Clinical Pharmacology

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This division was known as Pharmacology until 27 June 2013.

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Browsing Clinical Pharmacology by browse.metadata.advisor "Pretorius, Lesha"

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    The role of estrogen receptors in anxiety disorders: an investigation in zebrafish
    (Stellenbosch : Stellenbosch University, 2023-11) Balshaw, Aidan Glenn; Smith, Carine; Pretorius, Lesha; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Biomedical Sciences. Dept. of Medicine. Division of Clinical Pharmacology
    ENGLISH ABSTRACT: Background & Aim Anxiety disorders are the most prevalent psychiatric disorders with approximately twice the prevalence in females compared to males. Clinical studies on the exacerbation of anxiety symptoms in the premenstrual phase of the menstrual cycle implicate the role of declining estradiol levels. Preclinical evidence most consistently indicating the anxiolytic effect of increased estrogen receptor beta-signalling exacerbations in anxiety symptoms have been demonstrated in clinical studies. This thesis aimed to simulate estrogen-linked anxiety behaviour in larval zebrafish to assess the role of estrogen receptors (ER) in this phenomenon. Methods Using an estradiol-treatment-withdrawal-model, behaviour of zebrafish larvae was determined in the LDTT on 7 days post-fertilisation (dpf) in a series of experiments. Firstly, the estradiol treatment withdrawal model was optimised by increasing the duration of treatment withdrawal and reducing the number of estradiol concentrations used. Further optimisation included comparing behaviour after estradiol washout with behaviour after prolonged tamoxifen, an ER modulator, administration. Secondly, ER modulators (WAY-200070, PHTPP, and tamoxifen) were administered for 45 minutes, in the presence of absence of exogenous estradiol exposure, before behavioural analysis. Thirdly, ERβ expression was determined after estradiol treatment. Lastly, redox status (hydrogen peroxide levels, antioxidant capacity, and lipid peroxidation) and behaviour of estradiol-treated larvae were evaluated. Results Estradiol withdrawal decreased basal and anxiety-like behaviour. The accuracy of the estradiol washout model was not improved by longer durations of treatment withdrawal or refinement of estradiol concentrations used. Prolonged tamoxifen administration reduced basal and anxiety-like behaviour. ER modulation did not alter anxiety-like behaviour, while basal activity slightly altered by supraphysiological concentrations of WAY-200070 in the absence of estradiol. WAY-200070 and tamoxifen altered basal activity when administered in the presence of exogenous estradiol exposure. ERβ expression was not upregulated in larvae exposed to low concentrations of estradiol. Longer exposure to low concentrations of estradiol increased antioxidant capacity and slightly decreased lipid peroxidation while hydrogen peroxide levels were unaltered. In addition, acute exposure to low concentrations of estradiol increased basal activity in the LDTT. Conclusion Current data suggest that developing zebrafish larvae are likely not suitable for modelling exacerbations in anxiety symptoms associated with fluctuating estrogen levels. Rather, current investigations demonstrated that increased activity levels were not linked to anxiety but better redox status, in the context of free estrogen availability. Considering the effect of redox status on larval behaviour, it is recommended that behavioural analysis be conducted in parallel with mechanistic studies in the context of ER signalling.