-LC do ZnDPBG (inibidor inespecífico da enzima HO, nas doses 5,50 ou 200 nmol/0,1 µl) ou seu veículo, Na2CO3 (50 mmol/0,1 µl); do Heme-lisinato (150, 300 ou 600 nmol/0,1 µl) ou seu veículo, L-lisina (14,2 µmol/0,1 µl); do ODQ i.c.v. (inibidor específico da enzima guanilase ciclase solúvel, 1,3 nmol/1,0 µl) ou seu veículo (DMSO 1%, 1,0 µl) e após 15 min o Heme-lisinato (600 nmol/0,1 µl) ou seu veículo (L-lisina, 14,2 µmol/0,1 µl), intra-LC. Após o tempo de 15 min, os ratos foram avaliados no teste de LCE ou no TCE por 5 minutos, no teste de retirada de cauda por 120 minutos e no teste de formalina intra-podal por 45 minutos. Os resultados obtidos mostram que o aumento da produção do neuromodulador gasoso CO no LC, pela ativação da via HO-CO-GMPc com Heme-lisinato, promove efeito ansiolítico avaliado no teste do LCE e no TCE, evidenciado pelo aumento do tempo de permanência e pelo aumento do número de entradas nos braços abertos do LCE, e pelo aumento tempo de permanência no compartimento claro do TCE. Este efeito ansiolítico é dependente da atividade de GMPc intracelular, desde que o tratamento i.c.v. com inibidor específico da enzima GCs bloqueou os efeitos do Heme-lisinato no LCE e no TCE. Ainda, a ativação da via HO-CO-GMPc por meio da administração intra-LC do Heme-lisinato promoveu efeito antinociceptivo frente estímulo térmico agudo (teste de retirada de cauda em ratos), sendo este efeito dependente da atividade do GMPc, desde que o pré-tratamento com o inibidor da enzima guanilase ciclase solúvel, ODQ, bloqueou o aumento do IARC. O bloqueio da via HO-CO promove efeito hipernociceptivo em modelo de dor inflamatória, desde que o tratamento intra-LC com inibidor inespecífico da HO, ZnDPBG aumenta o número de sacudidas no teste de formalina intra-podal. Assim, este estudo é pioneiro em demonstrar que o neuromodulador CO do LC modula a ansiedade e a nocicepção aguda térmica e inflamatória. / The gas composed carbon monoxide (CO) is involved in the modulation of various physiological functions such as cardiovascular regulation, nociception and body temperature. CO participation in physiological processes occurs through the activity of the enzyme heme oxygenase (HO), and its product CO, which in turn increases the production of intracellular cyclic guanosine monophosphate (cGMP). In particular interest, the locus coeruleus (LC) has a high HO-2 enzyme expression suggesting the involvement of CO in the modulation of the functions performed by this brain structure. The aim of this study was to evaluate the involvement of HO-CO pathway of LC in modulating anxiety, assessed by elevated plus maze test and light-dark box test. Additionally, acute nociception, as assessed by the tail flick test and inflammatory nociception, as assessed by formalin test in rats were analyzed after HO-CO pathway activation. Rats (±250 grs; Wistar) were anesthetized (ketamine 75 mg/kg and xylazine 10 mg/kg im) and underwent stereotactic surgery for cannulas guides unilateral implantation directed to the LC, and to the lateral ventricle. After the recovery period, rats were divided into distinct experimental groups for intra-LC ZnDPBG (nonspecific enzyme inhibitor HO doses 5, 50 or 200 nmol/0.l µl) or its vehicle, Na2CO3 (50 mmol/0.l µl); Heme-lysinate (150, 300 or 600 nmol/0.l µl) or its vehicle, L-lysine (14.2 nmol/0.1 µl), the ODQ i.c.v. (specific inhibitor of the enzyme guanilase soluble cyclase, 1.3 nmol/1.0 µl) or its vehicle (1% DMSO, 1.0 µl) and after 15 min the Heme-lysinate (600 nmol/0.1 µl), or its vehicle (L-lysine, 14.2 mmol/0.1 µl), intra-LC. After time 15 min, rats were evaluated in the EPM test or LDB for 5 minutes and in the tail flick test for 120 minutes and in the formalin test for 45 minutes. The results show that CO increased production in LC, by HO-CO-cGMP pathway activation, promotes anxiolytic effect evaluated in the EPM test and LDB. The anxiolytic effect is dependent on the activity of intracellular cGMP, since treatment i.c.v. with enzyme sGC inhibitor blocked the effects of Heme-lysinate. Moreover, the activation of the HO-CO-cGMP pathway into the LC promoted antinociceptive effect in the tail flick test, this effect being dependent on the activity of cGMP, since pre-treatment with the guanilase cyclase soluble inhibitor, ODQ, blocked the increase in analgesic index. Furthermore, the block of the HO-CO pathway intra-LC promoted hypernociception in a model of inflammatory pain, since treatment with nonspecific inhibitor HO, ZnDPBG, increases the nociceptive behavior in the formalin test. Thus, this study is the first to demonstrate that the CO neuromodulator into LC modulates anxiety and acute thermal and inflammatory nociception.

Tem sido estabelecido que microinjeções intraperitoneais (i.p) de Pentilenotetrazol, um antagonista não competitivo dos receptores GABAA, induzem crises convulsivas do tipo tônico-clônicas em animais de laboratório. Esse efeito convulsivante do PTZ ocorre devido ao bloqueio do fluxo de íons cloreto mediado pelo GABA. Adicionalmente, as crises convulsivas evocadas por PTZ em roedores são seguidas por antinocicepção. Tem sido sugerido que a estimulação elétrica do nervo vago pode reduzir as crises convulsivas e muitas das aferências do nervo vago ao núcleo do trato solitário (NTS) usam o glutamato como neurotransmissor. Há trabalhos mostrando que o NTS conectase ao núcleo reticular paragigantocelular (PGi), uma estrutura também responsável pela elaboração de pelo menos parte da antinocicepção pós-ictal, que o PGi projeta-se ao locus coeruleus, cuja estimulação também produz efeito anticonvulsivante e antinociceptivo.. Com intuito de investigar a participação do NTS nas crises convulsivas e na antinocicepção pós-ictal mediado por receptores glutamatérgicos locais do tipo NMDA e neurônios noradrenérgicos (NE) do LC, microinjeções de agonistas e antagonistas NMDA foram feitas no NTS, seguida da administração de PTZ por via i.p. Em adição foi investigado os efeitos da lesão neurotóxica do LC com administrações por via intratecal de DSP-4 , seguidas por microinjeções de NMDA no NTS sobre as crises convulsivas e antinocicepção pós-ictal induzidas por injeções de PTZ por via i.p. O bloqueio ionóforo de canais de cloreto ligado ao GABA causou crises convulsivas19 tônico-clônicas seguidas antinocicepção pós-ictal em todos os animais submetidos ao presente trabalho. Tanto as convulsões como a antinocicepção pós-ictal mostraram-se parcialmente dependentes da atividade de vias mediadas por aminoácidos excitatórios no núcleo do trato solitário, como da integridade do sistema noradrenérgico, pois o bloqueio de receptores de aminoácidos excitatórios do tipo NMDA no NTS e a administração intratecal de uma neurotoxina seletiva para neurônios noradrenérgicos alteraram a gravidade das crises tônico-clônicas e a intensidade da analgesia pós-ictal. Esses dados sugerem que o sistema glutamatérgico aferente ao NTS e tanto as vias noradrenérgicas ascendentes como descendentes do locus coeruleus são relevantes para o controle das atividades convulsivas e da antinocicepção pós-ictal. / Intraperitoneal injections of the non-competitive GABAA receptor antagonista pentylenetetrazole (PTZ) induce tonic-clonic seizures in laboratory animals. Tha convulsive effect of PTZ is due to GABA-mediated Cl- influx blockade. In addition, seizures caused by PTz in rodents are follwed by significant antinociception. The electrical stimulation of the vagus nerve is known to reduce seizures and several inputs from nervus vagus do the nucleus of the tractus solitarius (NTS) use glutamate as neurotransmitter. There are reports showing that the NTS is connected to the nucleus reticularis paragigantocellularis (PGi), a ventromedial medula oblongata structure also related to the elaboration of at least part of the post-ictal antinociception, and the PGi sends outputs to the locus coeruleus, whose stimulation also cause both anticonvulsant and antinociceptive effects. The goal of the present work was to investigate the involvement of the NTS in both seizures and post-ictal antinociception control mediated by NMDA receptors as well as the role played by noradrenergic neurons from locus coeruleus (LC). Either NMDA agonists or antagonists were microinjected in the NTS, followed by i.p. PTZ injections. In addition, it was investigated the effects of LC neurotoxic lesions with intrathecal injections of DSP-4, followed by NMDA receptor agonists microinjections in the NTS, on both tonic-clonic seizures and post-ictal antinociception elicited by peripheral administrations of PTZ. The ionophore blockade of GABA-mediated Cl- influx caused tonic-clonic seizures follwed by significant post21 ictal antinociception in all animals submitted to the present work. Both tonic-clonic seizures and the post-ictal antinociception were percially dependent of the neural activity of excitatory aminoacid-mediated neurotransmission in the NTS of seizing Wistar rats in addition to the integrity of noradrenergic system, since the NMDA receptors blockade in the NTS and the intra-thecal administration of DSP-4 . The neurotoxin selective to LC noradrenergic neurons modified the severity of tonic-clonic seizures and the intensity of post-ictal antinociception. These findings suggest that the glutamatergic inputs to the NTS, in addition to ascending and descending noradrenergic pathways from LC are critical to the control of both seizures and post-ictal antinociception.