Dr David P. Finn, Pharmacology and Therapeutics, School of Medicine, National University of Ireland, Galway, University Road, Galway, Ireland. E-mail: firstname.lastname@example.org
BACKGROUND AND PURPOSE Endocannabinoids in the midbrain periaqueductal grey (PAG) modulate nociception and unconditioned stress-induced analgesia; however, their role in fear-conditioned analgesia (FCA) has not been examined. The present study examined the role of the endocannabinoid system in the dorsolateral (dl) PAG in formalin-evoked nociceptive behaviour, conditioned fear and FCA in rats.
EXPERIMENTAL APPROACH Rats received intra-dlPAG administration of the CB1 receptor antagonist/inverse agonist rimonabant, or vehicle, before re-exposure to a context paired 24 h previously with foot shock. Formalin-evoked nociceptive behaviour and fear-related behaviours (freezing and 22 kHz ultrasonic vocalization) were assessed. In a separate cohort, levels of endocannabinoids [2-arachidonoyl glycerol (2-AG) and N-arachidonoyl ethanolamide (anandamide; AEA)] and the related N-acylethanolamines (NAEs) [N-palmitoyl ethanolamide (PEA) and N-oleoyl ethanolamide (OEA)] were measured in dlPAG tissue following re-exposure to conditioned context in the presence or absence of formalin-evoked nociceptive tone.
KEY RESULTS Re-exposure of rats to the context previously associated with foot shock resulted in FCA. Intra-dlPAG administration of rimonabant significantly attenuated FCA and fear-related behaviours expressed in the presence of nociceptive tone. Conditioned fear without formalin-evoked nociceptive tone was associated with increased levels of 2-AG, AEA, PEA and OEA in the dlPAG. FCA was specifically associated with an increase in AEA levels in the dlPAG.
CONCLUSIONS AND IMPLICATIONS Conditioned fear to context mobilises endocannabinoids and NAEs in the dlPAG. These data support a role for endocannabinoids in the dlPAG in mediating the potent suppression of pain responding which occurs during exposure to conditioned aversive contexts.
Though pain is part of a global defence response initiated upon exposure to noxious stimuli, maladaptive persistent/chronic pain is a major unmet clinical need. Conditioned fear is known to suppress nociceptive behaviour potently, resulting in fear-conditioned analgesia (FCA), the phenomenon by which re-exposure of an animal to a context previously paired with an aversive stimulus (e.g. foot shock) results in conditional analgesia (Ford and Finn, 2008; Butler and Finn, 2009). A large body of evidence suggests overlap in the neural substrates mediating pain and conditioned fear. Recent studies have also described significant co-morbidity of anxiety disorders with persistent pain conditions (Asmundson and Katz, 2009) and altered pain processing in patients with anxiety disorders, including post-traumatic stress disorder (Geuze et al., 2007; Kraus et al., 2009). In light of this evidence, detailed understanding of the neurobiology underpinning the relationship between fear and pain is of fundamental physiological and potential therapeutic significance.
The endogenous cannabinoid system is a novel lipid signalling system comprised of at least two G-protein-coupled cannabinoid receptors (CB1 and CB2; receptor nomenclature follows Alexander et al., 2011) (Matsuda et al., 1990; Gerard et al., 1991), endogenous ligands or so-called ‘endocannabinoids’ that bind to and activate the cannabinoid receptors, the two best characterized being 2-arachidonoyl glycerol (2-AG) and N-arachidonoyl ethanolamide (anandamide; AEA) (Devane et al., 1992; Mechoulam et al., 1995; Sugiura et al., 1995) and the enzymes regulating the biosynthesis and degradation of these endocannabinoids. Fatty acid amide hydrolase (FAAH) and monoacyglycerol lipase (MAGL) are two key enzymes catalysing the degradation of AEA and 2-AG respectively (Ahn et al., 2008). Additional fatty acid amides related to the endocannabinoids include the N-acylethanolamines (NAEs), N-palmitoyl ethanolamide (PEA) and N-oleoyl ethanolamide (OEA) (Walker et al., 2002) that, despite having little or no affinity for, or activity at, the CB receptors, are believed to enhance endocannabinoid signalling by competing with AEA for the catalytic site of FAAH (Cravatt et al., 1996; 2001). The endocannabinoid system has recently emerged as an important modulator of many neural functions including the control of fear- and pain-related behaviour (Guindon and Hohmann, 2009; Moreira et al., 2009; Finn, 2010).
A role for the endocannabinoid system in the suppression of pain responding during or following exposure to either unconditioned or conditioned stress has been demonstrated. For example, our previous work has shown that FCA modelled in rats by assessing formalin-evoked nociceptive behaviour in a context previously paired with foot shock, is prevented by systemic administration of the CB1 receptor antagonist/inverse agonist rimonabant (Finn et al., 2004) and enhanced by systemic administration of the FAAH inhibitor URB597 (Butler et al., 2008). Work by Hohmann et al has demonstrated an important role for the endocannabinoid system in the dlPAG in mediating unconditioned stress-induced analgesia expressed as a suppression of tail-flick responding following exposure of rats to unconditioned foot shock stress (Hohmann et al., 2005). Specifically, this form of analgesia evoked by unconditioned physical stress was blocked by intra-dlPAG administration of rimonabant and enhanced by intra-dlPAG administration of the FAAH inhibitors, arachidonoyl 5-HT (AA-5-HT) and URB597, or the MAGL inhibitor, URB602 (Hohmann et al., 2005; Suplita et al., 2005). However, the role of the endocannabinoid system in the PAG in analgesia induced by conditioned psychological stress/fear (FCA) has not been examined. In addition, no studies to date have investigated the role of the endocannabinoid system in the PAG in fear expressed in the presence of nociceptive tone. Thus, we sought here to determine the role of the endocannabinoid system in the dlPAG in the expression of FCA, formalin-evoked nociceptive behaviour per se and fear expression in the presence of formalin-evoked nociceptive tone. The results suggest that conditioned fear to context mobilises endocannabinoids and NAEs in the dlPAG and support a role for the endocannabinoid system in the dlPAG in mediating the potent suppression of pain responding that occurs during exposure to conditioned aversive contexts.
All animal care and experimental protocols were in accordance with EU Directive 86/609 and approved by the Animal Care and Research Ethics Committee, National University of Ireland, Galway, under license from the Department of Health and Children in the Republic of Ireland. Experiments were carried out on adult male Lister–Hooded rats (240–310 g; Charles River, Kent, UK) maintained at a constant temperature (21 ± 2°C) under standard lighting conditions (12:12 h light : dark, lights on from 07:00 to 19:00 h). All experiments were carried out during the light phase between 08:00 h and 17:00 h. Food and water were available ad libitum.
The CB1 receptor antagonist/inverse agonist rimonabant (SR141716A; (N-[piperidin-1-yl]-5-[4-chlorophenyl]-1-[2,4-dichlorophenyl]-4-methyl-1-H-pyrazole-3-carboxamide], NIMH Chemical Synthesis Programme Batch 10937-163-1) was dissolved on the day of use at a concentration of 2 mM in dimethylsulphoxide (DMSO, 100%). This concentration of rimonabant was chosen based on pilot studies in our laboratory and previous work demonstrating that it attenuated unconditioned stress-induced analgesia in rats when injected into the dorsal PAG (Hohmann et al., 2005; Suplita et al., 2005).
Under isoflurane (2–3% in O2, 0.5 L·min−1) anaesthesia, a stainless steel guide cannula (9 mm length, Plastics One Inc., Roanoke, VA) was stereotaxically implanted 1 mm above the right dlPAG of each rat (coordinates: AP =−6.3 mm from bregma, ML =+1.9 mm at an angle of 16°, DV = 4 mm from the meningeal dura matter according to the rat brain atlas published by Paxinos and Watson (1997). The cannulae were permanently fixed to the skull using stainless steel screws and carboxylate cement. A stylet made from stainless steel tubing (Plastics One Inc.) was inserted into the guide cannula to prevent blockage by debris. The non-steroidal anti-inflammatory agent, carprofen (1.25 mg/25 µL, s.c., Rimadyl, Pfizer, Kent, UK), was administered before the surgery to provide postoperative analgesia. Animals received a single daily dose of the antimicrobial agent enrofloxacin (10 mg·kg−1, s.c., Batyril, Bayer Plc, Berkshire, UK) for 5 days to prevent postoperative infection. Following cannula implantation, the rats were housed singly and at least 6 days were allowed for recovery after surgery before experimentation. During this recovery period, the rats were handled, and their body weight and general health were monitored daily.
The experimental procedure was essentially as described previously (Finn et al., 2004; 2006; Roche et al., 2007; 2010; Butler et al., 2008). In brief, it consisted of two phases, conditioning and testing, occurring 24 h apart. Animals were randomly assigned to groups, and the sequence of testing was randomized in order to minimize any confounding effects of testing procedure. On the conditioning day, rats were placed in a Perspex fear conditioning / observation chamber (30 × 30 × 40 cm), and after 15 s received the first of 10 foot shocks spaced 60 s apart (0.4 mA, 1 s duration; LE85XCT Programmer and Scrambled Shock Generator, Linton Instrumentation, Norfolk, UK). Fifteen seconds after the last foot shock, rats were returned to their home cage. Controls not receiving foot shock were exposed to the chamber for an equivalent 9.5 min period.
Experiment 1. The test phase commenced 23.5 h later when the animals received an intra-plantar injection of 50 µL formalin (2.5% in 0.9% saline) into the right hind paw under brief isoflurane anaesthesia (3% in O2; 0.5 L·min−1). Rats were returned to their home cage for a further 15 min, after which time they received a single intra-dlPAG microinjection (0.2 µL) of rimonabant (0.4 nmol) or vehicle (100% DMSO) using an injector and Hamilton syringe as described previously (Finn et al., 2003, Roche et al., 2007).
This design resulted in four experimental groups: fear conditioning + vehicle (FC–Veh); fear conditioning + rimonabant (FC–Rim); no fear conditioning + vehicle (NoFC–Veh) and no fear conditioning + Rimonabant (NoFC–Rim). Following intra-dlPAG injection, rats were returned to their home cage until 30 min after the formalin injection when they were placed back in the Perspex observation chamber to which they had been exposed during the conditioning phase. A bat detector (Batbox Duet, Batbox, Steyning, West Sussex, UK) was used to detect ultrasonic vocalization in the 22 kHz range and behaviours were recorded for 15 min with the aid of a video camera located beneath the observation chamber. The 30–45 min post-formalin interval was chosen on the basis of previous studies demonstrating robust suppression of formalin-evoked nociceptive behaviour upon re-exposure to an aversively conditioned context during this part of the second phase formalin response (Finn et al., 2004; 2006; Roche et al., 2007; 2010; Rea et al., 2009), and our previous work demonstrating that such FCA expressed during this period is CB1 receptor-mediated (Finn et al., 2004; Butler et al., 2008).
Rats were decapitated at the end of the test trial and 0.2 µL 2% fast-green dye (dissolved in DMSO) was microinjected via the guide cannula to mark the site of injection. Following removal of the brain, a block of tissue either side of the injection site (PAG) was removed, snap-frozen on dry ice and stored at −80°C for subsequent histological verification of cannula positioning in the right dlPAG.
Experiment 2. A separate cohort of rats underwent a similar experimental protocol to that described above but without intra-PAG cannulation or administration of rimonabant. This design comprised a conditioning phase on day 1 followed 23.5 h later by intra-plantar injection of formalin or saline as described above. Rats were returned to their home cage until 30 min after intra-plantar injection, when they were placed back in the Perspex observation chamber to which they had been exposed during the conditioning phase. This design resulted in four experimental groups: fear conditioning + saline (FC–Sal); fear conditioning + formalin (FC–Form); no fear conditioning + saline (NoFC-Sal) and no fear conditioning + formalin (NoFC–Form). Behaviours were recorded for 3 min and then the animals were removed, decapitated and the brains removed rapidly, snap-frozen on dry ice and stored at −80°C for subsequent cryo-sectioning and collection of dlPAG tissue for quantitation of endocannabinoids and the entourage NAEs. The 3 min post-fear induction time point was chosen based on the data from Experiment 1, demonstrating robust expression of FCA at this time-point and published work demonstrating fear-induced increases in brain endocannabinoid concentrations at this time point (Marsicano et al., 2002).
The site of injection was determined before histological analysis. The block of tissue containing the PAG was cryo-sectioned (30 µm), and the brain sections marked with green dye were mounted on glass slides and counterstained with cresyl violet in order to determine the precise location of the site of microinjection using a light microscope.
Behaviour was analysed using the Observer XT 7.0 software package (Noldus Technology, Wageningen, the Netherlands), which allowed for continuous event recording over the duration of the trial. A trained observer, unaware of the experimental conditions, assessed behaviour including the duration of freezing (defined as the cessation of all visible movement except that necessary for respiration), duration of 22 kHz ultrasound emission and general behaviours (walking, rearing and grooming). Formalin-evoked nociceptive behaviour was scored according to the weighted composite pain scoring (CPS) technique described by Watson et al. (1997). According to this method, pain behaviours are categorized as time spent raising the formalin-injected paw above the floor without contact with any other surface (C1), and holding, licking, biting, shaking or flinching the injected paw (C2) to obtain a CPS [CPS = (C1 + 2(C2)) / (total duration of analysis period)]. Post-formalin oedema was assessed by measuring the hind paw diameter before and after formalin injection using Vernier callipers.
Quantitation of endocannabinoids and related NAEs in dlPAG tissue using liquid chromatography–tandem mass spectrometry (LC-MS/MS)
Frozen coronal brain sections (300 µm) containing the dlPAG from rats in Experiment 2 were cut on a cryostat. Tissue from the right dlPAG was punched from the frozen sections (between bregma, −5.6 mm and bregma, −7.64 mm) (Paxinos and Watson, 1997) using cylindrical brain punchers (Harvard Apparatus, Edenbridge, Kent, UK internal diameter 2 mm). Each punched tissue sample was kept frozen throughout the collection procedure, weighed (average weight of punched tissue = 7.5 mg) and stored at −80°C before extraction for and determination of, the concentrations of the endocannabinoids anandamide (AEA) and 2-arachidonoyl glycerol (2-AG) and the related NAEs N-palmitoyl ethanolamide (PEA) and N-oleoyl ethanolamide (OEA) by LC-MS/MS. Tissue extraction was carried out using a lipid extraction method as follows: each brain tissue sample was first homogenized in 400 µL 100% acetonitrile containing known fixed amounts of deuterated internal standards (0.014 nmol AEA-d8, 0.48 nmol 2-AG-d8, 0.016 nmol PEA-d4, 0.015 nmol OEA-d2). Homogenates were centrifuged at 14 000×g for 15 min at 4°C, and the supernatant was collected and evaporated to dryness in a centrifugal evaporator. Lyophilized samples were resuspended in 40 µL 65% acetonitrile, and 2 µL was injected onto a Zorbax® C18 column (150 × 0.5 mm internal diameter) from a cooled autosampler maintained at 4°C (Agilent Technologies Ltd, Cork, Ireland). Mobile phases consisted of A (HPLC grade water with 0.1% formic acid) and B (acetonitrile with 0.1% formic acid), with a flow rate of 12 µL·min−1. Reversed-phase gradient elution began initially at 65% B and over 10 min was ramped linearly up to 100% B. At 10 min, the gradient was held at 100% B up to 20 min. At 20.1 min, the gradient returned to initial conditions for a further 10 min to re-equilibrate the column. The total run time was 30 min. Under these conditions, AEA, 2-AG, PEA and OEA eluted at the following retention times: 11.36 min, 12.8 min, 14.48 min and 15.21 min respectively. Analyte detection was carried out in electrospray-positive ionisation mode on an Agilent 1100 HPLC system coupled to a triple quadrupole 6460 mass spectrometer (Agilent Technologies Ltd). Instrument conditions and source parameters including fragmentor voltage and collision energy were optimised for each analyte of interest before assay of samples. Quantitation of target endocannabinoids was achieved by positive ion electrospray ionization and multiple reaction monitoring (MRM) mode, allowing simultaneous detection of the protonated precursor and product molecular ions [M+H+] of the analytes of interest and the deuterated forms of the internal standards. Quantitation of each analyte was performed by determining the peak area response of each target analyte against its corresponding deuterated internal standard. This ratiometric analysis was performed using Masshunter Quantitative Analysis Software (Agilent Technologies Ltd). The amount of analyte in unknown samples was calculated from the analyte / internal standard peak area response ratio using a 10-point calibration curve constructed from a range of concentrations of the non-deuterated form of each analyte and a fixed amount of deuterated internal standard. Linearity (regression analysis determined R2 values of 0.99 or greater for each analyte) was determined over a range of 18.75 ng to 71.5 fg except for 2-AG, which was 187.5 ng–715 fg. The limit of quantification was 1.32 pmol·g−1, 12.1 pmol·g−1, 1.5 pmol·g−1, 1.41 pmol·g−1 for AEA, 2-AG, PEA and OEA respectively.
The SPSS 17.0 statistical package (SPSS Ireland, Dublin, Ireland) was used to analyse all data. Behavioural data from the test day and neurochemical data were analysed using two-factor analysis of variance (anova), with the factors being fear conditioning and drug (Experiment 1) or fear conditioning and formalin (Experiment 2). Post hoc pairwise comparisons were made with Fisher's LSD when appropriate. Data were considered significant when P < 0.05. Results are expressed as group means ± standard error of the mean (±SEM).
The standard and deuterated forms of AEA, 2-AG, PEA and OEA were obtained from Cayman Chemical Company, Tallinn, Estonia.
Histological verification of injector placement. Eighty percent of the injections were placed within the borders of the right dlPAG (Figure 1) with the remaining 20% positioned in the superior colliculus, ventral PAG or dorsomedial PAG. Only the results of experiments in which injections were correctly positioned in the dlPAG were included in the analysis.
Effect of intra-dlPAG administration of rimonabant on formalin-induced nociceptive behaviour and FCA. Intra-plantar injection of formalin induced right hind paw oedema (change in paw diameter in NoFC-Veh group = 1.35 mm ± 0.28) and produced robust licking, biting, shaking, flinching and elevation of the injected paw as indicated by the CPS during the entire 15 min trial period (Figure 2). Re-exposure of rats to the arena previously paired with foot shock resulted in a significant reduction of formalin-evoked nociceptive behaviour, compared with non-fear-conditioned, vehicle-treated counterparts (CPS: FC-Veh vs. NoFC-Veh, P < 0.05, Figure 2), confirming expression of FCA. Intra-dlPAG administration of rimonabant significantly attenuated FCA (FC-Veh vs. FC-Rim, P < 0.05; Figure 2) without altering formalin-evoked nociceptive behaviour in non-fear-conditioned rats, thus indicating a specific effect on FCA rather than on nociceptive behaviour per se.
Effect of intra-dlPAG administration of rimonabant on conditioned fear behaviour in the presence of formalin-evoked nociceptive tone. Non-fear-conditioned rats displayed little or no contextually induced freezing (Figure 3A) or 22 kHz ultrasonic vocalization (Figure 3B) during the test trial. In contrast, fear conditioning was associated with significant increases in the duration of freezing and 22 kHz ultrasonic vocalization upon re-exposure to the context (NoFC-Veh vs. FC-Veh, P < 0.01, Figure 3A and B). Intra-dlPAG administration of rimonabant significantly reduced the duration of contextually induced freezing and 22 kHz ultrasonic vocalization (FC-Veh vs. FC- Rim, P < 0.01).
Effects of fear conditioning or rimonabant on locomotor activity and defecation in formalin-treated rats. Fear conditioning was associated with a significant reduction in the duration of locomotor activity measured as the sum of time spent rearing, grooming and walking (NoFC-Veh vs. FC-Veh, P < 0.01; Table 1) and a concurrent increase in defecation (NoFC-Veh vs. FC-Veh, P < 0.01; Table 1) during re-exposure to the context. Intra-dlPAG administration of rimonabant had no significant effect on these fear-induced alterations and had no significant effect per se in non-fear-conditioned rats (Table 1).
Table 1. Effects of fear conditioning and intra-dlPAG administration of rimonabant on locomotor activity
Defecation (number of pellets)
Effects of fear conditioning (FC) and intra-dlPAG administration of rimonabant (Rim) on locomotor activity (measured as the sum of time spent rearing, grooming and walking) and defecation in rats during a 15 min re-exposure to an observation chamber that was paired with foot shock 24 h previously. **P < 0.01 significantly different from corresponding NoFC control. Two-way anova locomotor activity (effect of fear conditioning F(1,29)= 23.3, P < 0.001); defecation (effect of fear conditioning F(1,29)= 26.8, P < 0.001). All data are expressed as mean ± SEM (n= 6–9).
Effects of fear conditioning and intra-plantar formalin injection on tissue levels of endocannabinoids and related NAEs in the dlPAG. Non-fear-conditioned rats receiving intra-plantar saline displayed little or no nociceptive behaviour or contextually induced fear behaviour during the 3 min test trial (Figure 4A–C). In comparison, intra-plantar injection of formalin resulted in right hind paw oedema (change in paw diameter: NoFC-Sal 0.9 ± 0.09 mm vs. NoFC-Form 1.66 ± 0.07 mm; P < 0.001) and significant nociceptive responding (CPS) (NoFC-Sal vs. NoFC-Form, P < 0.01; Figure 4A). Levels of endocannabinoids (AEA and 2-AG) and the related NAEs (PEA and OEA) in the right dlPAG of either non-fear-conditioned (NoFC-Sal vs. NoFC-Form) or fear-conditioned (FC-Sal vs. FC-Form) rats were not significantly altered following formalin administration, compared with rats receiving intra-plantar saline (Figure 4D–G).
FCA was expressed over the 3 min trial (FC-Form vs. NoFC-Form, P < 0.05; Figure 4A). Levels of AEA in the right dlPAG were significantly increased in those rats expressing FCA when compared with formalin-injected rats that were not fear-conditioned (FC-Form vs. NoFC-Form, P < 0.05; Figure 4D).
Contextual fear conditioning was associated with significant increases in the duration of freezing and 22 kHz ultrasonic vocalization in both saline-injected (NoFC-Sal vs. FC-Sal, P < 0.01; Figure 4B and C) and formalin-injected (NoFC-Form vs. FC-Form, P < 0.01; Figure 4B and C) rats re-exposed to the context. The increased duration of freezing in fear-conditioned rats was partially attenuated by intra-plantar formalin administration (FC-Sal vs. FC-Form, P < 0.05, Figure 4B). In the absence of nociceptive tone (i.e. in saline-treated rats), conditioned fear was associated with increased levels of endocannabinoids (AEA and 2-AG) and the NAEs (PEA and OEA) in the right dlPAG (NoFC-Sal vs. FC-Sal, P < 0.05, Figure 4D–G). In comparison, in the presence of formalin-evoked nociceptive tone, conditioned fear was associated with a significant (P < 0.05) increase in levels of AEA only (NoFC-Form vs. FC-Form; Figure 4D–G).
The present study demonstrated that the CB1 receptor antagonist/inverse agonist rimonabant, injected directly into the right dlPAG, prevented conditioned fear-induced suppression of formalin-evoked nociceptive behaviour, which followed re-exposure of rats to a context previously paired with aversive foot shock (i.e. prevented FCA). This blockade of FCA by intra-PAG rimonabant was accompanied by a rimonabant-induced attenuation of conditioned fear responding in the presence of formalin-evoked nociceptive tone. Expression of conditioned fear per se was associated with increased tissue levels of AEA, 2-AG, PEA and OEA in the right dlPAG and expression of FCA was specifically associated with increased levels of AEA in this region. Together, these results represent the first demonstration of an important role for the endocannabinoid system in the dlPAG in mediating analgesia induced by conditioned psychological stress or fear and in regulating fear expression during pain responding.
The suppression of formalin-evoked nociceptive behaviour observed here upon re-exposure to a context previously paired with foot shock is similar in its nature and magnitude to previous reports demonstrating FCA using related or identical paradigms (Helmstetter and Fanselow, 1987; Finn et al., 2004; Roche et al., 2007). Systemic (i.p.) administration of rimonabant has previously been shown to prevent FCA in rats (Finn et al., 2004). Furthermore, our recent work has demonstrated enhancement of FCA following systemic administration of the FAAH inhibitor URB597, and blockade of this URB597-induced enhancement by rimonabant (Butler et al., 2008). We now demonstrate for the first time that direct administration of rimonabant into the right dlPAG prevents the fear-induced suppression of formalin-evoked nociceptive responding in rats without affecting the formalin-evoked response in non-fear-conditioned rats, confirming a specific effect on FCA. The endocannabinoid system has also been shown to mediate a form of unconditioned stress-induced analgesia in a rat model that combines the tail-flick test of acute nociceptive responding with unconditioned foot shock stress (Hohmann et al., 2005). These authors also demonstrated a key role for the endocannabinoid system in the dlPAG in mediating this form of unconditioned stress-induced analgesia (Hohmann et al., 2005). Their work demonstrated that intra-dlPAG administration of rimonabant attenuated unconditioned stress-induced analgesia, while intra-dlPAG administration of FAAH or MAGL inhibitors enhanced unconditioned stress-induced analgesia (Hohmann et al., 2005). Our results here, demonstrating a similar attenuation of FCA following intra-dlPAG administration of rimonabant, support these earlier findings and extend our understanding by suggesting that the endocannabinoid system in the dlPAG also plays a role in analgesia resulting from exposure to Pavlovian-conditioned psychological stress. Previous studies suggest differences with respect to rimonabant's effects in the basolateral amygdala in unconditioned versus conditioned stress-induced analgesia (Connell et al., 2006; Roche et al., 2007, 2010). It appears, however, that the dlPAG is a common neural substrate for endocannabinoid-mediated analgesia induced by exposure to either unconditioned or conditioned stress. Moreover, our data provide the first evidence of a role for the endocannabinoid system in the dlPAG in the modulation of tonic, persistent inflammatory pain by stress.
To further investigate the neurochemical mechanisms underpinning the behavioural effects observed, we measured tissue concentrations of the endocannabinoids, AEA and 2-AG, and the related NAEs, PEA and OEA, in the right dlPAG of rats killed 3 min following re-exposure to context, a time point where maximal expression of fear-related behaviour and FCA was noted. We report a fear-related increase in levels of AEA and 2-AG in the right dlPAG at this time point. Increased levels of 2-AG and AEA in the rat dlPAG 2–7 min and 7–25 min, respectively, following foot shock have already been reported (Hohmann et al., 2005). Moreover, re-exposure to a 3 min tone paired previously with foot shock resulted in increased AEA and 2-AG levels in the basolateral amygdala of mice (Marsicano et al., 2002). Our data support and extend these findings by demonstrating that Pavlovian-conditioned fear to context mobilises endocannabinoids in the dlPAG. We also observed fear-related increases in the non-endocannabinoid NAEs, OEA and PEA, in the dlPAG. Though Hill et al. (2009) demonstrated that peripheral NAEs are responsive to stress, to our knowledge, the present results represent the first report on the effects of conditioned fear on levels of these compounds in the brain. Though themselves devoid of significant activity at the CB1 receptor, by competing as substrates for FAAH, OEA and PEA may in turn enhance the actions of AEA at CB1 receptors by limiting its degradation. It seems reasonable to speculate that the fear-related increases in one or more of these lipids in the dlPAG may play a key role in mediating FCA, and that the rimonabant-induced blockade of FCA may be mediated by a blockade of the actions of AEA and/or 2-AG on CB1 receptors in this region. Interestingly, our results revealed that although there was a fear-related elevation in all four analytes in rats not receiving intra-plantar formalin injection, only AEA displayed a fear-related elevation in rats that received intra-plantar injection of formalin. These results suggest that elevations in AEA accompany the expression of FCA, and that it may be the key endocannabinoid in the dlPAG mediating the rimonabant-sensitive expression of FCA, possibly through activation of CB1 receptors known to be expressed in the PAG (Herkenham et al., 1991; Tsou et al., 1997) with subsequent disinhibition of output neurons and activation of the descending inhibitory pain pathway (Vaughan et al., 2000; de Novellis et al., 2005). It is also possible that alternative targets such as transient receptor potential vanilloid 1 (TRPV1) channels could mediate the effects of AEA in the dlPAG on FCA. There is good evidence for an important role of AEA activity at TRPV1 in the PAG in the regulation of both pain (Maione et al., 2006; Palazzo et al., 2008) and aversion (Moreira et al., 2009; Terzian et al., 2009). However, Suplita et al. (2005) showed that TRPV1 was not involved in mediating unconditioned stress-induced analgesia in rats. In addition, our results here demonstrate that intra-dlPAG administration of rimonabant prevented FCA completely rather than partially, suggesting that CB1 receptor signalling in the dlPAG is necessary and sufficient for the expression of FCA in rats. Future studies in our laboratory will investigate the role of TRPV1 and indeed other non-CB1 receptor targets of endocannabinoids, such as PPARs and GPR55, in FCA.
Intra-dlPAG levels of 2-AG, OEA and PEA were significantly increased in saline-injected rats following fear conditioning whereas, in formalin-treated rats, levels of these same analytes were not significantly altered by fear conditioning (though some trends towards an increase were seen). These data suggest that the effects of conditioned fear on levels of 2-AG, OEA and PEA are affected by the presence of nociceptive tone. The mechanism(s) responsible for such a state-dependent alteration in the responses of these analytes to conditioned fear are not known. However, it does not appear to be due to formalin-evoked alterations in absolute levels of the analytes, as there were no significant effects of intra-plantar formalin injection on tissue concentrations of any of the four analytes in the dlPAG under the present experimental conditions. These results differ from previous studies that have reported pain-related increases in tissue levels of endocannabinoids in discrete brain regions including the PAG. For example, in rodents, mechanical allodynia and thermal hyperalgesia following spinal nerve ligation were accompanied by increased levels of AEA and 2-AG in the PAG, rostral ventromedial medulla and dorsal raphe magnus (Mitrirattanakul et al., 2006; Petrosino et al., 2007). Using in vivo microdialysis, Walker et al. (1999) demonstrated increased levels of extracellular AEA in the rat dorsal and lateral PAG following formalin injection. However, direct comparisons between these earlier studies and the present study are difficult to make due to differences in the models used (spinal nerve ligation vs. formalin test), dose of the formalin administered (4%, 150 µL into both hind paws vs. 2.5%, 50 µL into right hind paw), time points and sub-regions assayed and method of analysis (microdialysis vs. tissue levels).
In conclusion, the results reported here provide evidence to support the contention that the endocannabinoid system in the dlPAG is a key neural substrate mediating analgesia expressed during or following exposure to stress, including that evoked by Pavlovian-conditioned fear to context (FCA). Pharmacological blockade of CB1 receptors in the dlPAG prevented FCA and reduced fear responding in the presence of nociceptive tone. Furthermore, the results suggest state-dependent alterations in the effects of fear on 2-AG, OEA and PEA in the dlPAG, dependent on nociceptive tone. Together these data suggest a key role for the endocannabinoid system in the dlPAG in endogenous analgesia and modulation of fear responding during pain.
This work was supported by a research grant from Science Foundation Ireland. WM Olango is a recipient of an EMBARK Postgraduate Fellowship from The Irish Research Council for Science, Engineering and Technology.