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Brunner, Lisa-Marie ; Maurer, Franziska ; Weber, Kevin ; Weigl, Johannes ; Milenkovic, Vladimir M. ; Rupprecht, Rainer ; Nothdurfter, Caroline ; Mühlberger, Andreas

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

Brunner, Lisa-Marie , Maurer, Franziska, Weber, Kevin, Weigl, Johannes, Milenkovic, Vladimir M. , Rupprecht, Rainer, Nothdurfter, Caroline and Mühlberger, Andreas (2022) 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. Psychopharmacology.

Date of publication of this fulltext: 15 Mar 2022 05:57
Article
DOI to cite this document: 10.5283/epub.51918


Abstract

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 ...

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.



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Details

Item typeArticle
Journal or Publication TitlePsychopharmacology
Publisher:Springer
Place of Publication:NEW YORK
Date12 March 2022
InstitutionsMedicine > Lehrstuhl für Psychiatrie und Psychotherapie
Human Sciences > Institut für Psychologie > Lehrstuhl für Klinische Psychologie und Psychotherapie - Lehrstuhl für Psychologie VIII - Prof. Dr. Andreas Mühlberger
Identification Number
ValueType
10.1007/s00213-022-06111-xDOI
KeywordsFEAR-POTENTIATED STARTLE; ADULT SEPARATION ANXIETY; ADJUSTMENT DISORDER; GABA(A) RECEPTORS; GERMAN VERSION; HUMANS; STRESS; POLYMORPHISM; SENSITIVITY; LORAZEPAM; GABA(A) receptor; Translocator protein 18 kDa (TSPO); NPU-threat task; Predictable threat; Unpredictable threat; Etifoxine; Alprazolam
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-519186
Item ID51918

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