Evolutionary aspects of anxiety disorders

Gene expression profiling reveals a role of immune system and inflammation in innate and stress-induced anxiety-like behavior

Anxiety is an evolutionarily conserved response that is essential for survival. Pathological anxiety, however, is a maladaptive response to nonthreatening situations and greatly affects quality of life. The recent COVID-19 pandemic has increased the prevalence of anxiety symptoms and highlighted the urge to identify the molecular events that initiate pathological anxiety. To this aim, we investigated the extent of similarity of brain region-specific gene expression patterns associated with innate and stress-induced anxiety-like behavior. We compared the cortico-frontal (FCx) and hippocampal (Hpc) gene expression patterns of five inbred mouse strains with high or low levels of innate anxiety-like behavior with gene expression patterns of mice subjected to chronic social defeat stress. We found significantly large overlap of the Hpc but small overlap of the FCx gene expression patterns in innate and stress-induced anxiety, that however, converged onto common inflammation and immune system canonical pathways. Comparing the gene expression data with drug-gene interaction datasets revealed drug candidates, including medrysone, simvastatin, captopril, and sulpiride, that produced gene expression changes opposite to those observed in innate or stress-induced anxiety-like behavior. Together, our data provide a comprehensive overview of FCx and Hpc gene expression differences between innate and stress-induced anxiety and support the role of inflammation and immune system in anxiety-like behavior.

Anxiety Behavior in Pigs (Sus scrofa) Decreases Through Affiliation and May Anticipate Threat

Anxiety is a physio-psychological state anticipating an imminent threat. In social mammals it is behaviorally expressed via displacement activities and buffered via affiliation. Anxiety research on domestic pigs (Sus scrofa) has mostly focused on abnormal/stereotypic behavior associated with intensive farming. We investigated how anxiety is expressed and modulated in semi-free ranging pigs, in natural habitats. Owing to pigs' socio-cognitive complexity, we posited that displacement activities, if such, would increase after a (stressful) intra-group aggression (Prediction 1), be reduced by affiliation (Prediction 2) and influenced by individual/contextual factors (Prediction 3). From 224 videos recorded on adult individuals (Mean ± SD/subject: 4.84 ± 1.85 h) at the “Ethical Farm Parva Domus” (Turin, Italy), we extracted possible displacement activities (vacuum-chewing, scratching/body-rubbing, head/body-shaking, and yawning) in four 3-min conditions: before (BA) and after aggression events, in the absence (AA) or presence (AP) of post-aggression affiliation, and a matched-control (no event; MC). We conducted a minute-by-minute analysis in AE/AA and assessed the effect of subjects' involvement in a conflict (aggressor, aggression's recipient, bystander). All activities were higher in AA than in BA condition—thus being anxiety markers—and all of them decreased to baseline levels in AP, faster compared to AE. Hence, anxiety behavior in pigs was socially buffered. Intriguingly, anxiety behavior was expressed significantly more by bystanders than opponents, which suggests that pigs may be able to anticipate imminent threats. By highlighting how anxiety is managed under extensive farming, this study contributes to the understanding of pig welfare and biology.

The Human BNST: Functional Role in Anxiety and Addiction

The consequences of chronic stress on brain structure and function are far reaching. Whereas stress can produce short-term adaptive changes in the brain, chronic stress leads to long-term maladaptive changes that increase vulnerability to psychiatric disorders, such as anxiety and addiction. These two disorders are the most prevalent psychiatric disorders in the United States, and are typically chronic, disabling, and highly comorbid. Emerging evidence implicates a tiny brain region-the bed nucleus of the stria terminalis (BNST)-in the body's stress response and in anxiety and addiction. Rodent studies provide compelling evidence that the BNST plays a central role in sustained threat monitoring, a form of adaptive anxiety, and in the withdrawal and relapse stages of addiction; however, little is known about the role of BNST in humans. Here, we review current evidence for BNST function in humans, including evidence for a role in the production of both adaptive and maladaptive anxiety. We also review preliminary evidence of the role of BNST in addiction in humans. Together, these studies provide a foundation of knowledge about the role of BNST in adaptive anxiety and stress-related disorders. Although the field is in its infancy, future investigations of human BNST function have tremendous potential to illuminate mechanisms underlying stress-related disorders and identify novel neural targets for treatment.