Skip to main content

Advertisement

Log in

Alprazolam-induced EEG spectral power changes in rhesus monkeys: a translational model for the evaluation of the behavioral effects of benzodiazepines

  • Original Investigation
  • Published:
Psychopharmacology Aims and scope Submit manuscript

Abstract

Rationale

Benzodiazepines induce electroencephalography (EEG) changes in rodents and humans that are associated with distinct behavioral effects and have been proposed as quantitative biomarkers for GABAA receptor modulation. Specifically, central EEG beta and occipital EEG delta activity have been associated with anxiolysis and sedation, respectively. The extent to which nonhuman primates show the same dose- and topography-dependent effects remained unknown.

Objectives

We aimed at establishing a nonhuman primate model for the evaluation of benzodiazepine EEG pharmacology.

Methods

Four adult male rhesus monkeys were prepared with fully implantable telemetry devices that monitored activity, peripheral body temperature, and contained two EEG (central and occipital), one electromyography (EMG), and one electrooculography channel. We investigated daytime alprazolam-induced changes in EEG spectral power, sleep–wake states, EMG activity, locomotor activity, and body temperature. Alprazolam (0.01–1.8 mg/kg, i.m.) or vehicle was administered acutely, and telemetry recording was conducted for 1 h.

Results

Daytime alprazolam dose-dependently increased central EEG power (including beta activity), increased occipital EEG delta power, and decreased occipital EEG alpha, theta, and sigma power. There was an ~8-fold difference in the potency of alprazolam to increase central EEG beta vs. occipital EEG delta activity (based on relative EEG power). The highest dose, which increased both central EEG beta and occipital EEG delta relative power, induced sedative effects (increased time spent in N1 and N2 sleep stages) and decreased peripheral body temperature and locomotor activity.

Conclusions

Alprazolam induces dose- and topography-dependent EEG changes in rhesus monkeys and provides a valuable model for studying benzodiazepine pharmacology.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  • Algina J, Olejnik S (2003) Conducting power analyses for ANOVA and ANCOVA in between-subjects designs. Eval Health Prof 26:288–314

    Article  PubMed  Google Scholar 

  • Authier S, Bassett L, Pouliot M, Rachalski A, Troncy E, Paquette D, Mongrain V (2014) Effects of amphetamine, diazepam and caffeine on polysomnography (EEG, EMG, EOG)-derived variables measured using telemetry in Cynomolgus monkeys. J Pharmacol Toxicol Methods 70:86–93

    Article  CAS  PubMed  Google Scholar 

  • Azumi K, Shirakawa S (1982) Characteristics of spindle activity and their use in evaluation of hypnotics. Sleep 5:95–105

    Article  CAS  PubMed  Google Scholar 

  • Bachhuber MA, Hennessy S, Cunningham CO, Starrels JL (2016) Increasing benzodiazepine prescriptions and overdose mortality in the United States, 1996-2013. Am J Public Health 106:686–688

    Article  PubMed  PubMed Central  Google Scholar 

  • Bakeman R (2005) Recommended effect size statistics for repeated measures designs. Behav Res Methods 37:379–384

    Article  PubMed  Google Scholar 

  • Barbanoj MJ, Urbano G, Antonijoan R, Ballester MR, Valle M (2007) Different acute tolerance development to EEG, psychomotor performance and subjective assessment effects after two intermittent oral doses of alprazolam in healthy volunteers. Neuropsychobiology 55:203–212

    Article  CAS  PubMed  Google Scholar 

  • Berry RB, Albertario CL, Harding SM, Lloyd RM, Plante DT, Quan SF, Troester MM, Vaughn BV, for the American Academy of Sleep Medicine (2018) The AASM manual for the scoring of sleep and associated events: rules, terminology and technical specifications. Version 2.5. American Academy of Sleep Medicine, Darien, IL

    Google Scholar 

  • Brown RE, Basheer R, McKenna JT, Strecker RE, McCarley RW (2012) Control of sleep and wakefulness. Physiol Rev 92:1087–1187

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Buchsbaum MS, Hazlett E, Sicotte N, Stein M, Wu J, Zetin M (1985) Topographic EEG changes with benzodiazepine administration in generalized anxiety disorder. Biol Psychiatry 20:832–842

    Article  CAS  PubMed  Google Scholar 

  • Christian EP, Snyder DH, Song W, Gurley DA, Smolka J, Maier DL, Ding M, Gharahdaghi F, Liu XF, Chopra M, Ribadeneira M, Chapdelaine MJ, Dudley A, Arriza JL, Maciag C, Quirk MC, Doherty JJ (2015) EEG-β/γ spectral power elevation in rat: a translatable biomarker elicited by GABA(Aα2/3)-positive allosteric modulators at nonsedating anxiolytic doses. J Neurophysiol 113:116–131

    Article  CAS  PubMed  Google Scholar 

  • Coenen AM, van Luijtelaar EL (1991) Pharmacological dissociation of EEG and behavior: a basic problem in sleep-wake classification. Sleep 14:464–465

    CAS  PubMed  Google Scholar 

  • Crowe SF, Stranks EK (2018) The residual medium and long-term cognitive effects of benzodiazepine use: an updated meta-analysis. Arch Clin Neuropsychol 33:901–911

    Article  PubMed  Google Scholar 

  • Davidson RJ, Kalin NH, Shelton SE (1992) Lateralized effects of diazepam on frontal brain electrical asymmetries in rhesus monkeys. Biol Psychiatry 32:438–451

    Article  CAS  PubMed  Google Scholar 

  • Davidson RJ, Kalin NH, Shelton SE (1993) Lateralized response to diazepam predicts temperamental style in rhesus monkeys. Behav Neurosci 107:1106–1110

    Article  CAS  PubMed  Google Scholar 

  • Duke AN, Meng Z, Platt DM, Atack JR, Dawson GR, Reynolds DS, Tiruveedhula VVNPB, Li G, Stephen MR, Sieghart W, Cook JM, Rowlett JK (2018) Evidence that sedative effects of benzodiazepines involve unexpected GABAA receptor subtypes: quantitative observation studies in rhesus monkeys. J Pharmacol Exp Ther 366:145–157

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Engin E, Benham RS, Rudolph U (2018) An emerging circuit pharmacology of GABAA receptors. Trends Pharmacol Sci 39:710–732

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Gilles C, Luthringer R (2007) Pharmacological models in healthy volunteers: their use in the clinical development of psychotropic drugs. J Psychopharmacol (Oxf) 21:272–282

    Article  CAS  Google Scholar 

  • Goonawardena AV, Morairty SR, Orellana GA, Willoughby AR, Wallace TL, Kilduff TS (2018) Electrophysiological characterization of sleep/wake, activity and the response to caffeine in adult cynomolgus macaques. Neurobiol Sleep Circadian Rhythms 6:9–23

    Article  PubMed  PubMed Central  Google Scholar 

  • Hering W, Geisslinger G, Kamp HD, Dinkel M, Tschaikowsky K, Rügheimer E, Brune K (1994) Changes in the EEG power spectrum after midazolam anaesthesia combined with racemic or S - (+) ketamine. Acta Anaesthesiol Scand 38:719–723

    Article  CAS  PubMed  Google Scholar 

  • Hostler D, Northington WE, Callaway CW (2009) High-dose diazepam facilitates core cooling during cold saline infusion in healthy volunteers. Appl Physiol Nutr Metab. 34:582–586

    Article  CAS  PubMed  Google Scholar 

  • Hsieh KC, Robinson EL, Fuller CA (2008) Sleep architecture in unrestrained rhesus monkeys (Macaca mulatta) synchronized to 24-hour light-dark cycles. Sleep 31:1239–1250

    PubMed  PubMed Central  Google Scholar 

  • Huang Q, He X, Ma C, Liu R, Yu S, Dayer CA, Wenger GR, McKernan R, Cook JM (2000) Pharmacophore/receptor models for GABA(A)/BzR subtypes (alpha1beta3gamma2, alpha5beta3gamma2, and alpha6beta3gamma2) via a comprehensive ligand-mapping approach. J Med Chem 43:71–95

    Article  CAS  PubMed  Google Scholar 

  • Jackson HC, Nutt DJ (1990) Body temperature discriminates between full and partial benzodiazepine receptor agonists. Eur J Pharmacol 185:243–246

    Article  CAS  PubMed  Google Scholar 

  • Jackson HC, Nutt DJ (1991) Comparison of the effects of benzodiazepine and beta-carboline inverse agonists on body temperature in mice. Eur J Pharmacol 205:213–216

    Article  CAS  PubMed  Google Scholar 

  • Jongsma ML, van Rijn CM, van Egmond J, van Schaijk WJ, Sambeth A, Coenen AM (2000) The influence of diazepam on the electroencephalogram-evoked potential interrelation in rats. Neurosci Lett 293:83–86

    Article  CAS  PubMed  Google Scholar 

  • Kaestner EJ, Wixted JT, Mednick SC (2013) Pharmacologically increasing sleep spindles enhances recognition for negative and high-arousal memories. J Cogn Neurosci 25:1597–1610

    Article  PubMed  Google Scholar 

  • Leiser SC, Dunlop J, Bowlby MR, Devilbliss DM (2011) Aligning strategies for using EEG as a surrogate biomarker: a review of preclinical and clinical research. Biochem Pharmacol 81:1408–1421

    Article  CAS  PubMed  Google Scholar 

  • Liu J, Singh H, White PF (1996) Electroencephalogram bispectral analysis predicts the depth of midazolam-induced sedation. Anesthesiology 84:64–69

    Article  CAS  PubMed  Google Scholar 

  • Manoach DS, Pan JQ, Purcell SM, Stickgold R (2016) Reduced sleep spindles in schizophrenia: a treatable endophenotype that links risk genes to impaired cognition? Biol Psychiatry 80:599–608

    Article  PubMed  Google Scholar 

  • Marshall L, Kirov R, Brade J, Molle M, Born J (2011) Transcranial electrical currents to probe EEG brain rhythms and memory consolidation during sleep in humans. PLoS One 6:e16905

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mednick SC, McDevitt EA, Walsh JK, Wamsley E, Paulus M, Kanady JC, Drummond SPA (2013) The critical role of sleep spindles in hippocampal-dependent memory: a pharmacology study. J Neurosci 33:4494–4504

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Meng Z, Berro LF, Sawyer EK, Rüedi-Bettschen D, Cook JE, Li G, Platt DM, Cook JM, Rowlett JK (2020) Evaluation of the anti-conflict, reinforcing, and sedative effects of YT-III-31, a ligand functionally selective for α3 subunit-containing GABAA receptors. J Psychopharmacol 34:348–357

    Article  CAS  PubMed  Google Scholar 

  • Möhler H (2011) The rise of a new GABA pharmacology. Neuropharmacology 60:1042–1049

    Article  PubMed  Google Scholar 

  • Moore TJ, Mattison DR (2017) Adult utilization of psychiatric drugs and differences by sex, age, and race. JAMA Intern Med 177:274–275

    Article  PubMed  Google Scholar 

  • Moscardo E, McPhie G, Fasdelli N, Giarola A, Tontodonati M, Dorigatti R, Meecham K (2010) An integrated cardiovascular and neurobehavioural functional assessment in the conscious telemetered cynomolgus monkey. J Pharmacol Toxicol Methods 62:95–106

    Article  CAS  PubMed  Google Scholar 

  • Myers JL, Well AD, Lorch RF Jr (2010) Research design and statistical analysis: third edition. Routledge, New York, NY

    Google Scholar 

  • National Research Council (2011) Guide for the care and use of laboratory animals, 8th edn. The National Academies Press, Washington, DC

  • Nishida M, Zestos MM, Asano E (2016) Spatial-temporal patterns of electrocorticographic spectral changes during midazolam sedation. Clin Neurophysiol 127:1223–1232

    Article  PubMed  Google Scholar 

  • Nutt D, Wilson S, Lingford-Hughes A, Myers J, Papadopoulos A, Muthukumaraswamy S (2015) Differences between magnetoencephalographic (MEG) spectral profiles of drugs acting on GABA at synaptic and extrasynaptic sites: a study in healthy volunteers. Neuropharmacology 88:155–163

    Article  CAS  PubMed  Google Scholar 

  • Plante DT, Goldstein MR, Cook JD, Smith R, Riedner BA, Rumble ME, Jelenchick L, Roth A, Tononi G, Benca RM, Peterson MJ (2015) Effects of oral temazepam on sleep spindles during non-rapid eye movement sleep: a high-density EEG investigation. Eur Neuropsychopharmacol 25:1600–1610

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Rowlett JK, Lelas S, Tornatzky W, Licata SC (2006) Anti-conflict effects of benzodiazepines in rhesus monkeys: relationship with therapeutic doses in humans and role of GABAA receptors. Psychopharmacology (Berl) 184:201–211

    Article  CAS  Google Scholar 

  • Ruehland WR, O'Donoghue FJ, Pierce RJ, Thornton AT, Singh P, Copland JM, Stevens B, Rochford PD (2011) The 2007 AASM recommendations for EEG electrode placement in polysomnography: impact on sleep and cortical arousal scoring. Sleep 34:73–81

    Article  PubMed  PubMed Central  Google Scholar 

  • Saletu B, Anderer P, Saletu-Zyhlarz GM (2006) EEG topography and tomography (LORETA) in the classification and evaluation of the pharmacodynamics of psychotropic drugs. Clin EEG Neurosci 37:66–80

    Article  PubMed  Google Scholar 

  • Santo L, Rui P, Ashman JJ (2020) Physician office visits at which benzodiazepines were prescribed: findings from 2014 to 2016 National Ambulatory Medical Care Survey. Natl Health Stat Report 137:1–16

    Google Scholar 

  • Schnider TW, Minto CF, Fiset P, Gregg KM, Shafer SL (1996) Semilinear canonical correlation applied to the measurement of the electroencephalographic effects of midazolam and flumazenil reversal. Anesthesiology 84:510–519

    Article  CAS  Google Scholar 

  • Schulte am Esch J, Kochs E (1990) Midazolam and flumazenil in neuroanaesthesia. Acta Anaesthesiol Scand Suppl 92:96–102

    Article  CAS  PubMed  Google Scholar 

  • Sperk G, Kirchmair E, Bakker J, Sieghart W, Drexel M, Kondova I (2020) Immunohistochemical distribution of 10 GABAA receptor subunits in the forebrain of the rhesus monkey Macaca mulatta. J Comp Neurol 528:2551–2568

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Suetsugi M, Mizuki Y, Ushijima I, Kobayashi T, Watanabe Y (2001) The effects of diazepam on sleep spindles: a qualitative and quantitative analysis. Neuropsychobiology 43:49–53

    Article  CAS  PubMed  Google Scholar 

  • Szymusiak R (2018) Body temperature and sleep. Handb Clin Neurol 156:341–351

    Article  PubMed  Google Scholar 

  • Tallon-Baudry C, Mandon S, Freiwald WA, Kreiter AK (2004) Oscillatory synchrony in the monkey temporal lobe correlates with performance in a visual short-term memory task. Cereb Cortex 14:713–720

    Article  PubMed  Google Scholar 

  • Tannenbaum PL, Tye SJ, Stevens J, Gotter AL, Fox SV, Savitz AT, Coleman PJ, Uslaner JM, Kuduk SD, Hargreaves R, Winrow CJ, Renger JJ (2016) Inhibition of orexin signaling promotes sleep yet preserves salient arousability in monkeys. Sleep 39:603–612

    Article  PubMed  PubMed Central  Google Scholar 

  • Taylor SC, Little HJ, Nutt DJ, Sellars N (1985) A benzodiazepine agonist and contragonist have hypothermic effects in rodents. Neuropharmacology 24:69–73

    Article  CAS  PubMed  Google Scholar 

  • van Lier H, Drinkenburg WH, van Eeten YJ, Coenen AM (2004) Effects of diazepam and zolpidem on EEG beta frequencies are behavior-specific in rats. Neuropharmacology 47:163–174

    Article  PubMed  Google Scholar 

  • Veselis RA, Reinsel R, Sommer S, Carlon G (1991) Use of neural network analysis to classify electroencephalographic patterns against depth of midazolam sedation in intensive care unit patients. J Clin Monit 7:259–267

    Article  CAS  PubMed  Google Scholar 

  • Visser SAG, Wolters FLC, Gubbens-Stibbe JM, Tukker E, Van der Graaf PH, Peletier LA, Danhof M (2003) Mechanism-based PK/PD modelling of the EEG effects of GABAA receptor modulators: in vitro/in vivo correlations. J Pharmacol Exp Ther 304:88–101

    Article  CAS  PubMed  Google Scholar 

  • Votaw VR, Geyer R, Rieselbach MM, McHugh RK (2019) The epidemiology of benzodiazepine misuse: a systematic review. Drug Alcohol Depend 200:95–114

    Article  PubMed  PubMed Central  Google Scholar 

  • Wamsley E, Tucker MA, Shinn AK, Ono KE, McKinley S, Ely AV, Goff DC, Stickgold R, Manoach DS (2012) Reduced sleep spindles and spindle coherence in schizophrenia: mechanisms of impaired memory consolidation? Biol Psychiatry 71:154–161

    Article  PubMed  Google Scholar 

  • Wikler A (1952) Pharmacologic Dissociation of Behavior and EEG "Sleep Patterns" in Dogs: Morphine, N-Allylnormorphine, and Atropine. Proc Soc Exp Bioi NY 79:261–265

    Article  CAS  Google Scholar 

Download references

Acknowledgments

The authors thank Megan Fine and Vince Mendenhall for their surgical services and guidance during the animal recovery period. We also thank Troy Velie and Lorie Boyd for assistance with the use of DSI hardware and software. The authors thank Megan Follett and Joseph Talley for technical assistance and Chris Young for assistance with data analysis. Finally, we thank the veterinary staff from the UMMC Center for Comparative Research for their valuable help during the establishment of this model/procedure and for their constant care for our animals.

Funding

This work was supported by the National Institutes of Health (DA011792, DA043204, DA046778, and DA049886).

Author information

Authors and Affiliations

Authors

Contributions

LFB and JKR were responsible for the study concept and design. LFB and JRD contributed to the acquisition of data. LFB, JSO, and JKR assisted with data analysis and interpretation of findings. LFB and JKR drafted the manuscript. All authors read and provided critical revision of the manuscript for important intellectual content and approved the final version for publication.

Corresponding author

Correspondence to Lais F. Berro.

Ethics declarations

Conflict of interest

No conflict declared.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article belongs to a Special Issue on Imaging for CNS drug development and biomarkers

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Berro, L.F., Overton, J.S., Reeves-Darby, J.A. et al. Alprazolam-induced EEG spectral power changes in rhesus monkeys: a translational model for the evaluation of the behavioral effects of benzodiazepines. Psychopharmacology 238, 1373–1386 (2021). https://doi.org/10.1007/s00213-021-05793-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00213-021-05793-z

Keywords

Navigation