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Exploring a post-traumatic stress disorder paradigm in Flinders sensitive line rats to model treatment-resistant depression II: response to antidepressant augmentation strategies

Published online by Cambridge University Press:  03 October 2016

Sarel Jacobus Brand
Affiliation:
Centre of Excellence for Pharmaceutical Sciences, Division of Pharmacology, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa
Brian Herbert Harvey*
Affiliation:
Centre of Excellence for Pharmaceutical Sciences, Division of Pharmacology, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa MRC Unit on Anxiety and Stress Disorders, North-West University, Potchefstroom, South Africa
*
Brian Herbert Harvey, Center of Excellence for Pharmaceutical Sciences, MRC Unit on Stress and Anxiety Disorders, North-West University (Potchefstroom Campus), Hoffman Street, Potchefstroom 2531, South Africa. Tel: +27 18 299 2238; Fax: +27 87 231 5432; E-mail: brian.harvey@nwu.ac.za

Abstract

Objective

Post-traumatic stress disorder (PTSD) displays high co-morbidity with major depression and treatment-resistant depression (TRD). Earlier work demonstrated exaggerated depressive-like symptoms in a gene×environment model of TRD and an abrogated response to imipramine. We extended the investigation by studying the behavioural and monoaminergic response to multiple antidepressants, viz. venlafaxine and ketamine with/without imipramine.

Methods

Male Flinders sensitive line (FSL) rats, a genetic model of depression, were exposed to a time-dependent sensitisation (TDS) model of PTSD and compared with stress naive controls. 7 days after the TDS procedures, immobility and coping (swimming and climbing), behaviours in the forced swim test (FST) as well as hippocampal and cortical 5-hydroxyindoleacetic acid (5HIAA) and noradrenaline (NA) levels were analysed. Response to imipramine, venlafaxine and ketamine treatment (all 10 mg/kg×7 days) alone and in combination were subsequently studied.

Results

TDS exacerbated depressive-like behaviour of FSL rats in the FST. Imipramine, venlafaxine and ketamine were ineffective as monotherapy in TDS-exposed FSL rats. However, combining imipramine with either venlafaxine or ketamine resulted in significant anti-immobility effects and enhanced coping behaviours. Only ketamine+imipramine (frontal-cortical 5HIAA and NA), ketamine alone (frontal-cortical and hippocampal NA) and venlafaxine+imipramine (frontal-cortical NA) altered monoamine responses versus untreated TDS-exposed FSL rats.

Conclusion

Exposure of FSL rats to TDS inhibits antidepressant response at behavioural and neurochemical levels. Congruent with TRD, imipramine plus venlafaxine or ketamine overcame treatment resistance in these animals. These data further support the hypothesis that exposure of FSL rats to a PTSD-like paradigm produces a valid animal model of TRD and warrants further investigation.

Type
Original Articles
Copyright
© Scandinavian College of Neuropsychopharmacology 2016 

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References

1. Kessler, RC, Berglund, P, Demler, O et al. The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA 2003;289:30953105.CrossRefGoogle ScholarPubMed
2. Philip, NS, Carpenter, LL, Tyrka, AR, Price, LH. Pharmacologic approaches to treatment resistant depression: a re-examination for the modern era. Expert Opin Pharmacother 2010;11:709722.CrossRefGoogle ScholarPubMed
3. Kennedy, N, Abbott, R, Paykel, ES. Remission and recurrence of depression in the maintenance era: long-term outcome in a Cambridge cohort. Psychol Med 2003;33:827838.CrossRefGoogle Scholar
4. Fava, M. Diagnosis and definition of treatment-resistant depression. Biol Psychiatry 2003;53:649659.CrossRefGoogle ScholarPubMed
5. Rush, AJ, Trivedi, MH, Wisniewski, SR et al. Acute and longer-term outcomes in depressed outpatients requiring one or several treatment steps: a STAR*D report. Am J Psychiatry 2006;163:19051917.CrossRefGoogle ScholarPubMed
6. Warden, D, Rush, AJ, Trivedi, MH, Fava, M, Wisniewski, SR. The STAR*D project results: a comprehensive review of findings. Curr Psychiatry Rep 2007;9:449459.CrossRefGoogle ScholarPubMed
7. Wijeratne, C, Sachdev, P. Treatment-resistant depression: critique of current approaches. Aust N Z J Psychiatry 2008;42:751762.CrossRefGoogle ScholarPubMed
8. Greden, JF. The burden of disease for treatment-resistant depression. J Clin Psychiatry 2001;62(Suppl. 16):2631.Google ScholarPubMed
9. Kroenke, K, Price, RK. Symptoms in the community: prevalence, classification, and psychiatric comorbidity. Arch Intern Med 1993;153:24742480.CrossRefGoogle ScholarPubMed
10. Russell, JM, Hawkins, K, Ozminkowski, RJ et al. The cost consequences of treatment-resistant depression. J Clin Psychiatry 2004;65:341347.CrossRefGoogle ScholarPubMed
11. Crown, WH, Finkelstein, S, Berndt, ER et al. The impact of treatment-resistant depression on health care utilization and costs. J Clin Psychiatry 2002;63:963971.CrossRefGoogle ScholarPubMed
12. Aarts, N, Noordam, R, Hofman, A, Tiemeier, H, Stricker, BH, Visser, LE. Utilization patterns of antidepressants between 1991 and 2011 in a population-based cohort of middle-aged and elderly. Eur Psychiatry 2014;29:365370.CrossRefGoogle Scholar
13. Abbing-Karahagopian, V, Huerta, C, Souverein, PC et al. Antidepressant prescribing in five European countries: application of common definitions to assess the prevalence, clinical observations, and methodological implications. Eur J Clin Pharmacol 2014;70:849857.CrossRefGoogle ScholarPubMed
14. Mojtabai, R, Olfson, M. National trends in long-term use of antidepressant medications: results from the US national health and nutrition examination survey. J Clin Psychiatry 2014;75:169177.CrossRefGoogle Scholar
15. Sharma, V. Loss of response to antidepressants and subsequent refractoriness: diagnostic issues in a retrospective case series. J Affect Disord 2001;64:99106.CrossRefGoogle ScholarPubMed
16. Culpepper, L, Muskin, PR, Stahl, SM. Major depressive disorder: understanding the significance of residual symptoms and balancing efficacy with tolerability. Am J Med 2015;128:S1S15.CrossRefGoogle ScholarPubMed
17. Souery, D, Serretti, A, Calati, R et al. Switching antidepressant class does not improve response or remission in treatment-resistant depression. J Clin Psychopharmacol 2011;31:512516.CrossRefGoogle ScholarPubMed
18. Trivedi, MH, Daly, EJ. Treatment strategies to improve and sustain remission in major depressive disorder. Dialogues Clin Neurosci 2008;10:377384.Google ScholarPubMed
19. Epstein, I, Szpindel, I, Katzman, MA. Pharmacological approaches to manage persistent symptoms of major depressive disorder: rationale and therapeutic strategies. Psychiatry Res 2014;220(Suppl 1):S15S33.CrossRefGoogle ScholarPubMed
20. Bauer, M, Pfennig, A, Severus, E, Whybrow, PC, Angst, J, Moller, HJ. World federation of societies of biological psychiatry (WFSBP) guidelines for biological treatment of unipolar depressive disorders, part 1: update 2013 on the acute and continuation treatment of unipolar depressive disorders. World J Biol Psychiatry 2013;14:334385.CrossRefGoogle ScholarPubMed
21. Smith, D, Dempster, C, Glanville, J, Freemantle, N, Andersen, I. Efficacy and tolerability of venlafaxine compared with selective serotonin reuptake inhibitors and other antidepressants: a meta-analysis. Br J Psychiatry 2002;180:396404.CrossRefGoogle ScholarPubMed
22. Naughton, M, Clarke, G, O′Leary, OF, Cryan, JF, Dinan, TG. A review of ketamine in affective disorders: current evidence of clinical efficacy, limitations of use and pre-clinical evidence on proposed mechanisms of action. J Affect Disord 2014;156:2435.CrossRefGoogle ScholarPubMed
23. Duman, RS, Li, N, Liu, RJ, Duric, V, Aghajanian, G. Signaling pathways underlying the rapid antidepressant actions of ketamine. Neuropharmacol 2012;62:3541.CrossRefGoogle ScholarPubMed
24. Fava, M, Rush, AJ, Alpert, JE et al. Difference in treatment outcome in outpatients with anxious versus nonanxious depression: a STAR*D report. Am J Psychiatry 2008;165:342351.CrossRefGoogle ScholarPubMed
25. Ohayon, MM, Shapiro, CM, Kennedy, SH. Differentiating DSM-IV anxiety and depressive disorders in the general population: comorbidity and treatment consequences. Can J Psychiatry 2000;45:166172.CrossRefGoogle ScholarPubMed
26. Zarate, CA Jr, Singh, JB, Carlson, PJ et al. A randomized trial of an N-methyl-D-aspartate antagonist in treatment-resistant major depression. Arch Gen Psychiatry 2006;63:856864.CrossRefGoogle ScholarPubMed
27. Domschke, K, Deckert, J, Arolt, V, Baune, BT. Anxious versus non-anxious depression: difference in treatment outcome. J Psychopharmacol 2010;24:621622.CrossRefGoogle ScholarPubMed
28. Wu, Z, Chen, J, Yuan, C et al. Difference in remission in a Chinese population with anxious versus nonanxious treatment-resistant depression: a report of OPERATION study. J Affect Disord 2013;150:834839.CrossRefGoogle Scholar
29. Elhai, JD, Grubaugh, AL, Kashdan, TB, Frueh, BC. Empirical examination of a proposed refinement to DSM-IV posttraumatic stress disorder symptom criteria using the national comorbidity survey replication data. J Clin Psychiatry 2008;69:597602.CrossRefGoogle ScholarPubMed
30. Elhai, JD, De Francisco Carvalho, L, Miguel, FK, Palmieri, PA, Primi, R, Christopher Frueh, B. Testing whether posttraumatic stress disorder and major depressive disorder are similar or unique constructs. J Anxiety Disord 2011;25:404410.CrossRefGoogle ScholarPubMed
31. Gros, DF, Price, M, Magruder, KM, Frueh, BC. Symptom overlap in posttraumatic stress disorder and major depression. Psychiatry Res 2012;196:267270.CrossRefGoogle ScholarPubMed
32. Green, BL, Krupnick, JL, Chung, J et al. Impact of PTSD comorbidity on one-year outcomes in a depression trial. J Clin Psychol 2006;62:815835.CrossRefGoogle Scholar
33. Thase, ME, Rush, AJ. When at first you don’t succeed: sequential strategies for antidepressant nonresponders. J Clin Psychiatry 1997;58(Suppl. 13):2329.Google ScholarPubMed
34. Tennant, C. Life events, stress and depression: a review of recent findings. Aust N Z J Psychiatry 2002;36:173182.CrossRefGoogle ScholarPubMed
35. Caspi, A, Sugden, K, Moffitt, TE et al. Influence of life stress on depression: moderation by a polymorphism in the 5-HTT gene. Science 2003;301:386389.CrossRefGoogle ScholarPubMed
36. Sullivan, PF, Neale, MC, Kendler, KS. Genetic epidemiology of major depression: review and meta-analysis. Am J Psychiatry 2000;157:15521562.CrossRefGoogle ScholarPubMed
37. Willner, P, Belzung, C. Treatment-resistant depression: are animal models of depression fit for purpose? Psychopharmacol (Berl) 2015;232:34733495.CrossRefGoogle ScholarPubMed
38. Brand, SJ, Harvey, BH. Exploring a post-traumatic stress disorder paradigm in Flinders sensitive line rats to model treatment resistant depression I: bio-behavioural validation and response to imipramine. Acta Neuropsychiatrica 2016; DOI: 10.1017/neu.2016.44 (in press).Google ScholarPubMed
39. Overstreet, DH, Wegener, G. The flinders sensitive line rat model of depression – 25 years and still producing. Pharmacol Rev 2013;65:143155.CrossRefGoogle ScholarPubMed
40. Oosthuizen, F, Wegener, G, Harvey, BH. Nitric oxide as inflammatory mediator in post-traumatic stress disorder (PTSD): evidence from an animal model. Neuropsychiatr Dis Treat 2005;1:109123.CrossRefGoogle ScholarPubMed
41. Harvey, BH, Naciti, C, Brand, L, Stein, DJ. Endocrine, cognitive and hippocampal/cortical 5HT1A/2A receptor changes evoked by a time-dependent sensitisation (TDS) stress model in rats. Brain Res 2003;983:97107.CrossRefGoogle ScholarPubMed
42. Harvey, BH, Oosthuizen, F, Brand, L, Wegener, G, Stein, DJ. Stress-restress evokes sustained iNOS activity and altered GABA levels and NMDA receptors in rat hippocampus. Psychopharmacol 2004;175:494502.Google ScholarPubMed
43. Harvey, BH, Naciti, C, Brand, L, Stein, DJ. Serotonin and stress: protective or malevolent actions in the biobehavioral response to repeated trauma? Ann N Y Acad Sci 2004;1032:267272.CrossRefGoogle ScholarPubMed
44. Liberzon, I, Krstov, M, Young, EA. Stress-restress: effects on ACTH and fast feedback. Psychoneuroendocrinol 1997;22:443453.CrossRefGoogle ScholarPubMed
45. Harvey, BH, Brand, L, Jeeva, Z, Stein, DJ. Cortical/hippocampal monoamines, HPA-axis changes and aversive behavior following stress and restress in an animal model of post-traumatic stress disorder. Physiol Behav 2006;87:881890.CrossRefGoogle Scholar
46. Yehuda, R, Antelman, SM. Criteria for rationally evaluating animal models of postraumatic stress disorder. Biol Psychiatry 1993;33:479486.CrossRefGoogle Scholar
47. Porsolt, RD, Anton, G, Blavet, N, Jalfre, M. Behavioural despair in rats: a new model sensitive to antidepressant treatments. Eur J Pharmacol 1978;47:379391.CrossRefGoogle ScholarPubMed
48. Detke, MJ, Rickels, M, Lucki, I. Active behaviors in the rat forced swimming test differentially produced by serotonergic and noradrenergic antidepressants. Psychopharmacol 1995;121:6672.CrossRefGoogle ScholarPubMed
49. Wainwright, SR, Workman, JL, Tehrani, A et al. Testosterone has antidepressant-like efficacy and facilitates imipramine-induced neuroplasticity in male rats exposed to chronic unpredictable stress. Horm Behav 2016;79:5869.CrossRefGoogle ScholarPubMed
50. Wróbel, A, Serefko, A, Wlaź, P, Poleszak, E. The depressogenic-like effect of acute and chronic treatment with dexamethasone and its influence on the activity of antidepressant drugs in the forced swim test in adult mice. Prog Neuropsychopharmacol Biol Psychiatry 2014;54:243248.CrossRefGoogle ScholarPubMed
51. De Oliveira, RA, Cunha, GM, Borges, KD et al. The effect of venlafaxine on behaviour, body weight and striatal monoamine levels on sleep-deprived female rats. Pharmacol Biochem Behav 2004;79:499506.CrossRefGoogle ScholarPubMed
52. Zhang, GF, Liu, WX, Qiu, LL et al. Repeated ketamine administration redeems the time lag for citalopram’s antidepressant-like effects. Eur Psychiatry 2015;30:504510.CrossRefGoogle ScholarPubMed
53. Breuer, ME, Groenink, L, Oosting, RS, Westenberg, HGM, Olivier, B. Long-term behavioral changes after cessation of chronic antidepressant treatment in olfactory bulbectomized rats. Biol Psychiatry 2007;61:990995.CrossRefGoogle ScholarPubMed
54. Breuer, ME, Chan, JSW, Oosting, RS et al. The triple monoaminergic reuptake inhibitor DOV 216,303 has antidepressant effects in the rat olfactory bulbectomy model and lacks sexual side effects. Eur Neuropsychopharmacol 2008;18:908916.CrossRefGoogle ScholarPubMed
55. Harvey, BH, Duvenhage, I, Viljoen, F et al. Role of monoamine oxidase, nitric oxide synthase and regional brain monoamines in the antidepressant-like effects of methylene blue and selected structural analogues. Biochem Pharmacol 2010;80:15801591.CrossRefGoogle ScholarPubMed
56. Shannon, NJ, Gunnet, JW, Moore, KE. A comparison of biochemical indices of 5-hydroxytryptaminergic neuronal activity following electrical stimulation of the dorsal raphe nucleus. J Neurochem 1986;47:958965.CrossRefGoogle ScholarPubMed
57. Duncan, JS. Neurotransmitters, drugs and brain function. Br J Clin Pharmacol 2002;53::648.CrossRefGoogle Scholar
58. Mehlman, PT, Westergaard, GC, Hoos, BJ et al. CSF 5-HIAA and nighttime activity in free-ranging primates. Neuropsychopharmacol 2000;22:210218.CrossRefGoogle ScholarPubMed
59. Cornwell, BR, Salvadore, G, Furey, M et al. Synaptic potentiation is critical for rapid antidepressant response to ketamine in treatment-resistant major depression. Biol Psychiatry 2012;72:555561.CrossRefGoogle ScholarPubMed
60. Berman, RM, Cappiello, A, Anand, A et al. Antidepressant effects of ketamine in depressed patients. Biol Psychiatry 2000;47:351354.CrossRefGoogle ScholarPubMed
61. Aan Het Rot, M, Collins, KA, Murrough, JW et al. Safety and efficacy of repeated-dose intravenous ketamine for treatment-resistant depression. Biol Psychiatry 2010;67:139145.CrossRefGoogle ScholarPubMed
62. Murrough, JW, Perez, AM, Pillemer, S et al. Rapid and longer-term antidepressant effects of repeated ketamine infusions in treatment-resistant major depression. Biol Psychiatry 2013;74:250256.CrossRefGoogle ScholarPubMed
63. Shiroma, PR, Johns, B, Kuskowski, M et al. Augmentation of response and remission to serial intravenous subanesthetic ketamine in treatment resistant depression. J Affect Disord 2014;155:123129.CrossRefGoogle ScholarPubMed
64. Owolabi, RA, Akanmu, MA, Adeyemi, OI. Effects of ketamine and N-methyl-D-aspartate on fluoxetine-induced antidepressant-related behavior using the forced swimming test. Neurosci Lett 2014;566:172176.CrossRefGoogle ScholarPubMed
65. Garcia, LSB, Comim, CM, Valvassori, SS et al. Ketamine treatment reverses behavioral and physiological alterations induced by chronic mild stress in rats. Prog Neuropsychopharmacol Biol Psychiatry 2009;33:450455.CrossRefGoogle ScholarPubMed
66. Parise, EM, Alcantara, LF, Warren, BL et al. Repeated ketamine exposure induces an enduring resilient phenotype in adolescent and adult rats. Biol Psychiatry 2013;74:750759.CrossRefGoogle ScholarPubMed
67. Zafir, A, Ara, A, Banu, N. In vivo antioxidant status: a putative target of antidepressant action. Prog Neuropsychopharmacol Biol Psychiatry 2009;33:220228.CrossRefGoogle ScholarPubMed
68. Dhir, A, Kulkarni, SK. Risperidone, an atypical antipsychotic enhances the antidepressant-like effect of venlafaxine or fluoxetine: possible involvement of alpha-2 adrenergic receptors. Neurosci Lett 2008;445:8388.CrossRefGoogle ScholarPubMed
69. Rush, AJ, Trivedi, MH, Wisniewski, SR et al. Bupropion-SR, sertraline, or venlafaxine-XR after failure of SSRIs for depression. N Engl J Med 2006;354:12311242.CrossRefGoogle ScholarPubMed
70. Thase, ME, Gelenberg, A, Kornstein, SG et al. Comparing venlafaxine extended release and fluoxetine for preventing the recurrence of major depression: results from the PREVENT study. J Psychiatr Res 2011;45:412420.CrossRefGoogle ScholarPubMed
71. Connor, TJ, Kelliher, P, Shen, Y, Harkin, A, Kelly, JP, Leonard, BE. Effect of subchronic antidepressant treatments on behavioral, neurochemical, and endocrine changes in the forced-swim test. Pharmacol Biochem Behav 2000;65:591597.CrossRefGoogle ScholarPubMed
72. Jayatissa, MN, Bisgaard, C, Tingström, A, Papp, M, Wiborg, O. Hippocampal cytogenesis correlates to escitalopram-mediated recovery in a chronic mild stress rat model of depression. Neuropsychopharmacol 2006;31:23952404.CrossRefGoogle Scholar
73. Brand, SJ, Möller, M, Harvey, BH. A review of biomarkers in mood and psychotic disorders: a dissection of clinical vs. preclinical correlates. Curr Neuropharmacol 2015;13:324368.CrossRefGoogle ScholarPubMed
74. Moore, P, Landolt, HP, Seifritz, E et al. Clinical and physiological consequences of rapid tryptophan depletion. Neuropsychopharmacol 2000;23:601622.CrossRefGoogle ScholarPubMed
75. Van Der Does, AJ. The effects of tryptophan depletion on mood and psychiatric symptoms. J Affect Disord 2001;64:107119.CrossRefGoogle ScholarPubMed
76. Gillman, PK. Tricyclic antidepressant pharmacology and therapeutic drug interactions updated. Br J Pharmacol 2007;151:737748.CrossRefGoogle ScholarPubMed
77. Haddjeri, N, Blier, P, De Montigny, C. Long-term antidepressant treatments result in a tonic activation of forebrain 5-HT1A receptors. J Neurosci 1998;18:1015010156.CrossRefGoogle Scholar
78. Muth, EA, Haskins, JT, Moyer, JA, Husbands, GEM, Nielsen, ST, Sigg, EB. Antidepressant biochemical profile of the novel bicyclic compound Wy-45,030, an ethyl cyclohexanol derivative. Biochem Pharmacol 1986;35:44934497.CrossRefGoogle ScholarPubMed
79. Li, N, Lee, B, Liu, RJ et al. mTOR-dependent synapse formation underlies the rapid antidepressant effects of NMDA antagonists. Science 2010;329:959964.CrossRefGoogle ScholarPubMed
80. Beurel, E, Song, L, Jope, RS. Inhibition of glycogen synthase kinase-3 is necessary for the rapid antidepressant effect of ketamine in mice. Mol Psychiatry 2011;16:10681070.CrossRefGoogle ScholarPubMed
81. Du Jardin, KG, Muller, HK, Elfving, B, Dale, E, Wegener, G, Sanchez, C. Potential involvement of serotonergic signaling in ketamine’s antidepressant actions: a critical review. Prog Neuropsychopharmacol Biol Psychiatry 2016;71:2738.CrossRefGoogle ScholarPubMed
82. El Iskandrani, KS, Oosterhof, CA, El Mansari, M, Blier, P. Impact of subanesthetic doses of ketamine on AMPA-mediated responses in rats: an in vivo electrophysiological study on monoaminergic and glutamatergic neurons. J Psychopharmacol (Oxford, England) 2015;29:792801.CrossRefGoogle Scholar
83. Kubota, T, Anzawa, N, Hirota, K, Yoshida, H, Kushikata, T, Matsuki, A. Effects of ketamine and pentobarbital on noradrenaline release from the medial prefrontal cortex in rats. Can J Anaesth 1999;46:388392.CrossRefGoogle ScholarPubMed
84. Piras, G, Giorgi, O, Corda, MG. Effects of antidepressants on the performance in the forced swim test of two psychogenetically selected lines of rats that differ in coping strategies to aversive conditions. Psychopharmacol 2010;211:403414.CrossRefGoogle ScholarPubMed
85. Richelson, E. Pharmacology of antidepressants. Mayo Clin Proc 2001;76:511527.CrossRefGoogle ScholarPubMed
86. Connor, TJ, Kelly, JP, Leonard, BE. Forced swim test-induced neurochemical, endocrine, and immune changes in the rat. Pharmacol Biochem Behav 1997;58:961967.CrossRefGoogle ScholarPubMed
87. Walker, AJ, Burnett, SA, Hasebe, K et al. Chronic adrenocorticotrophic hormone treatment alters tricyclic antidepressant efficacy and prefrontal monoamine tissue levels. Behav Brain Res 2013;242:7683.CrossRefGoogle ScholarPubMed