Disruption of estrogen regulation of orexin neurons: a novel mechanism in the pathophysiology of respiratory manifestations of panic disorder in females
Bibliographic record
Abstract
Panic disorder (PD) is an anxiety disorder that affects ~5% of the population. A significant group of PD patients are characterised by excessive behavioral and physiological responses to CO 2 inhalation. The prevalence of PD is 2 to 3 times more frequent in women yet, the origins of this sexual dimorphism are unknown; the fact that excessive responsiveness to CO 2 inhalation peaks during the pre‐menstrual phase suggest a role of ovarian hormones. Early life stress is a significant risk factor for PD and there is growing evidence indicating that stress‐related increase in the function of orexin‐producing neurons (ORX) is key to PD. Based on data suggesting that 17b‐estradiol (E 2 ) inhibits ORX, we tested the hypothesis that insufficient E 2 ‐regulation of ORX neurons contributes to stress‐related respiratory manifestations of PD in females. Experiments were performed on adult female rats previously subjected to neonatal maternal separation (NMS; 3h/day postnatal days 3 to 12) or raised under standard conditions. In this model, NMS females show an excessive hyperventilatory response to CO 2 by comparison with controls; this effect is greatest during the proestrus phase. Inactivation of ORX1 receptors by SB 33486 (15 mg/kg; ip) prevents this effect. Whole cell recordings (voltage clamp) were performed on GFP‐labeled ORX neurons by AAV microinjection. Excitatory post‐synaptic currents (EPSCs) converging onto ORX neurons were recorded under basal conditions and following E 2 bath application (100nM; 10 min). Monitoring of the estrus cycle showed that in control females, EPSC frequency was inversely proportional to circulating E 2 levels associated with each phase. This relationship was not observed in NMS females; EPSC frequency of NMS females was greater than controls during the proestrus phase. E 2 application reduced EPSC frequency (but not amplitude); however, this effect was not affected by stress or the estrus cycle phase. We conclude that NMS disrupts E 2 ‐mediated inhibition of ORX neurons. This is a novel mechanism in the pathophysiology of PD. Support or Funding Information Supported by an operating grant from the Canadian Institutes of Health Research
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".