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Critical neuropsychobiological analysis of panic attack- and anticipatory anxiety-like behaviors in rodents confronted with snakes in polygonal arenas and complex labyrinths: a comparison to the elevated plus- and T-maze behavioral tests

Abstract

Objective:

To compare prey and snake paradigms performed in complex environments to the elevated plus-maze (EPM) and T-maze (ETM) tests for the study of panic attack- and anticipatory anxiety-like behaviors in rodents.

Methods:

PubMed was reviewed in search of articles focusing on the plus maze test, EPM, and ETM, as well as on defensive behaviors displayed by threatened rodents. In addition, the authors’ research with polygonal arenas and complex labyrinth (designed by the first author for confrontation between snakes and small rodents) was examined.

Results:

The EPM and ETM tests evoke anxiety/fear-related defensive responses that are pharmacologically validated, whereas the confrontation between rodents and snakes in polygonal arenas with or without shelters or in the complex labyrinth offers ethological conditions for studying more complex defensive behaviors and the effects of anxiolytic and panicolytic drugs. Prey vs. predator paradigms also allow discrimination between non-oriented and oriented escape behavior.

Conclusions:

Both EPM and ETM simple labyrinths are excellent apparatuses for the study of anxiety- and instinctive fear-related responses, respectively. The confrontation between rodents and snakes in polygonal arenas, however, offers a more ethological environment for addressing both unconditioned and conditioned fear-induced behaviors and the effects of anxiolytic and panicolytic drugs.

Innate fear; panic attacks; prey versus snakes paradigms; polygonal arenas for snakes; elevated plus-maze test; elevated T-maze test


Introduction

Several studies have focused on the morphological and physiological bases of unconditioned and conditioned fear-related responses resulting from dysfunction of brain systems, anxiety, and panic disorder. There are robust data on the use of simple apparatuses, such as the elevated plus maze (EPM) and T-maze (ETM) tests, for the study of anxiety and other innate fear-related diseases. These devices have been submitted to extensive ethological and pharmacological validation and are considered useful for the study of anxiolytic and panicolytic drugs.11. Carobrez AP, Bertoglio LJ. Ethological and temporal analyses of anxiety-like behavior: the elevated plus-maze model 20 years on. Neurosci Biobehav Rev. 2005;29:1193-205.

2. Carvalho-Netto EF, Nunes-de-Souza RL. Use of the elevated T-maze to study anxiety in mice. Behav Brain Res. 2004;148:119-32.

3. Cruz AP, Frei F, Graeff FG. Ethopharmacological analysis of rat behavior on the elevated plus-maze. Pharmacol Biochem Behav. 1994;49:171-6.

4. Graeff FG, Netto CF, Zangrossi H Jr. The elevated T-maze as an experimental model of anxiety. Neurosci Biobehav Rev. 1998;23:237-46.

5. Lister RG. The use of a plus-maze to measure anxiety in the mouse. Psychopharmacology (Berl). 1987;92:180-5.

6. Pellow S, Chopin P, File SE, Briley M. Validation of open: closed arm entries in an elevated plus-maze as a measure of anxiety in the rat. J Neurosci Methods. 1985;14:149-67.

7. Rodgers RJ, Cole JC. The elevated plus-maze: pharmacology, methodology and ethology. In: Cooper SJ, Hendrie CA, editors. Ethology and psychopharmacology. Chichester: John Wiley & Sons; 1994. p. 9-44.

8. Rodgers RJ, Johnson NJ. Factor analysis of spatiotemporal and ethological measures in the murine elevated plus-maze test of anxiety. Pharmacol Biochem Behav. 1995;52:297-303.

9. Treit D, Menard J, Royan C. Anxiogenic stimuli in the elevated plus-maze. Pharmacol Biochem Behav. 1993;44:463-9.
-1010. Zangrossi H Jr, Graeff FG. Behavioral validation of the elevated T-maze, a new model of anxiety. Brain Res. Bull. 1997;44:1-5. For example, the EPM and ETM tests have been used to compare the effects of anxiolytic/panicolytic drugs delivered via systemic injection or microinjection into specific encephalic structures,1111. File SE, Zangrossi H Jr. “One-trial tolerance” to the anxiolytic actions of benzodiazepines in the elevated plus-maze, or the development of a phobic state? Psychopharmacology (Berl). 1993;110:240-44.

12. Guimarães FS, Beijamini V, Moreira FA, Aguiar DC, de Lucca AC. Role of nitric oxide in brain regions related to defensive reactions. Neurosci Biobehav Rev. 2005;29:1313-22.

13. Mendes-Gomes J, Nunes-de-Souza RL. Concurrent nociceptive stimulation impairs the anxiolytic effect of midazolam injected into the periaqueductal gray in mice. Brain Res. 2005;1047:97-104.

14. Roncon CM, Biesdorf C, Santana RG, Zangrossi H Jr, Graeff FG, Audi EA. The panicolytic-like effect of fluoxetine in the elevated T-maze is mediated by serotonin-induced activation of endogenous opioids in the dorsal periaqueductal grey. J Psychopharmacol. 2012;26:525-31.

15. Soares Vde P, Campos AC, Bortoli VC, Zangrossi H Jr, Guimarães FS, Zuardi AW. Intra-dorsal periaqueductal gray administration of cannabidiol blocks panic-like response by activating 5-HT1A receptors. Behav Brain Res. 2010;213:225-9.
-1616. Zangrossi H Jr, Leite JR, Graeff FG. Anxiolytic effect of carbamazepine in the elevated plus-maze: possible role of adenosine. Psychopharmacology (Berl). 1992;106:85-9. thereby facilitating the study of the neuroanatomical basis of fear- and anxiety-induced reactions1717. Mendes-Gomes J, Nunes-de-Souza RL. Anxiolytic-like effects produced by bilateral lesion of the periaqueductal gray in mice: influence of concurrent nociceptive stimulation. Behav Brain Res. 2009;203:180-7.,1818. Santos P, Bittencourt AS, Schenberg LC, Carobrez AP. Elevated T-maze evaluation of anxiety and memory effects of NMDA/glycine-B site ligands injected into the dorsal periaqueductal gray matter and the superior colliculus of rats. Neuropharmacology. 2006;51:203-12. and the establishment of correlations between behavioral responses and different stress-related models.1919. Adamec R, Fougere D, Risbrough V. CRF receptor blockade prevents initiation and consolidation of stress effects on affect in the predator stress model of PTSD. Int J Neuropsychopharmcol. 2010;13:747-57.

20. Calabrese EJ. An assessment of anxiolytic drug screening tests: hermetic dose response predominant. Crit Rev Toxicol. 2008;38:489-542.
-2121. Zangrossi H Jr, File SE. Behavioral consequences in animal tests of anxiety and exploration of exposure to cat odor. Brain Res Bull. 1992;29:381-8.

More recently, prey-versus-predator paradigms have also been used to investigate innate and conditioned fear-related reactions and the effects of drugs that act in the neural substrates of aversive stimulus-induced emotional responses.2222. Almada RC, Coimbra NC. Recruitment of striatonigral disinhibitory and nigro-tectal inhibitory GABAergic pathways during the organization of defensive behavior by mice in a dangerous environment with the venomous snake Bothrops alternatus (Reptilia, Viperidae). Synapse. 2015;69:299-313.,2323. Almada RC, Roncon CM, Elias-Filho DH, Coimbra NC. Endocannabinoid signaling mechanisms in the substantia nigra pars reticulata modulate GABAergic nigrotectal pathways in mice threatened by urutu-cruzeiro venomous pit viper. Neuroscience. 2015;303:503-14. As an example, in our laboratory, different species of rodents were confronted with venomous or constrictor snakes in a complex labyrinth or in polygonal arenas.2424. Guimarães-Costa R, Guimarães-Costa MB, Pippa-Gadioli L, Weltson A, Ubiali WA, Paschoalin-Maurin T, et al. Innate defensive behaviour and panic-like reactions evoked by rodents during aggressive encounters with Brazilian constrictor snakes in a complex labyrinth: behavioural validation of a new model to study affective and agonistic reactions in a prey versus predator paradigm. J Neurosci Methods. 2007;165:25-37.,2525. Lobão-Soares B, Walz R, Prediger RD, Freitas RL, Calvo F, Bianchin MM, et al. Cellular prion protein modulates defensive attention and innate fear-induced behaviour evoked in transgenic mice submitted to an agonistic encounter with the tropical coral snake Oxyrhopus guibei. Behav Brain Res. 2008;194:129-37. These prey-versus-predator paradigms also seem to be a good experimental tool for studying innate fear-induced behavioral responses elicited in a more ethological situation of threat,2222. Almada RC, Coimbra NC. Recruitment of striatonigral disinhibitory and nigro-tectal inhibitory GABAergic pathways during the organization of defensive behavior by mice in a dangerous environment with the venomous snake Bothrops alternatus (Reptilia, Viperidae). Synapse. 2015;69:299-313.,2323. Almada RC, Roncon CM, Elias-Filho DH, Coimbra NC. Endocannabinoid signaling mechanisms in the substantia nigra pars reticulata modulate GABAergic nigrotectal pathways in mice threatened by urutu-cruzeiro venomous pit viper. Neuroscience. 2015;303:503-14. as well as the effects of new potential panicolytic drugs.2626. Uribe-Mariño A, Francisco A, Castiblanco-Urbina MA, Twardowschy A, Salgado-Rohner CJ, Crippa JA, et al. Anti-aversive effects of cannabidiol on innate fear-induced behaviors evoked by an ethological model of panic attacks based on a prey vs the wild snake Epicrates cenchria crassus confrontation paradigm. Neuropsychopharmacology. 2012;37:412-21.

27. Twardowschy A, Castiblanco-Urbina MA, Uribe-Mariño A, Biagioni AF, Salgado-Rohner CJ, Crippa JA, et al. The role of 5-HT1A receptors in the anti-aversive effects of cannabidiol on panic attack-like behaviors evoked in the presence of the wild snake Epicrates cenchria crassus (Reptilia, Boidae). J Psychopharmacol. 2013;27:1149-59.
-2828. Mendes-Gomes J, Paschoalin-Maurin T, Freitas RL, Donaldson L, Lumb BM, Coimbra NC. Unconditioned fear induces antinociception in sham rats threatened by wild snakes but not in those with neuropathic pain. Eur Neuropsychopharmacol. 2014;24:S587. In this sense, the aim of the present article was to discuss the literature regarding the classical EPM and ETM tests, the current knowledge about snake-based prey-versus-predator interaction approaches to anxiety, fear, and panic-related behaviors, and our 10-year experience with snake versus predator interactions.

Methods

We reviewed PubMed in search of articles focusing on the plus maze test, EPM, and ETM, as well as on defensive behaviors displayed by rodents. We also included in this review selected chapters from classical books about anxiety and defensive behavior in rodents and humans and about anxiety treatment or neuropsychopharmacology of mental diseases.77. Rodgers RJ, Cole JC. The elevated plus-maze: pharmacology, methodology and ethology. In: Cooper SJ, Hendrie CA, editors. Ethology and psychopharmacology. Chichester: John Wiley & Sons; 1994. p. 9-44.,2929. Bandler R, Depaulis A. Midbrain periaqueductal gray control of defensive behavior in the cat and in the rat. In: Depaulis A, Bandler R, editors. The midbrain periaqueductal gray matter: functional, anatomical and neurochemical organization. New York: Plenum; 1991. p. 175-98.

30. Blanchard DC, Blanchard RJ, Rodgers RJ. Risk assessment and animal models of anxiety. In: Olivier B, Mos J, Slangen JL, editors. Animal models in psychopharmacology. Bale: Birkhauuml;ser; 1991. p. 117-34.

31. Nutt DJ. Anxiety and its therapy: today and tomorrow. In: Briley M, File SE, editors. New concepts in anxiety. London: MacMillan; 1991. p.1-12.

32. File SE. Behavioural detection of anxiolytic action. In: Elliott JM, Heal DJ, Marsden CA, editors. Experimental approaches to anxiety and depression. Chichester: John Wiley & Sons; 1992. p. 25-44.
-3333. Gray AJ, McNaughton N. The neuropsychopharmacology of anxiety. 2nd ed. New York: Oxford University; 2000.

For the critical review of the experience of our team, we examined a set of six papers,2222. Almada RC, Coimbra NC. Recruitment of striatonigral disinhibitory and nigro-tectal inhibitory GABAergic pathways during the organization of defensive behavior by mice in a dangerous environment with the venomous snake Bothrops alternatus (Reptilia, Viperidae). Synapse. 2015;69:299-313.

23. Almada RC, Roncon CM, Elias-Filho DH, Coimbra NC. Endocannabinoid signaling mechanisms in the substantia nigra pars reticulata modulate GABAergic nigrotectal pathways in mice threatened by urutu-cruzeiro venomous pit viper. Neuroscience. 2015;303:503-14.

24. Guimarães-Costa R, Guimarães-Costa MB, Pippa-Gadioli L, Weltson A, Ubiali WA, Paschoalin-Maurin T, et al. Innate defensive behaviour and panic-like reactions evoked by rodents during aggressive encounters with Brazilian constrictor snakes in a complex labyrinth: behavioural validation of a new model to study affective and agonistic reactions in a prey versus predator paradigm. J Neurosci Methods. 2007;165:25-37.

25. Lobão-Soares B, Walz R, Prediger RD, Freitas RL, Calvo F, Bianchin MM, et al. Cellular prion protein modulates defensive attention and innate fear-induced behaviour evoked in transgenic mice submitted to an agonistic encounter with the tropical coral snake Oxyrhopus guibei. Behav Brain Res. 2008;194:129-37.

26. Uribe-Mariño A, Francisco A, Castiblanco-Urbina MA, Twardowschy A, Salgado-Rohner CJ, Crippa JA, et al. Anti-aversive effects of cannabidiol on innate fear-induced behaviors evoked by an ethological model of panic attacks based on a prey vs the wild snake Epicrates cenchria crassus confrontation paradigm. Neuropsychopharmacology. 2012;37:412-21.
-2727. Twardowschy A, Castiblanco-Urbina MA, Uribe-Mariño A, Biagioni AF, Salgado-Rohner CJ, Crippa JA, et al. The role of 5-HT1A receptors in the anti-aversive effects of cannabidiol on panic attack-like behaviors evoked in the presence of the wild snake Epicrates cenchria crassus (Reptilia, Boidae). J Psychopharmacol. 2013;27:1149-59. two doctoral theses,3434. Paschoalin-Maurin T. Estudo neuromorfológico e comportamental do efeito do tratamento crônico e agudo com paroxetina e alprazolam sobre comportamentos defensivos evocados durante o confronto entre Mesocricetus auratus e cobra coral venenosa (Micrurus frontalis) [thesis]. Ribeirão Preto: Universidade de São Paulo; 2008.,3535. Ubiali WA. Neuromorphological and psychopharmacological bases of clomipramine and fluoxetine actions in an aggressive confrontation between Mesocricetus auratus and Crotalus durissus terrificus [thesis]. Ribeirão Preto: Universidade de São Paulo; 2007. nine congress abstracts,2828. Mendes-Gomes J, Paschoalin-Maurin T, Freitas RL, Donaldson L, Lumb BM, Coimbra NC. Unconditioned fear induces antinociception in sham rats threatened by wild snakes but not in those with neuropathic pain. Eur Neuropsychopharmacol. 2014;24:S587.,3434. Paschoalin-Maurin T. Estudo neuromorfológico e comportamental do efeito do tratamento crônico e agudo com paroxetina e alprazolam sobre comportamentos defensivos evocados durante o confronto entre Mesocricetus auratus e cobra coral venenosa (Micrurus frontalis) [thesis]. Ribeirão Preto: Universidade de São Paulo; 2008.,3636. Paschoalin-Maurin T, Elias-Filho DH, Coimbra NC. Chronic treatment with paroxetine decreases defensive reactions elicited by Golden hamsters in confront with venomous coral snakes. Eur Neuropsychopharmacol. 2006;16:S229.

37. Paschoalin-Maurin T, Coimbra NC. Chronic treatment with alprazolam decreases defensive reactions elicited by golden hamsters in confront with Brazilian coral snakes. J Psychopharmacol. 2006;20(5):A15.

38. Paschoalin-Maurin T, Coimbra NC. Acute paroxetine or alprazolam attenuate defensive responses of hamsters confronted with venomous coral snake. Eur Neuropsychopharmacol. 2008;18:S222-3.

39. Paschoalin-Maurin T, Coimbra NC. Effect of chronic paroxetine or alprazolam on the increase of c-Fos expression in amygdaloid complex of golden hamsters confronted with South American venomous coral snake. Int J Psychophysiol. 2008;69:269.

40. Weltson A, Pippa-Gadioli L, Koji-Narasaki F, Paschoalin-Maurin T, Del Bel EA, Coimbra NC. Neuromorphologic evidence for c-Fos-immunoreactive neurons in forebrain, diencephalon and brainstem structures involved in the in the elaboration of panic and fear in golden hamster after aggressive encounter with South American coral snake. Int J Psychophysiol. 2002;45:156-7.

41. Ubiali WA, Rocha MJA, Coimbra NC. Antipanic-like effect of chronic treatment with clomipramine on fear-induced responses elicited by preys in aggressive confront with wild rattlesnakes. J Psychopharmacol. 2006;20:A16.

42. Coimbra NC, Paschoalin-Maurin T. Chronic paroxetine and alprazolam use PAG columns as pharmacological targets. In: XIV World Congress of Psychiatry; 2008; Praga, República Checa. p. 1080-1.
-4343. Felippotti TT, Paschoalin-Maurin T, Coimbra NC. Interação entre diferentes espécies de roedores e serpentes constrictoras brasileiras em um paradigma baseado no confronto entre presa e predador. In: Anais do XXV Encontro Anual de Etologia; 2007. p. 299. and one book chapter4444. Coimbra NC, Mendes-Gomes J, Da Silva JA, Dos Anjos-Garcia T, Ullah F, Almada RC. New ethological and morphological perspectives for the investigation of panicolytic-like effect of cannabidiol. In: Preedy VR, editor. The Handbook of cannabis and related pathologies: biology, diagnosis, treatment, and pharmacology. Amsterdam: Elsevier; 2017. p. 955-64. based on prey-versus-predator paradigms using wild snakes. All these experiments were performed in the Ophidiarium at the Laboratório de Neuroanatomia e Neuropsicobiologia – Faculdade de Medicina de Ribeirão Preto – Universidade de São Paulo (LNN-FMRP-USP)/Instituto de Neurociências e Comportamento (INeC) using polygonal arenas and a complex labyrinth for confrontation between venomous and non-venomous snakes and small rodents, designed by Prof. N.C.Coimbra (first author) and ethologically validated from 2007 to 2013.2424. Guimarães-Costa R, Guimarães-Costa MB, Pippa-Gadioli L, Weltson A, Ubiali WA, Paschoalin-Maurin T, et al. Innate defensive behaviour and panic-like reactions evoked by rodents during aggressive encounters with Brazilian constrictor snakes in a complex labyrinth: behavioural validation of a new model to study affective and agonistic reactions in a prey versus predator paradigm. J Neurosci Methods. 2007;165:25-37.

25. Lobão-Soares B, Walz R, Prediger RD, Freitas RL, Calvo F, Bianchin MM, et al. Cellular prion protein modulates defensive attention and innate fear-induced behaviour evoked in transgenic mice submitted to an agonistic encounter with the tropical coral snake Oxyrhopus guibei. Behav Brain Res. 2008;194:129-37.

26. Uribe-Mariño A, Francisco A, Castiblanco-Urbina MA, Twardowschy A, Salgado-Rohner CJ, Crippa JA, et al. Anti-aversive effects of cannabidiol on innate fear-induced behaviors evoked by an ethological model of panic attacks based on a prey vs the wild snake Epicrates cenchria crassus confrontation paradigm. Neuropsychopharmacology. 2012;37:412-21.
-2727. Twardowschy A, Castiblanco-Urbina MA, Uribe-Mariño A, Biagioni AF, Salgado-Rohner CJ, Crippa JA, et al. The role of 5-HT1A receptors in the anti-aversive effects of cannabidiol on panic attack-like behaviors evoked in the presence of the wild snake Epicrates cenchria crassus (Reptilia, Boidae). J Psychopharmacol. 2013;27:1149-59. These apparatuses, which are licensed by the Brazilian government (IBAMA Committee; processes 3543.6986/2012-SP and 3543.6984/2012-SP) and by the São Paulo state government (SMA/DeFau 15.335/2012; MEDUSA Project, SISBIO processes 41435-1, 41435-2 and 41435-3), have been used since then in undergraduate medical courses, graduate programs, and in original scientific studies. New data produced during a laboratory demonstration of the model to undergraduate and graduate medical students are also discussed.

Results

Elevated classical labyrinths to record anxiety and fear-related behaviors – EPM and ETM tests

Elevated labyrinths such as the EPM and the ETM are simple experimental apparatuses with closed and/or open arms assembled 50 cm above the laboratory floor. They are used to study the natural aversion of rodents to high and open areas.

The EPM test is a prototypic anxiety model, and one of the most used ethological tools for measuring and manipulating anxiety in rodents.77. Rodgers RJ, Cole JC. The elevated plus-maze: pharmacology, methodology and ethology. In: Cooper SJ, Hendrie CA, editors. Ethology and psychopharmacology. Chichester: John Wiley & Sons; 1994. p. 9-44.,4545. Handley SL, McBlane JW. An assessment of the elevated X-maze for studying anxiety and anxiety-modulating drugs. J Pharmacol Toxicol Methods. 1993;29:129-38. Despite the controversies surrounding the EPM, including the intensity of the anxiogenic stimuli to which the tested animal is submitted,4646. Falter U, Gower AJ, Gobert J. Resistance of baseline activity in the elevated plus-maze to exogenous influences. Behav Pharmacol. 1992;3:123-8. it is a useful tool for verifying the behavioral effects of anxiolytic and anxiogenic drugs.11. Carobrez AP, Bertoglio LJ. Ethological and temporal analyses of anxiety-like behavior: the elevated plus-maze model 20 years on. Neurosci Biobehav Rev. 2005;29:1193-205.,2020. Calabrese EJ. An assessment of anxiolytic drug screening tests: hermetic dose response predominant. Crit Rev Toxicol. 2008;38:489-542.

Different species of rodents that vary in size and height can be tested in the EPM, a structure elevated 50 cm from the floor, made of wood or plexiglass and consisting of two open arms placed perpendicularly to two closed high-walled arms of the same size. Some authors claim that replacing the classic opaque walls in the two closed high-walled arms with transparent walls increases the sensitivity of the behavioral effects of anxiolytic drugs.4747. Anseloni VZ, Motta V, Lima G, Brandão ML. Behavioral and pharmacological validation of the elevated plus maze constructed with transparent walls. Braz J Med Biol Res. 1995;28:597-601.

48. Anseloni VCZ, Brandão ML. Ethopharmacological analysis of behaviour of rats using variations of the elevated plus-maze. Behav Pharmacol. 1997;8:533-40.
-4949. Albrechet-Souza L, Oliveira AR, De Luca MC, Tomazini FM, Santos NR, Brandão ML. A comparative study with two types of elevated plus-maze (transparent vs. opaque walls) on the anxiolytic effects of midazolam, one-trial tolerance and fear-induced analgesia. Prog Neuropsychopharmacol Biol Psychiatry. 2005;29:571-9. In the clear model, each animal is placed in the center of the EPM, generally facing one of the open arms, and is recorded for 5 or 10 min of free exploration. The primary indexes of anxiety-like behavior in the EPM comprise spatiotemporal measures, e.g., the number of entries in the closed arms and the percentage of entries and time spent in the open arms, two significant behavioral parameters related to locomotion and anxiety/fear behaviors in rodents.11. Carobrez AP, Bertoglio LJ. Ethological and temporal analyses of anxiety-like behavior: the elevated plus-maze model 20 years on. Neurosci Biobehav Rev. 2005;29:1193-205.,33. Cruz AP, Frei F, Graeff FG. Ethopharmacological analysis of rat behavior on the elevated plus-maze. Pharmacol Biochem Behav. 1994;49:171-6.,77. Rodgers RJ, Cole JC. The elevated plus-maze: pharmacology, methodology and ethology. In: Cooper SJ, Hendrie CA, editors. Ethology and psychopharmacology. Chichester: John Wiley & Sons; 1994. p. 9-44.,5050. Graeff FG, Audi EA, Almeida SS, Graeff EO, Hunziker MH. Behavioral effects of 5-HT receptor ligands in the aversive brain stimulation, elevated plus-maze and learned helplessness tests. Neurosci Biobehav Rev. 1990;14:501-6.,5151. Rodgers RJ. Animal models of “anxiety”: where next? Behav Pharmacol. 1997;8:477-96. However, as in any other animal model of anxiety, the precision of the EPM depends on many factors, since anti-anxiety effects may have baseline levels of anxiety that are too low or too high to be detected.77. Rodgers RJ, Cole JC. The elevated plus-maze: pharmacology, methodology and ethology. In: Cooper SJ, Hendrie CA, editors. Ethology and psychopharmacology. Chichester: John Wiley & Sons; 1994. p. 9-44. To avoid these limitations, researchers11. Carobrez AP, Bertoglio LJ. Ethological and temporal analyses of anxiety-like behavior: the elevated plus-maze model 20 years on. Neurosci Biobehav Rev. 2005;29:1193-205.,33. Cruz AP, Frei F, Graeff FG. Ethopharmacological analysis of rat behavior on the elevated plus-maze. Pharmacol Biochem Behav. 1994;49:171-6.,4646. Falter U, Gower AJ, Gobert J. Resistance of baseline activity in the elevated plus-maze to exogenous influences. Behav Pharmacol. 1992;3:123-8. have highlighted the necessity of improving the sensitivity, reliability, and ecological validity of the test by focusing on what the animal actually does in the maze, e.g., aspects of defensive behaviors and the location within the maze where these behaviors occur.11. Carobrez AP, Bertoglio LJ. Ethological and temporal analyses of anxiety-like behavior: the elevated plus-maze model 20 years on. Neurosci Biobehav Rev. 2005;29:1193-205.,33. Cruz AP, Frei F, Graeff FG. Ethopharmacological analysis of rat behavior on the elevated plus-maze. Pharmacol Biochem Behav. 1994;49:171-6.,4343. Felippotti TT, Paschoalin-Maurin T, Coimbra NC. Interação entre diferentes espécies de roedores e serpentes constrictoras brasileiras em um paradigma baseado no confronto entre presa e predador. In: Anais do XXV Encontro Anual de Etologia; 2007. p. 299.,5252. Adamec RE, Blundell J, Collins A. Neural plasticity and stress induced changes in defense in the rat. Neurosci Biobehav Rev. 2001;25:721-44.,5353. Rodgers RJ, Cole JC, Cobain MR, Daly P, Doran PJ, Eells JR, et al. Anxiogenic-like effects of fluprazine and eltoprazine in the elevated plus-maze. Profile comparisons with 8-OH-DPAT, CGS 12066B, TFMPP and mCPP. Behav Pharmacol. 1992;3:621-34. These complementary parameters are sometimes called “risk assessment behaviors” and visually show the type of behavioral strategy the animal actually exhibits in a dangerous situation (Table 1). The biological function of these behaviors is to gather information regarding the potential threat from the environment.3030. Blanchard DC, Blanchard RJ, Rodgers RJ. Risk assessment and animal models of anxiety. In: Olivier B, Mos J, Slangen JL, editors. Animal models in psychopharmacology. Bale: Birkhauuml;ser; 1991. p. 117-34.,5454. Blanchard RJ, Yudko EB, Rodgers RJ, Blanchard DC. Defense system psychopharmacology: an ethological approach to the pharmacology of fear and anxiety. Behav Brain Res. 1993;58:155-65.

Table 1
Description of the complementary behaviors exhibited by rodents in the EPM5555. Anseloni VC, Coimbra NC, Morato S, Brandão ML. A comparative study of the effects of morphine in the dorsal periaqueductal gray and nucleus accumbens or rats submitted to the elevated plus-maze test. Exp Brain Res. 1999;129:260-8.

However, as there are different parameters of risk assessment behaviors, it is not necessarily clear what each behavior tells us about the elicited anxiety-like behavior in the EPM test. Cruz et al.33. Cruz AP, Frei F, Graeff FG. Ethopharmacological analysis of rat behavior on the elevated plus-maze. Pharmacol Biochem Behav. 1994;49:171-6. and Rodgers & Johnson88. Rodgers RJ, Johnson NJ. Factor analysis of spatiotemporal and ethological measures in the murine elevated plus-maze test of anxiety. Pharmacol Biochem Behav. 1995;52:297-303. elegantly answer this question by classifying the parameters into factors representing different emotional dimensions. Cruz et al.33. Cruz AP, Frei F, Graeff FG. Ethopharmacological analysis of rat behavior on the elevated plus-maze. Pharmacol Biochem Behav. 1994;49:171-6. classified these complementary parameters into four distinct factors: anxiety, motor activity, decision-making, and displacement behavior. The behavioral measures of scanning, head dipping, end of arm exploration, and the classic ethological factors (number of entries into the open and closed arms and time spent inside these arms) are strongly correlated with anxiety; rearing, number of entries into the closed arms, and total number of entries into the arms are correlated with motor activity; time spent in the central square of the maze is correlated with decision-making behavior; and grooming is related to displacement behavior. To this behavioral analysis, Rodgers & Johnson88. Rodgers RJ, Johnson NJ. Factor analysis of spatiotemporal and ethological measures in the murine elevated plus-maze test of anxiety. Pharmacol Biochem Behav. 1995;52:297-303. have added three factors: a) stretch-attend posture (SAP), a primary index of learning about a potentially dangerous environment, together with sniffing or investigation; b) exploration, which consists of head-dipping at the edge of the open arm and is considered a primary index of exploration, with high sensitivity for testing anti-anxiety and pro-anxiety drugs5656. Adamec RE, Shallow T. Lasting effects on rodent anxiety of a single exposure to a cat. Physiol Behav. 1993;54:101-9.; and c) vertical activity, which consists of rearing and grooming (two behaviors that are negatively correlated with each other). It is important to highlight that not only has “factor analysis” been used for identifying the relationship between specific test indexes and factors/dimensions, such as anxiety and locomotor activity, it is also employed to assess whether different animal models can be used to measure the same type of anxiety.88. Rodgers RJ, Johnson NJ. Factor analysis of spatiotemporal and ethological measures in the murine elevated plus-maze test of anxiety. Pharmacol Biochem Behav. 1995;52:297-303.

In 1991, Deakin & Graeff5757. Deakin JF, Graeff FG. 5-HT and mechanisms of defence. J Psychopharmacol. 1991;5:305-15. proposed a model to separate conditioned fear, which is related to generalized anxiety disorders (GAD), from unconditioned fear, which is related to panic disorders (PD). In that new model, the T-maze test, was adapted from the EPM test by blocking the entrance to one of the closed arms.5858. Viana MB, Tomaz C, Graeff FG. The elevated T-maze: an animal model of anxiety and memory. Pharmacol Biochem Behav. 1994;49:549-54.,5959. Graeff FG, Viana MB, Tomaz C. The elevated T maze, a new experimental model of anxiety and memory: effect of diazepam. Braz J Med Biol Res. 1993;26:67-70. In the ETM, the rat may perform one of two tasks: inhibitory avoidance (conditioned fear) and one-way escape (unconditioned fear).

In the first task, the rat is placed at the end of the enclosed arm so that it can only see the open arms if it positions its head beyond the end of the closed arm. Because the open arm seems to represent an aversive experience for rodents, it evokes inhibitory avoidance, i.e. - if this task is repeated, the latency to leave the closed arm will increase over the trials. Three consecutive trials, with 30-s inter- and intra-trial intervals, are recorded when the animal exits the arm with all four paws during each task.

In the second task, the rat is placed at the end of the open arms so it can move towards the closed arm, probably performing an escape response. It is important to highlight that while the latencies to leave the enclosed arm increase over the trials, reflecting habituation to the maze environment, exploratory activity, and learning, the latencies to leave the open arms (escape task) do not change due to a persistent aversive motivation.44. Graeff FG, Netto CF, Zangrossi H Jr. The elevated T-maze as an experimental model of anxiety. Neurosci Biobehav Rev. 1998;23:237-46.,1010. Zangrossi H Jr, Graeff FG. Behavioral validation of the elevated T-maze, a new model of anxiety. Brain Res. Bull. 1997;44:1-5.,5959. Graeff FG, Viana MB, Tomaz C. The elevated T maze, a new experimental model of anxiety and memory: effect of diazepam. Braz J Med Biol Res. 1993;26:67-70. This situation is not affected by the administration of diazepam, a classic anxiolytic drug.5858. Viana MB, Tomaz C, Graeff FG. The elevated T-maze: an animal model of anxiety and memory. Pharmacol Biochem Behav. 1994;49:549-54.

The ETM test elicits the activation of different brain areas related to memory formation (hippocampus)6060. de Andrade JS, Céspedes IC, Abrão RO, Dos Santos TB, Diniz L, Britto LR, et al. Chronic unpredictable mild stress alters an anxiety-related defensive response, Fos immunoreactivity and hippocampal adult neurogenesis. Behav Brain Res. 2013;250:81-90. and to fear/anxiety responses, as revealed by Fos protein immunolabeling in different brain areas.6060. de Andrade JS, Céspedes IC, Abrão RO, Dos Santos TB, Diniz L, Britto LR, et al. Chronic unpredictable mild stress alters an anxiety-related defensive response, Fos immunoreactivity and hippocampal adult neurogenesis. Behav Brain Res. 2013;250:81-90.,6161. Silveira MC, Zangrossi H, de Barros Viana M, Silveira R, Graeff FG. Differential expression of Fos protein in the rat brain induced by performance of avoidance or escape in the elevated T-maze. Behav Brain Res. 2001;126:13-21. These findings corroborate behavioral results, and encephalic activation was found to differ during escape and avoidance tasks. Neural activation in the basolateral amygdaloid nucleus and in the dorsal periaqueductal gray matter was observed during escape, whereas enhanced activity in the amygdaloid nucleus, anterior hypothalamic nucleus and the median raphe nucleus was observed in the avoidance task. Both tasks, however, activated common structures, such as the paraventricular nucleus of the thalamus and the dorsomedial hypothalamic nucleus.6161. Silveira MC, Zangrossi H, de Barros Viana M, Silveira R, Graeff FG. Differential expression of Fos protein in the rat brain induced by performance of avoidance or escape in the elevated T-maze. Behav Brain Res. 2001;126:13-21. These structures are related to the elaboration of anxiety and innate fear.6262. Ullah F, dos Anjos-Garcia T, dos Santos IR, Biagioni AF, Coimbra NC. Relevance of dorsomedial hypothalamus, dorsomedial division of the ventromedial hypothalamus and the dorsal periaqueductal gray matter in the organization of freezing or oriented and non-oriented escape emotional behaviors. Behav Brain Res. 2015;293:143-52.

63. Biagioni AF, de Oliveira RC, de Oliveira R, da Silva JA, dos Anjos-Garcia T, Roncon CM, et al. 5-Hydroxytryptamine 1A receptors in the dorsomedial hypothalamus connected to dorsal raphe nucleus inputs modulate defensive behaviours and mediate innate fear-induced antinociception. Eur Neuropsychopharmacol. 2016;26:532-45.

64. Biagioni AF, dos Anjos-Garcia T, Ullah F, Fischer IR, Falconi-Sobrinho LL, de Freitas RL, et al. Neuroethological validation of an experimental apparatus to evaluate oriented and non-oriented escape behaviour: Comparison between the polygonal arena with a burrow and the circular enclosure of an open-field test. Behav Brain Res. 2016;298:65-77.

65. Netto SM, Silveira R, Coimbra NC, Joca SR, Guimarães FS. Anxiogenic effect of median raphe nucleus lesion in stressed rats. Progr Neuropsychopharmacol Biol Psychiatry. 2002;26:1135-41.

66. Strauss CV, Maisonnette SS, Coimbra NC, Zangrosi H Jr. Effects of N-methyl-D-aspartate-induced amygdala lesion in rats submitted to the elevated T-maze test of anxiety. Physiol Behav. 2003;78:157-63.
-6767. Borelli KG, Ferreira-Netto C, Coimbra NC, Brandão ML. Fos-like immunoreactivity in the brain associated with freezing or escape induced by inhibition of either glutamic acid decarboxylase or GABAA receptors in the dorsal periaqueductal gray. Brain Res. 2005;1051:100-111.

Whilst the ETM seems to be a reliable tool for studying the GAD and PD-like behaviors in rats, experiments with mice showed different results. Jardim et al.6868. Jardim MC, Nogueira RL, Graeff FG, Nunes-de-Souza RL. Evaluation of the elevated T-maze as an animal model of anxiety in the mouse. Brain Res Bull. 1999;48:407-11. demonstrated that the time spent to escape from the open arm (escape behavior) was similar to the latency to leave the closed arm (avoidance behavior) in the first trial. Furthermore, the latencies for the mouse leaving the closed arm were high and did not differ significantly between the three consecutive trials. Jardim et al.6868. Jardim MC, Nogueira RL, Graeff FG, Nunes-de-Souza RL. Evaluation of the elevated T-maze as an animal model of anxiety in the mouse. Brain Res Bull. 1999;48:407-11. have asserted that “it does not seem to be possible to separate conditioned and unconditioned fear in the elevated T-maze to mice.”

Nevertheless, Carvalho-Netto & Nunes-de-Souza22. Carvalho-Netto EF, Nunes-de-Souza RL. Use of the elevated T-maze to study anxiety in mice. Behav Brain Res. 2004;148:119-32. showed that mice did acquire inhibitory avoidance in the ETM. When the number of exposures to the avoidance trials was increased from three to five, the latency to leave the closed arm increased statistically from baseline. However, even with five trials, the latency to leave the open arm in the escape trial did not change, as verified in rats.1010. Zangrossi H Jr, Graeff FG. Behavioral validation of the elevated T-maze, a new model of anxiety. Brain Res. Bull. 1997;44:1-5. Furthermore, they showed that mice in an ETM with transparent walls have a lower avoidance baseline latency and a lower escape latency than those submitted to an ETM with opaque walls, suggesting that the apparatus with transparent walls is more useful for studying avoidance and escape behaviors in mice.

Graeff et al.44. Graeff FG, Netto CF, Zangrossi H Jr. The elevated T-maze as an experimental model of anxiety. Neurosci Biobehav Rev. 1998;23:237-46. showed that in rats, anxiolytic and anxiogenic compounds increased and decreased, respectively, the latency for the avoidance task in the ETM. Neuropeptides, psychostimulants, phenylethylamine hallucinogens, and a monoamine oxidase inhibitor A were ineffective, though the avoidance task was impaired by diazepam, buspirone, and ipsapirone, which are three well-known compounds that ameliorate GAD.3131. Nutt DJ. Anxiety and its therapy: today and tomorrow. In: Briley M, File SE, editors. New concepts in anxiety. London: MacMillan; 1991. p.1-12. Furthermore, Carvalho-Netto & Nunes-de-Souza22. Carvalho-Netto EF, Nunes-de-Souza RL. Use of the elevated T-maze to study anxiety in mice. Behav Brain Res. 2004;148:119-32. performed the same experiments with similar compounds in mice (five trials). A summary of drugs with pharmacological actions in rodents submitted to the ETM test is shown in Table 2.

Table 2
Summary of the elevated T-maze test pharmacological validation

Confrontation between rodents and serpents as a model of generalized anxiety and panic attacks

This may be the first laboratory approach based on snake and rodent interaction in enriched experimental environments, addressing the effect of limbic system activation in a threatening situation that elicits both the predatory and antipredatory ethological repertoires during pharmacological testing of new drugs with potential antiaversive effects.2626. Uribe-Mariño A, Francisco A, Castiblanco-Urbina MA, Twardowschy A, Salgado-Rohner CJ, Crippa JA, et al. Anti-aversive effects of cannabidiol on innate fear-induced behaviors evoked by an ethological model of panic attacks based on a prey vs the wild snake Epicrates cenchria crassus confrontation paradigm. Neuropsychopharmacology. 2012;37:412-21.,2727. Twardowschy A, Castiblanco-Urbina MA, Uribe-Mariño A, Biagioni AF, Salgado-Rohner CJ, Crippa JA, et al. The role of 5-HT1A receptors in the anti-aversive effects of cannabidiol on panic attack-like behaviors evoked in the presence of the wild snake Epicrates cenchria crassus (Reptilia, Boidae). J Psychopharmacol. 2013;27:1149-59.

Wild snakes have been used as aversive stimuli to either small non-human primates,6969. Mineka S, Keir R, Price V. Fear of snakes in wild- andlaboratory-reared rhesus monkeys (Macaca mulatta). Anim Learn Behav. 1980;8:653-63.

70. Mineka S, Davidson M, Cook M, Keir R. Observational conditioning of snake fear in rhesus monkey. J Abnorm Psychol. 1984;93:355-72.

71. Cook M, Mineka S, Wolkenstein B, Laitsch K. Observational conditioning of snake fear in unrelated rhesus monkeys. J Abnorm Psychol. 1985;94:591-610.

72. Mineka S, Keir R. The effects of flooding on reducing snake fear in rhesus monkeys: 6-month follow-up and further flooding. Behav Res Ther. 1983;21:527-35.

73. Mineka S, Cook M. Immunization against the observational conditioning of snake fear in rhesus monkeys. J Abnorm Psychol. 1986;95:307-18.
-7474. Cook M, Mineka S. Observational conditioning of fear to fear-relevant versus fear-irrelevant stimuli in rhesus monkeys. J Abnorm Psychol. 1989;98:448-59. apes,7575. Kennedy SJ, Rapee RM, Mazurski EJ. Covariation bias phylogenetic versus ontogenetic fear-relevant stimuli. Behav Res Ther. 1997;35:415-22.

76. McGlynn FD, Moore PM, Lawyer S, Karg R. Relaxation training inhibits fear and arousal during in vivo exposure to phobia-cue stimuli. J Behav Ther Exp Psychiatry. 1999;30:155-68.

77. Hunt M, Fenton M. Imagery rescripting versus in vivo exposure in the treatment of snake fear. J Behav Ther Exp Psychiatry. 2007;38:329-44.
-7878. Flykt A, Esteves F, Őhman A. Skin conductance responses to masked conditioned stimuli: phylogenetic/ontogenetic factors versus direction of threat? Biol Psychol. 2007;74:328-36. and rodents.7979. Craske MG, Sipsas A. Animal phobias versus claustrophobias: exteroceptive versus interoceptive cues. Behav Res Ther. 1992;30:569-81.,8080. Swaisgood RR, Owings DH, Rowe MP. Conflict and assessment in a predator-prey system: ground squirrels versus rattlesnakes. Anim Behav. 1999;57:1033-44. Recent reports using the apparatuses designed by the first author to contain complex labyrinths and polygonal arenas2424. Guimarães-Costa R, Guimarães-Costa MB, Pippa-Gadioli L, Weltson A, Ubiali WA, Paschoalin-Maurin T, et al. Innate defensive behaviour and panic-like reactions evoked by rodents during aggressive encounters with Brazilian constrictor snakes in a complex labyrinth: behavioural validation of a new model to study affective and agonistic reactions in a prey versus predator paradigm. J Neurosci Methods. 2007;165:25-37.,6464. Biagioni AF, dos Anjos-Garcia T, Ullah F, Fischer IR, Falconi-Sobrinho LL, de Freitas RL, et al. Neuroethological validation of an experimental apparatus to evaluate oriented and non-oriented escape behaviour: Comparison between the polygonal arena with a burrow and the circular enclosure of an open-field test. Behav Brain Res. 2016;298:65-77. have shown that the rodent versus snake (both venomous and non-venomous) paradigms are useful for conducting ethological and neuropharmacological experiments.2222. Almada RC, Coimbra NC. Recruitment of striatonigral disinhibitory and nigro-tectal inhibitory GABAergic pathways during the organization of defensive behavior by mice in a dangerous environment with the venomous snake Bothrops alternatus (Reptilia, Viperidae). Synapse. 2015;69:299-313.

23. Almada RC, Roncon CM, Elias-Filho DH, Coimbra NC. Endocannabinoid signaling mechanisms in the substantia nigra pars reticulata modulate GABAergic nigrotectal pathways in mice threatened by urutu-cruzeiro venomous pit viper. Neuroscience. 2015;303:503-14.

24. Guimarães-Costa R, Guimarães-Costa MB, Pippa-Gadioli L, Weltson A, Ubiali WA, Paschoalin-Maurin T, et al. Innate defensive behaviour and panic-like reactions evoked by rodents during aggressive encounters with Brazilian constrictor snakes in a complex labyrinth: behavioural validation of a new model to study affective and agonistic reactions in a prey versus predator paradigm. J Neurosci Methods. 2007;165:25-37.

25. Lobão-Soares B, Walz R, Prediger RD, Freitas RL, Calvo F, Bianchin MM, et al. Cellular prion protein modulates defensive attention and innate fear-induced behaviour evoked in transgenic mice submitted to an agonistic encounter with the tropical coral snake Oxyrhopus guibei. Behav Brain Res. 2008;194:129-37.

26. Uribe-Mariño A, Francisco A, Castiblanco-Urbina MA, Twardowschy A, Salgado-Rohner CJ, Crippa JA, et al. Anti-aversive effects of cannabidiol on innate fear-induced behaviors evoked by an ethological model of panic attacks based on a prey vs the wild snake Epicrates cenchria crassus confrontation paradigm. Neuropsychopharmacology. 2012;37:412-21.
-2727. Twardowschy A, Castiblanco-Urbina MA, Uribe-Mariño A, Biagioni AF, Salgado-Rohner CJ, Crippa JA, et al. The role of 5-HT1A receptors in the anti-aversive effects of cannabidiol on panic attack-like behaviors evoked in the presence of the wild snake Epicrates cenchria crassus (Reptilia, Boidae). J Psychopharmacol. 2013;27:1149-59.,3434. Paschoalin-Maurin T. Estudo neuromorfológico e comportamental do efeito do tratamento crônico e agudo com paroxetina e alprazolam sobre comportamentos defensivos evocados durante o confronto entre Mesocricetus auratus e cobra coral venenosa (Micrurus frontalis) [thesis]. Ribeirão Preto: Universidade de São Paulo; 2008.,3636. Paschoalin-Maurin T, Elias-Filho DH, Coimbra NC. Chronic treatment with paroxetine decreases defensive reactions elicited by Golden hamsters in confront with venomous coral snakes. Eur Neuropsychopharmacol. 2006;16:S229.

37. Paschoalin-Maurin T, Coimbra NC. Chronic treatment with alprazolam decreases defensive reactions elicited by golden hamsters in confront with Brazilian coral snakes. J Psychopharmacol. 2006;20(5):A15.

38. Paschoalin-Maurin T, Coimbra NC. Acute paroxetine or alprazolam attenuate defensive responses of hamsters confronted with venomous coral snake. Eur Neuropsychopharmacol. 2008;18:S222-3.
-3939. Paschoalin-Maurin T, Coimbra NC. Effect of chronic paroxetine or alprazolam on the increase of c-Fos expression in amygdaloid complex of golden hamsters confronted with South American venomous coral snake. Int J Psychophysiol. 2008;69:269.

Simple and complex polygonal arenas for snakes

The polygonal arena consists of a semi-transparent acrylic enclosure (154 × 72 × 64 cm). The inner walls are covered with a reflective film that provides 80% light reflection, and consequently minimal visual contact by the prey and predator with the surrounding experimental area. A green fluorescent line (4.2 mm width; Pritt mark-it) is used to divide the arena into 20 equal rectangles to facilitate analysis of locomotion. The acrylic base of the arena is placed over a rectangular stainless steel platform, and the whole apparatus is placed on a granite surface (2 × 85 × 170 cm) positioned 83 cm above the floor to minimize vibratory stimuli. It is important to highlight that the rodents are habituated to the arena without the snake for seven days before the test.

The confrontation between a rodent and a snake has been proposed as a model of panic attack2626. Uribe-Mariño A, Francisco A, Castiblanco-Urbina MA, Twardowschy A, Salgado-Rohner CJ, Crippa JA, et al. Anti-aversive effects of cannabidiol on innate fear-induced behaviors evoked by an ethological model of panic attacks based on a prey vs the wild snake Epicrates cenchria crassus confrontation paradigm. Neuropsychopharmacology. 2012;37:412-21. that has been ethologically, neuropharmacologically, and morphologically validated.3434. Paschoalin-Maurin T. Estudo neuromorfológico e comportamental do efeito do tratamento crônico e agudo com paroxetina e alprazolam sobre comportamentos defensivos evocados durante o confronto entre Mesocricetus auratus e cobra coral venenosa (Micrurus frontalis) [thesis]. Ribeirão Preto: Universidade de São Paulo; 2008.,3838. Paschoalin-Maurin T, Coimbra NC. Acute paroxetine or alprazolam attenuate defensive responses of hamsters confronted with venomous coral snake. Eur Neuropsychopharmacol. 2008;18:S222-3.,4040. Weltson A, Pippa-Gadioli L, Koji-Narasaki F, Paschoalin-Maurin T, Del Bel EA, Coimbra NC. Neuromorphologic evidence for c-Fos-immunoreactive neurons in forebrain, diencephalon and brainstem structures involved in the in the elaboration of panic and fear in golden hamster after aggressive encounter with South American coral snake. Int J Psychophysiol. 2002;45:156-7.

41. Ubiali WA, Rocha MJA, Coimbra NC. Antipanic-like effect of chronic treatment with clomipramine on fear-induced responses elicited by preys in aggressive confront with wild rattlesnakes. J Psychopharmacol. 2006;20:A16.
-4242. Coimbra NC, Paschoalin-Maurin T. Chronic paroxetine and alprazolam use PAG columns as pharmacological targets. In: XIV World Congress of Psychiatry; 2008; Praga, República Checa. p. 1080-1.,8181. Coimbra NC, de Oliveira R, Freitas RL, Ribeiro SJ, Borelli KG, Pacagnella RC, et al. Neuroanatomical approaches of the tectum-reticular pathways and immunohistochemical evidence for serotonin-positive perikarya on neuronal substrates of the superior colliculus and periaqueductal gray matter involved in the elaboration of the defensive behavior and fear-induced analgesia. Exp Neurol. 2006;197:93-112. These experiments were based on confrontations between golden hamsters (Mesocricetus auratus) and rattlesnakes (Crotalus durissus terrificus), coral snakes (Micrurus frontalis), or false coral snakes (Oxyrhopus guibei) in a threatening environment. This approach provides a large experimental environment in which the rodents can exhibit “non-escapable” panic-related reactions in the presence of threatening stimuli.

A burrow (a shelter box with black acrylic walls) can also be positioned inside the arena, allowing rodents to exhibit flight responses to reach the protected area of the burrow. In our laboratory, two types of burrows have been used: the complex burrow (36 × 26 × 12.5 cm, containing a small, interior, L-shaped labyrinth with two entry/exit apertures) and the simple burrow (26.5 × 17.5 × 12.5 cm, with only one entry/exit aperture). The study of flight/escape behavioral strategy in the presence of burrows has advantageous and disadvantageous points. For example, it can prevent snake attacks, increasing the rodent’s chance of survival and permitting the experimenter to study the effects of proximal and distal threatening stimuli on the activation of the rodent’s limbic system. Moreover, the rodent can exhibit non-oriented escape behaviors organized by midbrain neurons2222. Almada RC, Coimbra NC. Recruitment of striatonigral disinhibitory and nigro-tectal inhibitory GABAergic pathways during the organization of defensive behavior by mice in a dangerous environment with the venomous snake Bothrops alternatus (Reptilia, Viperidae). Synapse. 2015;69:299-313.,2323. Almada RC, Roncon CM, Elias-Filho DH, Coimbra NC. Endocannabinoid signaling mechanisms in the substantia nigra pars reticulata modulate GABAergic nigrotectal pathways in mice threatened by urutu-cruzeiro venomous pit viper. Neuroscience. 2015;303:503-14.,6262. Ullah F, dos Anjos-Garcia T, dos Santos IR, Biagioni AF, Coimbra NC. Relevance of dorsomedial hypothalamus, dorsomedial division of the ventromedial hypothalamus and the dorsal periaqueductal gray matter in the organization of freezing or oriented and non-oriented escape emotional behaviors. Behav Brain Res. 2015;293:143-52.,6464. Biagioni AF, dos Anjos-Garcia T, Ullah F, Fischer IR, Falconi-Sobrinho LL, de Freitas RL, et al. Neuroethological validation of an experimental apparatus to evaluate oriented and non-oriented escape behaviour: Comparison between the polygonal arena with a burrow and the circular enclosure of an open-field test. Behav Brain Res. 2016;298:65-77. and oriented escape behaviors in an environment with a shelter organized by diencephalic neurons.6262. Ullah F, dos Anjos-Garcia T, dos Santos IR, Biagioni AF, Coimbra NC. Relevance of dorsomedial hypothalamus, dorsomedial division of the ventromedial hypothalamus and the dorsal periaqueductal gray matter in the organization of freezing or oriented and non-oriented escape emotional behaviors. Behav Brain Res. 2015;293:143-52.

63. Biagioni AF, de Oliveira RC, de Oliveira R, da Silva JA, dos Anjos-Garcia T, Roncon CM, et al. 5-Hydroxytryptamine 1A receptors in the dorsomedial hypothalamus connected to dorsal raphe nucleus inputs modulate defensive behaviours and mediate innate fear-induced antinociception. Eur Neuropsychopharmacol. 2016;26:532-45.
-6464. Biagioni AF, dos Anjos-Garcia T, Ullah F, Fischer IR, Falconi-Sobrinho LL, de Freitas RL, et al. Neuroethological validation of an experimental apparatus to evaluate oriented and non-oriented escape behaviour: Comparison between the polygonal arena with a burrow and the circular enclosure of an open-field test. Behav Brain Res. 2016;298:65-77. Nevertheless, the absence of the burrow allows the experimenter to record more uniform and robust panic-like defensive responses, considering that the snake is constantly kept in the rodent’s visual field.2626. Uribe-Mariño A, Francisco A, Castiblanco-Urbina MA, Twardowschy A, Salgado-Rohner CJ, Crippa JA, et al. Anti-aversive effects of cannabidiol on innate fear-induced behaviors evoked by an ethological model of panic attacks based on a prey vs the wild snake Epicrates cenchria crassus confrontation paradigm. Neuropsychopharmacology. 2012;37:412-21. It is important to highlight that when the burrow is present in the arena, the behaviors may be proportionally recorded in relation to the time spent by each animal inside and outside the burrow through a behavioral index (BI = [100 × number of behavioral responses]/[time in seconds spent outside or inside the burrow]).2626. Uribe-Mariño A, Francisco A, Castiblanco-Urbina MA, Twardowschy A, Salgado-Rohner CJ, Crippa JA, et al. Anti-aversive effects of cannabidiol on innate fear-induced behaviors evoked by an ethological model of panic attacks based on a prey vs the wild snake Epicrates cenchria crassus confrontation paradigm. Neuropsychopharmacology. 2012;37:412-21.,2727. Twardowschy A, Castiblanco-Urbina MA, Uribe-Mariño A, Biagioni AF, Salgado-Rohner CJ, Crippa JA, et al. The role of 5-HT1A receptors in the anti-aversive effects of cannabidiol on panic attack-like behaviors evoked in the presence of the wild snake Epicrates cenchria crassus (Reptilia, Boidae). J Psychopharmacol. 2013;27:1149-59. Moreover, the duration of each behavioral response may be expressed as the percentage of a given behavioral response duration displayed outside or inside the burrow, considering as 100% the total time of the behavioral test.2626. Uribe-Mariño A, Francisco A, Castiblanco-Urbina MA, Twardowschy A, Salgado-Rohner CJ, Crippa JA, et al. Anti-aversive effects of cannabidiol on innate fear-induced behaviors evoked by an ethological model of panic attacks based on a prey vs the wild snake Epicrates cenchria crassus confrontation paradigm. Neuropsychopharmacology. 2012;37:412-21. In an attempt to compare the defensive behaviors of mice exposed to the polygonal arena without (Figure 1) or with a small burrow present in one of its angular extremities (Figure 2), it was observed that mice confronted with venomous snakes, such the South American coral snake Micrurus lemniscatus carvalhoi (Figure 1A and C), the Crotalus durissus terrificus (Figure 1B, Figure 2A, B, and C) or the Bothrops alternatus (Figure 2D and E), displayed expressive anxiety-related defensive responses, such as alertness (Figure 1A, Figure 2A), risk assessment (Figure 2C), and inhibitory avoidance (Figure 2E), panic-related defensive responses, such as freezing (Figure 1C, Figure 2B), and both oriented (Figure 1B) and non-oriented (Figure 2D) escape behavior. Interestingly, even during imminent risk of death, some mice closely interacted with the predator (Figure 2C). In this experiment, the survival rate of mice confronted by snakes was 83.30%, as shown in Table 3. This high rate of survival may have resulted from the presence of the burrow inside the polygonal arena, or may have even been related to the huge size of the simple polygonal arena. However, depending on the genus of the snakes used, the survival rate can be as high as 100% even when the polygonal arena has no burrow (Table 3). This survival rate has been observed in confrontations between golden hamsters and South American coral snakes (the highly venomous Micrurus frontalis and the non-venomous Oxyrhopus guibei).3434. Paschoalin-Maurin T. Estudo neuromorfológico e comportamental do efeito do tratamento crônico e agudo com paroxetina e alprazolam sobre comportamentos defensivos evocados durante o confronto entre Mesocricetus auratus e cobra coral venenosa (Micrurus frontalis) [thesis]. Ribeirão Preto: Universidade de São Paulo; 2008.

Figure 1
Innate fear-induced defensive responses evoked by Mesocricetus auratus confronted with the South American coral snake Micrurus lemniscatus carvalhoi (A and C), and the South American rattlesnake Crotalus durissus terrificus (B) for 5 min in a polygonal arena without a burrow. Anxiety/fear-related response: alertness (A) elicited in the presence of the coral snake. Panic attack-like responses: oriented escape (B) and freezing (C) elicited in the presence of each venomous snake.
Figure 2
Instinctive fear-induced defensive responses evoked by Mus musculus confronted with the South American Viperidae snakes Crotalus durissus terrificus (A, B, C) and Bothrops alternatus (D and E) for 5 min in a polygonal arena with a burrow. Anxiety/fear-related response: alertness (A) elicited in the presence of the rattlesnake, and inhibitory avoidance (E, e’) displayed in the presence of Bothrops alternatus. Panic attack-like responses: freezing (B) displayed by prey threatened by a rattlesnake, and non-oriented escape (D) displayed by prey threatened by Bothrops alternatus venomous snake.

Table 3
Offensive/defensive responses of Crotalus durissus terrificus and Bothrops alternatus snakes in Coimbra polygonal arenas and complex labyrinth during a 5-min exposure to mice

Polygonal arenas with burrows can also potentially be used as a model of post-traumatic stress disorder (PTSD). Experiments focusing on exposure to a live snake and re-exposure to the contextual arena are being conducted with mice and rainbow Boidae constrictor snakes in the LNN-FMRP-USP/INeC Ophidiarium to address this possibility in an investigation of comorbidity between PTSD and chronic pain.2828. Mendes-Gomes J, Paschoalin-Maurin T, Freitas RL, Donaldson L, Lumb BM, Coimbra NC. Unconditioned fear induces antinociception in sham rats threatened by wild snakes but not in those with neuropathic pain. Eur Neuropsychopharmacol. 2014;24:S587.

Complex arenas and labyrinth for snakes

Complex polygonal arenas containing natural rocks and artificial shelters for rodents and natural branches for constrictor snakes can be considered as a more ethologically acceptable alternative to study the defensive repertoires of different species of rodents confronted with venomous and Boidae snakes. This approach can be useful to investigate feeding preferences considering the different sizes of laboratory animals. Despite the high frequency of interaction between gerbils and Boidae snakes, no feeding preference was observed when the constrictor snakes Boa constrictor amarali and Epicrates cenchria crassus were confronted with Mus musculus, Meriones unguiculatus, Cavia porcellus, or Rattus norvegicus.4343. Felippotti TT, Paschoalin-Maurin T, Coimbra NC. Interação entre diferentes espécies de roedores e serpentes constrictoras brasileiras em um paradigma baseado no confronto entre presa e predador. In: Anais do XXV Encontro Anual de Etologia; 2007. p. 299.

The complex labyrinth for the confrontation between snakes and rodents, which was designed by the first author in 2000, was ethologically validated by Guimarães-Costa et al.2424. Guimarães-Costa R, Guimarães-Costa MB, Pippa-Gadioli L, Weltson A, Ubiali WA, Paschoalin-Maurin T, et al. Innate defensive behaviour and panic-like reactions evoked by rodents during aggressive encounters with Brazilian constrictor snakes in a complex labyrinth: behavioural validation of a new model to study affective and agonistic reactions in a prey versus predator paradigm. J Neurosci Methods. 2007;165:25-37. This apparatus consists of a transparent acrylic enclosure containing a small polygonal arena contiguous with a complex maze. The gallery walls are made of black acrylic. The arena measures 38.5 m2, and the remaining labyrinth measures 15 cm in height and 6.92 m in length. The whole apparatus containing the complex labyrinth and arena measures 140 × 70 × 15 cm. The top of the labyrinth and the arena contain 84 circular holes (1.5 cm in diameter). The floor of the complex labyrinth is made of a clear crystal acrylic plaque (140 × 70 cm) that is placed on another metallic plaque made of 1-mm-wide stainless steel with the same dimensions. The arena is divided by 0.4 cm green fluorescent lines into 20 equal rectangles (27.7 × 17.2 cm each). It is important to highlight that even wild constrictor snakes as heavy as 2,500 g can invade the galleries during hunting behavior, which increases the panic attack-like behaviors of prey animals.2424. Guimarães-Costa R, Guimarães-Costa MB, Pippa-Gadioli L, Weltson A, Ubiali WA, Paschoalin-Maurin T, et al. Innate defensive behaviour and panic-like reactions evoked by rodents during aggressive encounters with Brazilian constrictor snakes in a complex labyrinth: behavioural validation of a new model to study affective and agonistic reactions in a prey versus predator paradigm. J Neurosci Methods. 2007;165:25-37. The confrontation between rodents and snakes can occur in both divisions of the complex labyrinth, i.e., within the arena or inside the galleries.

According to Guimarães-Costa et al.,2424. Guimarães-Costa R, Guimarães-Costa MB, Pippa-Gadioli L, Weltson A, Ubiali WA, Paschoalin-Maurin T, et al. Innate defensive behaviour and panic-like reactions evoked by rodents during aggressive encounters with Brazilian constrictor snakes in a complex labyrinth: behavioural validation of a new model to study affective and agonistic reactions in a prey versus predator paradigm. J Neurosci Methods. 2007;165:25-37. Mongolian gerbils display the best exploratory response in this apparatus when compared to Wistar rats and golden hamsters. Gerbils explore the whole arena and the galleries of the complex labyrinth for 5 min, displaying anxiety-related behaviors (such alertness, flat back approach, and stretch attend posture) and panic-attack-related responses. Similar behavioral reactions can be evoked by mice confronted with constrictor snakes inside the complex labyrinth, as shown in Figures 3 and 4. In this case, the survival rate was 100% (Table 3). The advantages of the complex labyrinth over other types of labyrinths include the possibility of studying aversive memory-related responses and innate fear-related behavior as well as the increased chances of survival of threatened rodents. The disadvantage of this apparatus is the difficulty of interaction between prey and predator, considering the species of rodents and snakes used in each experiment. Some species of rodents, including Mongolian gerbils and mice, can explore the entire apparatus in five minutes, whereas rats and guinea pigs commonly show a delay in finding all gallery exits. To minimize this delay and reduce the species-specific differences in time spent exploring the maze, all rodents are habituated to the complex labyrinth for at least 3 days before the experiments.

Figure 3
Instinctive fear-induced defensive responses evoked by the confrontation between Mus musculus and the South American Boidae snake Boa constrictor constrictor for 5 min in the polygonal arena of the complex labyrinth. Anxiety/fear-related responses: alertness (A), inhibitory avoidance (C), and stretch attend posture (E and F). Panic attack-like responses: freezing (B) and oriented escape (D) displayed by prey threatened by the rainbow Boidae Amazonian constrictor snake.
Figure 4
Instinctive fear-induced defensive responses in Mus musculus confronted with the South American rainbow Boidae snakes Epicrates cenchria assisi (A-D) and Epicrates cenchria cenchria (E and F) for 5 min in the polygonal arena of the complex labyrinth. Anxiety/fear-related response: alertness (A and E), inhibitory avoidance (B), and flat back approach (C). Panic attack-like responses: freezing (F) displayed by prey threatened by Amazonian rainbow Boidae snake E.c.cenchria. (D) Close interaction between prey and Epicrates cenchria assisi.

Similar patterns of instinctive fear-induced defensive behavior were displayed by mice confronted with three different species of non-venomous rainbow Boidae constrictor snakes: Boa constrictor constrictor (Figure 3), Epicrates cenchria assisi (Figure 4A, B, C, and D), and Epicrates cenchria cenchria (Figure 4E and F). In fact, mice displayed anxiety-related behaviors, such as alertness (Figure 3A, Figure 4B and E), inhibitory avoidance (Figure 3C, Figure 4B), flat back approach and stretch attend posture (Figure 3E, Figure 4C), and panic-related behavior, such as freezing (Figure 3B, Figure 4A and F) and escape behavior (Figure 3D). Despite the galleries, prey and predator interacted closely, as shown in Figure 3E and F, and in Figure 4D.

Table 4 summarizes the main characteristics of the EPM, T-maze, and rodent vs. snake models.

Table 4
Comparative scheme of three maze models in the study of anxiety and fear responses in rodents

Neural substrates involved in threatened prey animals

Many studies using models of confrontation between rodents and a predator consider explosive escape behavior to be a consequence of periaqueductal gray matter (PAG) neuron activation.8484. Canteras NS, Goto M. Fos-like immunoreactivity in the periaqueductal gray of rats exposed to a natural predator. Neuroreport. 1999;10:413-8.,8585. Comoli E, Ribeiro-Barbosa ER, Canteras NS. Predatory hunting and exposure to alive predator induce opposite patterns of Fos immunoreactivity in the PAG. Behav Brain Res. 2003;138:17-28. In fact, the dorsomedial, dorsolateral, and lateral columns of the PAG in Syrian hamsters confronted with coral snakes show several Fos protein-labeled neurons.4040. Weltson A, Pippa-Gadioli L, Koji-Narasaki F, Paschoalin-Maurin T, Del Bel EA, Coimbra NC. Neuromorphologic evidence for c-Fos-immunoreactive neurons in forebrain, diencephalon and brainstem structures involved in the in the elaboration of panic and fear in golden hamster after aggressive encounter with South American coral snake. Int J Psychophysiol. 2002;45:156-7. This finding corroborates previous reports showing that rats exposed to a natural predator (cat) express Fos-labeled neurons in the dorsal and ventral columns of the PAG.8484. Canteras NS, Goto M. Fos-like immunoreactivity in the periaqueductal gray of rats exposed to a natural predator. Neuroreport. 1999;10:413-8. These PAG columns are involved in the organization of behavioral and physiological responses that are crucial for the survival of threatened animals based on whether the dangerous situation is distal or proximal.2929. Bandler R, Depaulis A. Midbrain periaqueductal gray control of defensive behavior in the cat and in the rat. In: Depaulis A, Bandler R, editors. The midbrain periaqueductal gray matter: functional, anatomical and neurochemical organization. New York: Plenum; 1991. p. 175-98.,8686. Carrive P, Leung P, Harris J, Paxino G. Conditioned fear to context is associated with increased Fos expression in the caudal ventrolateral region of the midbrain periaqueductal gray. Neuroscience. 1997;78:165-77. In addition, the interaction between the intramesencephalic endogenous opioid peptide-mediated pathways and the GABAergic nigrotectal inputs seems to be critically involved in both the modulation of defensive responses organized by the dorsal midbrain8787. Eichenberger GC, Ribeiro SJ, Osaki MY, Maruoka RY, Resende GC, Castellan-Baldan L, et al. Neuroanatomical and psychopharmacological evidence for interaction between opioid and GABAergic neural pathways in the modulation of fear and defense elicited by electrical and chemical stimulation of the deep layers of the superior colliculus and dorsal periaqueductal gray matter. Neuropharmacology. 2002;42:48-59.

88. Osaki MY, Castellan-Baldan L, Calvo F, Carvalho AD, Felippotti TT, de Oliveira R, et al. Neuroanatomical and Neuropharmacological study of opioid pathways in the mesencephalic tectum: effect of µ1- and κ-opioid receptor blockade on escape behaviour induced by electrical stimulation of the inferior colliculus. Brain Res. 2003;992:179-92.

89. Ribeiro SJ, Ciscato Jr JG, de Oliveira R, de Oliveira RC, D’Ângelo-Dias R, Carvalho AD, et al. Functional and ultrastructural neuroanatomy of interactive intratectal/tectonigral GABAergic pathways: Involvement of GABA A and µ1-opioid receptors in the modulation of panic-like reactions elicited by electrical stimulation of the dorsal midbrain. J Chem Neuroanat. 2005;30:184-200.
-9090. Castellan-Baldan L, da Costa Kawasaki MC, Ribeiro SJ, Calvo F, Corrêa VM, Coimbra NC. Topographic and functional neuroanatomical study of GABAergic disinhibitory striatum-nigral inputs and inhibitory nigrocollicular pathways: neural hodology recruiting the substantia nigra, pars reticulata, for the modulation of the neural activity in the inferior colliculus involved with panic-like emotions. J Chem Neuroanat. 2006;31:1-27. and the defensive responses evoked in prey versus wild snakes paradigms.9191. Calvo F. Efeito do bloqueio de receptores Opióides Mu e Kappa do colículo inferior sobre o medo inato e condicionado, em modelo de confronto entre Rattus norvegicus (Rodentia, Muridae) e Crotalus durissus terrificus (Reptilia, Viperidae) [thesis]. Ribeirão Preto: Universidade de São Paulo; 2008.

However, the confrontation between Syrian hamsters and coral snakes showed neuronal activation also in the hamsters’ corpora quadrigemina, medial hypothalamus and amygdaloid complex.3939. Paschoalin-Maurin T, Coimbra NC. Effect of chronic paroxetine or alprazolam on the increase of c-Fos expression in amygdaloid complex of golden hamsters confronted with South American venomous coral snake. Int J Psychophysiol. 2008;69:269.,4040. Weltson A, Pippa-Gadioli L, Koji-Narasaki F, Paschoalin-Maurin T, Del Bel EA, Coimbra NC. Neuromorphologic evidence for c-Fos-immunoreactive neurons in forebrain, diencephalon and brainstem structures involved in the in the elaboration of panic and fear in golden hamster after aggressive encounter with South American coral snake. Int J Psychophysiol. 2002;45:156-7. In fact, other encephalic regions are also activated during similar critical situations. For example, the amygdaloid complex is recruited in both unconditioned and conditioned fear-induced responses. Nevertheless, the posterior basomedial amygdaloid nucleus is particularly responsive to cat odor and seems to be involved in the identification of pheromone cues from predator odors.9292. Dielenberg RA, Hunt GE, McGregor IS. When a rat smell a cat: the distribution of Fos immunoreactivity in rat brain following exposure to a predatory odor. Neuroscience. 2001;104:1085-97.

The Fos immunoreactivity study showed that the main encephalic structures recruited during a prey versus predator confrontation are situated in the hypothalamus and involve the recruitment of the anterior hypothalamus, the dorsomedial division of ventromedial hypothalamic nucleus, and mainly the dorsal premammillary nucleus.8484. Canteras NS, Goto M. Fos-like immunoreactivity in the periaqueductal gray of rats exposed to a natural predator. Neuroreport. 1999;10:413-8.,9393. Canteras NS, Chiavegatto S, Ribeiro do Valle LE, Swanson LW. Severe reduction of rat defensive behavior to a predator by discrete hypothalamic chemical lesions. Brain Res Bull. 1997;44:297-305.,9494. Canteras NS, Ribeiro-Barbosa ER, Comoli E. Tracing from the dorsal premammillary nucleus prosencephalic systems involved in the organization of innate fear response. Neurosci Biobehav Rev. 2001;25:661-8. Previous reports have shown that these nuclei are critically involved in the organization of innate defensive responses; this proposition is based on Fos immunoreactivity in rats exposed to natural predators, such as cats and snakes.3434. Paschoalin-Maurin T. Estudo neuromorfológico e comportamental do efeito do tratamento crônico e agudo com paroxetina e alprazolam sobre comportamentos defensivos evocados durante o confronto entre Mesocricetus auratus e cobra coral venenosa (Micrurus frontalis) [thesis]. Ribeirão Preto: Universidade de São Paulo; 2008.,3535. Ubiali WA. Neuromorphological and psychopharmacological bases of clomipramine and fluoxetine actions in an aggressive confrontation between Mesocricetus auratus and Crotalus durissus terrificus [thesis]. Ribeirão Preto: Universidade de São Paulo; 2007.,8484. Canteras NS, Goto M. Fos-like immunoreactivity in the periaqueductal gray of rats exposed to a natural predator. Neuroreport. 1999;10:413-8.,8585. Comoli E, Ribeiro-Barbosa ER, Canteras NS. Predatory hunting and exposure to alive predator induce opposite patterns of Fos immunoreactivity in the PAG. Behav Brain Res. 2003;138:17-28.,9393. Canteras NS, Chiavegatto S, Ribeiro do Valle LE, Swanson LW. Severe reduction of rat defensive behavior to a predator by discrete hypothalamic chemical lesions. Brain Res Bull. 1997;44:297-305. Other studies using electric or chemical stimulation of the hypothalamic defense system6262. Ullah F, dos Anjos-Garcia T, dos Santos IR, Biagioni AF, Coimbra NC. Relevance of dorsomedial hypothalamus, dorsomedial division of the ventromedial hypothalamus and the dorsal periaqueductal gray matter in the organization of freezing or oriented and non-oriented escape emotional behaviors. Behav Brain Res. 2015;293:143-52.,6363. Biagioni AF, de Oliveira RC, de Oliveira R, da Silva JA, dos Anjos-Garcia T, Roncon CM, et al. 5-Hydroxytryptamine 1A receptors in the dorsomedial hypothalamus connected to dorsal raphe nucleus inputs modulate defensive behaviours and mediate innate fear-induced antinociception. Eur Neuropsychopharmacol. 2016;26:532-45.,9595. Freitas RL, Uribe-Mariño A, Castiblanco-Urbina MA, Elias-Filho DH, Coimbra NC. GABA(A) receptor blockade in dorsomedial and ventromedial nuclei of the hypothalamus evokes panic-like elaborated defensive behaviour followed by innate fear-induced antinociception. Brain Res. 2009;1305:118-31.

96. Biagioni AF, Silva JA, Coimbra NC. Panic-like defensive behavior but not fear-induced antinociception is differently organized by dorsomedial and posterior hypothalamic nuclei of Rattus norvegicus (Rodentia, Muridae). Braz J Med Biol Res. 2012;45:328-36.

97. Dos Anjos-Garcia T, Ullah F, Falconi-Sobrinho LL, Coimbra NC. CB1 cannabinoid receptor-mediated anandamide signalling reduces the defensive behaviour evoked through GABAA receptor blockade in the dorsomedial division of the ventromedial hypothalamus. Neuropharmacology. 2017;113:156-66.
-9898. Falconi-Sobrinho LL, dos Anjos-Garcia TD, Elias-Filho DH, Coimbra NC. Unravelling cortico-hypothalamic pathways regulating unconditioned fear-induced antinociception and defensive behaviours. Neuropharmacology. 2017;113:367-85. are in agreement with the findings using prey versus predator confrontations, and both these experimental models of panic attacks result in oriented escape reactions.6262. Ullah F, dos Anjos-Garcia T, dos Santos IR, Biagioni AF, Coimbra NC. Relevance of dorsomedial hypothalamus, dorsomedial division of the ventromedial hypothalamus and the dorsal periaqueductal gray matter in the organization of freezing or oriented and non-oriented escape emotional behaviors. Behav Brain Res. 2015;293:143-52.,6363. Biagioni AF, de Oliveira RC, de Oliveira R, da Silva JA, dos Anjos-Garcia T, Roncon CM, et al. 5-Hydroxytryptamine 1A receptors in the dorsomedial hypothalamus connected to dorsal raphe nucleus inputs modulate defensive behaviours and mediate innate fear-induced antinociception. Eur Neuropsychopharmacol. 2016;26:532-45.,9595. Freitas RL, Uribe-Mariño A, Castiblanco-Urbina MA, Elias-Filho DH, Coimbra NC. GABA(A) receptor blockade in dorsomedial and ventromedial nuclei of the hypothalamus evokes panic-like elaborated defensive behaviour followed by innate fear-induced antinociception. Brain Res. 2009;1305:118-31.,9696. Biagioni AF, Silva JA, Coimbra NC. Panic-like defensive behavior but not fear-induced antinociception is differently organized by dorsomedial and posterior hypothalamic nuclei of Rattus norvegicus (Rodentia, Muridae). Braz J Med Biol Res. 2012;45:328-36.

It is possible that the Fos-labeled neurons in the dorsal midbrain and the hypothalamic nuclei of rodents exposed to a live predator, to the odor of their skin, or to their excrements are indicative of the involvement of these structures in the elaboration of innate fear-induced behaviors, such as defensive alertness, defensive immobility and escape behavior. These behaviors are commonly displayed by rodents confronted with venomous and constrictor snakes and other natural predators.

Discussion

There still are questions regarding how strong EPM-evoked behaviors corroborate anxiety disorders. Studies have shown that exposure to the EPM increases the expression of Fos protein in encephalic areas related to the organization of defensive behaviors, which include the amygdaloid complex, the hippocampal formation, the midbrain periaqueductal gray matter, the hypothalamus, and the prefrontal brain areas.8282. Silveira MC, Sandner G, Graeff FG. Induction of Fos immunoreactivity in the brain by exposure to the elevated plus-maze. Behav Brain Res. 1993;56:115-8.,8383. Duncan GE, Knapp DJ, Breese GR. Neuroanatomical characterization of Fos induction in rat behavioral models of anxiety. Brain Res. 1996;713:79-91. Fos protein expression is linked to a general increase in cell metabolism, which is differentially activated in specific brain areas according to the presented stimulus. For example, anxiogenic stimuli such as those present in the EPM open arms can activate neurons from these brain areas related to anxiety or fear responses.8282. Silveira MC, Sandner G, Graeff FG. Induction of Fos immunoreactivity in the brain by exposure to the elevated plus-maze. Behav Brain Res. 1993;56:115-8.,8383. Duncan GE, Knapp DJ, Breese GR. Neuroanatomical characterization of Fos induction in rat behavioral models of anxiety. Brain Res. 1996;713:79-91.,9999. Beijamini V, Guimarães FS. Activation of neurons containing the enzyme nitric oxide synthase following exposure to an elevated plus maze. Brain Res Bull. 2006;69:347-55. These areas are also activated when the animal is exposed to a predator,8484. Canteras NS, Goto M. Fos-like immunoreactivity in the periaqueductal gray of rats exposed to a natural predator. Neuroreport. 1999;10:413-8. the odor of a predator,9292. Dielenberg RA, Hunt GE, McGregor IS. When a rat smell a cat: the distribution of Fos immunoreactivity in rat brain following exposure to a predatory odor. Neuroscience. 2001;104:1085-97. aversive ultrasonic vocalisations,100100. Beckett SR, Duxon MS, Aspley S, Marsden CA. Central c-fos expression following 20 kHz ultrasound induced defence behaviour in the rat. Brain Res Bull. 1997;42:421-6. and the systemic administration of anxiogenic drugs.101101. Singewald N, Sharp T. Neuroanatomical targets of anxiogenic drugs in the hindbrain as revealed by Fos immunocytochemistry. Neuroscience. 2000;98:759-70. Corroborating these data,3333. Gray AJ, McNaughton N. The neuropsychopharmacology of anxiety. 2nd ed. New York: Oxford University; 2000. the diverse components of defensive behaviors with distinct brain areas that coordinate the behavioral strategies when a threat is present have been classified. A potential threat elicits risk assessment and behavioral inhibition, which are related to the activation of the posterior cingulate cortex and septo-hippocampal system and results in anxiety. This same potential threat can also elicit avoidance, activating the anterior cingulate cortex and amygdaloid complex, resulting in anxiety. Complementarily, distal threats elicit freezing behavior via the activation of the ventral columns of periaqueductal gray matter, resulting in instinctive fear. Finally, a proximal threat elicits freezing or fight or flight behavior via the activation of dorsal columns of the periaqueductal gray matter, resulting in a generalized panic reaction.

Interestingly, the EPM test can predict the elicitation of specific behaviors depending on the stress suffered by the animal. Some behavioral parameters evoked in the EPM are related to increased hormonal components of stress response or psychiatric disorders, such as high serum levels of steroid hormones. In patients, anxiety-related symptoms are correlated with an unbalance of steroid secretion within the hypothalamic-pituitary-adrenal axis.3131. Nutt DJ. Anxiety and its therapy: today and tomorrow. In: Briley M, File SE, editors. New concepts in anxiety. London: MacMillan; 1991. p.1-12.,3333. Gray AJ, McNaughton N. The neuropsychopharmacology of anxiety. 2nd ed. New York: Oxford University; 2000. Corroborating these studies, increased levels of plasmatic corticosterone in rodents have been associated with higher frequencies of anxiety-related SAP in the EPM test.102102. Rodgers RJ, Haller J, Holmes A, Halasz J, Walton TJ, Brain PF. Corticosterone response to the plus-maze: high correlation with risk assessment in rats and mice. Physiol Behav. 1999;68:47-53.

103. Albrechet-Souza L, Cristine de Carvalho M, Rodrigues Franci C, Brandão ML. Increases in plasma corticosterone and stretched-attend postures in rats naïve and previously exposed to the elevated plus-maze are sensitive to the anxiolytic-like effects of midazolam. Horm Behav. 2007;52:267-73.
-104104. Reis FM, Albrechet-Souza L, Franci CR, Brandão ML. Risk assessment behaviors associated with corticosterone trigger the defense reaction to social isolation in rats: Role of the anterior cingulate cortex. Stress. 2012;15:318-28. Additionally, chronic administration of anabolic androgenic steroids increases the number of rearing response and decreases SAP frequencies without affecting the time spent and frequency of open-arm entries.105105. Rojas-Ortiz YA, Rundle-Gonzáles V, Ramos-Rivera I, Jorge JC. Modulation of elevated plus maze behavior after chronic exposure to the anabolic steroid 17alpha-methyltestosterone in adult mice. Horm Behav. 2006;49:123-8.

Another defensive reaction generally observed in rodents exposed to the EPM is the antinociception induced by instinctive fear, as evaluated by the tail-flick test.106106. Lee C, Rodgers RJ. Antinociceptive effects of elevated plus-maze exposure: influence of opiate receptor manipulations. Psychopharmacology (Berl). 1990;102:507-13.,107107. Taukulis HK, Goggin CE. Diazepam-stress interactions in the rat: effects on autoanalgesia and a plus-maze model of anxiety. Behav Neural Biol. 1990;53:205-16. This reaction has a clear adaptive value because it permits the animal to exhibit other defensive behaviors even though an injury has occurred, consequently increasing its chances of survival in a dangerous situation, and can be also elicited by electrical and chemical stimulation of diencephalic9595. Freitas RL, Uribe-Mariño A, Castiblanco-Urbina MA, Elias-Filho DH, Coimbra NC. GABA(A) receptor blockade in dorsomedial and ventromedial nuclei of the hypothalamus evokes panic-like elaborated defensive behaviour followed by innate fear-induced antinociception. Brain Res. 2009;1305:118-31.

96. Biagioni AF, Silva JA, Coimbra NC. Panic-like defensive behavior but not fear-induced antinociception is differently organized by dorsomedial and posterior hypothalamic nuclei of Rattus norvegicus (Rodentia, Muridae). Braz J Med Biol Res. 2012;45:328-36.

97. Dos Anjos-Garcia T, Ullah F, Falconi-Sobrinho LL, Coimbra NC. CB1 cannabinoid receptor-mediated anandamide signalling reduces the defensive behaviour evoked through GABAA receptor blockade in the dorsomedial division of the ventromedial hypothalamus. Neuropharmacology. 2017;113:156-66.
-9898. Falconi-Sobrinho LL, dos Anjos-Garcia TD, Elias-Filho DH, Coimbra NC. Unravelling cortico-hypothalamic pathways regulating unconditioned fear-induced antinociception and defensive behaviours. Neuropharmacology. 2017;113:367-85.,108108. Ullah F, Dos Anjos-Garcia T, Mendes-Gomes J, Elias-Filho DH, Falconi-Sobrinho LL, Freitas RL, et al. Connexions between the dorsomedial division of the ventromedial hypothalamus and the dorsal periaqueductal grey matter are critical in the elaboration of hypothalamically mediated panic-like behaviour. Behav Brain Res. 2016;319:135-47. and mesencephalic8181. Coimbra NC, de Oliveira R, Freitas RL, Ribeiro SJ, Borelli KG, Pacagnella RC, et al. Neuroanatomical approaches of the tectum-reticular pathways and immunohistochemical evidence for serotonin-positive perikarya on neuronal substrates of the superior colliculus and periaqueductal gray matter involved in the elaboration of the defensive behavior and fear-induced analgesia. Exp Neurol. 2006;197:93-112.,109109. Coimbra NC, Tomaz C, Brandão ML. Evidence for the involvement of serotonin in the antinociception induced by electrical or chemical stimulation of the mesencephalic tectum. Behav Brain Res. 1992;50:77-83.,110110. de Oliveira R, de Oliveira RC, Falconi-Sobrinho LL, da Silva Soares R Jr, Coimbra NC. 5-Hydroxytryptamine2A/2C receptors of nucleus raphe magnus and gigantocellularis/paragigantocellularis pars α reticular nuclei modulate the unconditioned fear-induced antinociception evoked by electrical stimulation of deep layers of the superior colliculus and dorsal periaqueductal grey matter. Behav Brain Res. 2017;316:294-304. structures. Nevertheless, this defensive reaction was not observed in mice submitted to the formalin pain test and exposed to the EPM.1313. Mendes-Gomes J, Nunes-de-Souza RL. Concurrent nociceptive stimulation impairs the anxiolytic effect of midazolam injected into the periaqueductal gray in mice. Brain Res. 2005;1047:97-104.,1717. Mendes-Gomes J, Nunes-de-Souza RL. Anxiolytic-like effects produced by bilateral lesion of the periaqueductal gray in mice: influence of concurrent nociceptive stimulation. Behav Brain Res. 2009;203:180-7.,111111. Cornélio AM, Mendes-Gomes J, Fugimoto JS, Morgan MM, Nunes-de-Souza RL. Environmentally induced antinociception and hyperalgesia in rats and mice. Brain Res. 2011;1415:56-62.

112. Mendes-Gomes J, Amaral VC, Nunes-de-Souza RL. Ventrolateral periaqueductal gray lesion attenuates nociception but does not change anxiety-like indices or fear-induced antinociception in mice. Behav Brain Res. 2011;219:248-53.
-113113. Mendes-Gomes J, Miguel TT, Amaral VC, Nunes-de-Souza RL. Corticosterone does not change open elevated plus maze-induced antinociception in mice. Horm Behav. 2011;60:408-13. Therefore, the authors who performed those experiments decided to use the open elevated plus maze, which has the same dimension of the standard EPM but is comprised of four open arms. Using this apparatus, they verified antinociception of high magnitude. The open-arms EPM seemed to be a good model for studying fear-induced antinociception; this modified apparatus has also been behaviorally and pharmacologically validated.114114. Sorregotti T, Mendes-Gomes J, Rico JL, Rodgers RJ, Nunes-de-Souza RL. Ethopharmacological analysis of the open elevated plus-maze in mice. Behav. Brain Res. 2013;246:76-85.

Experimental evidence from the 1970s, 1980s, and early 1990s suggests that serotonin (5-HT) facilitates punished behavior by recruiting the amygdaloid complex activity (resulting in anxiety) and inhibits escape behavior by acting in the dorsal periaqueductal gray matter (the unbalance of which causes panic).115115. Graeff FG. On serotonin and experimental anxiety. Psychopharmacology (Berl). 2002;163:467-76.,116116. Graeff FG. Serotonin, the periaqueductal gray and panic. Neurosci Biobehav Rev. 2004;28:239-59. This led Deakin & Graeff5757. Deakin JF, Graeff FG. 5-HT and mechanisms of defence. J Psychopharmacol. 1991;5:305-15. to propose that 5-HT neurons mediate avoidance behaviors while simultaneously inhibiting escape behaviors.44. Graeff FG, Netto CF, Zangrossi H Jr. The elevated T-maze as an experimental model of anxiety. Neurosci Biobehav Rev. 1998;23:237-46. Because of its direct implications for anxiety and panic, serotonin and its actions in the amygdaloid complex or the periaqueductal gray matter have been extensively studied in rodent models of anxiety, such as the EPM. These exhaustive investigations have helped establish the EPM test as a reliable experimental tool for studying anxiety in rodents.6565. Netto SM, Silveira R, Coimbra NC, Joca SR, Guimarães FS. Anxiogenic effect of median raphe nucleus lesion in stressed rats. Progr Neuropsychopharmacol Biol Psychiatry. 2002;26:1135-41.,117117. Nunes-de-Souza RL, Canto-de-Souza A, da-Costa M, Fornari RV, Graeff FG, Pelá IR. Anxiety-induced antinociception in mice: effects of systemic and intra-amygdala administration of 8-OH-DPAT and midazolam. Psychopharmacology (Berl). 2000;150:300-10.

118. Dhonnchadha BA, Bourin M, Hascoët M. Anxiolytic-like effects of 5-HT2 ligands on three mouse models of anxiety. Behav Brain Res. 2003;140:203-14.

119. Carvalho MC, Albrechet-Souza L, Masson S, Brandão ML. Changes in the biogenic amine content of the prefrontal cortex, amygdala, dorsal hippocampus, and nucleus accumbens of rats submitted to single and repeated sessions of the elevated plus-maze test. Braz J Med Biol Res. 2005;38:1857-66.

120. de Mello Cruz AP, Pinheiro G, Alves SH, Ferreira G, Mendes G, Faria L, et al. Behavioral effects of systemically administered MK-212 are prevented by ritanserin microinfusion into the basolateral amygdala of rats exposed to the elevated plus-maze. Psychopharmacology (Berl). 2005;182:345-54.
-121121. Vaidya AH, Rosentha DI, Lang W, Crooke JJ, Benjamin D, Ilyin SE, et al. Oral buspirone causes a shift in the dose-response curve between the elevated-plus maze and Vogel conflict tests in Long-Evans rats: relation of brain levels of buspirone and 1-PP to anxiolytic action. Methods Find Exp Clin Pharmacol. 2005;27:245-55. Notwithstanding the high reliability of the EPM for measuring anxiety-like behaviors in rodents,122122. Handley SL, McBlane JW. 5-HT-the disengaging transmitter? J Psychopharmacol. 1991;5:322-6. this test has been criticized as a mixed model of anxiety that combines an avoidance behavior with an escape behavior: in the avoidance behavior (a conditioned-like behavior or anticipatory anxiety-related response), the animal is in the closed arms and avoids the open arms, whereas in the escape (panic-like) behavior, the animal is in the open arms and draws back to the closed arms in search of a protected environment. Thus, exposure to the open and closed arms may elicit different types of defensive behaviors. Considering these psychobiological characteristics of the EPM test, this type of mixed model might not be very appropriate for studying the effects of all anxiolytic compounds, or it may need to be used with caution if a unique behavioral task is used to evaluate anxiety.

Prey versus predator paradigms are excellent approaches for studying innate fear-related behaviors, not only because these paradigms allow us to focus on the effects of a discrete intervention in a given structure of the limbic system or a functionally related structure,2222. Almada RC, Coimbra NC. Recruitment of striatonigral disinhibitory and nigro-tectal inhibitory GABAergic pathways during the organization of defensive behavior by mice in a dangerous environment with the venomous snake Bothrops alternatus (Reptilia, Viperidae). Synapse. 2015;69:299-313.,2323. Almada RC, Roncon CM, Elias-Filho DH, Coimbra NC. Endocannabinoid signaling mechanisms in the substantia nigra pars reticulata modulate GABAergic nigrotectal pathways in mice threatened by urutu-cruzeiro venomous pit viper. Neuroscience. 2015;303:503-14. but also because they are useful to study the integrated activation of the limbic system in a threatening situation.2626. Uribe-Mariño A, Francisco A, Castiblanco-Urbina MA, Twardowschy A, Salgado-Rohner CJ, Crippa JA, et al. Anti-aversive effects of cannabidiol on innate fear-induced behaviors evoked by an ethological model of panic attacks based on a prey vs the wild snake Epicrates cenchria crassus confrontation paradigm. Neuropsychopharmacology. 2012;37:412-21.,2727. Twardowschy A, Castiblanco-Urbina MA, Uribe-Mariño A, Biagioni AF, Salgado-Rohner CJ, Crippa JA, et al. The role of 5-HT1A receptors in the anti-aversive effects of cannabidiol on panic attack-like behaviors evoked in the presence of the wild snake Epicrates cenchria crassus (Reptilia, Boidae). J Psychopharmacol. 2013;27:1149-59. Although much research now focuses on more invasive methods, such as the use of electrically and chemically restricted brain stimulation, to clarify the involvement of a given brain structure in the organization of defensive behavioral responses,108108. Ullah F, Dos Anjos-Garcia T, Mendes-Gomes J, Elias-Filho DH, Falconi-Sobrinho LL, Freitas RL, et al. Connexions between the dorsomedial division of the ventromedial hypothalamus and the dorsal periaqueductal grey matter are critical in the elaboration of hypothalamically mediated panic-like behaviour. Behav Brain Res. 2016;319:135-47.

109. Coimbra NC, Tomaz C, Brandão ML. Evidence for the involvement of serotonin in the antinociception induced by electrical or chemical stimulation of the mesencephalic tectum. Behav Brain Res. 1992;50:77-83.
-110110. de Oliveira R, de Oliveira RC, Falconi-Sobrinho LL, da Silva Soares R Jr, Coimbra NC. 5-Hydroxytryptamine2A/2C receptors of nucleus raphe magnus and gigantocellularis/paragigantocellularis pars α reticular nuclei modulate the unconditioned fear-induced antinociception evoked by electrical stimulation of deep layers of the superior colliculus and dorsal periaqueductal grey matter. Behav Brain Res. 2017;316:294-304.,123123. Coimbra NC, Brandão ML. GABAergic nigro-collicular pathways modulate the defensive behaviour elicited by midbrain tectum stimulation. Behav Brain Res. 1993;59:131-9. the prey-versus-predator paradigm is still useful for studying the activity of the brain aversion system activity,2222. Almada RC, Coimbra NC. Recruitment of striatonigral disinhibitory and nigro-tectal inhibitory GABAergic pathways during the organization of defensive behavior by mice in a dangerous environment with the venomous snake Bothrops alternatus (Reptilia, Viperidae). Synapse. 2015;69:299-313.,8484. Canteras NS, Goto M. Fos-like immunoreactivity in the periaqueductal gray of rats exposed to a natural predator. Neuroreport. 1999;10:413-8.,8585. Comoli E, Ribeiro-Barbosa ER, Canteras NS. Predatory hunting and exposure to alive predator induce opposite patterns of Fos immunoreactivity in the PAG. Behav Brain Res. 2003;138:17-28.,124124. Canteras NS. The medial hypothalamic defensive system: hodological organization and functional implications. Pharmacol Biochem Behav. 2002;71:481-91. for testing new drugs with potential applications in neuropsychiatry, or for assessing the behavioral phenotypes of genetically-modified mice.2525. Lobão-Soares B, Walz R, Prediger RD, Freitas RL, Calvo F, Bianchin MM, et al. Cellular prion protein modulates defensive attention and innate fear-induced behaviour evoked in transgenic mice submitted to an agonistic encounter with the tropical coral snake Oxyrhopus guibei. Behav Brain Res. 2008;194:129-37.,2626. Uribe-Mariño A, Francisco A, Castiblanco-Urbina MA, Twardowschy A, Salgado-Rohner CJ, Crippa JA, et al. Anti-aversive effects of cannabidiol on innate fear-induced behaviors evoked by an ethological model of panic attacks based on a prey vs the wild snake Epicrates cenchria crassus confrontation paradigm. Neuropsychopharmacology. 2012;37:412-21.

In conclusion, simple labyrinths such the elevated plus maze and elevated T-maze are excellent apparatuses for the study of anxiety- and instinctive fear-related responses, respectively. Both apparatuses have been sufficiently validated in both behavioral and pharmacological terms. The confrontation between rodents and snakes in polygonal arenas, however, offers a more ethological environment for addressing both unconditioned and conditioned fear-based behaviors and the effects of anxiolytic and panicolytic drugs. More specifically, in the prey-predator confrontation approach, the possibility of testing both anxiety and fear or combined panic-related behaviors allows for a more complete approach to new drug or rodent phenotype testing, considering the diverse aversive stimuli in the rodent ethogram.

Acknowledgements

This work was supported by Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) (grant 2012/03798-0), Conselho Nacional de Pesquisa e Desenvolvimento Tecnológico (CNPq) (grant 470119/2004-7), Fundação de Apoio ao Ensino, Pesquisa e Assistência do HC-FMRP-USP (FAEPA) (grants 1291/97, 355/2000, 68/2001, and 15/2003), and a research grant from the Pro-Rectory of Universidade de São Paulo (USP) (IaPQ2012; NAP-USP-NuPNE-156). The authors thank Daoud Hibrahim Elias-Filho for technical support. JPC-C is an undergraduate student from the Neurosciences for Kids Program of LNN-FMRP-USP and the Caravaggio Workshop (Project MEDUSA-LNN-FMRP-USP/INeC Ophidiarium). NCC is a researcher (level 1A) from CNPq (processes 301905/2010-0 and 301341/2015-0). DHEF received a technician’s scholarship from FAPESP (TT-2, process 02/01497-1) and was the recipient of scholarships sponsored by CNPq (processes 501858/2005-9, 500896/2008-9, and 505461/2010-2).

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Publication Dates

  • Publication in this collection
    06 Feb 2017
  • Date of issue
    Jan-Mar 2017

History

  • Received
    1 Jan 2016
  • Accepted
    4 Apr 2016
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