MILESTONES IN MEDICAL SCIENCE:

Nature's Balm for a Stressed Brain

March 2014

Stress-related conditions are common in modern societies, including post-traumatic stress disorder and the drug-withdrawal stress that often defeats addicts' efforts to kick their habit. Collaborating scientists at TSRI, the National Institutes of Health (NIH), and the University of Camerino in Italy have identified a system in the brain that naturally moderates the effects of stress and helps the brain return to "normal." The findings confirm the importance of this stress-damping system – known as the nociceptin system – as a potential target for therapies against anxiety disorders and other stress-related conditions.

Marisa Roberto

TSRI Associate Professor Marisa Roberto

"We were able to demonstrate the ability of this nociceptin anti-stress system to prevent and even reverse some of the cellular effects of acute stress in an animal model," said biologist Marisa Roberto, associate professor in TSRI's addiction research department, known as the Committee on Neurobiology of Addictive Disorders, and the principal investigator for the study.

Nociceptin, which is produced in the brain, belongs to the family of opioid neurotransmitters. But the resemblance essentially ends there. Nociceptin binds to its own specific receptors (called NOP receptors) but doesn't bind well to other opioid receptors. The scientists who discovered it in the mid-1990s also noted that when nociceptin is injected into the brains of mice, it doesn't kill pain – it makes pain worse.

The molecule was eventually named for this "nociceptive" (pain-producing) effect. However, subsequent studies demonstrated that, by activating its corresponding receptor NOP, nociceptin acted as an antiopioid and not only affected pain perception, but also blocked the rewarding properties of opioids such as morphine and heroin.

Perhaps of greatest interest, several studies in rodents have found evidence that nociceptin can act in the amygdala, a part of the brain that controls basic emotional responses, to counter the usual anxiety-producing effects of acute stress. There have also been hints that this activity occurs automatically as part of a natural stress-damping feedback response.

Scientists have wanted to know more about the anti-stress activity of the nociceptin/NOP system, in part because it might offer a better way to treat stress-related conditions. For the new study, Dr. Roberto and her collaborators looked in more detail at the nociceptin/NOP system in the central amygdala.

First, Markus Heilig's laboratory at the National Institute on Alcohol Abuse and Alcoholism (NIAAA), part of the NIH, measured the expression of NOP-coding genes in the central amygdala in rats. The team found that, in animals subjected to standard laboratory stress conditions, the NOP gene activity rose sharply, as if to compensate for the elevated stress.

Dr. Roberto and her laboratory at TSRI then used a novel technique to measure the electrical activity of stress-sensitive neurons in the central amygdala. As expected, this activity rose when levels of the stress hormone CRF rose and started out at even higher levels in the stressed rats. But this stress-sensitive neuronal activity could be dialed down by adding nociceptin. The stress-blocking effect was especially pronounced in the stressed rats – probably due to their stress-induced increase in NOP receptors.

Finally, biologist Roberto Ciccocioppo and his laboratory at the University of Camerino conducted a set of behavioral experiments showing that injections of nociceptin specifically into the central amygdala powerfully reduced anxiety-like behaviors in the stressed rats, but showed no behavioral effect in non-stressed rats.

In future studies, Dr. Roberto and her colleagues hope to determine whether this nociceptin/NOP stress reduction system somehow becomes dysfunctional in chronic stress conditions. "I suspect that chronic stress induces changes in amygdala neurons that can contribute to the development of some anxiety disorders," said Dr. Roberto.

Compounds that mimic nociceptin by activating NOP receptors – but, unlike nociceptin, could be taken in pill form – are under development by pharmaceutical companies.

Subscribe to our monthly e-newsletter, At the Forefront, and be the first to know about the
latest scientific breakthroughs happening at TSRI.

Please enter your email address: