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Toward affective circuit-based preclinical models of depression: Sensitizing dorsal PAG arousal leads to sustained suppression of positive affect in rats

Neuroscience & Biobehavioral Reviews, 2011
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Neuroscience and Biobehavioral Reviews 35 (2011) 1902–1915 Contents lists available at SciVerse ScienceDirect Neuroscience and Biobehavioral Reviews journal homepage: www.elsevier.com/locate/neubiorev Review Toward affective circuit-based preclinical models of depression: Sensitizing dorsal PAG arousal leads to sustained suppression of positive affect in rats Jason S. Wright , Jaak Panksepp Center for the Study of Animal Well-being, Department of Veterinary & Comparative Anatomy, Pharmacology and Physiology, College of Veterinary Medicine, Washington State University, Pullman, WA 99164-6520, United States article info Article history: Received 10 May 2011 Received in revised form 23 July 2011 Accepted 3 August 2011 Keywords: Depression Preclinical models Periaqueductal gray Brain stimulation Separation-distress Aversion PANIC/GRIEF circuitry Appetitive motivation SEEKING circuitry 50-kHz USVs Rats abstract Little is known about why clinical depression feels so bad, perhaps because optimal neural circuit-based animal models of depression do not yet exist. Our goal here was to develop a strategy of inducing and measuring depressive-like states in the rat using neural circuits as both the independent and major depen- dent variables. We hypothesized that repeated electrical stimulation of the brain (ESB) within the dorsal periaqueductal gray (dPAG) aversion circuits would lead to a long-lasting suppression of 50 kHz ultra- sonic vocalizations (USVs), a validated measure of positive social affect. Fifteen consecutive daily 10 min sessions of intermittent PAG-ESB reduced systematically evoked 50 kHz USVs for up to 29 days follow- ing termination of ESB treatment, along with altering traditional measures of negative affect, including behavioral agitation, sucrose intake, and decreased exploratory behavior. These findings suggest a new affective circuit-based preclinical model of depression. © 2011 Elsevier Ltd. All rights reserved. Contents 1. Introduction ........................................................................................................................................ 1902 2. Depression modeling: brain circuit “break it and fix it” strategies ............................................................................... 1903 3. Background perspectives: from classic stress models to modern affect models ................................................................. 1904 4. Background: the PANIC circuitry of the PAG ...................................................................................................... 1905 5. A vocal affective indicator of SEEKING circuitry arousal—50 kHz USVs ........................................................................... 1906 5.1. Experiment 1: dorsal PAG stimulation can abolish positive affect as monitored by 50 kHz USVs and promotes negative affect as measured by 22 kHz USVs ...................................................................................... 1907 5.2. Experiment 2: PAG stimulation leads to a conditioned suppression of positive affect as monitored with 50 kHz USVs ................ 1907 5.3. Experiment 3: chronic dorsal PAG stimulation leads to decreased exploration, altered sucrose intake, and a persistent suppression of positive affect as indexed by 50 kHz USVs ...................................................................... 1908 6. Interpretation and discussion of results ........................................................................................................... 1910 7. Conclusions and future possibilities ............................................................................................................... 1912 Acknowledgement ................................................................................................................................. 1913 Appendix A. Supplementary data .............................................................................................................. 1913 References ......................................................................................................................................... 1913 Corresponding author at: Center for the Study of Animal Well-being, Department of Veterinary & Comparative Anatomy, Pharmacology and Physiology, College of Veterinary Medicine, Washington State University, PO Box 646520, Pullman, WA 99164-6520, United States. Tel.: +1 509 948 2203. E-mail address: jwright@vetmed.wsu.edu (J.S. Wright). 1. Introduction The clinical picture of major depression includes a variety of affective and cognitive symptoms that are difficult to simulate in preclinical (animal) models. It is widely believed that emotional processes critical for understanding depression cannot be well 0149-7634/$ – see front matter © 2011 Elsevier Ltd. All rights reserved. doi:10.1016/j.neubiorev.2011.08.004
J.S. Wright, J. Panksepp / Neuroscience and Biobehavioral Reviews 35 (2011) 1902–1915 1903 studied in animals. Thus, most work has been conducted modeling various behavioral symptoms, many of which may be of debatable validity. Putative behavioral indices, such as volume of sweet fluid intake and swimming persistence are frequently used as measures of depression in preclinical models, and validated largely on behav- ioral changes induced by approved anti-depressants (Philip et al., 2010), which themselves have modest efficacy in treating depres- sion (Philip et al., 2010), and lead to various undesirable side-effects with long-term use (Pigott et al., 2010; Sinyor et al., 2010). This has been recently emphasized by Angell (2004), an outspoken critic of the pharmaceutical industry (e.g., see her multiple book reviews on such topics in the New York Review of Books). Perhaps the basic sci- ence in the area would improve if we had preclinical models that directly manipulated and monitored the relevant brain affective systems. The premise of this paper is that it would be desirable to have preclinical models that evaluate relevant positive and nega- tive affective shifts as directly as possible, and our goal is to provide evidence for one such approach. For a thorough coverage of current animal models of depression see: special issue of Neuroscience and Biobehavioral Reviews, edited by Markou (2005). Intake of water laced with sucrose is commonly used as a measure of depression, and though sucrose consump- tion may reflect hedonic shifts, it is not an established symptom of human depression. For years, the forced swim test has been shown to effectively predict the efficacy of currently used anti- depressants, more recently supplemented by struggling in mice during tail-suspension tests, but the face validity of such tests is debatable. Our goal here was to focus on how to better achieve optimal translational research using preclinical models of depres- sion that not only take direct affective state shifts in animals as the primary targets of inquiry, but also utilize induction procedures that challenge relevant neural affective systems with direct elec- trical stimulation of the brain (ESB), namely direct activation of the periaqueductal gray (PAG) in this work. We argue that optimal preclinical progress in psychiatric research could be achieved by directly focusing on the affec- tive states of animals. The main presenting symptom of human depression is sustained negative feelings that diminish eager- ness to engage positively with life affirming activities. We now know that subcortical circuits of all mammalian brains are capa- ble of producing intense negative affective states including FEAR, RAGE and a social-separation distress that has been labeled the PANIC/GRIEF system (Panksepp, 1998; Panksepp and Biven, 2011; capitalizations reflect a nomenclature used to designate primary-process emotional systems of the brain and denote both a psychological experience and arousal of specific neural- circuits). It is not uncommon for such sustained negative affect to promote suicidal thoughts and actions. An estimated 864,950 individuals attempt to take their own lives each year in the U.S. (see Substance Abuse and Mental Health Services Admin- istration web site: http://www.samhsa.gov/). Within a given year, 5–8% of the adult population suffers from a depressive episode (see web sites for the National Alliance on Mental Illness: http://www.nami.org/; Hope for Depression Research Founda- tion: http://hopefordepression.org), and depression is consistently ranked in the top 10 of the world’s most debilitating disorders. According to the DSM-IV, 10–25% of women and 5–12% of men will suffer from a major depressive episode during their lifetime. But what is depression? Presumably depression will eventually be understood in terms of the up and down regulation of spe- cific emotional-affective neural networks in the brain, at times sufficiently intense and persistent enough to consider the final psy- chological states pathological. However, the scientific analysis of depressive brain changes has yet to focus on specific cross-species emotional networks of the brain. From the above perspective, the development of animal models that begin to specify the therapeu- tically relevant affective brain networks involved in depression should provide better guidance to understand what has gone wrong in the depressed brain than very general stress procedures, and thereby facilitate the discovery of novel treatments. The new approach advocated here is what might be called a “break-it and fix-it” strategy (this label is based on personal communication with Rene Hen). The “breaking it” part will first be considered. In order to do this coherently, animal emotional states must be taken more seriously than has been common in the field (Panksepp, 2011). This will entail selecting targets of depressive-state inductions (e.g., manipulating brain emotional systems directly to shift underlying affective neural-network vari- ables) and development of more face-valid brain affective network related outcome measures (utilizing affectively relevant neural- based dependent variables). Focusing on the actual evolutionary organization of emotional networks in the brain should allow a more optimal understanding of what may be “broken” in depres- sion and what may need to be “fixed.” A better understanding of such possibilities should provide a basis for novel treatment modal- ities, which are needed in light of the recent STAR*D findings that many currently used antidepressants are only marginally effective (Philip et al., 2010; Pigott et al., 2010; Sinyor et al., 2010). 2. Depression modeling: brain circuit “break it and fix it” strategies Future preclinical models of depression need to take spe- cific emotional systems of the brain more seriously as potential endophenotypes that can guide both basic research and the devel- opment of future therapeutics (Panksepp, 2006; Sheehan et al., 2004). Psychiatric modeling (e.g., Panksepp, 2010) demonstrates that the most valuable translational evidence can be achieved by understanding the various imbalances of brain emotional circuits (Panksepp, 1998; Panksepp and Watt, 2011; Watt and Panksepp, 2009). Dynamic shifts in the operation of specific brain emotional systems (Panksepp, 1998; Panksepp and Biven, 2011) may figure heavily in dysphoric moods that characterize clinical depression (also see contributions by Coenen et al., 2011, in this issue; Zellner et al., 2011, in this issue). There is already abundant support for these perspectives in both human and non-human research. Neuroanatomical studies clearly indicate that human depression is characterized by an over activity of midline brain structures that mediate “resting state” activities in the brain which are important for affectively relevant self-related information processing in humans (Northoff et al., 2011, in this issue). Homologous midline areas of many non-human animals also exhibit the ‘footprints’ of over arousal in such brain regions when exposed to repeated depressogenic challenges, such as vari- able intermittent stress procedures (Harro et al., 2011, in this issue; Singewald, 2007). Translational analysis has highlighted that these brain regions exhibit excessive glutamatergic activity and dimin- ished GABAergic tone (Alcaro et al., 2010). Interestingly, the PAG is under tonic GABAergic inhibition, and reductions of GABA tone here promote negative affective states, partly by removing the breaks on glutamatergic activity (Brandão et al., 2005). One might conclude that affective imbalances within the midline subcortical and cor- tical networks of the brain are critically important for generating depressive states. If so, they deserve the most intensive experimen- tal focus in preclinical depression research. Consider one potential model of animal depression that has been largely neglected in the literature. Since the 1950s, it has been known that bilateral damage to the lateral hypothalamic area (LHA) along the trajectory of the medial forebrain bundle (MFB) can produce a very depressed looking animal—one that does not explore, eat, or drink normally (Teitelbaum and Epstein, 1962).
Neuroscience and Biobehavioral Reviews 35 (2011) 1902–1915 Contents lists available at SciVerse ScienceDirect Neuroscience and Biobehavioral Reviews journal homepage: www.elsevier.com/locate/neubiorev Review Toward affective circuit-based preclinical models of depression: Sensitizing dorsal PAG arousal leads to sustained suppression of positive affect in rats Jason S. Wright ∗ , Jaak Panksepp Center for the Study of Animal Well-being, Department of Veterinary & Comparative Anatomy, Pharmacology and Physiology, College of Veterinary Medicine, Washington State University, Pullman, WA 99164-6520, United States a r t i c l e i n f o Article history: Received 10 May 2011 Received in revised form 23 July 2011 Accepted 3 August 2011 Keywords: Depression Preclinical models Periaqueductal gray Brain stimulation Separation-distress Aversion PANIC/GRIEF circuitry Appetitive motivation SEEKING circuitry 50-kHz USVs Rats a b s t r a c t Little is known about why clinical depression feels so bad, perhaps because optimal neural circuit-based animal models of depression do not yet exist. Our goal here was to develop a strategy of inducing and measuring depressive-like states in the rat using neural circuits as both the independent and major dependent variables. We hypothesized that repeated electrical stimulation of the brain (ESB) within the dorsal periaqueductal gray (dPAG) aversion circuits would lead to a long-lasting suppression of 50 kHz ultrasonic vocalizations (USVs), a validated measure of positive social affect. Fifteen consecutive daily 10 min sessions of intermittent PAG-ESB reduced systematically evoked 50 kHz USVs for up to 29 days following termination of ESB treatment, along with altering traditional measures of negative affect, including behavioral agitation, sucrose intake, and decreased exploratory behavior. These findings suggest a new affective circuit-based preclinical model of depression. © 2011 Elsevier Ltd. All rights reserved. Contents 1. 2. 3. 4. 5. 6. 7. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Depression modeling: brain circuit “break it and fix it” strategies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Background perspectives: from classic stress models to modern affect models . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Background: the PANIC circuitry of the PAG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A vocal affective indicator of SEEKING circuitry arousal—50 kHz USVs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.1. Experiment 1: dorsal PAG stimulation can abolish positive affect as monitored by 50 kHz USVs and promotes negative affect as measured by 22 kHz USVs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.2. Experiment 2: PAG stimulation leads to a conditioned suppression of positive affect as monitored with 50 kHz USVs . . . . . . . . . . . . . . . . 5.3. Experiment 3: chronic dorsal PAG stimulation leads to decreased exploration, altered sucrose intake, and a persistent suppression of positive affect as indexed by 50 kHz USVs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interpretation and discussion of results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Conclusions and future possibilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Acknowledgement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Appendix A. Supplementary data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1902 1903 1904 1905 1906 1907 1907 1908 1910 1912 1913 1913 1913 1. Introduction ∗ Corresponding author at: Center for the Study of Animal Well-being, Department of Veterinary & Comparative Anatomy, Pharmacology and Physiology, College of Veterinary Medicine, Washington State University, PO Box 646520, Pullman, WA 99164-6520, United States. Tel.: +1 509 948 2203. E-mail address: jwright@vetmed.wsu.edu (J.S. Wright). 0149-7634/$ – see front matter © 2011 Elsevier Ltd. All rights reserved. doi:10.1016/j.neubiorev.2011.08.004 The clinical picture of major depression includes a variety of affective and cognitive symptoms that are difficult to simulate in preclinical (animal) models. It is widely believed that emotional processes critical for understanding depression cannot be well J.S. Wright, J. Panksepp / Neuroscience and Biobehavioral Reviews 35 (2011) 1902–1915 studied in animals. Thus, most work has been conducted modeling various behavioral symptoms, many of which may be of debatable validity. Putative behavioral indices, such as volume of sweet fluid intake and swimming persistence are frequently used as measures of depression in preclinical models, and validated largely on behavioral changes induced by approved anti-depressants (Philip et al., 2010), which themselves have modest efficacy in treating depression (Philip et al., 2010), and lead to various undesirable side-effects with long-term use (Pigott et al., 2010; Sinyor et al., 2010). This has been recently emphasized by Angell (2004), an outspoken critic of the pharmaceutical industry (e.g., see her multiple book reviews on such topics in the New York Review of Books). Perhaps the basic science in the area would improve if we had preclinical models that directly manipulated and monitored the relevant brain affective systems. The premise of this paper is that it would be desirable to have preclinical models that evaluate relevant positive and negative affective shifts as directly as possible, and our goal is to provide evidence for one such approach. For a thorough coverage of current animal models of depression see: special issue of Neuroscience and Biobehavioral Reviews, edited by Markou (2005). Intake of water laced with sucrose is commonly used as a measure of depression, and though sucrose consumption may reflect hedonic shifts, it is not an established symptom of human depression. For years, the forced swim test has been shown to effectively predict the efficacy of currently used antidepressants, more recently supplemented by struggling in mice during tail-suspension tests, but the face validity of such tests is debatable. Our goal here was to focus on how to better achieve optimal translational research using preclinical models of depression that not only take direct affective state shifts in animals as the primary targets of inquiry, but also utilize induction procedures that challenge relevant neural affective systems with direct electrical stimulation of the brain (ESB), namely direct activation of the periaqueductal gray (PAG) in this work. We argue that optimal preclinical progress in psychiatric research could be achieved by directly focusing on the affective states of animals. The main presenting symptom of human depression is sustained negative feelings that diminish eagerness to engage positively with life affirming activities. We now know that subcortical circuits of all mammalian brains are capable of producing intense negative affective states including FEAR, RAGE and a social-separation distress that has been labeled the PANIC/GRIEF system (Panksepp, 1998; Panksepp and Biven, 2011; capitalizations reflect a nomenclature used to designate primary-process emotional systems of the brain and denote both a psychological experience and arousal of specific neuralcircuits). It is not uncommon for such sustained negative affect to promote suicidal thoughts and actions. An estimated 864,950 individuals attempt to take their own lives each year in the U.S. (see Substance Abuse and Mental Health Services Administration web site: http://www.samhsa.gov/). Within a given year, 5–8% of the adult population suffers from a depressive episode (see web sites for the National Alliance on Mental Illness: http://www.nami.org/; Hope for Depression Research Foundation: http://hopefordepression.org), and depression is consistently ranked in the top 10 of the world’s most debilitating disorders. According to the DSM-IV, 10–25% of women and 5–12% of men will suffer from a major depressive episode during their lifetime. But what is depression? Presumably depression will eventually be understood in terms of the up and down regulation of specific emotional-affective neural networks in the brain, at times sufficiently intense and persistent enough to consider the final psychological states pathological. However, the scientific analysis of depressive brain changes has yet to focus on specific cross-species emotional networks of the brain. From the above perspective, the development of animal models that begin to specify the therapeu- 1903 tically relevant affective brain networks involved in depression should provide better guidance to understand what has gone wrong in the depressed brain than very general stress procedures, and thereby facilitate the discovery of novel treatments. The new approach advocated here is what might be called a “break-it and fix-it” strategy (this label is based on personal communication with Rene Hen). The “breaking it” part will first be considered. In order to do this coherently, animal emotional states must be taken more seriously than has been common in the field (Panksepp, 2011). This will entail selecting targets of depressive-state inductions (e.g., manipulating brain emotional systems directly to shift underlying affective neural-network variables) and development of more face-valid brain affective network related outcome measures (utilizing affectively relevant neuralbased dependent variables). Focusing on the actual evolutionary organization of emotional networks in the brain should allow a more optimal understanding of what may be “broken” in depression and what may need to be “fixed.” A better understanding of such possibilities should provide a basis for novel treatment modalities, which are needed in light of the recent STAR*D findings that many currently used antidepressants are only marginally effective (Philip et al., 2010; Pigott et al., 2010; Sinyor et al., 2010). 2. Depression modeling: brain circuit “break it and fix it” strategies Future preclinical models of depression need to take specific emotional systems of the brain more seriously as potential endophenotypes that can guide both basic research and the development of future therapeutics (Panksepp, 2006; Sheehan et al., 2004). Psychiatric modeling (e.g., Panksepp, 2010) demonstrates that the most valuable translational evidence can be achieved by understanding the various imbalances of brain emotional circuits (Panksepp, 1998; Panksepp and Watt, 2011; Watt and Panksepp, 2009). Dynamic shifts in the operation of specific brain emotional systems (Panksepp, 1998; Panksepp and Biven, 2011) may figure heavily in dysphoric moods that characterize clinical depression (also see contributions by Coenen et al., 2011, in this issue; Zellner et al., 2011, in this issue). There is already abundant support for these perspectives in both human and non-human research. Neuroanatomical studies clearly indicate that human depression is characterized by an over activity of midline brain structures that mediate “resting state” activities in the brain which are important for affectively relevant self-related information processing in humans (Northoff et al., 2011, in this issue). Homologous midline areas of many non-human animals also exhibit the ‘footprints’ of over arousal in such brain regions when exposed to repeated depressogenic challenges, such as variable intermittent stress procedures (Harro et al., 2011, in this issue; Singewald, 2007). Translational analysis has highlighted that these brain regions exhibit excessive glutamatergic activity and diminished GABAergic tone (Alcaro et al., 2010). Interestingly, the PAG is under tonic GABAergic inhibition, and reductions of GABA tone here promote negative affective states, partly by removing the breaks on glutamatergic activity (Brandão et al., 2005). One might conclude that affective imbalances within the midline subcortical and cortical networks of the brain are critically important for generating depressive states. If so, they deserve the most intensive experimental focus in preclinical depression research. Consider one potential model of animal depression that has been largely neglected in the literature. Since the 1950s, it has been known that bilateral damage to the lateral hypothalamic area (LHA) along the trajectory of the medial forebrain bundle (MFB) can produce a very depressed looking animal—one that does not explore, eat, or drink normally (Teitelbaum and Epstein, 1962). 1904 J.S. Wright, J. Panksepp / Neuroscience and Biobehavioral Reviews 35 (2011) 1902–1915 Fig. 1. Successive effects of repeated injection of 0.1 ␮g of colchicine on either side of the far lateral hypothalamus via an electrode cannulae, on current thresholds (60 Hz sine wave) for elicitation of forced motor responses (current and colchicine spread probably extending to cerebral peduncles). Each curve is the average for four animals (data from Panksepp et al., 1976). These animals are inactive and not motivated to take care of their bodily needs—but they can be partly rehabilitated by abundant nursing care. They exhibit all the defining behavioral characteristics of depression, but few have explicitly linked such classic observations with the etiology of depression, even though a reduction of brain dopamine and reward SEEKING urges has recently been recognized as an endpoint of depressive cascades (e.g., Nestler and Carlezon, 2006). Partial damage to the LHA/MFB may be a suitable animal model of depression. This could be further explored and developed using reversible lesions that can be achieved with bilateral colchicine lesions that disrupt axoplasmic flow (Panksepp et al., 1976), and the shifting baselines of functional recovery could be treated as measures of potential anti-depressant effects (Fig. 1). This kind of decline in SEEKING tone could also be achieved by a variety of other neural activity disruptors. As we will discuss, localized electrical stimulation of the brain (ESB) applied to specific emotional networks can also lead to a depressive syndrome in animals. From these perspectives, it could be argued that most current preclinical models of psychiatric disorders, though not without merit, are not ideally suited to focus on the key neural features of the underlying brain affective processes relevant to many psychiatric disorders, especially depression. Most current studies use a large variety of general social and non-social stressors to induce depressive states, and a large number of quite general outcome measures to monitor the induced depressive states (again, for an overall recent summary, see the Vol. 29, pp. 501–909 special issue of this journal, edited by Markou, 2005). For instance, among the more compelling existing models, repeated defeats in resident-intruder aggression paradigms and sustained, unpredictable administration of various physical stressors are used on the input (independent variable) side, and a large number of general behavioral measures (dependent variables such as exploration, swimming, and various social interactions) are used to monitor the inferred status of brain changes that may correspond to clinical depression. Although these were excellent choices for the first generation of preclinical modeling of depression, we would suggest that in addition to the knowledge already achieved at that level of analysis, a shift to more specific affective approaches will be even more important for a more focused understanding that can lead to the discovery of new and more effective pharmacotherapies. Since most popular animal models of depression do not adequately focus on specific brain emotional networks, the rest of this paper will focus on how such a refined strategy could be implemented. In short, the time is now ripe for a new generation of animal models based on existing knowledge about the primary-process emotional network infrastructure of human and animal brains. Accordingly, we here focus on a potential new era of preclinical psychiatric model development—namely the use of both independent and dependent variables that manipulate and monitor specific brain emotional systems. In this way, we may be able to more precisely identify the types of brain systems that lead to various forms of depressive despair and sift through their neurochemical underpinnings for the most promising vectors for new medicinal development. This approach may yield a more precise understanding of the underlying brain network changes that may eventually provide better therapeutics, and may allow investigators to induce and monitor specific brain affective changes that may guide the development of more effective treatments for depression. Indeed, such affective neuroscientific strategies have already yielded new treatment strategies for depression and autism (see Burgdorf et al., 2011, in this issue; Moskal et al., 2011, in this issue). Thus, our theoretically derived goal in the following work was to establish imbalanced relationships between the mammalian social separation-distress (i.e., PANIC/GRIEF) system of the brain, specifically in the dorsal periaqueductal gray (dPAG), and to monitor acute and chronic changes in the SEEKING system (for critical overviews of this strategy, see Panksepp and Watt, 2011; Watt and Panksepp, 2009). Our hypothesis was that if we specifically over-activate negative separation-distress affects and related feelings for sustained periods of time, we will produce behavioral indices of diminished arousability of brain reward SEEKING systems (for a summary of this system, see Alcaro and Panksepp, 2011, in this issue; Ikemoto, 2010; Panksepp and Moskal, 2008). 3. Background perspectives: from classic stress models to modern affect models Currently, one of the best animal models of inducing depression is the use of various “chronic unpredictable stress” paradigms, where animals are constantly under the influence of unpredictable stressors, such as shocks, wet cages, changing light cycles, periodic food deprivation, and water deprivation; for reviews on chronic stress models of depression see Willner (1997) and Anisman and Matheson (2005). Though useful, the number of independent variables used in this model makes drawing inferences about underlying neural causes of resulting depressed-like states and behavior quite difficult. This is even the case when one simply uses a single stressor such as foot shock or social defeat, since these manipulations impact the whole brain through many input pathways. The complexity of such models increases the potential for error in terms of sifting depression promoting brain causes vs. generalized stress correlates. Similarly, current behavioral measures of depression in the rat, such as the forced-swim test, sucrose intake, and varied measures of anxiety, lack the specificity of representing distinct neural-circuit functioning, making meaningful depression-related interpretations challenging. Arguably, models of depression that focus more directly on the most relevant underlying brain systems are needed. Of course, this is next to impossible if we have no coherent vision of how affective processes emerge from the brain. However, affective neuroscience approaches have consistently indicated that wherever in the brain one evokes coherent emotional responses with ESB, those brain arousals mediate affective states since they serve as “rewards” and “punishments” in various learning tasks. The linkage of depressive disorders to specific brain emotional systems is in its infancy. Here we will focus on one model along these lines that we are currently developing. The guiding idea is that depression results from shifting levels of activity in two major primary-process emotional systems: (i) sustained arousal of brain PANIC/GRIEF (separation-distress) networks, which if sustained, will then lead to feelings of “despair”, which (ii) partly reflects J.S. Wright, J. Panksepp / Neuroscience and Biobehavioral Reviews 35 (2011) 1902–1915 diminishing activity in the general purpose appetitive, reward SEEKING system, which is all too commonly labeled, rather imprecisely, as “the brain reward system” (for discussion, see Panksepp and Moskal, 2008; Panksepp and Watt, 2011). According to our vision of primary-process emotional systems (Panksepp, 1998; Panksepp and Biven, 2011), it is the sustained arousal of the PANIC/GRIEF emotional network that is most commonly activated by diminished social support which underlies the depressogenic feelings of loss and sorrow often associated with the loss of a loved one. In epidemiological studies, social loss is a common precipitating cause of depression, but we hypothesize that its final manifestation also requires a decrease in the SEEKING urges that underlie euphoric excitement and intense exploratory urges/motivations. If SEEKING is significantly diminished, then this may contribute substantially to the dysphoria experienced in depression. Thus, we believe that an optimal approach to understanding depression is to create an animal model that mimics the affective imbalances that accompany increased PANIC/GRIEF and decreased SEEKING feelings that may be foundational for many forms of depression (Coenen et al., 2011, in this issue; Panksepp and Watt, 2011; Watt and Panksepp, 2009; Zellner et al., 2011, in this issue). As a proof of concept, we conducted preliminary experiments where we attempted to provoke depressive states by over-stimulating the neuroanatomical foci of the PANIC system and evaluated whether the positive affect typically generated by the SEEKING system was diminished. In other words, our aim in the studies summarized here was to electrically stimulate affects related to social separation-distress and measure resultant changes in SEEKING arousability by monitoring a particular ultrasonic vocalization (USV) that rats emit, most commonly during positive social interactions, which serves as a readout of the activity within SEEKING—namely the 50 kHz USV. In past work, this dependent measure has been validated to reflect a general affective state that is aroused when a variety of rewarding stimuli, especially social rewards, are anticipated and engaged (Burgdorf et al., 2008; Knutson et al., 2002; Panksepp et al., 2002). The mesolimbic dopamine-based SEEKING system is of critical importance for the actual generation of the 50 kHz calls that reflect arousal of this system (Burgdorf et al., 2007), and it is already being used as a spontaneously manifested marker of drug desire in rat drug addiction studies (Browning et al., 2011; for background reviews, see Panksepp et al., 2002, 2004). Thus, we sought to create a situation where both our major independent variable (PANIC via PAG stimulation) and dependent variable (50 kHz USV-SEEKING index) represented distinct, and theoretically relevant, affective neural circuit functions within the brain. There are many well-characterized “hot spots” within the overall PANIC network, which has been mapped in guinea pigs (Herman, 1979; Herman and Panksepp, 1981), domestic chickens (Bishop, 1984; Panksepp et al., 1988) and primates (Jürgens, 2009; Newman, 1988) that we could have chosen to stimulate. Among all these candidates, one site stands out as potentially the best—the dorsal PAG. It has long been known that the PAG is critical in the regulation and experience of both physical and psychological pain. In fact, the dorsal PAG is the neural region within the PANIC network that requires the least electrical current to elicit coherent separation distress vocalizations, as well as various other negative emotional responses. There is also an abundance of data implicating the PAG in the generation of fear (Adamec et al., 2008; Brandão et al., 2005, 2008; Graeff, 2004). This may be important in the use of rats as a model species, since through selective breeding their separation-distress system may be vestigial (Panksepp, 2003a; Panksepp et al., 1992). In any event, from a primary-process emotional perspective, the PAG can be thought of as a center of negative affect integration and regulation (Panksepp, 1998—for 1905 overview of the basic functional anatomy of the PAG see Bandler and Shipley, 1994; Behbehani, 1995). Because of its role in mediating several distinct negative affects (since such stimulations can serve as punishments in learning tasks), we hypothesized that electrical stimulation of the dorsal PAG (activation of PANIC and probably FEAR and RAGE networks) would lead to a persistent suppression of 50 kHz USVs—reflecting, ultimately, inhibition of SEEKING and a diminished capacity to experience social reward and euphoria. 4. Background: the PANIC circuitry of the PAG Just as human infants emit panicked cries when they feel lost as a result of being separated from social comfort, so do many other mammalian and avian species, albeit not all. Most notably, among the most studied species that exhibit “real” separation-distress calls are primates (Levine and Wiener, 1988; Suomi, 2006), dogs (Panksepp et al., 1978; Scott, 1974), guinea pigs (Hennessy et al., 2009; Herman and Panksepp, 1978, 1981; Pettijohn, 1979) and young chickens (Panksepp et al., 1980, 1988). In contrast, the validity of laboratory rat and mouse models of separation-distress remains debatable (Blumberg and Sokoloff, 2001; Panksepp, 2003a), albeit rats (but not mice) are a wonderful species for the study of social play, which can highlight the condition of the underlying dopamine “energized” SEEKING system (for overview, see Siviy and Panksepp, 2011, in this issue). 50 kHz vocalizations are prevalent during play in rats, supporting the argument of their potential utility as a measure in depression studies. Interestingly, there is high overlap between the SEEKING system and neural regions involved in play (indeed in all the other positive social emotions, namely LUST and CARE)—most likely including the neurochemisties involved in the actual generation of euphoric excitement. This comes as no surprise, as play is a behavior that consists of a cycling between anticipation and intense engagement. It would be desirable to have a rat-sized laboratory-friendly creature that would exhibit both real separation-calls and playfulness to evaluate the role of these social emotions in the regulation of depressive disorders in a single species. Accordingly, we are in the process of characterizing the social-phenotype of Octodon degus as a potential convenient laboratory species for preclinical depression studies. Degu pups exhibit robust separation distress vocalizations when separated from their family and mothers. They also exhibit physical “rough-and-tumble” play, and abundant social-affective vocalizations, that can be used to index positive social emotional processes (for a summary of this work, see Colonnello et al., 2011, in this issue). Although we anticipate future affective neuroscience work on degus, until now, our work on the neural circuitry of depression has been done in rats, using stimulation of PAG regions which contain separation-distress/PANIC circuitry in every species that this response system has been mapped (i.e., chicks, guinea pigs and primates). For present purposes, in order to evaluate whether stimulation of this brain region can evoke a depressive phenotype, we assume that the relevant affective process still exists in rat brains even though their spontaneous vocal expression of separation-calls is vestigial. Still, we know that affectively negative 22 kHz USVs can be evoked from the dorsal PAG, and the cFos neuronal activity marker protein is expressed in this brain region when animals hear such distress calls (Beckett et al., 1997; Sadananda et al., 2008). Our premise here is that this brain region that provokes negative affective vocalizations in rats may be used as a neuroanatomical focus for the generation of affective shifts that are relevant for depression. It is also important to note that evidence from human brain imaging suggests that a homologous sadness-promoting emotional system exists in this region of the human brain (Damasio 1906 J.S. Wright, J. Panksepp / Neuroscience and Biobehavioral Reviews 35 (2011) 1902–1915 Fig. 2. Self-induced sadness in humans (top) shows a similar arousal pattern as the separation distress vocalization circuit in the guinea pig mapped with electrical stimulation of the brain (bottom). The human data according to Damasio et al. (2000); the guinea pig data according to Herman and Panksepp (1981) and Panksepp et al. (1988). Graph adapted from Panksepp (2003a,b). et al., 2000). Quite strikingly, the neural substrates for human sadness overlap substantially with the separation distress/PANIC system of guinea pigs (for an overview, see Fig. 2) and FEAR also. In sum, the fact that negative 22 kHz USVs are integrated in this brain region in rats gives us confidence that relevant negative affects are still elaborated in this species, albeit it may not be precisely the negative social affect demonstrated in other species. Of course, many consider the attribution of feeling states in animals to be inappropriate anthropomorphism, but this view is not supported by existing evidence (Panksepp, 1998, 2011). For instance, as predicted, humans report intense feelings of negative affect, which could be characterized as fear, anxiety, agitation, and/or impending doom when the dorsal PAG is electrically stimulated (Nashold et al., 1967; Young and Rinaldi, 1997). In a recent study, human patients were implanted with electrodes into the rostral portion of the PAG (the same half of the PAG stimulated in the experiments that will be described in this paper), to study the effect on blood pressure. It was found that ESB of the dorsal regions led to increases in blood pressure, and some of the patients reported feelings of intense distress, as well as nausea (Green et al., 2005). The autonomic and physiological alterations accompanying panic attacks and those observed with electrical brain stimulation of the dorsal PAG in both rats and humans show striking similarity (for review/systematic comparison see: Graeff, 2004; Jenck et al., 1995; Schenberg et al., 2001; Lovick, 2000), and there is abundant evidence of a potential developmental link between separation distress and depression, ever since John Bowlby emphasized the life-long benefits of secure parent-infant relationships (Bowlby, 1988; for full summary, see Watt and Panksepp, 2009). According to the DSM-IV, up to 65% of people with panic disorder also have major depressive disorder. Based on symptom similarities, it has also been proposed that panic-attacks in humans are more related to separation-distress/PANIC feelings rather than FEAR systems that are situated nearby in the PAG (Panksepp, 1998, 2003b). Interestingly, in about a third of individuals with both panic disorder and major depressive disorder, the depression preceded the panic disorder (DSM-IV). Therefore, human studies of panic disorder may aid our understanding of the functioning of the dorsal PAG and may perhaps illuminate the nature of the etiology of depression. Indeed, increases in gray matter within the midbrain of individu- als with panic disorder suggest they may have enlargements of the PAG (Protopopescu et al., 2006). Furthermore, increased cerebral blood flow to the midbrain has been found in patients with panic disorder in anticipation of anxiety-provoking stimuli (Boshuisen et al., 2002). In addition, increases in glucose uptake in the midbrain are often evident in people with panic disorders (Sakai et al., 2005). Finally, fMRI-based brain imaging has indicated that imminent threats readily “light-up” the PAG, while distal threats only activate the amygdala (Mobbs et al., 2007). Social defeat, an adult form of social loss, also impacts the PAG. This model has been used to study features of the early onset stages of depression in rats (Malatynska and Knapp, 2005), and this stressor strongly impacts the PAG. Defeated animals exhibit up-regulated beta-2 nicotinic acetylcholine receptor subunit transcription specifically, and potentially exclusively, in the PAG (Kroes et al., 2007). Such up-regulation takes place in regions of the PAG where social defeat promotes abundant 22 kHz vocalizations, calls also observed with electrical stimulation of the dorsal PAG. Playback of these 22 kHz vocalizations promotes arousal of neurons in the dorsal PAG (Beckett et al., 1997; Sadananda et al., 2008). Unconditioned fear/aversive stimuli, such as exposing rats to cats, also increases neural arousal in the dorsal PAG, especially in the rostral half (Canteras and Marina, 1999). Most importantly, ESB of the dorsal PAG has long been shown to sustain escape motivation conditioned place aversion in rats (Delgado et al., 1954; Roberts and Cox, 1987; Schmitt et al., 1981, 1984). In such studies, rats show increased locomotor behavior and agitation at low levels of PAG stimulation; at medium levels, rats freeze, and at higher levels, rats exhibit intense arousal and active escape behaviors. Interestingly, some of these behaviors are inhibited in rats treated daily with 1 mg/kg of the antidepressant fluoxetine for three weeks (Schenberg et al., 2001). Thus, abundant data converge on the conclusion that the negative affect evoked by PAG stimulation may have relationships to clinical depression. 5. A vocal affective indicator of SEEKING circuitry arousal—50 kHz USVs We will now briefly discuss the diminished arousability of the reward SEEKING system as a second major vector in the genesis of depression. Parenthetically, this system has long been known as “The Brain Reward System” although this is a misnomer since the main function of this circuitry is not to mediate the pleasure of sensation but the eager pursuit of all resources needed for survival (Panksepp, 1981, 1982, 1998). Obviously, organisms must seek resources to survive. Such a simple idea becomes complex when one considers the multitude of behaviors involved in bringing about this adaptive end. Animals need many resources—food, water, shelter, sex, to name a few—and it is clear that a single underlying neural system provides this capability and also elaborates the affective urge to fulfill these needs. This urge is not well described by the monolithic concept of “reward” or “pleasure” (although still commonly used), but rather the positive excitement that can border on euphoria, of aspiring to forage for and thereby achieve life supportive goals. The mesocorticolimbic dopamine system creates the overall arousal promoting foundation for the SEEKING system—a generalized urge to pursue rewards—which then integrates with numerous unconditioned and conditioned drives and environmental events, especially those that predict rewards (incentive salience states), yielding appetitive learning, which allows organisms to become motivated toward specific ends as needs arise. Easily monitored, quantifiable behaviors serve as readouts of activity in the SEEKING system—from complex motor activities, to simple measures such as invigorated sniffing (Rossi and Panksepp, 1992; Ikemoto and Panksepp, 1994) in rats, and most recently it has been validated that socially-relevant affective vocalizations, emit- J.S. Wright, J. Panksepp / Neuroscience and Biobehavioral Reviews 35 (2011) 1902–1915 ted in great quantities during positive social interactions, can also serve as readouts of SEEKING. Namely 50 kHz USVs, especially of the more abundant frequency modulated variety, are indicative of the SEEKING system in action. Thus we have a direct behavioral way to estimate arousal and arousability of the SEEKING system (Burgdorf et al., 2007) during potential depressogenic manipulations such as stimulation of the dorsal PAG. To briefly amplify on these key issues, with half a dozen confirmatory lines of evidence: (i) 50 kHz USVs are representative of a positive affective state in the rat (Knutson et al., 2002). (ii) Rats emit increased rates of 50 kHz vocalizations in anticipation of electrical stimulation to rewarding brain regions (Burgdorf et al., 2000) and in anticipation of play (Knutson et al., 1998). (iii) Increased rates of 50 kHz USVs are also produced by rats during play and when tickled (Burgdorf and Panksepp, 2001; Panksepp and Burgdorf, 2003). (iv) Microinjection of amphetamine into the nucleus accumbens has been found to induce 50 kHz USVs (Burgdorf et al., 2001a,b; Brudzynski et al., 2011), while lesions to the mesolimbic dopamine pathway or dopamine receptor blockade attenuate them (Burgdorf et al., 2007). (v) The number of 50 kHz vocalizations has been found to positively correlate with conditioned place preference (Burgdorf et al., 2007) and negatively correlate with aversion (Burgdorf et al., 2001a,b). (vi) And perhaps most importantly, every brain region that leads to the elicitation of 50 kHz vocalizations via electrical brain stimulation has also supported self-stimulation, albeit, not every region found to support self-stimulation has elicited 50 kHz USVs (Burgdorf et al., 2007). All this suggests that 50 kHz USVs may provide a more spontaneous and hence probably more specific index of positive SEEKING affect than self-stimulation itself (Burgdorf et al., 2007), which is an explicitly learned behavior. It is also clear that aversive stimuli suppress 50 kHz USVs. For example, predatory odors, bright light, and foot shock have all been found to decrease rates of 50 kHz USVs (Burgdorf et al., 2001a,b; Covington and Miczek, 2003; Knutson et al., 1999; Panksepp, 1998). Also, in rats that have been bred to show high and low levels of 50 kHz USVs, the high-line animals seem to be more resistant to depression than the other lines of animals, which has already led to new ideas in antidepressant development (see Burgdorf et al., 2011, in this issue). Finally, it should be noted that our systematic tickling (i.e., heterospecific 1907 hand play procedure), allows us to directly assay the state of the social-positive affect system that generates 50 kHz USVs (Panksepp and Burgdorf, 2000, 2003; Panksepp, 2007). 5.1. Experiment 1: dorsal PAG stimulation can abolish positive affect as monitored by 50 kHz USVs and promotes negative affect as measured by 22 kHz USVs We first determined the effect of dorsal PAG stimulation on positive and negative affect as measured by 50 kHz and 22 kHz USVs, respectively. Six male adult rats were implanted with bipolar electrodes into the rostral half of the dorsal PAG and were repeatedly habituated to a test chamber. Animals initially received a single one second pulse of 60 Hz stimulation to the dorsal PAG every 10 s for 1 min (i.e., priming period intended to simulate conditions that are known to induce Long Term Potentiation (LTP) in neural circuits). They then received one pulse every 60 s for the remaining 9 min. Animals were then left to freely vocalize for 5 min without intrusion. Two tickle sessions followed, each consisting of 1 min of 15 second-on/15-second-off tickling stimulation, followed by 4 min of non-stimulated free vocalization. The total duration of the test was 25 min. Baseline data (i.e., same procedure without PAG stimulation collected the previous day) provided baseline control data for behavioral changes observed on the stimulation day. PAG stimulations completely abolished 50 kHz vocalizations during the 10 min intermittent stimulation period, and also during the 5 min post-stimulation observation as well as the two succeeding tickle periods (Fig. 3a). Robust 22 kHz USVs were emitted during the brain stimulation and persisted during the 5 min poststimulation period (Fig. 3b). No 22 kHz USVs were emitted during baseline testing (data not shown). 5.2. Experiment 2: PAG stimulation leads to a conditioned suppression of positive affect as monitored with 50 kHz USVs We next determined whether the suppression of 50 kHz USVs could be contextually conditioned to verify that our results did not represent direct motor output free of emotional value, or a simple lingering unconditioned response in the previous experiment (i.e., in humans, affective changes provoked by brief emotional Fig. 3. Male adult rats implanted with bipolar electrodes in the dorsal PAG received a 1 s 60 Hz sine wave pulse (current range 10–80 ␮A) every 60 s for 10 min followed by a 5-min post-stimulation break and two 5-min tickle periods. 50 and 22 kHz USVs were monitored during the testing session (n = 6). (A) Stimulation of the dPAG inhibits positive affective 50 kHz USVs. Data is grouped together for the entire 25 min testing period (but the sequence of testing was the same as the right graph). (B) Stimulation of the dPAG induces negative-affective 22 kHz USVs. Graph shows vocalizations for each of the segments of the testing period to illustrate the lasting effect of stimulation. No 22 kHz USVs were observed during baseline testing (data not shown). 1908 J.S. Wright, J. Panksepp / Neuroscience and Biobehavioral Reviews 35 (2011) 1902–1915 Fig. 4. The suppression of 50 kHz USVs was shown to be conditioned on extinction day 1. Graph depicts 50 kHz USVs during 11 min recording period. On stimulation days, PAG animals (n = 10) compared to control (n = 10) received a 1 s 60 Hz sine wave pulse every 5 s for 60 s (current range 5–20 ␮A: below escape threshold) followed by a single 1 s pulse every 30 s (current range 10–80 ␮A) for 9 minutes followed by a one minute post-ESB interval. Following the stimulation period (represented above), animals were tickled using the protocol described in the text (data not shown). All animals had been given two habituation days in the test chamber (without ESB) prior to baseline testing. The suppression of 50 kHz USVs showed a conditioned effect on extinction day 1. **p ≤ 0.01; *p ≤ 0.05. episodes are known to last longer than the precipitating circumstances). Twenty adult female rats were implanted with bipolar electrodes into the rostral half of the dorsal PAG. Females were used because they are more responsive to playful tickle interventions at older ages (Panksepp and Burgdorf, 2003). Ten female rats served as sham operated controls that did not receive PAG-ESB, and ten served as emotional-arousal treatment animals and received PAG-ESB. Though formally considered a contextual conditioning experiment, the brain stimulator, which was nearby, does produce an auditory ‘click’ at the initiation of brain stimulation as well as sham stimulation. Therefore, it is possible that this ‘click’ also served as a cue for conditioning. After habituation and baseline days, treatment animals received PAG stimulation on two consecutive days followed by two consecutive days of extinction trials and a spontaneous recovery test 30 days later. The procedure consisted of a 10 min “stimulation period” followed by two tickle periods after a 1-min post-ESB interval. As in the previous experiment, the stimulation period began with a “priming” period during the first 60 s, though here animals received a pulse every 5 s during the priming period (again intended to potentially induce LTP). During this priming period, animals received a one second 60 Hz sine wave pulse (5–20 ␮A; below escape threshold) every 5 s for the first 60 s of the stimulation period. A single pulse (10–80 ␮A) was then administered every 30 s for the remaining 9 min. The current threshold for stimulations was determined by the behavioral response of the animals ∼25% of the stimulations induced only freezing behavior, ∼25% escape behavior, and ∼50% behavioral responses in-between. As observed in the first experiment, 50 kHz USVs were entirely suppressed during stimulation days. The effect was conditioned, as 50 kHz USVs were also suppressed 24 h after the stimulation on the first extinction day, but extinguished on the second extinction test. (Fig. 4: results shown for the stimulation period.) Fig. 5. 50 kHz USVs were suppressed, in animals having received chronic PAGESB (n = 10 treatment; 10 controls), during the 5 min restriction period in the familiar box prior to gaining access to the open field (for time-line of procedure, see Supplementary Figure 1). The suppression was stable across days. **p ≤ 0.01: unpaired two tailed t-test. as in the above experiment, but rebalanced for prior stimulation experience). The same 10-min stimulation protocol employed in experiment two was again used. Animals received this stimulation protocol every day for fifteen consecutive days. Behavioral testing was conducted during the stimulation period (always at least 2 h after the stimulation treatment of that day), and during the 30 days following the final stimulation treatment (see Supplementary Figure 1 for timeline of stimulation/testing). The first test used was the voluntary exploration test. During this test, animals were placed in a familiar test box (12 (1/4)′′ H × 12 (1/4)′′ W × 19 (1/2)′′ H, that they had previously been habituated to for one 15 min session) with a small (2 (1/8)′′ diameter circular) door, where they were restricted during the first 5 min on testing days (17 and 18 days after the final stimulation treatment). The door was then opened to allow 5 min of voluntary exploration of a novel open field (24 (1/4)′′ × 24 (1/4)′′ floor area × 12′′ high). Dorsal PAG stimulated animals showed suppressed 50 kHz vocalizations in the familiar box during the 5 min restriction on both test days, demonstrating a long term suppression in 50 kHz vocalizations that was stable across days (Fig. 5). When the door was opened, animals that had received dorsal PAG stimulation (dPAG animals) showed fewer investigatory nose pokes into the open field prior to exiting than controls (Fig. 6). Nose pokes were measured as an animal’s head emerging out of the familiar start box (at least beyond the ears) into the open field. After exiting into the open field, dPAG animals spent less time exploring the environment (Fig. 7). Furthermore, dPAG animals entered into and exited 5.3. Experiment 3: chronic dorsal PAG stimulation leads to decreased exploration, altered sucrose intake, and a persistent suppression of positive affect as indexed by 50 kHz USVs We next determined the non-contextual and long-term consequences of chronic dorsal PAG stimulation, in order to evaluate whether a sustained depressive type response emerged. Again, 20 female rats with dorsal PAG electrodes were used (the same Fig. 6. When placed into a familiar box with a small hole (2 (1/8)′′ circumference) giving access to an open field, rats having received chronic PAG stimulation performed fewer nose pokes into a novel open field during a 5 min voluntary access period (see Section 5.3 paragraphs 1 and 2 for more info). *p ≤ 0.05: unpaired two tailed t-test. J.S. Wright, J. Panksepp / Neuroscience and Biobehavioral Reviews 35 (2011) 1902–1915 Fig. 7. After 5 min in the restricted familiar box, the door was opened, allowing free access into an open field. Rats having received chronic PAG stimulation (as in Fig. 5) spent less time in the open field on post day 17 (when the open field was novel). *p ≤ 0.05: unpaired two tailed t-test. Fig. 8. Animals were placed into a familiar box (having been habituated for 15 min on previous day) with a small hole (2 (1/8)′′ circumference) giving access to a novel open field. During the first 5 min the rats were restricted in the familiar box, after which the door was opened and animals were allowed to freely explore for 5 min. Animals having received chronic PAG stimulation crossed between the familiar box and the open field more than controls during the 5 min voluntary exploration test, suggesting increased anxiety in the open field. *p ≤ 0.05:unpaired two tailed t-test. out of the open field more than controls (Fig. 8), and produced more fecal boli (Fig. 9). Sucrose tests were administered for 2 consecutive days, with a measurement and refilling taking place every 24 h; 0.8% sucrose Fig. 9. Animals were placed into a familiar box (habituated for 15 min on previous day) with a small hole giving access to a novel open field. During the first 5 min the rats were restricted in the familiar box, after which the door was opened and animals were allowed to freely explore for 5 min. Rats having received chronic PAG stimulation excreted more fecal pellets than controls during the 5-min restriction. *p ≤ 0.05. 1909 Fig. 10. Stimulation of the dPAG modestly decreased sucrose intake during dPAG stimulation on post ESB day 1 (for time line, see Supplementary Figure 1) but exhibited increased intake when re-tested 30 and 31 days after the final stimulation, with no intervening sucrose testing (n = 10) compared to control (n = 10). *p ≤ 0.05; **p ≤ 0.01: repeated measures ANOVA with Bonferroni’s post test. was used, and spillage was negligible. At the end of the 15 days of stimulation treatment, dPAG animals showed a decreased sucrose intake. It is important to note that post day 1 could still be considered as part of the stimulation period, as animals had received their last stimulation within 24 h of the beginning of the sucrose test. Surprisingly, 30 days following stimulation, the inverse trend was evident, with animals that had received stimulation exhibiting a sustained increase of sucrose intake compare to controls (Fig. 10). To monitor changes in SEEKING system reactivity, 50 kHz USVs were monitored at the indicated time points (Fig. 11), using novel boxes of varying size, shape and color. In this type of test, which promotes active SEEKING and exploration of the novel environment, it is well known that animals typically exhibit investigatory vocalizations (Schwarting et al., 2007; Wöhr et al., 2008) soon after simply being placed into the novel environment (a different novel box was used for each test: contact corresponding author for specific information if interested). The test lasted 10 min and all USVs were harvested. This test was conducted both during the stimulation period (approximately 2 h after stimulation) and periodically during the 29 days following stimulation. Tests were conducted both during the light and dark cycle to control for diurnal effects that might be endogenously present as well as those resulting from the dPAG-ESB. Stimulated animals showed a persistent suppression Fig. 11. Animals were repeatedly placed in a novel box (different box each time) for 10 min, during which USVs were recorded. Animals having received chronic dPAG stimulation (for time line, see Supplementary Figure 1) emit fewer 50 kHz USVs when placed in a novel environment for at least 29 days after the final day of dPAGESB treatment (n = 10) compared to control (n = 10). Each point represents a distinct 10 min test. Testing was conducted periodically, sometimes in the light and sometimes in the dark period, both during the 15 days of the stimulation treatment and intermittently during the 29 day period following the final stimulation. 1910 J.S. Wright, J. Panksepp / Neuroscience and Biobehavioral Reviews 35 (2011) 1902–1915 of 50 kHz USVs during each of the novel box tests, including the last one (4 weeks) after the final PAG stimulation session (Fig. 11). 6. Interpretation and discussion of results Understanding the neural networks responsible for the regulation and generation of negative affect is surely important for understanding depression. The separation-distress circuit (PANIC) is a prime candidate to participate in the genesis of depression, for it provokes a strong negative affective state that was first emphasized by John Bowlby in the psychiatric literature (for recent summaries, see Panksepp and Watt, 2011; Watt and Panksepp, 2009). First, when this circuit is chronically aroused at low levels sadness may be experienced (Damasio et al., 2000, and see Fig. 2). Second, at potentially higher levels of arousal, more intense anxiety type affective states are produced as reflected in behavioral indices in animals, with freezing transitioning to flight, while in humans, feelings of doom and more intense anxious states have been reported (Mobbs et al., 2007; Nashold et al., 1967; Panksepp et al., 2011). Finally, at peak levels, it is possible that full-blown panic attacks are aroused (Graeff, 2004). Therefore, multiple shades of negative affect can potentially arise from either a single or multiple emotional systems based on the magnitude and/or patterns of activity. Although we have focused on the PANIC system here, it is clear that FEAR and RAGE are also represented in the dorsal PAG (Panksepp, 1998) and should not be discounted as contributory causes of the effects observed. However, RAGE responses are predominately elicited from intermediate regions of the rostral-caudal axis of the PAG in the lateral column (Depaulis et al., 1992; Bandler and Shipley, 1994), and afferents from the central nucleus of the amygdala (important in the genesis of FEAR) project more strongly to caudal aspects of the dorsal PAG, though these afferents also synapse in the rostral portions. All these possibilities will need to be disentangled by future research, perhaps through the use of optogenetic procedures that should allow more distinct stimulation of particular affective systems. Such a procedure will also allow us to better localize stimulation to the dorsomedial and dorsolateral columns of the rostral PAG, as it is possible that, though electrodes were localized to the dorsomedial and dorsolateral columns (since they were situated diagonally such that stimulation would arouse both columns), electrical stimulation in the experiments reported here might have also influenced more lateral columns and deep layers of the superior colliculi, as well as other tissue surrounding the dorsal PAG. Still, we would note that at present it is the separationdistress PANIC network that is more likely to figure in the type of “psychic pain” which may help engender shame and guilt, which are common in depression. Although some of the particularities above are speculative, until more refined functional studies can be done contrasting potentially different influences of different primary-process emotional systems, the overall premise that separation-distress responses arise from a distinct brain network that may be appropriately called the PANIC circuit, has been supported by both animal and human studies, and it is clear that the region of the dorsal PAG that received electrical stimulation here is involved in negative affect. In sum, the results from experiment 1 demonstrate that stimulation of the dorsal PAG inhibits the 50 kHz vocalizations that are indicative of an excited SEEKING state, although an absence of 50 kHz USVs obviously does not imply a total absence of activity within the SEEKING system. Behavioral analysis alone does not provide enough resolution to adjudicate on the underlying neurophysiological details and will require the implementation of many other approaches for clarity (e.g., electrophysiological ones such as in Mu et al., 2011). In any event, the absence of vocalizations during the 5-min period following dPAG stimulation suggests that the aroused affective states persist well beyond the actual stimulation. To probe the sensitivity of the SEEKING system we performed a standardized assay of its reactivity to stimuli that provoke positive social affect, namely our standard tickling test (more scientifically known as “heterospecific hand play” that strongly promotes 50 kHz USVs) (Panksepp and Burgdorf, 2000, 2003). Tickling administered at 5 and 10 min after the final stimulation (in experiment 1) seemed unable to elicit essentially any 50 kHz USVs, suggesting that dorsal PAG stimulation creates a lasting state that resists the induction of positive social affect. Indeed, playful excitement might be considered the antithesis of depression, and the fact that dPAG stimulation can inhibit such excitement for at least 10 min after stimulation suggests that dPAG stimulation, and/or the anticipation of further stimulation, exerts a sustained powerful inhibition on the SEEKING system. The neurophysiological consequences will need to be characterized with in vivo voltammetry for changes in dopamine activity and even more refined measures for other types of potentially relevant mesolimbic neuronal activity (e.g., Mu et al., 2011). It is also noteworthy that dPAG stimulation in these experiments evoked persistent 22 kHz USVs during intervals between successive PAG stimulation—alarm vocalizations that are also commonly emitted in the presence of cat odor. In the present experiment, without any external threat, successive stimulations of the dPAG led to vigorous 22 kHz vocalization emission in most rats, with males typically exhibiting stronger responses than females. Following a single stimulation pulse a male rat might emit continuous intermittent 22 kHz USVs for more than 10 min. In comparison, 22 kHz USVs in response to cat odor/presence are long and drawn out, averaging more than 1 s per vocalization. After a single dorsal PAG stimulation, such calls are emitted; however, repeated stimulations lead to shorter 22 kHz USVs, perhaps reflecting a different quality of the evoked negative affect. The results from experiment two demonstrate that our dependent variable, the 50 kHz USV, may exhibit both unconditioned and conditioned reductions in response to repeated stimulation of the dorsal PAG. Traditionally, conditioned place preferences and avoidances have been used as the gold standard to evaluate affective learning processes, but it is clear that emotional vocalizations can also be used (Burgdorf et al., 2001a,b). Such learning in the present situation is suggested by the data, but not formally evaluated; it is possible that our series of LTP-type stimulations set in motion larger neurological/psychological processes outside the realm of learning, such as a sustained shift in the sensitivity of underlying brain affective systems. However, it is interesting that on the 2nd extinction trial it was the ‘flat’ 50 kHz USVs, which do not reflect dopamine-based euphoric arousal (Burgdorf et al., 2007), that rebounded (data not shown), whereas the frequency modulated vocalizations that are more responsive to dopamine activity remained suppressed. One possibility is that flat 50 kHz calls represent a more cognitive type of call that animals use to sample the social environment, and this type of state may also be an initial state related to extinction learning, perhaps indicating that animals “realize” no negative event is about to take place. If this is true, then perhaps glutamatergic input into the nucleus accumbens from the many learning centers is involved. At the same time, the continued suppression of frequency modulated 50 kHz calls might reflect either a sustained suppression of euphoric excitement related specifically to SEEKING, and/or reflect continued arousal of negative affective substrates that are more sensitive to other types of past social-emotional events. Yet, the sustained reductions of positive 50 kHz USVs in a novel (unconditioned) environment up to a month after the termination of chronic dPAG stimulation (Exp. 5.3) suggests a sustained shifting of temperamental-affective state following acute stimulation is possible. With regard to modeling depression, this long-term suppression of positive affect following J.S. Wright, J. Panksepp / Neuroscience and Biobehavioral Reviews 35 (2011) 1902–1915 chronic dPAG stimulation is the most important finding of the present work. Of course, a great deal of further work is needed to evaluate the influence of each of the relevant variables, including the durations and patterns of stimulation, ESB intensities, the range of brain region within and outside the PAG able to provoke such effect, as well as a variety of other parameters. The results from the third experiment also help support the relevance of chronic dPAG stimulation to a sustained depressive phenotype by the demonstration of decreased exploration, increased anxiety, and decreased positive affect for a remarkably long period following the final brain stimulation. This appears to reflect an actual shift in affective phenotype. Perhaps importantly, in all of the present studies, the dPAG-ESB was administered in a special stimulation chamber (outside the home cage), thus allowing the home cage of animals to serve as a “safety zone.” In future studies, it would be of interest to determine whether the administration of the PAG-ESB within the home cage environment would magnify the effects reported here, especially the degree and quality of social interactions within and outside the home environments. If the currently observed depressive symptoms are more severe when induced in the home environment, it may suggest that such a paradigm might even more closely resemble depression in humans, since humans experiencing depression rarely have such “safe zones,” except perhaps in the domain of formal therapy and/or social interaction with close friends and family. Thus, it will be important to evaluate how dPAG-ESB in both new as well as home environments influence affective expressions in each environment. We do know that our type of procedure is sufficiently strong for the apparent temperamental shifts to be readily observed in new environments. For instance, the voluntary environmental exploration test (Figs. 5–9) allowed the use of repeated test days to analyze the difference between dPAG-ESB animals and controls in their qualitative engagement with new situations. Though these tests were conducted more than two weeks after the final dPAG-ESB sessions, 50 kHz USVs were still suppressed in the PAG stimulated group across days, demonstrating the sustained power of the depressogenic cascade that had been set in motion with a total of only 450 s of actual PAG-ESB. The finding that dPAG animals showed fewer exploratory nose-pokes in this test is, of course, open to multiple interpretations. One interpretation is that fewer nose pokes represent a decreased investigative impulse, consistent with the 50 kHz vocalization data. A second interpretation is that fewer nose pokes into a novel environment before entering it reflect increased “caution,” or rather is perhaps representative of an impulsive tendency to not thoroughly investigate the safety of a new environment prior to entering it. Of course, both of these may be secondary effects of an elevated form of anxiety. Our interpretation of increased negative affect in animals having received dorsal PAG stimulation is supported by their apparent increased eagerness to return to a familiar location during exploration of an open field, which in our work was represented by more enters/exits between the familiar “start” box and the novel open field, perhaps reflecting an increase in general anxiousness, which is also consistent with the finding that dPAG animals produced more fecal boli than controls. The insecure behavior displayed by dPAG rats, i.e., fewer nose pokes into a novel environment before entering; more enter/exits between a familiar box and a novel open field, resembles the behavioral consequences reported in bilateral olfactory bulbectomized (OBx) models of depression in rats. For example, it has been reported that OBx rats show increased locomotor activity in a well-lit open field (Klein and Brown, 1969) and increased enter/exits into the open arms of an elevated plus maze (Song et al., 1996). A direct comparison of hedonic profiles between OBx and dPAG-ESB rats, especially with 50 kHz USVs will be needed to resolve such issues. 1911 Fig. 12. dPAG animals decreased in body weight by the 15th stimulation day (n = 10) compared to control (n = 10). *p ≤ 0.05: two way ANOVA with Bonferroni post test. They gradually regained most of their lost weight during the subsequent month of testing. Traditional measures may be less informative. For instance, sucrose intake has traditionally been used as a measure of hedonic response in preclinical animal models of depression. However, this remains a controversial measure of anhedonia since it lacks clinical face validity (i.e., do depressed people consume fewer sweets?). Toward the end of the 15 days of stimulation, dPAG animals showed a significant decrease in sucrose intake, consistent with much of the rodent literature employing various stress models of depression. We initially observed the predicted effect. However, 30 days after the final stimulation, dPAG animals showed a significant increase in sucrose intake compared to controls. This later finding is consistent with depressogenic early life isolation in Octodon degus (see Colonnello et al., 2011, in this issue). Perhaps the increased sucrose intake is demonstrative of a self-medication response, as highlighted by the capacity of sweets to release brain dopamine as well as opioids (Hernandez and Hoebel, 1988; Avena et al., 2008). From this perspective, we would also hypothesize that animals having received chronic dPAG stimulation will show a smaller dopamine response in the nucleus accumbens in response to both appetitive and consummatory sucrose testing. In other words, perhaps dPAG animals require more exposure to sweet tastes to experience hedonically “normal” levels of dopamine response. The initially decreased sucrose intake of dPAG animals may represent a more acute stress response from the PAG-ESB, but may also be reflective of overall weight changes in these animals (dPAG-ESB animals lost weight). However, by one month post-stimulation, the weights and daily weight changes had stabilized (Fig. 12) in both experimental and control animals, so the increased sucrose intake then likely represents what is perhaps the more sustained neurological-temperamental change that had consolidated as a result of the earlier PAG-ESB experiences. In contrast, in the novel box experiments (Fig. 11), which promote a SEEKING response in rats, 50 kHz USVs were consistently suppressed both during stimulation days and 29 days following stimulation. This suggests that the positive hedonics of gustatory treats and those that promote 50 kHz USVs reflect different underlying brain processes. Obviously, without further brain analyses, there are multiple possibilities as to what has been altered by chronic dPAG stimulation. For example, the separation-distress/PANIC system, either within the PAG or in other parts of the network, might be sensitized and up-regulated. Conversely, SEEKING substrates might be chronically desensitized from the stimulation, or both. Further research is needed to determine these neurological alterations. To this end, we plan to evaluate how dorsal PAG stimulation induces neuronal activity markers such as fos expression to determine potential “hot spots” within the brain that need to be further investigated. Abundant work still needs to be done with this new affective circuit level 1912 J.S. Wright, J. Panksepp / Neuroscience and Biobehavioral Reviews 35 (2011) 1902–1915 approach to preclinical modeling of depression, including evaluating various traditional markers of the depressive phenotype such as chronic elevations of adrenal steroid production and changes in brain growth factors, to name just a few. However, all other animal models that do not directly address the relevant affective changes may be even more remote from clinical reality. 7. Conclusions and future possibilities According to the DSM-IV, a major depressive episode must last at least two weeks and include one or two core symptoms and a subset of additional symptoms, for a total of 5 symptoms. A full set of criteria has yet to be achieved by any preclinical model, but the current approach is one of the few that seems to be resolving some of the cardinal emotional symptoms. Indeed, the core symptoms of depression are affective: first, a depressed mood; and second, a decreased interest or ability to feel pleasure. Chronic dorsal PAG stimulation in these experiments clearly induced such affective changes, with effects that were sustained for more than two weeks. In our estimation, the persistent and long term suppression of positive affect, as indicated by diminished 50 kHz USVs, may be the gold-standard “direct” preclinical indicator of a depressed mood in rat models, thus potentially fulfilling the first of the two core symptoms of a depressive episode. Dorsal PAG stimulated animals also exhibited behaviorally apparent decreased interest in their environments, as indicated by their decreased exploration of a novel open field, thus potentially fulfilling the second core symptom of a major depressive episode. To meet criteria for a major depressive episode, a person must also exhibit at least 3 of the following 4 symptoms, according to the DSM-IV, depending on whether both or only one core symptom is present: (i) greater than 5% body weight change in a month (either increase or decrease); (ii) changes in sleep (either insomnia or hypersomnia); “psychomotor agitation or retardation”; (iii) fatigue; decreased concentration and/or indecisiveness; inappropriate and/or (iv) persistent feelings of guilt; finally, feelings and thoughts of death. Of course the last symptom cannot be preclinically modeled; issues such as feelings of “guilt” and “thoughts about suicide”–tertiary-processes of the mind, cannot be probed in animal models. However, we anticipate that rats that have received chronic dorsal PAG stimulation will exhibit the other symptoms. Indeed, it was clear that our animals exhibited more than a 5% decrease in body weight during the 15 day stimulation period, and that this decreased weight persisted following the stimulation. However, this trait was less stable and showed increased variability as time progressed following stimulation compared to the suppression of 50 kHz vocalizations. Dorsal PAG stimulated animals also showed more enter/exits between a familiar box and a novel open field, which may be indicative of an anxious, indecisive state of mind, but obviously further research is needed to classify and delineate these consequences. However, the important point here is that shifts in specific affective states can now be targeted as both independent and dependent variables in preclinical modeling of depression. This initial attempt at direct affective modeling of depression in rats suggests that chronic stimulation of the rostral half of the dorsal PAG could be developed into the first affective circuit-based preclinical approach to understanding depression in a commonly available laboratory animal. Such results encourage us to move toward other new, direct brain-based animal models of depression. There are, of course many other possibilities along these lines, and for that reason we presented data with a reversible lateral hypothalamic lesion approach (Fig. 1), which, along with other direct neural challenges, could be used to directly simulate reductions in SEEKING urges that characterize depression, as lesions there are known to markedly reduce the frequency modulated 50 kHz USVs that are premier indicators of depression-relevant positive affect in rats (Burgdorf et al., 2007) as well as many of the other symptoms of depression. Currently, the only other direct brain-based model is the robust depressive syndrome induced by olfactory bulbectomy (for overview, see Song and Leonard, 2005), but this model was a serendipitous discovery, as opposed to a theoretically developed strategy focused on manipulating and monitoring the underlying affective states of the brain. We realize that the discussion of affectively experienced states in non-human animals remains a controversial and contentious topic in animal brain research, but we think that we have reached a time where the weight of evidence strongly supports the existence of such psychological states in the brains of many other creatures (Panksepp, 2011). Our contention is that the more we invest in such lines of research, the more rapidly we will solve the dilemma of affective disorders in humans. And perhaps, from the knowledge of the underlying shifts in neuroaffective substrates, we will be able to develop not only a better understanding of depression but eventually better therapies (Burgdorf et al., 2011, in this issue). In closing, although this set of studies only points the way toward a new class of preclinical models of depression, one must wonder why such approaches remain to be developed. Our suspicion is that this is due to several factors, especially the necessary perspective that in order to pursue such lines of thought one has to take the emotional feelings of animals seriously—a difficult assumption for many, as such a premise is perhaps unable to be deductively demonstrated. It has to be inferred inductively from convergent evidence, and new predictions. The premise that non-human animals have affective experiences that can be scientifically studied has not been either a popular or even widely recognized aspect of animal models of psychiatric disorders, yet functional and structural deformations in the brain mechanisms that mediate various types of affective experiences, woven from underlying neural circuitry changes, are probably the way many psychiatric disorders arise. It is surely no secret that most investigators in behavioral neuroscience do not feel comfortable talking about the feelings of the animals they study. Let us consider these two issues briefly, to weigh the potential benefits of making the above assumption, versus the potential risks. The issue of whether animals have any form of consciousness— defined here as internal subjective experience (i.e., phenomenal consciousness or qualia)—that can be scientifically studied—is a very controversial topic. Our view is on the liberal fringe of educated views, since we think the evidence itself now robustly supports the contention that the subjective experience of others, including nonhuman animals, can be scientifically investigated and understood with the aid of modern neuroscience (for a review of this issue, see Panksepp, 2011). With respect to brain emotional systems, it is basically a law of nature that wherever one applies ESB and evokes coherent emotional behaviors, animals treat those shifted brain states as rewards and punishments in learning situations, such as conditioned place preferences and aversions. Since animals do not exhibit any clear propositional-symbolic communication, we obviously must rely on their behaviors to read their minds. However, this “reading” is not just a matter of belief in science, but a matter of whether a view generates a rich set of testable/verifiable predictions. Thus we are in an unusual intellectual era where the weight of evidence supports the unpopular view that animals do have emotional feelings while the weight of educated opinion supports the opposite traditional Cartesian view. Although few would disagree that new approaches to modeling psychiatric disorders in non-humans are needed, it still remains generally unacceptable in neuroscience circles to make the leap to subjective inferences, J.S. Wright, J. Panksepp / Neuroscience and Biobehavioral Reviews 35 (2011) 1902–1915 and to base preclinical psychiatric models on a direct confrontation with animal emotions. This is not at all a unique instance in the history of science. There are abundant examples during the past four centuries since the start of “The Enlightenment” with a similar flavor, and though this alone is not sufficient to promote acceptance of new world views, it certainly suggests that sometimes the most obvious phenomena continue to be ignored during periods when most investigators feel we are making great advances using standard approaches. However, no systematic brain research, in human or other animals, has yet yielded a brand new type of anti-depressant, despite half a century of efforts. In any event, to utilize neural circuit functions within animal brains as a foundation for understanding the evolutionary sources of human emotional feelings is a basic evolutionary premise of cross-species affective neuroscience (Panksepp, 1998). Again, the key evidential base of the argument is that restricted stimulation of the subcortical neural circuits that control emotional-instinctual behaviors can routinely serve as “rewards” and “punishments” in the learned control of behavior. This is the gold-standard of evidence that suggests that in order to make progress on many psychiatric issues, we simply must take the emotional feelings of other animals seriously, for they seem to arise from ancient subcortical brain regions that control instinctual emotional-action sequences in all mammalian brains. Of course, the attribution of emotional feelings to animals raises a host of ethical issues which we will not address here (see Panksepp, 2011). Still, this suggests that investigators are wise to consider psychological distress issues in other animals. Accordingly, for our part, one of our research goals is to see if we can induce the temperamental changes described in this paper by applying PAG-ESB to animals that are anesthetized with agents such as Versted, etc. Since we think as mechanistically as most neuroscientists, our belief is that we should be able to simulate some of the emotional effects described in this paper in animals even when stressors are applied when they are not fully conscious. The empirical evidence is suggestive for such possibilities, as we have been able to characterize key attributes of the SEEKING system—such as ESB evoked sniffing—in anesthetized animals. For instance, the thresholds for the induction of sniffing in anesthetized rats is slightly higher but strictly correlated (r’s about .9 and above) with self-stimulation of the same electrodes in fully awake animals (Rossi and Panksepp, 1992). Likewise, we have mapped the circuitry for separation distress calls (Fig. 2) in anesthetized guinea pigs (Herman, 1979; Herman and Panksepp, 1981) and chickens (Bishop, 1984; Panksepp et al., 1988). Granting that we are able to promote a depressive phenotype by stimulating the dorsal PAG in anesthetized rats, this finding may be of great benefit for understanding the underlying neural circuitry, not only from a practical but also a scientific point of view. A big problem in the field is that global external stressors that are used to evoke depressive phenotypes in animals quite simply have massive effects on the brain (see Harro et al., 2011, in this issue), and the sifting of the most important brain changes is a major challenge, not fully accomplished yet. Considering its global stressful nature, it is to be expected that dPAG ESB will also have massive brain effects in waking animals, including those arising from fear of the next stimulation, but perhaps such brain changes are more limited in the brain than states evoked by massive peripheral stressors (but this remains to be demonstrated). However, we anticipate that ESB under anesthesia may help delimit the critical brain systems even further. And with ongoing spectacular developments in optogenetic brain stimulation procedures, more focal activation of the most relevant brain systems could be achieved, and thereby candidate circuits most relevant to depression research could be more easily characterized. 1913 In conclusion, we feel one key aim for the next generation of preclinical models of depression should be to get at the various positive and negative brain affective systems as directly as possible. The challenges in achieving this are not only scientific, but cultural. However, it is our prediction that when we start to more widely utilize such models, substantive progress will be made more rapidly, revealing more precisely the specific brain regions and processes that need to be influenced. If so, we can also anticipate that with a better understanding of the underlying affective circuit imbalances, new treatment vectors will be identified and implemented. For instance, it is now known that modulation of glutamatergic and cholinergic drives in midbrain regions may figure in depressive cascades (e.g., Burgdorf et al., 2011, in this issue, and Kroes et al., 2007) not only in the PAG, but also nearby affective processing regions of the brainstem (see Normansell and Panksepp, 2011, in this issue). In other words, a variety of positive and negative feelings are stitched into primordial brain regions in ways that have barely been functionally envisioned by modern neuroscience. There are other new lines of research related to depression that may also lead to new treatment options, such as those that surround the hypothesis that altered/hyperactive glia-related cytokines and other pro-inflammatory immune-molecules are involved in psychiatric disorders (see Hennessy et al., 2009; Arakawa et al., 2011, in this issue). This line of research might not be independent of the dorsal PAG, as a relatively high glia/neuron ratio exists there (Beitz, 1985). Indeed, this, and many other issues need to be addressed in order to understand depression. We are optimistic that with the gains in molecular biology, neuroscience, and behavioral research during the last century, we are approaching an era of developing novel treatments for depression and other psychiatric and neurological diseases based on our emerging understanding of the shared primary-process emotional processes of mammalian brains. 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