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Neuropharmacology 113 (2017) 156e166

Contents lists available at ScienceDirect

Neuropharmacology
journal homepage: www.elsevier.com/locate/neuropharm

CB1 cannabinoid receptor-mediated anandamide signalling reduces


the defensive behaviour evoked through GABAA receptor blockade
in the dorsomedial division of the ventromedial hypothalamus
Tayllon dos Anjos-Garcia a, Farhad Ullah a, Luiz Luciano Falconi-Sobrinho a,
Norberto Cysne Coimbra a, b, *
a ~o Preto Medical School of the University of Sa
Laboratory of Neuroanatomy and Neuropsychobiology, Department of Pharmacology, Ribeira ~o Paulo (USP),
~o Preto, Sa
Av. Bandeirantes 3900, Ribeira ~o Paulo, 14049-900, Brazil
b ~o Preto, Sa
NAP-USP-Neurobiology of Emotions (NuPNE) Research Centre, FMRP-USP, Ribeira ~o Paulo, Brazil

a r t i c l e i n f o a b s t r a c t

Article history: The effects of cannabinoids in brain areas expressing cannabinoid receptors, such as hypothalamic nuclei,
Received 12 August 2015 are not yet well known. Several studies have demonstrated the role of hypothalamic nuclei in the
Received in revised form organisation of behavioural responses induced through innate fear and panic attacks. Panic-prone states
22 March 2016
are experimentally induced in laboratory animals through a reduction in the GABAergic activity. The aim
Accepted 4 April 2016
Available online 8 April 2016
of the present study was to examine panic-like elaborated defensive behaviour evoked by GABAA re-
ceptor blockade with bicuculline (BIC) in the dorsomedial division of the ventromedial hypothalamus
(VMHdm). We also aimed to characterise the involvement of endocannabinoids and the CB1 cannabinoid
Keywords:
Endocannabinoid neuromodulators
receptor in the modulation of elaborated defence behavioural responses organised with the VMHdm. The
GABAA receptor guide-cannula was stereotaxicaly implanted in VMHdm and the animals were treated with anandamide
Ventromedial hypothalamus (AEA) at different doses, and the effective dose was used after the pre-treatment with the CB1 receptor
Defensive behaviour antagonist AM251, followed by GABAA receptor blockade in VMHdm. The results showed that the intra-
CB1 cannabinoid receptor hypothalamic administration of AEA at an intermediate dose (5 pmol) attenuated defence responses
TRPV1 channel induced through the intra-VMHdm microinjection of bicuculline (40 ng). This effect, however, was
inhibited when applied central microinjection of the CB1 receptor antagonist AM251 in the VMHdm.
Moreover, AM251 potentiates de non-oriented escape induced by bicuculline, effect blocked by pre-
treatment with the TRPV1 channel antagonist 6-I-CPS. These results indicate that AEA modulates the
pro-aversive effects of intra-VMHdm-bicuculline treatment, recruiting CB1 cannabinoid receptors and
the TRPV1 channel is involved in the AM251-related potentiation of bicuculline effects on non-oriented
escape behaviour.
© 2016 Elsevier Ltd. All rights reserved.

1. Introduction neurotransmitters, endocannabinoids are not stored in vesicles,


and these molecules activate cannabinoid receptor types 1 and 2
The endocannabinoid system is one of several systems that (CB1 and CB2, respectively) (Pertwee et al., 2010).
regulate panic-like defence responses. The term endocannabinoid Agonist stimulation activates a number of signal transduction
has been used to designate endogenous ligands, such as ananda- pathways via Gi/o, a member of the G protein family. The activity of
mide (AEA) and 2-arachidonoylglycerol (2-AG). These substances anandamide is limited by the re-uptake via the anandamide
are endogenous lipids, synthesised from neuronal membranes in transporter and subsequent metabolic action of the fatty acid
response to elevated intracellular calcium. Unlike classical amide hydrolase enzyme (FAAH). After activation, these receptors
inhibit adenylyl cyclase and activate mitogen-activated protein ki-
nase, thereby decreasing the excitability of the pre-synaptic ter-
* Corresponding author. Laboratorio de Neuroanatomia & Neuropsicobiologia, minal through the inhibition of calcium influx currents and
~o Preto da Universidade de Sa
Faculdade de Medicina de Ribeira ~o Paulo (FMRP-USP), inwardly rectifying potassium channels (Devane et al., 1988;
Avenida dos Bandeirantes 3900, Ribeira~o Preto, Sa
~o Paulo, 14049-900, Brasil.
Demuth and Molleman, 2006).
E-mail address: nccoimbr@fmrp.usp.br (N.C. Coimbra).

http://dx.doi.org/10.1016/j.neuropharm.2016.04.003
0028-3908/© 2016 Elsevier Ltd. All rights reserved.
T. dos Anjos-Garcia et al. / Neuropharmacology 113 (2017) 156e166 157

Unlike the CB2 receptors in the cells and tissues of immune we hypothesised that the administration of the cannabinoid re-
system, the CB1 receptor is commonly observed in the central ceptor agonist anandamide in the VMHdm will reduce the intensity
nervous system (Pertwee et al., 2010). A modest number of CB1 of defensive behaviours elicited by the intradiencephalic GABAA
receptors have been identified in the hypothalamus (Pettit et al., receptor blockade, via CB1-cannabinoid receptor activation.
1998), and immunoreactive staining was also detected in the par-
aventricular nucleus, lateral hypothalamic region, the infundibular 2. Material and methods
stem (Tsou et al., 1998) and suprachiasmatic, supraoptic, and par-
aventricular nuclei. Interestingly, slightly elevated ligand binding 2.1. Animals and experimental apparatus
forms a rim around the ventromedial nucleus of the hypothalamus
(Herkenham et al., 1991). Male Wistar rats (Rattus norvegicus, Rodentia, Muridae),
Studies have shown that the activation of the CB1 receptor, in- weighing 230e270 g (n ¼ 6e9 per group), were bred in the animal
hibition of FAAH or inhibition of endocannabinoid reuptake pro- ~o Preto Medical School of the University of Sa
facility at the Ribeira ~o
duces anxiolytic-like effects in animal models of anxiety (Micale Paulo (FMRP-USP). The rats were housed in groups of ten animals
et al., 2009). Microinjections of the CB1 agonist in the medial pre- (habituation section) in a polygonal (rectangular) arena with
frontal cortex (Rubino et al., 2008), central amygdala (Zarrindast 154 cm in length, 72 cm in width and 64 cm in height that consists
et al., 2008) and periaqueductal grey matter (Finn et al., 2003) in a semi-transparent acrylic enclosure with a light-reflector film,
also produce anxiolytic-like responses. providing 80% light reflection (Biagioni et al., 2016b; Ullah et al.,
On the other hand, microinjections of the GABAA receptor 2015). The floor of the arena was constructed from a transparent
antagonist bicuculline into structures with limbic functions, i.e., acrylic platform (divided into 20 equal rectangles) and was placed
mesencephalic tectum (Branda ~o et al., 1988) and diencephalic on a rectangular stainless steel plaque beneath the arena. To
structures (Milani and Graeff, 1987) have been used to evoke minimise vibration, the entire apparatus was placed on a granite
defensive reactions commonly related to anxiety and mainly panic rock surface (170 cm in length, 85 cm in width and 2 cm in height)
state in laboratory animals (bicuculline panic-like effects). How- elevated 83 cm above the floor. A burrow with black acrylic walls
ever, there is evidence that the defensive behaviours were more (36 cm in length, 26 cm in width and 12.5 cm in height) inside the
explosive when bicuculline was injected into mesencephalic rectangular arena was placed in one corner of the polygonal
structures and more oriented when was injected into diencephalic enclosure. This burrow had two entries located on opposite sides,
structures (Di Scala et al., 1984). These two kinds of escape are thus allowing the rats to enter and exit from the burrow in two
typically considered panic-like behaviours, in contrast with different positions to the polygonal arena. We used a translucent
anxiety-like behaviours, such as defensive attention (alertness), flat ceiling for the burrow to prevent place preference (Prus et al., 2009)
back approaching and stretch attend posture, or risk assessment during each neuropharmacological experiment. During the three
(Blanchard et al., 2001; Borelli et al., 2004, 2005; Shekhar, 1994). days of habituation in this apparatus, the animals were maintained
Indeed, these behavioural responses are commonly displayed by in a 12 h light/dark cycle in an air-conditioned room (24 ± 1  C)
threatened preys in dangerous situations, like prey vs snake with open access to food and water, except during the experimental
confrontation paradigms (Almada et al., 2015; Almada and procedures performed in the light cycle (Almada and Coimbra,
Coimbra, 2015; Twardowschy et al., 2013; Uribe-Marin ~ o et al., 2015). The experimental procedures were performed in accor-
2012). dance with the recommendations of the Commission of Ethics in
In addition, it was recently demonstrated that bicuculline Animal Experimentation of the FMRP-USP (CEUA-FMRP-USP pro-
treatment in dorsomedial and posterior hypothalamus (DMH and cess 107/2012). These recommendations are in agreement with the
PH, respectively) induces oriented escape expresses by organised ethical principles of animal research adopted by the Brazilian Col-
running towards a safe place, while the same treatment in dorsal lege of Animal Experimentation (COBEA) and approved by the
columns of periaqueductal grey matter (dPAG) induces non- FMRP-USP Commission of Ethics in Animal Research (CETEA).
oriented escape expressed by explosive/non-oriented running
(Biagioni et al., 2016b). Similar results were obtained with micro- 2.2. Drugs
injections of N-methyl-d-aspartic acid (NMDA) at different con-
centrations either in dorsal midbrain or in medial hypothalamus; The following drugs were used: GABAA receptor antagonist
again, explosive/non-oriented reactions were elicited after the [R-(R*,S*)]-5-(6,8-Dihydro-8-oxofuro[3,4-e]-1,3-benzodioxol-6-yl)-
chemical stimulation of the midbrain tectum, while more oriented 5,6,7,8-tetrahydro-6,6-dimethyl-1,3-dioxolo[4,5-g]isoquinolinium
escape reactions were elicited by chemical stimulation of hypo- iodide (Bicuculline; Tocris Bioscience, Bristol, UK) at 40 ng diluted
thalamic nuclei (Ullah et al., 2015). in 0.9% NaCl (Biagioni et al., 2013); the cannabinoid and
In this sense, several studies have shown the involvement of the vanilloid receptor agonist, (2-Hydroxyethyl)-5Z,8Z,11Z,14Z-eicosa-
ventromedial hypothalamus in organisation of panic-like defensive tetraenamide (Anandamide; Tocris Bioscience, Bristol, UK), at 0.5, 5
reactions in rodents (de Freitas et al., 2013; Freitas et al., 2009). In and 50 pmol was diluted in Tocrisolve TM100, a solvent containing a
fact, the deep brain stimulation of the VMH performed in an awake 1:4 ratio of soybean oil/water, emulsified with the block
patient was proved to be involved in the genesis of panic attacks co-polymer Pluronic F68 (Moreira et al., 2007); the CB1
(Wilent et al., 2010). More specifically, the dorsomedial division of cannabinoid antagonist N-(Piperidin-1-yl)-5-(4-iodophenyl)-
the ventromedial hypothalamus (VMHdm) has been proposed as a 1-(2,4-dichlorophenyl)-4-methyl-1H-pyrazole-3-carboxamide
key diencephalic subnucleus responsible for the integration of (AM251; Tocris Bioscience, Bristol, UK) at 100 pmol diluted in 10%
these responses (Canteras and Graeff, 2014). Despite these evi- DMSO (Almeida-Santos et al., 2013); the TRPV1 (transient receptor
dence, it has been demonstrated repeatedly that the potential cation channel, subfamily V, member 1) channel antago-
endocannabinoid-signalling system modulates defensive re- nist 6-Iodonordihydrocapsaicin (6-I-CPS; Tocris Bioscience, Bristol,
sponses in different structures of the brain aversion system, UK) at 3 nmol diluted in 100% DMSO (Fogaça et al., 2012).
without mentioning the role played by the endocannabinoid sys-
tem of hypothalamic nuclei in the control of defence-related 2.3. Surgical procedure
behaviours.
Thus, considering the presence of CB1 receptors in the VMHdm, The animals were anaesthetised with 92 mg/kg ketamine
158 T. dos Anjos-Garcia et al. / Neuropharmacology 113 (2017) 156e166

(Ketamine Agener, Unia ~o Química Farmace ^utica Nacional, Brazil) second microinjection, the animals received a final intra-VMHdm
and 9.2 mg/kg xylazine (Dopaser®, Hertape/Calier, Juatuba, Minas administration of bicuculline (BIC 40 ng) or vehicle (veh). Imme-
Gerais, Brazil) and secured in a stereotaxic frame (David Kopf, diately after the last microinjection, the animals were placed inside
Tujunga, California, USA). A stainless steel guide-cannula (0.6 mm the rectangular arena to record the behavioural responses for
outer diameter and 0.4 mm inner diameter) was implanted in the 10 min. In this approach, we used a volume of 0.1 mL for each drug
diencephalon to target the dorsomedial division of ventromedial and its respective diluents (veh) microinjected into the VMHdm,
hypothalamus (VMHdm). The upper incisor bar was set 3 mm comprising 0.3 mL per animal.
below the interaural line, such that the skull was horizontal be- Considering previous evidence suggesting that the diffusion of
tween the bregma and lambda. The guide-cannula was vertically substances microinjected in the central nervous system into the
introduced using the coordinates AP ¼ 2.4 mm, ML ¼ 0.3 mm, tissue surrounding the site of injection is directly related to the
DV ¼ 8.1 mm, with the bregma as a reference, according to the volume administered (Myers, 1966; Routtenberg, 1972), we
atlas of Paxinos and Watson (2007). The guide-cannula was fixed to assumed that 0.5 mL causes an average spread of 1.04 mm, consis-
the skull using acrylic resin and one stainless steel screw. Each tent with Myers (1966), and volumes no larger than 0.4 mL were
guide-cannula was sealed with a stainless steel wire for protection microinjected into the VMHdm. Doses (Almeida-Santos et al., 2013;
from obstruction. After surgery, each rodent was treated with an Biagioni et al., 2013; Fogaça et al., 2012; Moreira et al., 2007) and
intramuscular injection of penicillin G-benzatine (120.000UI/ drug treatments (Batista et al., 2015; Lisboa and Guimara ~es, 2012)
0.2 mL) followed by an intramuscular injection of the analgesic and were based on the literature.
anti-inflammatory flunixin meglumine (2.5 mg/kg). The animals
were maintained in post-operative recovery for five days. 2.5. Behavioural recordings

2.4. Procedure The behavioural responses of the rats were recorded for 10 min
using a camera (Sony Handcam HDR-CX350, Konan, Minato-ku,
The experiment was performed using independent groups of Tokyo, Japan). Subsequently, the behavioural responses were ana-
animals (n ¼ 6e9 per group) after five days of stereotaxic surgery lysed using the free software X-Plo-Rat version 1.1.0, developed at
and three days of habituation. Habituation was conducted to the Laboratory of Exploratory Behaviour of Ribeira ~o Preto School of
generate a non-aversive and safe environment for the rat (Almada Philosophy, Sciences and Literature of the University of S~ ao Paulo.
et al., 2015; Almada and Coimbra, 2015; Biagioni et al., 2016b; This software does not perform the automatic measurement of
Twardowschy et al., 2013; Ullah et al., 2015; Uribe-Marin ~ o et al., behaviours, the experimenter evaluates the behaviour and uses the
2012). On the day of the experiment, the animals were gently software to help quantify the number and duration of each
shifted from the polygonal arena to the home cages and were behavioural responses.
randomly assigned to one of the intradiencephalic treatments The behavioural analysis included defensive attention (alert-
(intra-hypothalamic microinjections). Counterbalanced microin- ness), defined as an interruption of on-going behaviour when the
jections (either at right or left brain hemisphere) were performed rodents displays attentive posture with small head movements,
using a dental needle (0.3 mm OD), at a length 1 mm longer than rearing and scan environment by smelling the surrounding air.
the guide-cannula. The drugs were injected through polyethylene Defensive immobility (freezing) was considered when the rat
tube (PE-10) for 15 s using a microsyringe (Hamilton, Reno, Nevada, showed immobility during at least 5s followed by autonomic re-
USA) connected to an infusion pump (Stoelting, Kiel, Wisconsin, actions, such as defecation, exophthalmia and/or micturition
USA) through polyethylene tube (PE-10). To ensure the movement (Biagioni et al., 2013, 2016a, 2016b).
of the drug, a bubble was created between the distilled water col- The number of crossing (stepping with four legs within a
umn and the drug. In all cases, the respective diluents were used as delimited rectangle in the arena after crossing the border of each
controls in the same volume used for drugs. section line) was recorded for quantitatively measurement of escape
In the first set of experiments, the animals initially received an behaviour expressed by running. The escape behaviour was classi-
intra-VMHdm microinjection of anandamide (AEA 0.5, 5 or fied as either non-oriented or oriented escape. Non-oriented escape
50 pmol) or vehicle (veh), followed by another microinjection with was characterised by meaningless running in different directions of
bicuculline (BIC 40 ng) or vehicle (veh) 5 min later. Immediately the arena, whereas oriented escape was more elaborate, charac-
after the last microinjection, the animals were placed inside the terised by running to the burrow and shifting the directions of the
rectangular arena to record the behavioural responses for 10 min. In running toward the burrow position (Almada et al., 2015; Almada
this experiment, a volume of 0.2 mL was injected for each drug and and Coimbra, 2015; Twardowschy et al., 2013; Uribe-Marin ~ o et al.,
respective diluents (veh) into the VMHdm comprising 0.4 mL per 2012). The climbing (to the border of the arena or burrow) and
animal. vertical jumping behaviours were also considered as oriented
In the second set of experiments, the animals initially received escape. According to those authors and supported by Blanchard
an intra-VMHdm microinjection of AM251 (AM251 100 pmol) or et al. (2001), Borelli et al. (2004, 2005) and Shekhar (1994), escape
vehicle (veh), followed by another microinjection with anandamide and freezing behaviour are typically considered panic-like re-
(AEA 5 pmol) or vehicle (veh) 5 min later. At 5 min after the second sponses unlike alertness which is considered anxiety-like responses.
microinjection, the animals received a final intra-VMHdm admin- The time spent outside the burrow was also recorded.
istration of bicuculline (BIC 40 ng) or vehicle (veh). Immediately
after the last microinjection, the animals were placed inside the 2.6. Histology
rectangular arena to record the behavioural responses for 10 min. In
this experiment, a volume of 0.1 mL for each drug and respective Upon completion of the experiments, the animals were anaes-
diluents (veh) ware injected into the VMHdm comprising 0.3 mL per thetised with pentobarbital (40 mg/kg) 1 mL/100 g of 5% chloral
animal. hydrate (Vetec Química Fina®, Duque de Caxias, Rio de Janeiro,
In the third set of experiments, the animals initially received an Brasil) and perfused through the left ventricle using a perfusion
intra-VMHdm microinjection of 6-I-CPS (6-I-CPS 3 nmol) or vehicle pump (Master Flex® L/S™ peristaltic tubing pump, East Bunker
(veh), followed by another microinjection with AM251 (AM251 Court Vernon Hills, Illinois, USA). The blood was washed out using
100 pmol) or vehicle (veh) 5 min later. Five minutes after the 40 mL of cold, oxygenated, Caþþ -free Tyrod's buffer followed by 200
T. dos Anjos-Garcia et al. / Neuropharmacology 113 (2017) 156e166 159

of ice-cold 4% (w/v) paraformaldehyde (LabSynth, Brazil) in 0.1 M one- or three-way analysis of variance (ANOVA), depending on the
PBS (LabSynth, Brazil), pH 7.3, over 15 min, at a pressure of treatments compared, followed by Newman-Keuls post hoc test
50 mmHg. The brain was immediately removed and soaked for 4 h when appropriated. Both experiments were analysed using treat-
in fresh fixative (4% paraformaldehyde) at 4  C. After fixation, the ment as main factor. Results with p < 0.05 were considered sta-
brain was sectioned, and the diencephalon was immersed in 10% tistically significant.
and 20% sucrose dissolved in 0.1 M sodium phosphate buffer (pH
7.3) at 4  C for at least 12 h in each solution. The tissue pieces were
3. Results
frozen in isopentane (Sigma Aldrich, St. Louis, Missouri, USA), stored
on dry ice, embedded in Tissue Tek and cut using a cryostat (CM
3.1. Histologic confirmation of the microinjection sites
1950 Leica, Wetzlar, Germany). The slices were subsequently
mounted on glass slides (coated with chrome alum gelatine to
All rats used in the present work received microinjections in the
prevent detachment) and stained with haematoxylin-eosin using an
VMHdm, as shown in Fig. 1. Although counterbalanced microin-
autostainer (CV 5030 Autostainer XL, Leica, Wetzlar, Germany). The
jections were made, all sites of microinjection of drugs in the
positions of the guide-cannula tips were defined according to the
diencephalon were represented in the same side of the brain.
brain stereotaxic atlas by Paxinos and Watson (2007) under a
motorised photomicroscope (AxioImager Z1; Zeiss, Oberkochen,
Germany). The data from rats with guide-cannula tips located 3.2. Anandamide (AEA) attenuated the defensive behaviours
outside the VMHdm were not included in the statistical analyses, but induced after microinjections of bicuculline (BIC) into the VMHdm
as an additional control, these animals were analysed together in an
OUT group and compared with groups only treated with vehicle. The antagonism of GABAergic receptors in the VMHdm after
microinjection with the GABAA receptor antagonist bicuculline
induced defensive behaviours associated with anxiety and fear,
2.7. Statistical analysis characterised by alertness and escape. In the present study, defen-
sive immobility behaviour was not observed after any treatment.
The results, expressed as scatter dot plot showing the The number of crossing reflected a quantitative measurement
mean ± standard error of the mean (S.E.M.), were analysed using of running behaviour displayed by rodents submitted to the

Fig. 1. Histologically confirmed localisation of the microinjection sites (filled circles) in modified diagrams of Paxinos and Watson's (2007). Injections sites outside (X) the dor-
somedial division of the ventromedial hypothalamus (VMHdm) are also displayed. The image presented on the lower right is an original photomicrograph of a diencephalic coronal
section at bregma 2.64 mm, showing a representative site (arrow) of the central microinjection of drugs into the VMHdm. Scale bar: 500 mm, stained with haematoxylin and eosin.
160 T. dos Anjos-Garcia et al. / Neuropharmacology 113 (2017) 156e166

pharmacological treatments. One-way ANOVA showed a significant p < 0.001 and duration F(7,53) ¼ 7.59; p < 0.001) and oriented escape
effect of the treatment on number of crossings (F(7,53) ¼ 12.44; (number, F(7,53) ¼ 16.75; p < 0.001 and duration, F(7,53) ¼ 12.27;
p < 0.001). Newman-Keuls post hoc test showed that, in compari- p < 0.001). In all cases, Newman-Keuls post hoc tests showed that
son with the veh-veh treatment, the veh-BIC treatment signifi- treatment with veh-BIC significantly increased all responses
cantly increased the number of crossing (p < 0.001). Only pre- (p < 0.001). Pre-treatment with AEA (0.5 and 5 pmol) decreased the
treatment with 5 pmol of AEA decreased this behaviour number and duration of non-oriented escape (p < 0.001) compared
(p < 0.05). AEA (5 pmol) per se and microinjections outside VMHdm with veh-BIC treatment. Regarding oriented escape, pre-treatment
had no effect compared with the veh-veh treatment (p > 0.05, with AEA (0.5 and 5 pmol) decreased the number (p < 0.05 and
Fig. 2A). p < 0.001, respectively), but only treatment with 5 pmol AEA
One-way ANOVA showed a significant effect of treatment on decreased the duration (p < 0.001) of oriented escape. In both cases,
time spent outside the burrow (F(7,53) ¼ 15.71 p < 0.001). Newman- AEA (5 pmol) per se and microinjections outside VMHdm had no
Keuls post hoc tests showed that compared with the veh-veh effect compared with veh-veh treatment (p > 0.05).
treatment, the veh-BIC treatment significantly increased the time
spent outside the burrow (p < 0.001). Only pre-treatment with 3.3. An intermediate dose of anandamide (AEA) attenuated the
5 pmol of AEA decreased this time (p < 0.05). AEA (5 pmol) per se defensive behaviour induced by bicuculline (BIC) microinjection into
and microinjections outside VMHdm had no effect compared with the VMHdm via CB1 receptors
the veh-veh treatment (p > 0.05, Fig. 2B). Regarding the alertness,
one-way ANOVA showed a significant effect of treatment on According to the results of first experiment, bicuculline-induced
number (F(7,53) ¼ 14.15; p < 0.001) and duration (F(7,53) ¼ 11.40; defensive behaviours are characterised by alertness and escape,
p < 0.001). Newman-Keuls post hoc tests showed that compared and defensive immobility was not observed. Similarly, intra-
with the veh-veh treatment, the veh-BIC treatment significantly diencephalic pre-treatment with 5 pmol anandamide, followed
increased the number (p < 0.001) and duration (p < 0.001) of by bicuculline microinjection into the VMHdm, reduces defensive
alertness. Pre-treatment with AEA (0.5, 5 and 50 pmol) decreased responses.
the number (p < 0.001) and duration (p < 0.001) compared Three-way ANOVA showed a significant interaction concerning
with veh-BIC treatment. AEA (5 pmol) per se and microinjections the number of crossing between the first and third injection
outside VMHdm had no effect compared with veh-veh treatment (F(7,53) ¼ 9.18; p < 0.05) and between the second and third injec-
(p > 0.05, Fig. 2C and D). tion (F(7,53) ¼ 10.33; p < 0.05). Newman-Keuls post hoc tests
The escape behavioural responses were classified as non- showed that BIC treatment increased the number of crossing,
oriented (Fig. 3A and B) and oriented (Fig. 3C and D) escape whereas AEA treatment significantly decreased this behaviour
behaviour. The one-way ANOVA showed a significant effect of (F(7,53) ¼ 44.64; p < 0.001, Fig. 4A). These effects were prevented
treatment on both non-oriented escape (number, F(7,53) ¼ 10.21; after pre-treatment with AM251 at 100 pmol (p > 0.05). The

Fig. 2. The effect of the central administration of anandamide (AEA 0.5, 5 or 50 pmol/0.2 mL), followed by the intra-VMHdm injection of bicuculline (BIC 40 ng/0.2 mL) or vehicle
(veh) on the number of crossing (A), time spent outside the burrow (B) and number and duration of alertness behaviours (C and D). The animals treated with microinjections of
drugs outside of the VMHdm were analysed and assembled into an OUT-group. The data are expressed as the mean ± S.E.M. (scatter dot plot; each dot representing one response
per animal); n ¼ 8, 8, 8, 9, 7, 7, 7 and 7, per group, respectively from left to right. *p < 0.05 and ***p < 0.001, compared with the veh-veh-treated group. #p < 0.05 and ##p < 0.01,
compared with the veh-BIC group (ANOVA, followed by Newman-Keuls post hoc test).
T. dos Anjos-Garcia et al. / Neuropharmacology 113 (2017) 156e166 161

Fig. 3. The effect of the central administration of anandamide (AEA 0.5, 5 or 50 pmol/0.2 mL), followed by the intra-VMHdm injection of bicuculline (BIC 40 ng/0.2 mL) or vehicle
(veh) on the number and duration of non-oriented (A and B) or oriented (C and D) escape. The animals treated with microinjections outside of the VMHdm were analysed and
assembled into an OUT-group. The data are expressed as the mean ± S.E.M. (scatter dot plot; each dot representing one response per animal); n ¼ 8, 8, 8, 9, 7, 7, 7 and 7, per group,
respectively from left to right. **p < 0.01 and ***p < 0.001, compared with the veh-veh-treated group. #p < 0.05 and ###p < 0.001, compared with the veh-BIC-treated group
(ANOVA, followed by Newman-Keuls post hoc test).

Fig. 4. The effect of the central administration of the cannabinoid CB1 receptor antagonist AM251 (100 pmol/0.1 mL), followed by microinjections of anandamide (AEA 5 pmol/0.1 mL)
on the effect of the intra-VMHdm injection of bicuculline (BIC 40 ng/0.1 mL) on the number of crossing (A), time spent outside the burrow (B) and number and duration of alertness
(C and D). The data are expressed as the mean ± S.E.M. (scatter dot plot; each dot representing one response per animal); n ¼ 8, 6, 9, 8, 7, 7, 8 and 8 per group, respectively from left
to right. *p < 0.05 and ***p < 0.001, compared with veh-veh-veh-treated group. ##p < 0.01 and ###p < 0.001, compared with veh-veh-BIC-treated group (ANOVA, followed by
Newman-Keuls post hoc test).
162 T. dos Anjos-Garcia et al. / Neuropharmacology 113 (2017) 156e166

Fig. 5. The effect of the central administration of the cannabinoid CB1 receptor antagonist AM251 (100 pmol/0.1 mL), followed by microinjections of anandamide (AEA 5 pmol/0.1 mL)
on the effect of the intra-VMHdm injection of bicuculline (BIC 40 ng/0.1 mL) on the number and duration of non-oriented (A and B) or oriented escape (C and D). The data are
expressed as the mean ± S.E.M. (scatter dot plot; each dot representing one response per animal); n ¼ 8, 6, 9, 8, 7, 7, 8, and 8, per group, respectively from left to right. **p < 0.01 and
***p < 0.001, compared with veh-veh-veh-treated group. ##p < 0.01 and ###p < 0.001, compared with veh-veh-BIC-treated group (ANOVA, followed by Newman-Keuls post hoc
test).

AM251-veh-BIC group showed a tendency (p ¼ 0.614) in increase first experiment, the Newman-Keuls post hoc tests showed that
the number of crossing compared with veh-veh-BIC group. A sig- pre-treatment with AEA significantly attenuated the non-oriented
nificant interaction in the time spent outside the burrow was (number, F(7,53) ¼ 16.46; p < 0.001 and duration, F(7,53) ¼ 16.36;
observed between the first and second injection (F(7,53) ¼ 4.90; p < 0.001) and oriented (number, F(7,53) ¼ 24.97; p < 0.001 and
p < 0.05). Newman-Keuls post hoc test showed that BIC treatment duration, F(7,53) ¼ 23.72; p < 0.001) escape induced with bicuculline
increased the time spent outside the burrow, whereas AEA treat- microinjection in the VMHdm. These effects were prevented after
ment significantly decreased this time (F(7,53) ¼ 31.05; p < 0.001, VMHdm pre-treatment with AM251 at 100 pmol (p > 0.05). In
Fig. 4B), which was prevented by the VMHdm pre-treatment with contrast to oriented escape, the VMHdm pre-treatment with
AM251 at 100 pmol (p > 0.05). AM251 at 100 pmol (AM251-veh-BIC treatment) significantly
Three-way ANOVA showed a significant interaction only in increased (p < 0.001) the effects of bicuculline (veh-veh-BIC
duration of alertness behaviour between the first and the second treatment) for non-oriented escape behaviour. No effects were
injection (number, F(7,53) ¼ 3.44; p > 0.05 and duration observed in the control groups compared with the veh-veh-veh
F(7,53) ¼ 4.42; p < 0.05). Newman-Keuls post hoc test showed that treatment group (p > 0.05, Fig. 5A, B, C and D).
AEA significantly attenuated the alertness behaviour induced by
VMHdm treatment with bicuculline (number, F(7,53) ¼ 8.46; 3.4. TRPV1 (transient receptor potential cation channel, subfamily
p < 0.001 and duration F(7,53) ¼ 6.48; p < 0.001, Fig. 4C and D). In all V, member 1) channel is involved in the AM251-related potentiation
cases, the VMHdm pre-treatment with AM251 (100 pmol) did not of bicuculline effects on non-oriented escape
change the observed responses compared with veh-veh-BIC
treatment (p > 0.05), and the respective control treatments had According to the results from the second experiment, the
no effect compared with veh-veh-veh treated-group (p > 0.05). VMHdm treatment with bicuculline induced defensive responses
Regarding escape, three-way ANOVA showed a significant and AM251 potentiated the facilitatory effect of bicuculline on non-
interaction between the first and third injections (number, oriented escape behaviour. However, this proaversive effect was
F(7,53) ¼ 12.27; p < 0.05 and duration, F(7,53) ¼ 12.75; p < 0.05) and prevented by the blockade of TRPV1 channel.
second and third injections (number, F(7,53) ¼ 13.26; p < 0.05 and One-way ANOVA showed a significant effect of the treatment on
duration, F(7,53) ¼ 13.51; p < 0.05) for non-oriented escape, whereas number of crossings (F(3,27) ¼ 43.72; p < 0.001). Newman-Keuls
a significant interaction was observed between the first and second post hoc test showed that VMHdm treatment with bicuculline
injections (number, F(7,53) ¼ 8.27; p < 0.05 and duration, elicited escape behaviour with enhancement of the number of
F(7,53) ¼ 17.47; p < 0.05), between the first and third injections crossings, whereas AM251 treatment potentiated this response
(number, F(7,53) ¼ 6.19; p < 0.05 and duration, F(7,53) ¼ 7.84; (p < 0.01). These effects were, however, prevented by VMHdm pre-
p < 0.05), second and third injections (number, F(7,53) ¼ 12.57; treatment with 6-I-CPS at 3 nmol (p > 0.05, Fig. 6A). One-way
p < 0.05 and duration, F(7,53) ¼ 5.25; p < 0.05) and interaction be- ANOVA showed a significant effect of treatment on time spent
tween this three injections (number, F(7,53) ¼ 6.11; p < 0.05 and outside the burrow (F(3,27) ¼ 57.09; p < 0.001). Newman-Keuls post
duration, F(7,53) ¼ 9.66; p < 0.05) for oriented escape. Similar to the hoc tests showed that VMHdm treatment with bicuculline
T. dos Anjos-Garcia et al. / Neuropharmacology 113 (2017) 156e166 163

Fig. 6. The effect of the central administration of the TRPV1 (transient receptor potential cation channel, subfamily V, member 1) vanilloid antagonist 6-Iodonordihydrocapsaicin (6-
I-CPS; 3 nmol/0.1 mL), followed by microinjections of the CB1 cannabinoid receptor antagonist AM251 (100 pmol/0.1 mL) on the effect of the dorsomedial division of the ventromedial
hypothalamus (VMHdm) treatment with bicuculline (BIC 40 ng/0.1 mL) on the number of crossing (A), time spent outside the burrow (B) and number and duration of alertness (C
and D). The data are expressed as the mean ± S.E.M. (scatter dot plot; each dot representing one response per animal); n ¼ 8, 8, 8 and 7 per group, respectively from left to right.
**p < 0.01 and ***p < 0.001, compared with veh-veh-veh-treated group. ##p < 0.01 compared with veh-veh-BIC-treated group (according to ANOVA, followed by Newman-Keuls
post hoc test).

significantly increased the time spent outside the burrow between the oriented and non-oriented escape behaviours
(p < 0.001). Any VMHdm pre-treatment changed this response (Biagioni et al., 2016b; Ullah et al., 2015). In the present study, we
(p > 0.05, Fig. 6B). One-way ANOVA showed a significant effect of provided the first evidence that the intra-VMHdm administration
treatment on number (F(3,27) ¼ 11.25; p < 0.001) and duration of bicuculline induced anxiety and panic-like responses attenuated
(F(3,27) ¼ 7.30; p < 0.01) of alertness. Newman-Keuls post hoc tests by an intermediate dose of anandamide, which was prevented after
showed that VMHdm treatment with bicuculline significantly microinjections of the CB1 receptor antagonist.
increased the number (p < 0.001) and duration (p < 0.01) of Studies have shown that the inhibition of GABAergic neuro-
alertness and any VMHdm pre-treatment changed this response transmission or administration of excitatory amino acids in the
(p > 0.05; Fig. 6C and D). mesencephalic tectum (Branda ~o et al., 1988; Ullah et al., 2015) or in
Regarding the escape behaviour, one-way ANOVA showed a diencephalic structures, such as the hypothalamus (Biagioni et al.,
significant effect of treatment on number (F(3,27) ¼ 11.38; p < 0.001) 2013, 2016a, 2016b; de Freitas et al., 2014; Freitas et al., 2009;
and duration (F(3,27) ¼ 9.51; p < 0.001) of non-oriented escape Milani and Graeff, 1987; Ullah et al., 2015), induces panic-like
behaviour. Newman-Keuls post hoc tests showed that VMHdm defence reactions in rodents. However, there is evidence that the
treatment with bicuculline (veh-veh-BIC treatment) significantly defensive behaviour organised through hypothalamic neurons is
increased the number (p < 0.01) and duration (p < 0.05) of non- rich in exploratory responses and vertical jumps compared with
oriented escape behaviour and VMHdm pre-treatment with more explosive reactions elaborated through dorsal midbrain
AM251 at 100 pmol (veh-AM251-BIC treatment) potentiated the structures (Brand~ ao et al., 1986; Coimbra et al., 2006; Di Scala et al.,
proaversive effect of VMHdm treatment with bicuculline (number 1984; Schmitt et al., 1985). These studies suggest that the hypo-
and duration of non-oriented escape behaviour, p < 0.05 in both thalamus is responsible for integrating more elaborate behavioural
cases). These effects were prevented by VMHdm pre-treatment responses compared with more explosive/non-oriented responses
with 6-I-CPS at 3 nmol (p > 0.05; Fig. 7A and B), reflecting on the organised through midbrain structures, as recently reported (Ullah
increasing of crossings behaviour observed previously. There was a et al., 2015). These responses are characterised by less intense in-
significant effect of treatment on number (F(3,27) ¼ 9.42; p < 0.001) crease in coordinated escape to a safe place, interspersed by
and duration (F(3,27) ¼ 12.94; p < 0.001) of oriented escape, post hoc alertness behaviour (Biagioni et al., 2012; Branda ~o et al., 1986; Di
tests showed that VMHdm treatment with bicuculline significantly Scala et al., 1984; Freitas et al., 2009; Ullah et al., 2015).
increased the number (p < 0.001) and duration (p < 0.001) of ori- Interestingly, regarding the escape response, we observed that
ented escape and any diencephalic pre-treatment changed this the number of oriented escape responses was two-fold higher than
behavioural responses (p > 0.05 in all cases; Fig. 7C and D). the number of non-oriented escape responses. Oriented responses,
such as climbing the walls of the arena, climbing the roof of the
4. Discussion burrow, escaping to the burrow and vertical jumping, suggest
behavioural responses directed to a safe place. Indeed, the pattern
The polygonal arena comprises a complex experimental envi- of responses evoked through the chemical stimulation of hypo-
ronment with an artificial burrow for the study and discrimination thalamic areas are more elaborated (Branda ~o et al., 1986; Di Scala
164 T. dos Anjos-Garcia et al. / Neuropharmacology 113 (2017) 156e166

Fig. 7. The effect of the central administration of TRPV1 (transient receptor potential cation channel, subfamily V, member 1) vanilloid antagonist 6-Iodonordihydrocapsaicin (6-I-
CPS; 3 nmol/0.1 mL), followed by microinjections of cannabinoid CB1 receptor antagonist AM251 (100 pmol/0.1 mL) on the effect of the dorsomedial division of the ventromedial
hypothalamus (VMHdm) treatment with bicuculline (BIC 40 ng/0.1 mL) on the number and duration of non-oriented (A and B) or oriented escape (C and D). The data are expressed
as the mean ± S.E.M. (scatter dot plot; each dot representing one response per animal); n ¼ 8, 8, 8, and 7, per group, respectively from left to right. *p < 0.05, **p < 0.01 and
***p < 0.001, compared with veh-veh-veh-treated group. #p < 0.05 compared with veh-veh-BIC-treated group (according to ANOVA, followed by Newman-Keuls post hoc test).

et al., 1984; Freitas et al., 2009) compared with the chemical is an ion channel permeable to calcium ions, and this ion channel
stimulation of mesencephalic structures (Coimbra et al., 2006). has been implicated in panic-like responses (Chhatwal and Ressler,
Escape and defensive immobility are susceptible to panicolytic 2007; Xing and Li, 2007). Thus, the inhibition of TRPV1 receptors
drugs (Blanchard et al., 1997; McNaughton and Corr, 2004). potentiated the effects of high doses of anandamide and decreased
Consistent with the data obtained in the present study, ananda- oxide nitric-induced defensive responses (Lisboa and Guimara ~es,
mide promotes panicolytic- and anxiolytic-like effects or generally 2012). Consistently, high doses of anandamide used in the pre-
anti-aversive effects, considering that this endocannabinoid sent study did not decrease the defensive responses induced
reduced both escape and alertness behavioural responses, respec- through bicuculline microinjection in the VMHdm. Accordingly,
tively, elicited after VMHdm treatment with bicuculline. Moreover, some studies have shown that TRPV1 antagonists show anti-
the anti-aversive effect of anandamide followed a bell-shaped aversive effects, likely reflecting the binding of endogenous anan-
dose-response curve, suggesting that intra-hypothalamic admin- damide to CB1 receptors. This hypothesis is supported by the in-
istrations of anandamide induce different responses at low, inter- hibition of the anti-aversive effect of TRPV1 antagonists through
mediate and high doses. In contrast to the classical inverted U- the pre-treatment with CB1 antagonists (Almeida-Santos et al.,
shaped dose-response curve of endocannabinoids, U-shaped dose- 2013; Casarotto et al., 2012), thereby explaining the effects
response curves were generated in the present study. This differ- observed after administering a high dose of anandamide in the
ence might reflect differences in the aversion caused by central present study.
bicuculline microinjection, which induced defensive responses, The present work showed for the first time that the endo-
compared with other studies using other stressors, such as natural cannabinoid neuromodulator anandamide is able to change
predators (Almada et al., 2015; Almada and Coimbra, 2015; defensive responses elaborated by ventromedial hypothalamus
Twardowschy et al., 2013; Uribe-Marin ~ o et al., 2012) or unpro- neurons once the previous studies focused on other limbic struc-
tected spaces (Moreira et al., 2007). tures activity. Regarding the dorsolateral columns of the peri-
Anandamide promotes panicolytic and anxiolytic-like effects as aqueductal grey matter (dPAG), there is evidence that
showed in the first experiment and replicated in the second set of endocannabinoids can modulate defensive behaviour through CB1
experiments. Pre-treatment of the VMHdm with the CB1 receptor receptors in animals submitted to the elevated plus-maze test, an
antagonist AM251 followed by administration of anandamide animal model of anxiety. In fact, the anandamide induced
(AM251-AEA-BIC treatment) restored the aversive effects of intra- anxiolytic-like effect through CB1 receptor since this anxiolytic-like
hypothalamic treatment with bicuculline. These findings suggest effect was prevented by the intramesencephalic pre-treatment
that the activation of the CB1 receptor also modulates panic- and with the CB1 receptor antagonist AM251 (Moreira et al., 2007),
anxiety-like responses in diencephalic areas. exactly the same treatment used in our study but microinjected in
Interestingly, previous studies have shown that anandamide diencephalic structures. Other investigation showed similar results
activates both CB1 and transient receptor potential cation channel, using dPAG electrical stimulation, since the pre-treatment of the
subfamily V, member 1 (TRPV1) vanilloid receptors, resulting in dorsal midbrain with the CB1 receptor antagonist AM251 was able
panicolytic and panicogenic-like effects associated with the inhi- to prevent the panicolytic-like effect of the CB1 receptor agonist
bition and facilitation of escape responses, respectively. The TRPV1 ACEA (Casarotto et al., 2012). Still in relation to dPAG, a recent
T. dos Anjos-Garcia et al. / Neuropharmacology 113 (2017) 156e166 165

report showed that the nitric oxide donor SIN-1 induces flight re- of CB1 receptors has been previously demonstrated in the para-
sponses evaluated by increase in distance moved and speed of ventricular and ventromedial nuclei in infundibular and lateral hy-
motor responses displayed by rats in a circular arena of an open- pothalamic areas. These receptors in the hypothalamus have been
field test, and these responses were attenuated by anandamide, identified on glutamatergic neurons (Marsicano and Lutz, 1999).
whereas the blockade of CB1 receptors with AM251 was able to Additionally, other studies have showed the predominance of CB1
prevent that proaversive effect (Lisboa and Guimara ~es, 2012). In the receptors on the axon terminals of GABAergic neurons (Katona et al.,
present work, instead of only recording the distance travelled by 1999; Szabo and Schlicker, 2005).
stimulated rodents and the speed of movements, we measured the In summary, the pharmacological treatments used in the pre-
effect of CB1 cannabinoid receptor-mediated antiaversive effect of sent study indicate a role for the VMHdm in the organisation of
anandamide microinjected in the medial hypothalamus on defen- defensive behaviour, suggesting a CB1 receptor-mediated modula-
sive behavioural reactions, highlighting the differences between tory role for anandamide in the organisation of the panic-attack-
oriented and non-oriented escape behaviour orchestrated by the like emotional responses elaborated through this structure. Addi-
dorsomedial division of ventromedial hypothalamus. tional neuropharmacological evidence suggests a critical role of
Regarding the telencephalic structures, studies have shown that TRPV1 channel in the AM251-related potentiation of hypothalamic
the prefrontal cortex treatment with the CB1 receptor agonist facilitatory bicuculline effects on non-oriented panic-like escape
methanandamide (mAEA) induces anxiolytic-like effects compa- behaviour.
rable in intensity to that caused by the referential benzodiazepine
compound midazolam tested in the elevated plus-maze test; an Conflict of interest
effect also prevented by AM251 (Rubino et al., 2008). Similar
findings were found on the prelimbic medial prefrontal cortex The authors declare that there are no conflicts of interest with
neuronal activity (Fogaça et al., 2012). respect to the work presented herein.
In addition, although it is difficult to compare the pattern of the
modulatory effect exerted by anandamide on defensive responses Appendix A. Supplementary data
evoked by either telencephalic, diencephalic or mesencephalic
structures activation in rodents submitted to different experi- Supplementary video related to this article can be found at
mental models of anxiety and instinctive fear, the CB1-canabinoid http://dx.doi.org/10.1016/j.neuropharm.2016.04.003.
signalled antiaversive effect of anandamide seems to be consistent.
In the present work, it was the first time in which the effect of Acknowledgements
anandamide was investigated on diencephalic structures on both
oriented and non-oriented escape behavioural reactions elicited in This research was financially supported through grants from
complex environments, as recently clearly described in literature FAPESP (processes 2007/01174-1, 2009/54014-7, and 2012/03798-
(Biagioni et al., 2016b; Ullah et al., 2015). 0) and CNPq (processes 483763/2010-1 and 474853/2013-6). T. dos
Interestingly, AM251-veh-BIC treatment increased the number Anjos-Garcia was financially supported through CNPq (M.Sc.
and duration of non-oriented escape evoked after bicuculline fellowship, process 130124/2012-5; Sc. D. fellowship, process
treatment, a pattern of responses evoked through the stimulation 141124/2014-8). Each organisation had no further role in the study
of mesencephalic structures (Biagioni et al., 2016b; Coimbra et al., design, the collection, analysis, and interpretation of the data,
2006; Ullah et al., 2015). The third set of experiments was per- writing the report, or the decision to submit the paper for publi-
formed to investigate the hypothesis that the potentiation observed cation. F. Ullah was financially supported through TWAS-CNPq
with AM251-veh-BIC treatment depends on TRPV1 channel acti- (Sc.D. fellowship; process 190316/2010-1). L.L. Falconi-Sobrinho
vation. Our results showed that VMHdm pre-treatment with a was supported by FAPESP (M.Sc. fellowships process 2013/10984-
TRPV1 channel selective antagonist (6-I-CPS-AM251-BIC treat- 8). N.C. Coimbra is a researcher (level 1A) from CNPq (processes
ment) did not change the behavioural responses, except the non- 301905/2010-0 and 301341/2015-0). The authors would like to
oriented escape behaviour which was restored by VMHdm treat- thank Daoud Hibrahim Elias Filho for expert technical assistance.
ment with this selective TRPV1 channel antagonist. This effect can D.H. Elias-Filho received technician scholarships from FAPESP (TT-2,
be explained by the fact that the CB1 antagonist facilitated the process 02/01497-1) and CNPq (processes 501858/2005-9, 372654/
activation of TRPV1 channels through endogenous anandamide, 2006-1, 372810/2008-0, 372877/2010-9, and 474853/2013-6).
thereby increasing defensive behaviour possibly through the
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