Differential effects of the translocator protein 18 kDa (TSPO) ligand etifoxine and the benzodiazepine alprazolam on startle response to predictable threat in a NPU-threat task after acute and short-term treatment.

Rationale: Benzodiazepines have been extensively investigated in experimental settings especially after single administration, which mostly revealed effects on unpredictable threat (U-threat) rather than predictable threat (P-threat). Given the need for pharmacological alternatives with a preferable...

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Publicado en:Psychopharmacology Vol. 239; no. 7; pp. 2233 - 2245
Autores principales: Brunner, Lisa-Marie, Maurer, Franziska, Weber, Kevin, Weigl, Johannes, Milenkovic, Vladimir M., Rupprecht, Rainer, Nothdurfter, Caroline, Mühlberger, Andreas
Formato: Journal Article
Publicado: Springer Nature Jul2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2022
      vid: 239
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00213-022-06111-x
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        atl: Differential effects of the translocator protein 18 kDa (TSPO) ligand etifoxine and the benzodiazepine alprazolam on startle response to predictable threat in a NPU-threat task after acute and short-term treatment.
      aug:
        au:
          Brunner, Lisa-Marie
          Maurer, Franziska
          Weber, Kevin
          Weigl, Johannes
          Milenkovic, Vladimir M.
          Rupprecht, Rainer
          Nothdurfter, Caroline
          Mühlberger, Andreas
        affil: Department of Medicine, Psychiatry and Psychotherapy, University Regensburg, 93053, Regensburg, Germany
      sug:
      ab: Rationale: Benzodiazepines have been extensively investigated in experimental settings especially after single administration, which mostly revealed effects on unpredictable threat (U-threat) rather than predictable threat (P-threat). Given the need for pharmacological alternatives with a preferable side-effect profile and to better represent clinical conditions, research should cover also other anxiolytics and longer application times. Objectives: The present study compared the acute and short-term effects of the translocator protein 18 kDa (TSPO) ligand etifoxine and the benzodiazepine alprazolam on P-threat and U-threat while controlling for sedation. Methods: Sixty healthy male volunteers, aged between 18 and 55 years, were randomly assigned to receive a daily dose of either 150 mg etifoxine, 1.5 mg alprazolam, or placebo for 5 days. On days 1 and 5 of intake, they performed a NPU-threat task including neutral (N), predictable (P), and unpredictable (U) conditions, while startle responsivity and self-reports were studied. Sedative effects were assessed using a continuous performance test. Results: Neither alprazolam nor etifoxine affected startle responsivity to U-threat on any of the testing days. While etifoxine reduced the startle response to P-threat on day 1 of treatment for transformed data, a contrary effect of alprazolam was found for raw values. No effects on self-reports and no evidence of sedation could be observed for either drug. Conclusions: None of the anxiolytic substances had an impact on startle potentiation to U-threat even after several days of intake. The effects of the anxiolytics on startle responsivity to P-threat as well as implications for future studies are discussed.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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