Abstract
Post-traumatic stress disorder (PTSD), an anxiety-related syndrome, is associated with increased risk for cardiovascular diseases. The present study investigated whether predator scent (PS) stress, a model of PTSD, induces sensitization of hypertension and anxiety-like behaviors and underlying mechanisms related to renin–angiotensin systems (RAS) and inflammation. Coyote urine, as a PS stressor, was used to model PTSD. After PS exposures, separate cohorts of rats were studied for hypertensive response sensitization (HTRS), anxiety-like behaviors, and changes in plasma levels and mRNA expression of several components of the RAS and proinflammatory cytokines (PICs) in the lamina terminalis (LT), paraventricular nucleus (PVN), and amygdala (AMY). Rats exposed to PS as compared to control animals exhibited (1) a significantly greater hypertensive response (i.e., HTRS) when challenged with a slow-pressor dose of angiotensin (ANG) II, (2) significant decrease in locomotor activity and increase in time spent in the closed arms of a plus maze as well as general immobility (i.e., behavioral signs of increased anxiety), (3) upregulated plasma levels of ANG II and interleukin-6, and (4) increased expression of message for components of the RAS and PICs in key brain nuclei. All the PS-induced adverse effects were blocked by pretreatment with either an angiotensin-converting enzyme antagonist or a tumor necrosis factor-α inhibitor. The results suggest that PS, used as an experimental model of PTSD, sensitizes ANG II-induced hypertension and produces behavioral signs of anxiety, probably through upregulation of RAS components and inflammatory markers in plasma and brain areas associated with anxiety and blood pressure control.
Similar content being viewed by others
Reference
Albrechet-Souza L, Gilpin NW (2019) The predator odor avoidance model of post-traumatic stress disorder in rats. Behav Pharmacol 30 (2 and 3-Spec Issue):105-114. https://doi.org/https://doi.org/10.1097/FBP.0000000000000460
Bali A, Jaggi AS (2013) Angiotensin as stress mediator: role of its receptor and interrelationships among other stress mediators and receptors. Pharmacol Res 76:49–57. https://doi.org/10.1016/j.phrs.2013.07.004
Banfi C, Sironi L, De Simoni G, Gelosa P, Barcella S, Perego C, Gianazza E, Guerrini U, Tremoli E, Mussoni L (2004) Pentoxifylline prevents spontaneous brain ischemia in stroke-prone rats. J Pharmacol Exp Ther 310(3):890–895. https://doi.org/10.1124/jpet.104.067090
Banks WA, Kastin AJ, Broadwell RD (1995) Passage of cytokines across the blood-brain barrier. Neuroimmunomodulation 2(4):241–248. https://doi.org/10.1159/000097202
Burg MM, Soufer R (2016) Post-traumatic stress disorder and cardiovascular disease. Curr Cardiol Rep 18(10):94. https://doi.org/10.1007/s11886-016-0770-5
Clayton SC, Zhang Z, Beltz T, Xue B, Johnson AK (2014) CNS neuroplasticity and salt-sensitive hypertension induced by prior treatment with subpressor doses of ANG II or aldosterone. Am J Physiol Regul Integr Comp Physiol 306(12):R908-917. https://doi.org/10.1152/ajpregu.00010.2014
Cohen BE, Edmondson D, Kronish IM (2015) State of the art review: depression, stress, anxiety, and cardiovascular disease. Am J Hypertens 28(11):1295–1302. https://doi.org/10.1093/ajh/hpv047
Cohen H, Kozlovsky N, Alona C, Matar MA, Joseph Z (2012) Animal model for PTSD: from clinical concept to translational research. Neuropharmacology 62(2):715–724. https://doi.org/10.1016/j.neuropharm.2011.04.023
Dampney RA (2016) Central neural control of the cardiovascular system: current perspectives. Adv Physiol Educ 40(3):283–296. https://doi.org/10.1152/advan.00027.2016
Dantzer R (2018) Neuroimmune interactions: from the brain to the immune system and vice versa. Physiol Rev 98(1):477–504. https://doi.org/10.1152/physrev.00039.2016
de Git KC, Adan RA (2015) Leptin resistance in diet-induced obesity: the role of hypothalamic inflammation. Obes Rev 16(3):207–224. https://doi.org/10.1111/obr.12243
Duchemin S, Belanger E, Wu R, Ferland G, Girouard H (2013) Chronic perfusion of angiotensin II causes cognitive dysfunctions and anxiety in mice. Physiol Behav 109:63–68. https://doi.org/10.1016/j.physbeh.2012.10.005
Edmondson D, von Kanel R (2017) Post-traumatic stress disorder and cardiovascular disease. Lancet Psychiatr 4(4):320–329. https://doi.org/10.1016/S2215-0366(16)30377-7
Ericsson A, Kovacs KJ, Sawchenko PE (1994) A functional anatomical analysis of central pathways subserving the effects of interleukin-1 on stress-related neuroendocrine neurons. J Neurosci 14(2):897–913
Fontes MA, Martins Lima A, Santos RA (2016) Brain angiotensin-(1–7)/Mas axis: a new target to reduce the cardiovascular risk to emotional stress. Neuropeptides 56:9–17. https://doi.org/10.1016/j.npep.2015.10.003
Goehler LE, Gaykema RP, Hansen MK, Anderson K, Maier SF, Watkins LR (2000) Vagal immune-to-brain communication: a visceral chemosensory pathway. Auton Neurosci 85(1–3):49–59. https://doi.org/10.1016/S1566-0702(00)00219-8
Grippo AJ, Johnson AK (2002) Biological mechanisms in the relationship between depression and heart disease. Neurosci Biobehav Rev 26(8):941–962. https://doi.org/10.1016/s0149-7634(03)00003-4
Grippo AJ, Johnson AK (2009) Stress, depression and cardiovascular dysregulation: a review of neurobiological mechanisms and the integration of research from preclinical disease models. Stress 12(1):1–21. https://doi.org/10.1080/10253890802046281
Herman JP, Cullinan WE (1997) Neurocircuitry of stress: central control of the hypothalamo-pituitary-adrenocortical axis. Trends Neurosci 20(2):78–84
Hurley SW, Beltz TG, Guo F, Xue B, Johnson AK (2020) Amphetamine-induced sensitization of hypertension and lamina terminalis neuroinflammation. Am J Physiol Regul Integr Comp Physiol 318(3):R649–R656. https://doi.org/10.1152/ajpregu.00233.2019
Johnson AK, Xue B (2018) Central nervous system neuroplasticity and the sensitization of hypertension. Nat Rev Nephrol 14(12):750–766. https://doi.org/10.1038/s41581-018-0068-5
Johnson AK, Zhang Z, Clayton SC, Beltz TG, Hurley SW, Thunhorst RL, Xue B (2015) The roles of sensitization and neuroplasticity in the long-term regulation of blood pressure and hypertension. Am J Physiol Regul Integr Comp Physiol 309(11):R1309-1325. https://doi.org/10.1152/ajpregu.00037.2015
Khoury NM, Marvar PJ, Gillespie CF, Wingo A, Schwartz A, Bradley B, Kramer M, Ressler KJ (2012) The renin-angiotensin pathway in posttraumatic stress disorder: angiotensin-converting enzyme inhibitors and angiotensin receptor blockers are associated with fewer traumatic stress symptoms. J Clin Psychiatr 73(6):849–855. https://doi.org/10.4088/JCP.11m07316
Kibler JL, Joshi K, Ma M (2009) Hypertension in relation to posttraumatic stress disorder and depression in the US National Comorbidity Survey. Behav Med 34(4):125–132. https://doi.org/10.3200/BMED.34.4.125-132
Lee B, Sur B, Yeom M, Shim I, Lee H, Hahm DH (2016) Effects of systemic administration of ibuprofen on stress response in a rat model of post-traumatic stress disorder. Korean J Physiol Pharmacol 20(4):357–366. https://doi.org/10.4196/kjpp.2016.20.4.357
Levkovitz Y, Fenchel D, Kaplan Z, Zohar J, Cohen H (2015) Early post-stressor intervention with minocycline, a second-generation tetracycline, attenuates post-traumatic stress response in an animal model of PTSD. Eur Neuropsychopharmacol 25(1):124–132. https://doi.org/10.1016/j.euroneuro.2014.11.012
Lucassen PJ, Pruessner J, Sousa N, Almeida OF, Van Dam AM, Rajkowska G, Swaab DF, Czeh B (2014) Neuropathology of stress. Acta Neuropathol 127(1):109–135. https://doi.org/10.1007/s00401-013-1223-5
Maliszewska-Scislo M, Scislo TJ, Rossi NF (2003) Effect of blockade of endogenous angiotensin II on baroreflex function in conscious diabetic rats. Am J Physiol Heart Circ Physiol 284(5):H1601-1611. https://doi.org/10.1152/ajpheart.00578.2002
Maria-Rios CE, Morrow JD (2020) Mechanisms of shared vulnerability to post-traumatic stress disorder and substance use disorders. Front Behav Neurosci 14:6. https://doi.org/10.3389/fnbeh.2020.00006
Marina N, Teschemacher AG, Kasparov S, Gourine AV (2016) Glia, sympathetic activity and cardiovascular disease. Exp Physiol 101(5):565–576. https://doi.org/10.1113/EP085713
Michopoulos V, Powers A, Gillespie CF, Ressler KJ, Jovanovic T (2017) Inflammation in fear- and anxiety-based Disorders: PTSD, GAD, and Beyond. Neuropsychopharmacology 42(1):254–270. https://doi.org/10.1038/npp.2016.146
Moe KE, Weiss ML, Epstein AN (1984) Sodium appetite during captopril blockade of endogenous angiotensin II formation. Am J Physiol 247(2 Pt 2):R356-365. https://doi.org/10.1152/ajpregu.1984.247.2.R356
Nakagawa P, Gomez J, Grobe JL, Sigmund CD (2020) The renin-angiotensin system in the central nervous system and its role in blood pressure regulation. Curr Hypertens Rep 22(1):7. https://doi.org/10.1007/s11906-019-1011-2
Nemeroff CB, Bremner JD, Foa EB, Mayberg HS, North CS, Stein MB (2006) Posttraumatic stress disorder: a state-of-the-science review. J Psychiatr Res 40(1):1–21. https://doi.org/10.1016/j.jpsychires.2005.07.005
Pacak K, Palkovits M (2001) Stressor specificity of central neuroendocrine responses: implications for stress-related disorders. Endocr Rev 22(4):502–548. https://doi.org/10.1210/edrv.22.4.0436
Patki G, Solanki N, Atrooz F, Allam F, Salim S (2013) Depression, anxiety-like behavior and memory impairment are associated with increased oxidative stress and inflammation in a rat model of social stress. Brain Res 1539:73–86. https://doi.org/10.1016/j.brainres.2013.09.033
Pellow S, Chopin P, File SE, Briley M (1985) Validation of open:closed arm entries in an elevated plus-maze as a measure of anxiety in the rat. J Neurosci Methods 14(3):149–167. https://doi.org/10.1016/0165-0270(85)90031-7
Plotnikov MB, Aliev OI, Shamanaev AY, Sidekhmenova AV, Anfinogenova Y, Anishchenko AM, Fomina TI, Arkhipov AM (2017) Effects of pentoxifylline on hemodynamic, hemorheological, and microcirculatory parameters in young SHRs during arterial hypertension development. Clin Exp Hypertens 39(6):570–578. https://doi.org/10.1080/10641963.2017.1291662
Rodgers RJ, Dalvi A (1997) Anxiety, defence and the elevated plus-maze. Neurosci Biobehav Rev 21(6):801–810. https://doi.org/10.1016/s0149-7634(96)00058-9
Saavedra JM, Sanchez-Lemus E, Benicky J (2011) Blockade of brain angiotensin II AT1 receptors ameliorates stress, anxiety, brain inflammation and ischemia: therapeutic implications. Psychoneuroendocrinology 36(1):1–18. https://doi.org/10.1016/j.psyneuen.2010.10.001
Sawchenko PE, Li HY, Ericsson A (2000) Circuits and mechanisms governing hypothalamic responses to stress: a tale of two paradigms. Prog Brain Res 122:61–78
Shi P, Diez-Freire C, Jun JY, Qi Y, Katovich MJ, Li Q, Sriramula S, Francis J, Sumners C, Raizada MK (2010) Brain microglial cytokines in neurogenic hypertension. Hypertension 56(2):297–303. https://doi.org/10.1161/HYPERTENSIONAHA.110.150409
Thunhorst RL, Fitts DA, Simpson JB (1989) Angiotensin-converting enzyme in subfornical organ mediates captopril-induced drinking. Behav Neurosci 103(6):1302–1310
Viken RJ, Johnson AK, Knutson JF (1991) Blood pressure, heart rate, and regional resistance in behavioral defense. Physiol Behav 50(6):1097–1101. https://doi.org/10.1016/0031-9384(91)90567-8
Weber MD, Godbout JP, Sheridan JF (2017) Repeated social defeat, neuroinflammation, and behavior: monocytes carry the signal. Neuropsychopharmacology 42(1):46–61. https://doi.org/10.1038/npp.2016.102
Wei SG, Yu Y, Felder RB (2018) Blood-borne interleukin-1beta acts on the subfornical organ to upregulate the sympathoexcitatory milieu of the hypothalamic paraventricular nucleus. Am J Physiol Regul Integr Comp Physiol 314(3):R447–R458. https://doi.org/10.1152/ajpregu.00211.2017
Wei SG, Yu Y, Zhang ZH, Felder RB (2009) Angiotensin II upregulates hypothalamic AT1 receptor expression in rats via the mitogen-activated protein kinase pathway. Am J Physiol Heart Circ Physiol 296(5):H1425-1433. https://doi.org/10.1152/ajpheart.00942.2008
Wei SG, Yu Y, Zhang ZH, Felder RB (2015) Proinflammatory cytokines upregulate sympathoexcitatory mechanisms in the subfornical organ of the rat. Hypertension 65(5):1126–1133. https://doi.org/10.1161/HYPERTENSIONAHA.114.05112
Whitaker AM, Gilpin NW (2015) Blunted hypothalamo-pituitary adrenal axis response to predator odor predicts high stress reactivity. Physiol Behav 147:16–22. https://doi.org/10.1016/j.physbeh.2015.03.033
Wilson CB, McLaughlin LD, Nair A, Ebenezer PJ, Dange R, Francis J (2013) Inflammation and oxidative stress are elevated in the brain, blood, and adrenal glands during the progression of post-traumatic stress disorder in a predator exposure animal model. PLoS One 8(10):e76146. https://doi.org/10.1371/journal.pone.0076146
Winklewski PJ, Radkowski M, Wszedybyl-Winklewska M, Demkow U (2015) Brain inflammation and hypertension: the chicken or the egg? J Neuroinflammation 12:85. https://doi.org/10.1186/s12974-015-0306-8
Xue B, Thunhorst RL, Yu Y, Guo F, Beltz TG, Felder RB, Johnson AK (2016) Central Renin-Angiotensin System Activation and Inflammation Induced by High-Fat Diet Sensitize Angiotensin II-Elicited Hypertension. Hypertension 67(1):163–170. https://doi.org/10.1161/HYPERTENSIONAHA.115.06263
Xue B, Yu Y, Wei SG, Beltz TG, Guo F, Felder RB, Johnson AK (2019) Stress-induced sensitization of angiotensin II hypertension is reversed by blockade of angiotensin-converting enzyme or tumor necrosis factor-alpha. Am J Hypertens. https://doi.org/10.1093/ajh/hpz075
Xue B, Yu Y, Zhang Z, Guo F, Beltz TG, Thunhorst RL, Felder RB, Johnson AK (2016) Leptin mediates high-fat diet sensitization of angiotensin II-Elicited Hypertension By Upregulating The Brain Renin-Angiotensin System And Inflammation. Hypertension 67(5):970–976. https://doi.org/10.1161/HYPERTENSIONAHA.115.06736
Xue B, Zhang Y, Johnson AK (2020) Interactions of the brain renin-angiotensin-system (RAS) and inflammation in the sensitization of hypertension. Front Neurosci 14:650. https://doi.org/10.3389/fnins.2020.00650
Xue B, Zhang Z, Johnson RF, Johnson AK (2012) Sensitization of slow pressor angiotensin II (Ang II)-initiated hypertension: induction of sensitization by prior Ang II treatment. Hypertension 59(2):459–466. https://doi.org/10.1161/HYPERTENSIONAHA.111.185116
Xue B, Zhang Z, Roncari CF, Guo F, Johnson AK (2012) Aldosterone acting through the central nervous system sensitizes angiotensin II-induced hypertension. Hypertension 60(4):1023–1030. https://doi.org/10.1161/HYPERTENSIONAHA.112.196576
Young CN, Davisson RL (2015) Angiotensin-II, the Brain, and Hypertension: An Update. Hypertension 66(5):920–926. https://doi.org/10.1161/HYPERTENSIONAHA.115.03624
Funding
This work was supported by the NIH grants HL-139575 (AKJ & BX), HL-139521 (SGW), and HL-073986 (RBF).
Author information
Authors and Affiliations
Contributions
BX and AKJ designed the experiments; BX, JX, YY, and TB performed the experiments and analyzed the data; BX and JX wrote the manuscript; BX, JX, YY, SGW, RF, and AKJ revised the manuscript. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflict of interest
The authors declared that they have no conflicts of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Xue, B., Xue, J., Yu, Y. et al. Predator Scent-Induced Sensitization of Hypertension and Anxiety-like Behaviors. Cell Mol Neurobiol 42, 1141–1152 (2022). https://doi.org/10.1007/s10571-020-01005-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10571-020-01005-y