The serotonergic and alpha-1 adrenergic receptor modulator ACH-000029 ameliorates anxiety-like behavior in a post-traumatic stress disorder model

Neuropharmacology. 2020 Mar 1:164:107912. doi: 10.1016/j.neuropharm.2019.107912. Epub 2019 Dec 13.

Abstract

Post-traumatic stress disorder (PTSD) is a severe chronic mental illness that develops in individuals exposed to life-threatening trauma and is characterized by hyperarousal, flashbacks and nightmares. The serotonergic (5-HT) and noradrenergic (NE) systems are deeply involved in the pathogenesis of PTSD. We have previously reported a novel anxiolytic compound, ACH-000029, that modulates 5-HT and α1-adrenergic receptors and induces acute anxiolytic-like effects in rodents. Here, we investigated the potential of ACH-000029 to prevent anxiety-like behavior in the single prolonged stress (SPS) PTSD model. Mice were subjected to the SPS procedure, followed by a 7-day treatment with ACH-000029 and, for comparison, with the α1-adrenergic antagonist prazosin. Animals were behaviorally assessed using social interaction, elevated plus maze and open field tests. Interestingly, treatment with ACH-000029 but not with prazosin ameliorated the SPS-induced sociability impairment and anxiety-like behavior. The brain-wide c-fos mapping, used as a surrogate for brain activity, indicated the brain structures that were altered by SPS and putatively involved in the anxiolytic-like effect of ACH-000029. The SPS protocol produced long-lasting impairment of regions involved in stress-anxiety response, such as the amygdala, prefrontal cortex, globus pallidus and superior colliculus. ACH-000029 treatment reversed the SPS-induced c-fos changes in the globus pallidus, lateral septum and entorhinal cortex and exclusively modulated c-fos levels in subregions from the retrosplenial cortex, cerebellum, superior colliculus and ventromedial hypothalamus. These results support the hypothesis that the dual regulation of 5-HT and α1-adrenergic receptors is required to alleviate PTSD symptoms and suggest a possible role of ACH-000029 as a PTSD treatment.

Keywords: ACH-000029; C-fos mapping; Noradrenaline; Post-traumatic stress disorder; Serotonin; Single prolonged stress.

MeSH terms

  • Adrenergic alpha-1 Receptor Antagonists / pharmacology
  • Animals
  • Anti-Anxiety Agents / pharmacology*
  • Anti-Anxiety Agents / therapeutic use
  • Anxiety / drug therapy*
  • Brain Chemistry / drug effects
  • Genes, fos / genetics
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Piperazines / pharmacology*
  • Piperazines / therapeutic use
  • Prazosin / pharmacology
  • Quinazolines / pharmacology*
  • Quinazolines / therapeutic use
  • Receptors, Adrenergic, alpha-1 / drug effects*
  • Serotonin Agents / pharmacology*
  • Serotonin Agents / therapeutic use
  • Social Interaction
  • Stress Disorders, Post-Traumatic / drug therapy*
  • Stress Disorders, Post-Traumatic / psychology*
  • Stress, Psychological / complications
  • Stress, Psychological / psychology

Substances

  • ACH-000029
  • Adrenergic alpha-1 Receptor Antagonists
  • Anti-Anxiety Agents
  • Piperazines
  • Quinazolines
  • Receptors, Adrenergic, alpha-1
  • Serotonin Agents
  • Prazosin