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Abrams KB, Folger IT, Cullen NA, Wichlinski LJ. Biochemical challenges for testing novel anti-panic drugs in humans. Pharmacol Biochem Behav 2024; 242:173825. [PMID: 39009088 DOI: 10.1016/j.pbb.2024.173825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2024] [Revised: 07/08/2024] [Accepted: 07/11/2024] [Indexed: 07/17/2024]
Abstract
Current medications for panic disorder each carry significant limitations that indicate the need for novel anxiolytics. The high costs and low success rates of drug development demand that testing trials be efficient. Lab panicogenic challenges in humans allow for the rapid biochemical induction of panic symptoms and hence an efficient means of testing potential anti-panic drugs. This paper describes ideal characteristics of lab panicogens, reviews the validity and utility of various biochemical panicogenic agents, identifies key outcome measures for studies of novel anti-panic drugs, and makes broad recommendations for labs wishing to perform such studies. We conclude by presenting a four-tiered hierarchy of panicogens that matches each against ideal characteristics and reflects our recommendations for their laboratory use.
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Affiliation(s)
- Kenneth B Abrams
- Department of Psychology, Carleton College, United States of America.
| | - Isabel T Folger
- Department of Psychology, Carleton College, United States of America
| | - Nancy A Cullen
- Department of Psychology, Carleton College, United States of America
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2
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Haslbeck JMB, Ryan O, Robinaugh DJ, Waldorp LJ, Borsboom D. Modeling psychopathology: From data models to formal theories. Psychol Methods 2022; 27:930-957. [PMID: 34735175 PMCID: PMC10259162 DOI: 10.1037/met0000303] [Citation(s) in RCA: 28] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Over the past decade, there has been a surge of empirical research investigating mental disorders as complex systems. In this article, we investigate how to best make use of this growing body of empirical research and move the field toward its fundamental aims of explaining, predicting, and controlling psychopathology. We first review the contemporary philosophy of science literature on scientific theories and argue that fully achieving the aims of explanation, prediction, and control requires that we construct formal theories of mental disorders: theories expressed in the language of mathematics or a computational programming language. We then investigate three routes by which one can use empirical findings (i.e., data models) to construct formal theories: (a) using data models themselves as formal theories, (b) using data models to infer formal theories, and (c) comparing empirical data models to theory-implied data models in order to evaluate and refine an existing formal theory. We argue that the third approach is the most promising path forward. We conclude by introducing the abductive formal theory construction (AFTC) framework, informed by both our review of philosophy of science and our methodological investigation. We argue that this approach provides a clear and promising way forward for using empirical research to inform the generation, development, and testing of formal theories both in the domain of psychopathology and in the broader field of psychological science. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Affiliation(s)
| | - Oisín Ryan
- Department of Methodology and Statistics
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3
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McMurray KMJ, Sah R. Neuroimmune mechanisms in fear and panic pathophysiology. Front Psychiatry 2022; 13:1015349. [PMID: 36523875 PMCID: PMC9745203 DOI: 10.3389/fpsyt.2022.1015349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Accepted: 11/02/2022] [Indexed: 12/02/2022] Open
Abstract
Panic disorder (PD) is unique among anxiety disorders in that the emotional symptoms (e.g., fear and anxiety) associated with panic are strongly linked to body sensations indicative of threats to physiological homeostasis. For example, panic attacks often present with feelings of suffocation that evoke hyperventilation, breathlessness, or air hunger. Due to the somatic underpinnings of PD, a major focus has been placed on interoceptive signaling and it is recognized that dysfunctional body-to-brain communication pathways promote the initiation and maintenance of PD symptomatology. While body-to-brain signaling can occur via several pathways, immune and humoral pathways play an important role in communicating bodily physiological state to the brain. Accumulating evidence suggests that neuroimmune mediators play a role in fear and panic-associated disorders, although this has not been systematically investigated. Currently, our understanding of the role of immune mechanisms in the etiology and maintenance of PD remains limited. In the current review, we attempt to summarize findings that support a role of immune dysregulation in PD symptomology. We compile evidence from human studies and panic-relevant rodent paradigms that indicate a role of systemic and brain immune signaling in the regulation of fear and panic-relevant behavior and physiology. Specifically, we discuss how immune signaling can contribute to maladaptive body-to-brain communication and conditioned fear that are relevant to spontaneous and conditioned symptoms of PD and identify putative avenues warranting future investigation.
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Affiliation(s)
- Katherine M. J. McMurray
- Department of Pharmacology and Systems Physiology, University of Cincinnati, Cincinnati, OH, United States
- Veterans Affairs Medical Center, Cincinnati, OH, United States
| | - Renu Sah
- Department of Pharmacology and Systems Physiology, University of Cincinnati, Cincinnati, OH, United States
- Veterans Affairs Medical Center, Cincinnati, OH, United States
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Améndola L, Ratuski A, Weary DM. Individual differences in rat sensitivity to CO2. PLoS One 2021; 16:e0245347. [PMID: 33481851 PMCID: PMC7822239 DOI: 10.1371/journal.pone.0245347] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2020] [Accepted: 12/28/2020] [Indexed: 11/18/2022] Open
Abstract
Feelings of fear, anxiety, dyspnea and panic when inhaling carbon dioxide (CO2) are variable among humans, in part due to differences in CO2 sensitivity. Rat aversion to CO2 consistently varies between individuals; this variation in aversion may reflect CO2 sensitivity, but other personality traits could also account for individual differences in aversion. The aims of this study were to 1) assess the stability of individual differences in rat aversion to CO2, 2) determine if individual differences in sweet reward motivation are associated with variation in aversion to CO2, and 3) assess whether variation in aversion to CO2 is related to individual differences in motivation to approach gains (promotion focus) or maintain safety (prevention focus). Twelve female Sprague Dawley rats were exposed multiple times at three different ages (3, 9 and 16 months old) to CO2 in approach-avoidance testing to assess motivation to avoid CO2 against motivation to gain sweet rewards. Rats were also tested for motivation to find hidden sweet rewards, and for their motivation to approach rewards or darkness. Tolerance to CO2 increased with repeated exposures and was higher at older ages. Individual differences in aversion to CO2 were highly repeatable but unrelated to motivation for sweet rewards or the strength of promotion and prevention focus. These results indicate that individual differences in aversion to CO2 reflect variation in CO2 sensitivity.
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Affiliation(s)
- Lucía Améndola
- Animal Welfare Program, University of British Columbia, Vancouver, British Columbia, Canada
| | - Anna Ratuski
- Animal Welfare Program, University of British Columbia, Vancouver, British Columbia, Canada
| | - Daniel M. Weary
- Animal Welfare Program, University of British Columbia, Vancouver, British Columbia, Canada
- * E-mail:
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Bourges F, Genty D, Perrier F, Lartiges B, Régnier É, François A, Leplat J, Touron S, Bousta F, Massault M, Delmotte M, Dumoulin JP, Girault F, Ramonet M, Chauveau C, Rodrigues P. Hydrogeological control on carbon dioxide input into the atmosphere of the Chauvet-Pont d'Arc cave. THE SCIENCE OF THE TOTAL ENVIRONMENT 2020; 716:136844. [PMID: 32059316 DOI: 10.1016/j.scitotenv.2020.136844] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2019] [Revised: 01/16/2020] [Accepted: 01/20/2020] [Indexed: 06/10/2023]
Abstract
Carbon dioxide (CO2) concentration (CDC) is an essential parameter of underground atmospheres for safety and cave heritage preservation. In the Chauvet cave (South France), a world heritage site hosting unique paintings dated 36,000 years BP, a high-sensitivity monitoring, ongoing since 1997, revealed: 1) two compartments with a spatially uniform CDC, a large volume (A) (40,000 to 80,000 m3) with a mean value of 2.20 ± 0.01% vol. in 2016, and a smaller remote room (B) (2000 m3), with a higher mean value of 3.42 ± 0.01%; 2) large CDC annual variations with peak-to-peak amplitude of 2% and 1.6% in A and B, respectively; 3) long-term changes, with an increase of CDC and of its annual amplitude since 1997, then faster since 2013, reaching a maximum of 4.4% in B in 2017, decreasing afterwards. While a large effect of seasonal ventilation is ruled out, monitoring of seepage at two dripping points indicated that the main control of CDC seasonal reduction was transient infiltration. During periods of water deficit, calculated from surface temperature and rainfall, CDC systematically increased. The carbon isotopic composition of CO2, correlated with water excess, is consistent with a time-varying component of CO2 seeping from above. The CO2 flux, which is the primary driver of CDC in A and B, inferred using box modelling, was found to confirm the relationship between water excess and reduced CO2 flux into A, compatible with a more constant flux into B. A buoyancy-driven horizontal CO2 flow model in the vadose zone, hindered by water infiltration, is proposed. Similarly, pluri-annual and long-term CDC changes can likely be attributed to variations of water excess, but also to increasing vegetation density above the cave. As CDC controls the carbonate geochemistry, an increased variability of CDC raises concern for the preservation of the Chauvet cave paintings.
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Affiliation(s)
- François Bourges
- Géologie Environnement Conseil, 30 rue de la République, F-09200 Saint-Girons, France
| | - Dominique Genty
- Université Paris-Saclay, CEA, CNRS, UVSQ, Laboratoire des Sciences du Climat et de l'Environnement (LSCE/IPSL), Gif-sur-Yvette, France
| | - Frédéric Perrier
- Institut de Physique du Globe de Paris, Université de Paris, 1 rue Jussieu, F-75005 Paris, France.
| | - Bruno Lartiges
- Université de Toulouse III Paul Sabatier, Géosciences Environnement-Toulouse, 14 av. Edouard Belin, F-31400 Toulouse, France
| | - Édouard Régnier
- Université Paris-Saclay, CEA, CNRS, UVSQ, Laboratoire des Sciences du Climat et de l'Environnement (LSCE/IPSL), Gif-sur-Yvette, France
| | - Alexandre François
- Laboratoire de Recherches des Monuments Historiques (CRC, USR3224), Museum national d'Histoire naturelle, Sorbonne Universités, Ministère de la Culture, CRNS, 29 rue de Paris, F-77420 Champs-sur-Marne, France
| | - Johann Leplat
- Laboratoire de Recherches des Monuments Historiques (CRC, USR3224), Museum national d'Histoire naturelle, Sorbonne Universités, Ministère de la Culture, CRNS, 29 rue de Paris, F-77420 Champs-sur-Marne, France
| | - Stéphanie Touron
- Laboratoire de Recherches des Monuments Historiques (CRC, USR3224), Museum national d'Histoire naturelle, Sorbonne Universités, Ministère de la Culture, CRNS, 29 rue de Paris, F-77420 Champs-sur-Marne, France
| | - Faisl Bousta
- Laboratoire de Recherches des Monuments Historiques (CRC, USR3224), Museum national d'Histoire naturelle, Sorbonne Universités, Ministère de la Culture, CRNS, 29 rue de Paris, F-77420 Champs-sur-Marne, France
| | - Marc Massault
- Géosciences Paris-Sud (GEOPS), Université de Paris Saclay, Rue du Belvédère Bâtiment 504, 91400 Orsay, France
| | - Marc Delmotte
- Université Paris-Saclay, CEA, CNRS, UVSQ, Laboratoire des Sciences du Climat et de l'Environnement (LSCE/IPSL), Gif-sur-Yvette, France
| | - Jean-Pascal Dumoulin
- Laboratoire de Mesure du Carbone 14 (LMC14), LSCE/IPSL, CEA-CNRS-UVSQ, Université Paris-Saclay, F-91191 Gif-sur-Yvette, France
| | - Frédéric Girault
- Institut de Physique du Globe de Paris, Université de Paris, 1 rue Jussieu, F-75005 Paris, France
| | - Michel Ramonet
- Université Paris-Saclay, CEA, CNRS, UVSQ, Laboratoire des Sciences du Climat et de l'Environnement (LSCE/IPSL), Gif-sur-Yvette, France
| | - Charles Chauveau
- Service de la Conservation de la Grotte Chauvet, Ministère de la Culture, F-07150 Vallon-Pont-d'Arc, France
| | - Paulo Rodrigues
- Service de la Conservation de la Grotte Chauvet, Ministère de la Culture, F-07150 Vallon-Pont-d'Arc, France
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Grillon C, Robinson OJ, Cornwell B, Ernst M. Modeling anxiety in healthy humans: a key intermediate bridge between basic and clinical sciences. Neuropsychopharmacology 2019; 44:1999-2010. [PMID: 31226707 PMCID: PMC6897969 DOI: 10.1038/s41386-019-0445-1] [Citation(s) in RCA: 39] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2019] [Revised: 06/06/2019] [Accepted: 06/11/2019] [Indexed: 12/11/2022]
Abstract
Animal models of anxiety disorders are important for elucidating neurobiological defense mechanisms. However, animal models are limited when it comes to understanding the more complex processes of anxiety that are unique to humans (e.g., worry) and to screen new treatments. In this review, we outline how the Experimental Psychopathology approach, based on experimental models of anxiety in healthy subjects, can mitigate these limitations and complement research in animals. Experimental psychopathology can bridge basic research in animals and clinical studies, as well as guide and constrain hypotheses about the nature of psychopathology, treatment mechanisms, and treatment targets. This review begins with a brief review of the strengths and limitations of animal models before discussing the need for human models of anxiety, which are especially necessary to probe higher-order cognitive processes. This can be accomplished by combining anxiety-induction procedures with tasks that probe clinically relevant processes to identify neurocircuits that are potentially altered by anxiety. The review then discusses the validity of experimental psychopathology and introduces a methodological approach consisting of five steps: (1) select anxiety-relevant cognitive or behavioral operations and associated tasks, (2) identify the underlying neurocircuits supporting these operations in healthy controls, 3) examine the impact of experimental anxiety on the targeted operations in healthy controls, (4) utilize findings from step 3 to generate hypotheses about neurocircuit dysfunction in anxious patients, and 5) evaluate treatment mechanisms and screen novel treatments. This is followed by two concrete illustrations of this approach and suggestions for future studies.
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Affiliation(s)
- Christian Grillon
- Section on the Neurobiology of Fear and Anxiety, National Institute of Mental Health, Bethesda, MD, USA.
| | - Oliver J Robinson
- University College London, Institute of Cognitive Neuroscience, London, UK
| | - Brian Cornwell
- Centre for Mental Health, Faculty of Health, Arts and Design, Swinburne University of Technology, Hawthorn, VIC, Australia
| | - Monique Ernst
- Section on the Neurobiology of Fear and Anxiety, National Institute of Mental Health, Bethesda, MD, USA
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Cecilione JL, Rappaport LM, Hahn SE, Anderson AE, Hazlett LE, Burchett JR, Moore AA, Savage JE, Hettema JM, Roberson-Nay R. Genetic and Environmental Contributions of Negative Valence Systems to Internalizing Pathways. Twin Res Hum Genet 2018; 21:12-23. [PMID: 29369039 PMCID: PMC5884079 DOI: 10.1017/thg.2017.72] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
The genetic and environmental contributions of negative valence systems (NVS) to internalizing pathways study (also referred to as the Adolescent and Young Adult Twin Study) was designed to examine varying constructs of the NVS as they relate to the development of internalizing disorders from a genetically informed perspective. The goal of this study was to evaluate genetic and environmental contributions to potential psychiatric endophenotypes that contribute to internalizing psychopathology by studying adolescent and young adult twins longitudinally over a 2-year period. This report details the sample characteristics, study design, and methodology of this study. The first wave of data collection (i.e., time 1) is complete; the 2-year follow-up (i.e., time 2) is currently underway. A total of 430 twin pairs (N = 860 individual twins; 166 monozygotic pairs; 57.2% female) and 422 parents or legal guardians participated at time 1. Twin participants completed self-report surveys and participated in experimental paradigms to assess processes within the NVS. Additionally, parents completed surveys to report on themselves and their twin children. Findings from this study will help clarify the genetic and environmental influences of the NVS and their association with internalizing risk. The goal of this line of research is to develop methods for early internalizing disorder risk detection.
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Affiliation(s)
| | - Lance M Rappaport
- Department of Psychiatry,Virginia Commonwealth University,Richmond,Virginia,USA
| | - Shannon E Hahn
- Department of Psychiatry,Virginia Commonwealth University,Richmond,Virginia,USA
| | - Audrey E Anderson
- Department of Psychiatry,Virginia Commonwealth University,Richmond,Virginia,USA
| | - Laura E Hazlett
- Department of Psychiatry,Virginia Commonwealth University,Richmond,Virginia,USA
| | - Jason R Burchett
- Department of Psychiatry,Virginia Commonwealth University,Richmond,Virginia,USA
| | - Ashlee A Moore
- Department of Psychiatry,Virginia Commonwealth University,Richmond,Virginia,USA
| | - Jeanne E Savage
- Department of Psychiatry,Virginia Commonwealth University,Richmond,Virginia,USA
| | - John M Hettema
- Department of Psychiatry,Virginia Commonwealth University,Richmond,Virginia,USA
| | - Roxann Roberson-Nay
- Department of Psychiatry,Virginia Commonwealth University,Richmond,Virginia,USA
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