An integrative analysis of 5HTT-mediated mechanism of hyperactivity to non-threatening voices

Commun Biol. 2020 Mar 10;3(1):113. doi: 10.1038/s42003-020-0850-3.

Abstract

The tonic model delineating the serotonin transporter polymorphism's (5-HTTLPR) modulatory effect on anxiety points towards a universal underlying mechanism involving a hyper-or-elevated baseline level of arousal even to non-threatening stimuli. However, to our knowledge, this mechanism has never been observed in non-clinical cohorts exhibiting high anxiety. Moreover, empirical support regarding said association is mixed, potentially because of publication bias with a relatively small sample size. Hence, how the 5-HTTLPR modulates neural correlates remains controversial. Here we show that 5-HTTLPR short-allele carriers had significantly increased baseline ERPs and reduced fearful MMN, phenomena which can nevertheless be reversed by acute anxiolytic treatment. This provides evidence that the 5-HTT affects the automatic processing of threatening and non-threatening voices, impacts broadly on social cognition, and conclusively asserts the heightened baseline arousal level as the universal underlying neural mechanism for anxiety-related susceptibilities, functioning as a spectrum-like distribution from high trait anxiety non-patients to anxiety patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acoustic Stimulation
  • Adult
  • Anti-Anxiety Agents / therapeutic use
  • Anxiety / genetics
  • Anxiety / metabolism*
  • Anxiety / prevention & control
  • Anxiety / psychology
  • Arousal* / genetics
  • Brain / drug effects
  • Brain / metabolism*
  • Brain / physiopathology
  • Cross-Over Studies
  • Double-Blind Method
  • Electroencephalography
  • Emotions*
  • Evoked Potentials, Auditory
  • Female
  • Gene-Environment Interaction
  • Genotype
  • Humans
  • Lorazepam / therapeutic use
  • Male
  • Middle Aged
  • Risk Assessment
  • Risk Factors
  • Serotonin Plasma Membrane Transport Proteins / genetics
  • Serotonin Plasma Membrane Transport Proteins / metabolism*
  • Speech Perception*
  • Voice Quality*
  • Young Adult

Substances

  • Anti-Anxiety Agents
  • SLC6A4 protein, human
  • Serotonin Plasma Membrane Transport Proteins
  • Lorazepam

Associated data

  • figshare/10.6084/m9.figshare.11815875