Genesis of anxiety, depression, and ongoing abdominal discomfort in ulcerative colitis-like colon inflammation

Am J Physiol Regul Integr Comp Physiol. 2015 Jan 1;308(1):R18-27. doi: 10.1152/ajpregu.00298.2014. Epub 2014 Nov 19.

Abstract

Psychological disorders are prevalent in patients with inflammatory bowel disease; the underlying mechanisms remain unknown. We tested the hypothesis that ulcerative colitis-like inflammation induced by dextran sodium sulfate (DSS) exacerbates the ongoing spontaneous activity in colon-projecting afferent neurons that induces abdominal discomfort and anxiety, and depressive-like behaviors in rats. In this study, we used the conditioned place preference and standard tests for anxiety- and depression-like behaviors. DSS rats developed anxiety- and depression-like behaviors 10 to 20 days after the start of inflammation. Single-fiber recordings showed an increase in the frequency of spontaneous activity in L6-S1 dorsal root ganglion (DRG) roots. Prolonged desensitization of transient receptor potential vanilloid 1 (TRPV1)-expressing colonic afferents by resiniferatoxin (RTX) suppressed the spontaneous activity, as well as the anxiety- and depressive-like behaviors. Reduction in spontaneous activity in colon afferents by intracolonic administration of lidocaine produced robust conditioned place preference (CPP) in DSS rats, but not in control rats. Patch-clamp studies demonstrated a significant decrease in the resting membrane potential, lower rheobase, and sensitization of colon-projecting L6-S1 DRG neurons to generate trains of action potentials in response to current injection in DSS rats. DSS inflammation upregulated the mRNA levels of transient receptor potential ankyrin 1 and TRPV1 channels and downregulated that of Kv1.1 and Kv1.4 channels. Ulcerative colitis-like inflammation in rats induces anxiety- and depression-like behaviors, as well as ongoing abdominal discomfort by exacerbating the spontaneous activity in the colon-projecting afferent neurons. Alterations in the expression of voltage- and ligand-gated channels are associated with the induction of mood disorders following colon inflammation.

Keywords: anxiety; depression; inflammatory bowel disease; spontaneous activity in visceral afferent neurons; visceral hypersensitivity.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Abdominal Pain / drug therapy
  • Abdominal Pain / etiology*
  • Abdominal Pain / metabolism
  • Abdominal Pain / physiopathology
  • Abdominal Pain / psychology
  • Action Potentials
  • Anesthetics, Local / pharmacology
  • Animals
  • Anxiety / etiology*
  • Anxiety / metabolism
  • Anxiety / physiopathology
  • Anxiety / prevention & control
  • Anxiety / psychology
  • Behavior, Animal*
  • Colitis, Ulcerative / chemically induced
  • Colitis, Ulcerative / complications*
  • Colitis, Ulcerative / drug therapy
  • Colitis, Ulcerative / metabolism
  • Colitis, Ulcerative / physiopathology
  • Colitis, Ulcerative / psychology
  • Colon / innervation*
  • Conditioning, Psychological
  • Depression / etiology*
  • Depression / metabolism
  • Depression / physiopathology
  • Depression / prevention & control
  • Depression / psychology
  • Dextran Sulfate
  • Disease Models, Animal
  • Diterpenes / pharmacology
  • Ganglia, Spinal / drug effects
  • Ganglia, Spinal / metabolism
  • Ganglia, Spinal / physiopathology
  • Kv1.1 Potassium Channel / genetics
  • Kv1.1 Potassium Channel / metabolism
  • Kv1.4 Potassium Channel / genetics
  • Kv1.4 Potassium Channel / metabolism
  • Lidocaine / pharmacology
  • RNA, Messenger / metabolism
  • Rats
  • TRPV Cation Channels / agonists
  • TRPV Cation Channels / genetics
  • TRPV Cation Channels / metabolism
  • Time Factors

Substances

  • Anesthetics, Local
  • Diterpenes
  • Kcna1 protein, rat
  • Kcna4 protein, rat
  • Kv1.4 Potassium Channel
  • RNA, Messenger
  • TRPV Cation Channels
  • Trpv1 protein, rat
  • Kv1.1 Potassium Channel
  • Dextran Sulfate
  • Lidocaine
  • resiniferatoxin