title: Acute selective serotonin reuptake inhibitors increase conditioned fear expression: blockade with a 5-HT(2C) receptor antagonist.
abstract: BACKGROUND
  Selective serotonin reuptake inhibitors (SSRIs) effectively treat various anxiety disorders, although symptoms of anxiety are often exacerbated during early stages of treatment. We previously reported that acute treatment with the SSRI citalopram enhances the acquisition of auditory fear conditioning, which is consistent with the initial anxiogenic effects reported clinically. Here, we extend our findings by assessing the effects of acute SSRI treatment on the expression of previously acquired conditioned fear.
  
  
  METHODS
  Rats underwent fear conditioning drug-free. Tone-evoked fear responses were tested after drug treatment the following day. This protocol more closely resembles the clinical setting than pre-conditioning treatment, because it evaluates effects of treatment on a pre-existing fear rather than on the formation of a new fear memory.
  
  
  RESULTS
  A single pre-testing injection of the SSRIs citalopram or fluoxetine significantly increased fear expression. There was no effect of the antidepressant tianeptine or the norepinephrine reuptake inhibitor tomoxetine, indicating that this effect is specific to SSRIs. The SSRI-induced enhancement in fear expression was not blocked by tropisetron, a 5-HT(3) receptor antagonist, but was blocked by SB 242084, a specific 5-HT(2C) receptor antagonist.
  
  
  CONCLUSIONS
  Enhanced activation of 5-HT(2C) receptors might be a mechanism for the anxiogenic effects of SSRIs observed initially during treatment.
authors.affiliation: W M Keck Foundation Laboratory of Neurobiology, Center for Neural Science, New York University, New York 10032-2695, USA. nsb2113@columbia.edu
authors.forename: Nesha S
authors.initials: NS
authors.lastname: Burghardt
authors.forename: David E A
authors.initials: DE
authors.lastname: Bush
authors.forename: Bruce S
authors.initials: BS
authors.lastname: McEwen
authors.forename: Joseph E
authors.initials: JE
authors.lastname: LeDoux
mesh_terms: D000161:Acoustic Stimulation / Q000009:adverse effects; D000818:Animals; D001522:Behavior, Animal / Q000187:drug effects; D015283:Citalopram / Q000494:pharmacology; D003213:Conditioning, Psychological / Q000187:drug effects* / Q000502:physiology; D004347:Drug Interactions; D005239:Fear / Q000523:psychology*; D005473:Fluoxetine / Q000494:pharmacology; D046352:Freezing Reaction, Cataleptic / Q000187:drug effects; D007211:Indoles / Q000494:pharmacology*; D008297:Male; D051381:Rats; D017207:Rats, Sprague-Dawley; D012702:Serotonin Antagonists / Q000494:pharmacology*; D017367:Selective Serotonin Reuptake Inhibitors / Q000494:pharmacology*; D013997:Time Factors; D000077526:Tropisetron
chemical_list: D015283:Citalopram; D005473:Fluoxetine; D007211:Indoles; D012702:Serotonin Antagonists; D017367:Selective Serotonin Reuptake Inhibitors; D000077526:Tropisetron