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Translocator protein 18 kDa: a potential therapeutic biomarker for post traumatic stress disorder

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Abstract

Post traumatic stress disorder (PTSD) is widely regarded as a stress-related and trauma disorder. The symptoms of PTSD are characterized as a spectrum of vulnerabilities after the exposure to an extremely traumatic stressor. Considering as one of complex mental disorders, little progress has been made toward its diagnostic biomarkers, despite the involvement of PTSD has been studied. Many studies into the underlying neurobiology of PTSD implicated the dysfunction of neurosteroids biosynthesis and neuorinflammatory processes. Translocator protein 18 kDa (TSPO) has been considered as one of the promising therapeutic biomarkers for neurological stress disorders (like PTSD, depression, anxiety, et al) without the benzodiazepine-like side effects. This protein participates in the formation of neurosteroids and modulation of neuroinflammation. The review outlines current knowledge involving the role of TSPO in the neuropathology of PTSD and the anti-PTSD-like effects of TSPO ligands.

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References

  • Alpy F, Tomasetto C (2005) Give lipids a START: the StAR-related lipid transfer (START) domain in mammals. J Cell Sci 118:2791–2801

    Article  CAS  PubMed  Google Scholar 

  • Anholt RR, Pedersen PL, De Souza EB, Snyder SH (1986) The peripheral-type benzodiazepine receptor: localization to the mitochondrial outer membrane. J Biol Chem 261:576–583

    Article  CAS  PubMed  Google Scholar 

  • Arbo BD, Benetti F, Garcia-Segura LM, Ribeiro MF (2015) Therapeutic actions of translocator protein (18 kDa) ligands in experimental models of psychiatric disorders and neurodegenerative diseases. J Steroid Biochem Mol Biol 154:68–74

    Article  CAS  PubMed  Google Scholar 

  • Ariel L, Inbar S, Edut S, Richter-Levin G (2017) Fluoxetine treatment is effective in a rat model of childhood-induced post-traumatic stress disorder. Transl Psychiatry 7:1260

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Armour C, Műllerová J, Elhai JD (2016) A systematic literature review of PTSD's latent structure in the diagnostic and statistical manual of mental disorders: DSM-IV to DSM-5. Clin Psychol Rev 44:60–74

    Article  PubMed  Google Scholar 

  • Auxéméry Y (2018) Post-traumatic psychiatric disorders: PTSD is not the only diagnosis. Presse Med 47:423–430

    Article  PubMed  Google Scholar 

  • Bae KR, Shim HJ, Balu D, Kim SR, Yu SW (2014) Translocator protein 18 kDa negatively regulates inflammation in microglia. J NeuroImmune Pharmacol 9:424–437

    Article  PubMed  Google Scholar 

  • Barron AM, Ji B, Kito S, Suhara T, Higuchi M (2018) Steroidogenic abnormalities in translocator protein knockout mice and significance in the aging male. Biochem J 475:75–85

    Article  CAS  PubMed  Google Scholar 

  • Bentefour Y, Rakibi Y, Bennis M, Ba-M'hamed S, Garcia R (2016) Paroxetine treatment, following behavioral suppression of PTSD-like symptoms in mice, prevents relapse by activating the infralimbic cortex. Eur Neuropsychopharmacol 26:195–207

    Article  CAS  PubMed  Google Scholar 

  • Berger W, Mendlowicz MV, Marques-Portella C, Kinrys G, Fontenelle LF, Marmar CR, Figueira I (2009) Pharmacologic alternatives to antidepressants in posttraumatic stress disorder: a systematic review. Prog Neuro-Psychopharmacol Biol Psychiatry 33:169–180

    Article  CAS  Google Scholar 

  • Biswas L, Farhan F, Reilly J, Bartholomew C, Shu X (2018) TSPO ligands promote cholesterol efflux and suppress oxidative stress and inflammation in Choroidal endothelial cells. Int J Mol Sci. 19

  • Blechert J, Michael T, Grossman P, Lajtman M, Wilhelm FH (2007) Autonomic and respiratory characteristics of posttraumatic stress disorder and panic disorder. Psychosom Med 69:935–943

    Article  PubMed  Google Scholar 

  • Bolger GT, Mezey E, Cott J, Weissman BA, Paul SM, Skolnick P (1984) Differential regulation of 'central' and 'peripheral' benzodiazepine binding sites in the rat olfactory bulb. Eur J Pharmacol 105:143–148

    Article  CAS  PubMed  Google Scholar 

  • Bortolato M, Devoto P, Roncada P, Frau R, Flore G, Saba P, Pistritto G, Soggiu A, Pisanu S, Zappala A, Ristaldi MS, Tattoli M, Cuomo V, Marrosu F, Barbaccia ML (2011) Isolation rearing induced reduction of brain 5α-reductase expression: relevance to dopaminergic impairments. Neuropharmacology. 60:1301–1308

    Article  CAS  PubMed  Google Scholar 

  • Boujrad N, Hudson JR, Papadopoulos V (1993) Inhibition of hormone-stimulated steroidogenesis in cultured Leydig tumor cells by a cholesterol-linked phosphorothioate oligodeoxynucleotide antisense to diazepam binding inhibitor. Proc Natl Acad Sci U S A 90:5728–5731

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Burton MD, Johnson RW (2012) Interleukin-6 trans-signaling in the senescent mouse brain is involved in infection-related deficits in contextual fear conditioning. Brain Behav Immun 26:732–738

    Article  CAS  PubMed  Google Scholar 

  • Byrne SP, Harpaz-Rotem I, Tsai J, Southwick SM, Pietrzak RH (2018) Latent typologies of DSM-5 PTSD symptoms in U.S. military veterans. Psychiatry Res 273:266–273

    Article  PubMed  Google Scholar 

  • Campbell AM, Chan SH (2007) The voltage dependent anion channel affects mitochondrial cholesterol distribution and function. Arch Biochem Biophys 466:203–210

    Article  CAS  PubMed  Google Scholar 

  • Chelli B, Falleni A, Salvetti F, Gremigni V, Lucacchini A, Martini C (2001) Peripheral-type benzodiazepine receptor ligands: mitochondrial permeability transition induction in rat cardiac tissue. Biochem Pharmacol 61:695–705

    Article  CAS  PubMed  Google Scholar 

  • Chen S, Xie W, Strong JA, Jiang J, Zhang JM (2016) Sciatic endometriosis induces mechanical hypersensitivity, segmental nerve damage, and robust local inflammation in rats. Eur J Pain 20:1044–1057

    Article  CAS  PubMed  Google Scholar 

  • Christensen A, Pike CJ (2018) TSPO ligand PK 11195 improves Alzheimer-related outcomes in aged female 3xTg-AD mice. Neurosci Lett 683:7–12

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Christenson LK, Strauss JF III (2000) Steroidogenic acute regulatory protein (StAR) and the intramitochondrial translocation of cholesterol. Biochim Biophys Acta 1529:175–187

    Article  CAS  PubMed  Google Scholar 

  • Cohen M, Meir T, Klein E, Volpin G, Assaf M, Pollack S (2011) Cytokine levels as potential biomarkers for predicting the development of posttraumatic stress symptoms in casualties of accidents. Int J Psychiatry Med 42:117–131

    Article  PubMed  Google Scholar 

  • Conway A, Rolley J, Sutherland JR (2016) Midazolam for sedation before procedures. Cochrane Database Syst Rev 20:CD009491

    Google Scholar 

  • Costa B, Da Pozzo E, Chelli B, Simola N, Morelli M, Luisi M et al (2011) Anxiolytic properties of a 2-phenylindolglyoxylamide TSPO ligand: stimulation of in vitro neurosteroid production affecting GABAA receptor activity. Psychoneuroendocrinology. 36:463–472

    Article  CAS  PubMed  Google Scholar 

  • Costa B, Da Pozzo E, Martini C (2012) Translocator protein as a promising target for novel anxiolytics. Curr Top Med Chem 12:270–285

    Article  CAS  PubMed  Google Scholar 

  • Costa B, Taliani S, Da Pozzo E, Barresi E, Robello M, Cavallini C (2017) Residence Time, a New parameter to Predict Neurosteroidogenic Efficacy of Translocator Protein (TSPO) Ligands: the Case Study of N,N-Dialkyl-2-arylindol-3-ylglyoxylamides. ChemMedChem. 12:1275–1278

    Article  CAS  PubMed  Google Scholar 

  • Costa B, Da Pozzo E, Martini C (2018) Translocator protein and steroidogenesis. Biochem J 475:901–904

    Article  CAS  PubMed  Google Scholar 

  • Cunningham C, Sanderson DJ (2008) Malaise in the water maze: untangling the effects of LPS and IL-1beta on learning and memory. Brain Behav Immun 22:1117–1127

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Czerniawski J, Miyashita T, Lewandowski G, Guzowski JF (2015) Systemic lipopolysaccharide administration impairs retrieval of context-object discrimination, but not spatial, memory: evidence for selective disruption of specific hippocampus-dependent memory functions during acute neuroinflammation. Brain Behav Immun 44:159–166

    Article  CAS  PubMed  Google Scholar 

  • Da Pozzo E, Costa B, Martini C (2012) Translocator protein (TSPO) and neurosteroids: implications in psychiatric disorders. 12:426–442

  • Da Pozzo E, Giacomelli C, Barresi E, Costa B, Taliani S, Passetti Fda S et al (2015) Targeting the 18-kDa translocator protein: recent perspectives for neuroprotection. Biochem Soc Trans 43:559–565

    Article  PubMed  CAS  Google Scholar 

  • Dalton J, Thomas S, Melton H, Harden M, Eastwood A (2018) The provision of services in the UK for UK armed forces veterans with PTSD: a rapid evidence synthesis. NIHR Journals Library, Southampton (UK)

    Google Scholar 

  • Davidson JR (2004) Use of benzodiazepines in social anxiety disorder, generalized anxiety disorder, and posttraumatic stress disorder. J Clin Psychiatry 5:29–33

    Google Scholar 

  • Dela Cruz Fajarito C, De Guzman RG (2017) Understanding Combat-Related PTSD Symptom Expression Through Index Trauma and Military Culture: Case Studies of Filipino Soldiers. 182:e1665-e1671

  • Dell'Osso L, Da Pozzo E, Carmassi C, Trincavelli ML, Ciapparelli A, Martini C (2010) Lifetime manic-hypomanic symptoms in post-traumatic stress disorder: relationship with the 18 kDa mitochondrial translocator protein density. Psychiatry Res 177:139–143

    Article  CAS  PubMed  Google Scholar 

  • Denora N, Natile G (2017) An updated view of translocator protein (TSPO). Int J Mol Sci. 18

  • Di Michele F, Luchetti S, Bernardi G, Romeo E, Longone P (2013) Neurosteroid and neurotransmitter alterations in Parkinson's disease. Front Neuroendocrinol 34:132–142

    Article  PubMed  CAS  Google Scholar 

  • Dupont AC, Largeau B, Santiago Ribeiro MJ, Guilloteau D, Tronel C, Arlicot N (2017) Translocator Protein-18 kDa (TSPO) positron emission tomography (PET) imaging and its clinical impact in neurodegenerative diseases. Int J Mol Sci 18:785

    Article  PubMed Central  CAS  Google Scholar 

  • Fan AC, Bhangoo MK, Young JC (2006) Hsp90 functions in the targeting and outer membrane translocation steps of Tom70-mediated mitochondrial import. J Biol Chem 281:33313–33324

    Article  CAS  PubMed  Google Scholar 

  • Farhood LF, Fares S, Sabbagh R, Hamady C (2016) PTSD and depression construct: prevalence and predictors of co-occurrence in a south Lebanese civilian sample. Eur J Psychotraumatol 7:31509

    Article  PubMed  Google Scholar 

  • Farhood LF, Fares S, Hamady C (2018) PTSD and gender: could gender differences in war trauma types, symptom clusters and risk factors predict gender differences in PTSD prevalence? Arch Womens Ment Health 21:735–743

    Article  PubMed  Google Scholar 

  • Fawcett JA, Kravitz HM (1982) Alprazolam: pharmacokinetics, clinical efficacy, and mechanism of action. Pharmacotherapy. 2:243–254

    Article  CAS  PubMed  Google Scholar 

  • Fish EW, De Bold JF, Miczek KA (2002) Aggressive behavior as a reinforcer in mice: activation by allopregnanolone. Psychopharmacology 163:459–466

    Article  CAS  PubMed  Google Scholar 

  • Galiegue S, Jbilo O, Combes T, Bribes E, Carayon P, Le Fur G et al (1999) Cloning and characterization of PRAX-1. A new protein that specifically interacts with the peripheral benzodiazepine receptor. J Biol Chem 274:2938–2952

    Article  CAS  PubMed  Google Scholar 

  • Garrett A, Cohen JA, Zack S, Carrion V, Jo B, Blader J, Rodriguez A, Vanasse TJ, Reiss AL, Agras WS (2019) Longitudinal changes in brain function associated with symptom improvement in youth with PTSD. J Psychiatr Res 114:161–169

    Article  PubMed  PubMed Central  Google Scholar 

  • Gavish M, Veenman L (2018) Regulation of mitochondrial, cellular, and organismal functions by TSPO. Adv Pharmacol 82:103–136

    Article  PubMed  CAS  Google Scholar 

  • Gavish M, Laor N, Bidder M, Fisher D, Fonia O, Muller U, Reiss A, Wolmer L, Karp L, Weizman R (1996) Altered platelet peripheral-type benzodiazepine receptor in posttraumatic stress disorder. Neuropsychopharmacology. 14:181–186

    Article  CAS  PubMed  Google Scholar 

  • Gonzalez P, Machado I, Vilcaes A, Caruso C, Roth GA, Schiöth H et al (2013) Molecular mechanisms involved in interleukin 1-beta (IL-1β)-induced memory impairment. Modulation by alpha-melanocyte-stimulating hormone (α-MSH). Brain Behav Immun 34:141–150

    Article  CAS  PubMed  Google Scholar 

  • Guennoun R, Labombarda F, Gonzalez Deniselle MC, Liere P, De Nicola AF et al (2015) Progesterone and allopregnanolone in the central nervous system: response to injury and implication for neuroprotection. J Steroid Biochem Mol Biol 146:48–61

    Article  CAS  PubMed  Google Scholar 

  • Gut P, Zweckstetter M, Banati RB (2015) Lost in translocation: the functions of the 18-kD translocator protein. Trends Endocrinol Metab 26:349–356

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hampl R, Bičíková M, Sosvorová L (2015) Hormones and the blood-brain barrier. Horm Mol Biol Clin Invest 21:159–164

    CAS  Google Scholar 

  • Hao Y, Jing H, Bi Q, Zhang J, Qin L, Yang P (2014) Intra-amygdala microinfusion of IL-6 impairs the auditory fear conditioning of rats via JAK/STAT activation. Behav Brain Res 275:88–95

    Article  CAS  PubMed  Google Scholar 

  • Hatty CR, Le Brun AP, Lake V, Clifton LA, Liu GJ, James M et al (2014) Investigating the interactions of the 18kDa translocator protein and its ligand PK11195 in planar lipid bilayers. Biochim Biophys Acta 1838:1019–1030

    Article  CAS  PubMed  Google Scholar 

  • Hiller S, Garces RG, Malia TJ, Yorekhov VY, Colombini M, Wagner G (2008) Solution structure of the integral human membrane protein VDAC-1 in detergent micelles. Science. 321:1206–1210

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Imai R, Hori H, Itoh M, Lin M, Niwa M, Ino K et al (2018) Inflammatory markers and their possible effects on cognitive function in women with posttraumatic stress disorder. J Psychiatr Res 102:192–200

    Article  PubMed  Google Scholar 

  • Jaipuria G, Leonov A, Giller K, Vasa SK, Jaremko Ł, Jaremko M (2017) Cholesterol-mediated allosteric regulation of the mitochondrial translocator protein structure. Nat Commun 8:14893

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Jaremko M, Jaremko Ł, Jaipuria G, Becker S, Zweckstetter M (2015) Structure of the mammalian TSPO/PBR protein. Biochem Soc Trans 43:566–571

    Article  CAS  PubMed  Google Scholar 

  • Jerud AB, Pruitt LD, Zoellner LA, Feeny NC (2016) The effects of prolonged exposure and sertraline on emotion regulation in individuals with posttraumatic stress disorder. Behav Res Ther 77:62–67

    Article  PubMed  Google Scholar 

  • Jing H, Hao Y, Bi Q, Zhang J, Yang P (2015) Intra-amygdala microinjection of TNF-α impairs the auditory fear conditioning of rats via glutamate toxicity. Neurosci Res 91:34–40

    Article  CAS  PubMed  Google Scholar 

  • Jorge RE (2015) Posttraumatic stress disorder. Continuum (Minneap Minn). 21(3 behavioral neurology and neuropsychiatry):789-805

  • Kelmendi B, Adams TG, Yarnell S, Southwick S, Abdallah CG, Krystal JH (2016) PTSD: from neurobiology to pharmacological treatments. Eur J Psychotraumatol 7:31858

    Article  PubMed  Google Scholar 

  • Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB (1995) Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry 52:1048–1060

    Article  CAS  PubMed  Google Scholar 

  • Kita A, Furukawa K (2008) Involvement of neurosteroids in the anxiolytic-like effects of AC-5216 in mice. Pharmacol Biochem Behav. 89:171–178

  • Kita A, Kohayakawa H, Kinoshita T, Ochi Y, Nakamichi K, Kurumiya S, Furukawa K, Oka M (2004) Antianxiety and antidepressant-like effects of AC-5216, a novel mitochondrial benzodiazepine receptor ligand. Br J Pharmacol 142:1059–1072

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kita A, Kinoshita T, Kohayakawa H, Furukawa K, Akaike A (2009) Lack of tolerance to anxiolysis and withdrawal symptoms in mice repeatedly treated with AC-5216, a selective TSPO ligand. Prog Neuro-Psychopharmacol Biol Psychiatry 33:1040–1045

    Article  CAS  Google Scholar 

  • Kovačić Petrović Z, Peraica T, Eterović M, Anđelinović M, Kozarić-Kovačić D (2019) Combat posttraumatic stress disorder and quality of life: do somatic comorbidities matter? J Nerv Ment Dis 207:53–58

    Article  PubMed  Google Scholar 

  • Kreisl WC, Henter ID, Innis RB (2018) Imaging translocator protein as a biomarker of neuroinflammation in dementia. Adv Pharmacol 82:163–185

    Article  PubMed  CAS  Google Scholar 

  • Lavisse S, Guillermier M, Hérard AS, Petit F, Delahaye M, Van Camp N et al (2012) Reactive astrocytes overexpress TSPO and are detected by TSPO positron emission tomography imaging. J Neurosci 32:10809–10818

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Le Fur G, Perrier ML, Vaucher N, Imbault F, Flamier A, Benavides J et al (1983) Peripheral benzodiazepine binding sites: effect of PK 11195, 1-(2-chlorophenyl)-N-methyl-N-(1-methylpropyl)-3-isoquinolinecarboxamide. I In vitro studies. Life Sci 32:1839–1847

    Article  PubMed  Google Scholar 

  • Lee JH, Kim JH (2016) Dopamine-dependent synaptic plasticity in an amygdala inhibitory circuit controls fear memory expression. BMB Rep 49:1–2

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Li H, Papadopoulos V (1998) Peripheral-type benzodiazepine receptor function in cholesterol transport. Identification of a putative cholesterol recognition/interaction amino acid sequence and consensus pattern. Endocrinology 139:4991–4997

    Article  CAS  PubMed  Google Scholar 

  • Li H, Degenhardt B, Tobin D, Yao Z, Tasken K, Papadopoulos V (2001a) Novel element in hormonal regulation of steroidogenesis. PAP7: a peripheral-type benzodiazepine receptor- and protein kinase A (RIa)-associated protein. Mol Endocrinol 15:2211–2228

    CAS  PubMed  Google Scholar 

  • Li H, Yao Z, Degenhardt B, Teper G, Papadopoulos V (2001b) Cholesterol binding at the cholesterol recognition/ interaction amino acid consensus (CRAC) of the peripheral-type benzodiazepine receptor and inhibition of steroidogenesis by an HIV TAT-CRAC peptide. Proc Natl Acad Sci U S A 98:1267–1272

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Li F, Liu J, Liu N, Kuhn LA, Garavito RM, Ferguson-Miller S (2016) Translocator protein 18 kDa (TSPO): an old protein with new functions? Biochemistry. 55:2821–2831

    Article  CAS  PubMed  Google Scholar 

  • Li W, Ma YB, Yang Q, Li BL, Meng QG, Zhang Y (2017) Effect and safety of sertraline for treat posttraumatic stress disorder: a multicenter randomised controlled study. Int J Psychiatry Clin Pract 21:151–155

    Article  CAS  PubMed  Google Scholar 

  • Li H, Sagar AP, Kéri S (2018) Translocator protein (18kDa TSPO) binding, a marker of microglia, is reduced in major depression during cognitive-behavioral therapy. Prog Neuro-Psychopharmacol Biol Psychiatry 83:1–7

    Article  CAS  Google Scholar 

  • Lin HC, Tseng YC, Mao SC, Chen PS, Gean PW (2011) GABAA receptor endocytosis in the basolateral amygdala is critical to the reinstatement of fear memory measured by fear-potentiated startle. J Neurosci 31:8851–8861

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Locci A, Pinna G (2017) Neurosteroid biosynthesis down-regulation and changes in GABAA receptor subunit composition: a biomarker axis in stress-induced cognitive and emotional impairment. Br J Pharmacol 174:3226–3241

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Longone P, di Michele F, D'Agati E, Romeo E, Pasini A, Rupprecht R (2011) Neurosteroids as neuromodulators in the treatment of anxiety disorders. Front Endocrinol (Lausanne) 2:55

    Article  Google Scholar 

  • Loth MK, Choi J, McGlothan JL, Pletnikov MV, Pomper MG, Guilarte TR (2016) TSPO in a murine model of Sandhoff disease: presymptomatic marker of neurodegeneration and disease pathophysiology. Neurobiol Dis 85:174–186

    Article  CAS  PubMed  Google Scholar 

  • Ma L, Zhang H, Liu N, Wang PQ, Guo WZ, Fu Q, Jiao LB, Ma YQ, Mi WD (2016) TSPO ligand PK 11195 alleviates neuroinflammation and beta-amyloid generation induced by systemic LPS administration. Brain Res Bull 121:192–200

    Article  CAS  PubMed  Google Scholar 

  • McEnery MW, Snowman AM, Trifiletti RR, Snyder SH (1992) Isolation of the mitochondrial benzodiazepine receptor: association with the voltage-dependent anion channel and the adenine nucleotide carrier. Proc Natl Acad Sci U S A 89:3170–3174

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • McGhee LL, Maani CV, Garza TH, DeSocio PA, Gaylord KM, Black IH (2009) The relationship of intravenous midazolam and posttraumatic stress disorder development in burned soldiers. J Trauma 66:S186–S190

    CAS  PubMed  Google Scholar 

  • Mellon SH, Gautam A, Hammamieh R, Jett M, Wolkowitz OM (2018) Metabolism, metabolomics, and inflammation in posttraumatic stress disorder. Biol Psychiatry 83:866–875

    Article  CAS  PubMed  Google Scholar 

  • Miao YL, Guo WZ, Shi WZ, Fang WW, Liu Y, Liu J et al (2014) Midazolam ameliorates the behavior deficits of a rat posttraumatic stress disorder model through dual 18 kDa translocator protein and central benzodiazepine receptor and neurosteroidogenesis. PLoS One 9:e101450

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Miao XR, Chen QB, Wei K, Tao KM, Lu ZJ (2018) Posttraumatic stress disorder: from diagnosis to prevention. Mil Med Res 5:32

    PubMed  PubMed Central  Google Scholar 

  • Michael Kaplan E, DuPont RL (2005) Benzodiazepines and anxiety disorders: a review for the practicing physician. Curr Med Res Opin 21:941–950

    Article  PubMed  CAS  Google Scholar 

  • Michopoulos V, Powers A, Gillespie CF, Ressler KJ, Jovanovic T (2017) Inflammation in fear- and anxiety-based disorders: PTSD, GAD, and beyond. Neuropsychopharmacology. 42:254–270

    Article  CAS  PubMed  Google Scholar 

  • Milenkovic VM, Rupprecht R, Wetzel CH (2015) The Translocator protein 18 kDa (TSPO) and its role in mitochondrial biology and psychiatric disorders. Mini-Rev Med Chem 15:366–372

    Article  CAS  PubMed  Google Scholar 

  • Miller WL (2013) Steroid hormone synthesis in mitochondria. Mol Cell Endocrinol 379:62–73

    Article  CAS  PubMed  Google Scholar 

  • Naegeli C, Zeffiro T, Piccirelli M, Jaillard A, Weilenmann A, Hassanpour K, Schick M, Rufer M, Orr SP, Mueller-Pfeiffer C (2018) Locus coeruleus activity mediates hyperresponsiveness in posttraumatic stress disorder. Biol Psychiatry 83:254–262

    Article  PubMed  Google Scholar 

  • Nelson JC, Portera L, Leon AC (2005) Residual symptoms in depressed patients after treatment with fluoxetine or reboxetine. J Clin Psychiatry 66:1409–1414

    Article  CAS  PubMed  Google Scholar 

  • Neupane S, Srivastav S, Bhurtel S, Katila N, Shadfar S, Park PH, et al. (2018) Enhanced neuroinflammatory responses after systemic LPS injection in IL-32β transgenic mice. J Chem Neuroanat

  • Nin MS, Martinez LA, Pibiri F, Nelson M, Pinna G (2011) Neurosteroids reduce social isolation-induced behavioral deficits: a proposed link with neurosteroid-mediated upregulation of BDNF expression. Front Endocrinol (Lausanne) 2:73

    Article  Google Scholar 

  • Nothdurfter C, Rammes G, Baghai TC, Schüle C, Schumacher M, Papadopoulos V, Rupprecht R (2012) Translocator protein (18 kDa) as a target for novel anxiolytics with a favourable side-effect profile. J Neuroendocrinol 24:82–92

    Article  CAS  PubMed  Google Scholar 

  • Notter T, Coughlin JM, Sawa A, Meyer U (2018) Reconceptualization of translocator protein as a biomarker of neuroinflammation in psychiatry. Mol Psychiatry 23:36–47

    Article  CAS  PubMed  Google Scholar 

  • O'Brien ER, Kersemans V, Tredwell M, Checa B, Serres S, Soto MS, Gouverneur V, Leppert D, Anthony DC, Sibson NR (2014) Glial activation in the early stages of brain metastasis: TSPO as a diagnostic biomarker. J Nucl Med 55:275–280

    Article  CAS  PubMed  Google Scholar 

  • Oruc L, Kapur L, Pojskić N, Cavaljuga S, Ivezić S, Bell P (2004) Posttraumatic stress disorder among women after the war in Sarajevo: a rationale for genetic study. Bosn J Basic Med Sci 4:50–52

    Article  PubMed  Google Scholar 

  • Ostuni MA, Issop L, Péranzi G, Walker F, Fasseu M, Elbim C, Papadopoulos V, Lacapere JJ (2010) Overexpression of translocator protein TSPO in inflammatory bowel disease: potential diagnostic and treatment value. Inflamm Bowel Dis 16:1476–1487

    Article  PubMed  Google Scholar 

  • Owen DR, Fan J, Campioli E, Venugopal S, Midzak A, Daly E, Harlay A, Issop L, Libri V, Kalogiannopoulou D, Oliver E, Gallego-Colon E, Colasanti A, Huson L, Rabiner EA, Suppiah P, Essagian C, Matthews PM, Papadopoulos V (2017) TSPO mutations in rats and a human polymorphism impair the rate of steroid synthesis. Biochem J 474:3985–3999

    Article  CAS  PubMed  Google Scholar 

  • Pace TW, Wingenfeld K, Schmidt I, Meinlschmidt G, Hellhammer DH, Heim CM (2012) Increased peripheral NF-kappaB pathway activity in women with childhood abuse-related posttraumatic stress disorder. Brain Behav Immun 26:13–17

    Article  CAS  PubMed  Google Scholar 

  • Palzur E, Sharon A, Shehadeh M, Soustiel JF (2016) Investigation of the mechanisms of neuroprotection mediated by Ro5-4864 in brain injury. Neuroscience. 329:162–170

    Article  CAS  PubMed  Google Scholar 

  • Papadopoulos V, Brown AS (1995) The peripheral-type benzodiazepine receptor, diazepam binding inhibitor, and steroidogenesis. J Steroid Biochem Mol Biol 53:103–110

    Article  CAS  PubMed  Google Scholar 

  • Papadopoulos V, Mukhin AG, Costa E, Krueger KE (1990) The peripheral-type benzodiazepine receptor is functionally linked to Leydig cell steroidogenesis. J Biol Chem 265:3772–3779

    Article  CAS  PubMed  Google Scholar 

  • Papadopoulos V, Berkovich A, Krueger KE (1991) The role of diazepam binding inhibitor and its processing products at mitochondrial benzodiazepine receptors: regulation of steroid biosynthesis. Neuropharmacology. 30:1417–1423

    Article  CAS  PubMed  Google Scholar 

  • Papadopoulos V, Baraldi M, Guilarte TR, Knudsen TB, Lacapère JJ, Lindemann P, Norenberg MD, Nutt D, Weizman A, Zhang MR, Gavish M (2006) Translocator protein (18kDa): new nomenclature for the peripheral-type benzodiazepine receptor based on its structure and molecular function. Trends Pharmacol Sci 27:402–409

    Article  CAS  PubMed  Google Scholar 

  • Papadopoulos V, Aghazadeh Y, Fan J, Campioli E, Zirkin B, Midzak A (2015) Translocator protein-mediated pharmacology of cholesterol transport and steroidogenesis. Mol Cell Endocrinol 408:90–98

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pastorino JG, Simbula G, Gilfor E, Hoek JB, Farber JL (1994) Protoporphyrin IX, an endogenous ligand of the peripheral benzodiazepine receptor, potentiates induction of the mitochondrial permeability transition and the killing of cultured hepatocytes by rotenone. J Biol Chem 269:31041–31046

    Article  CAS  PubMed  Google Scholar 

  • Peter-Hagene LC, Ullman SE (2015) Sexual assault-characteristics effects on PTSD and psychosocial mediators: a cluster-analysis approach to sexual assault types [published correction appears in Psychol trauma. 2015 mar;7(2):170]. Psychol Trauma 7:162–170

    Article  PubMed  Google Scholar 

  • Pibiri F, Nelson M, Guidotti A, Costa E, Pinna G (2008) Decreased corticolimbic allopregnanolone expression during social isolation enhances contextual fear: A model relevant for posttraumatic stress disorder. Proc Natl Acad Sci U S A 105:5567–5572

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pietrzak RH, Goldstein RB, Southwick SM, Grant BF (2011) Medical comorbidity of full and partial posttraumatic stress disorder in US adults: results from wave 2 of the national epidemiologic survey on alcohol and related conditions. Psychosom Med 73:697–707

    Article  PubMed  PubMed Central  Google Scholar 

  • Pineles SL, Nillni YI, Pinna G, Irvine J, Webb A, Arditte Hall KA et al (2018) PTSD in women is associated with a block in conversion of progesterone to the GABAergic neurosteroids allopregnanolone and pregnanolone measured in plasma. Psychoneuroendocrinology. 93:133–141

    Article  CAS  PubMed  Google Scholar 

  • Pinna G (2010) In a mouse model relevant for post-traumatic stress disorder, selective brain steroidogenic stimulants (SBSS) improve behavioral deficits by normalizing allopregnanolone biosynthesis. Behav Pharmacol 21:438–450

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pinna G, Rasmusson AM (2012) Up-regulation of neurosteroid biosynthesis as a pharmacological strategy to improve behavioural deficits in a putative mouse model of post-traumatic stress disorder. J Neuroendocrinol 24:102–116

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pinna G, Dong E, Matsumoto K, Costa E, Guidotti A (2003) In socially isolated mice, the reversal of brain allopregnanolone down-regulation mediates the anti-aggressive action of fluoxetine. Proc Natl Acad Sci U S A 100:2035–2040

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Piper A Jr (1995) Addiction to benzodiazepines--how common? Arch Fam Med 4:964–970

    Article  PubMed  Google Scholar 

  • Pitman RK, Rasmusson AM, Koenen KC, Shin LM, Orr SP, Gilbertson MW et al (2012) Biological studies of posttraumatic stress disorder. Nat Rev Neurosci 13:769–787

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Qaiser MZ, Dolman DEM, Begley DJ, Abbott NJ, Cazacu-Davidescu M, Corol DI et al (2018) Uptake and metabolism of sulphated steroids by the blood-brain barrier in the adult male rat. J Neurochem 142:672–685

    Article  CAS  Google Scholar 

  • Qiu ZK, Zhang LM, Zhao N, Chen HX, Zhang YZ, Liu YQ, Mi TY, Zhou WW, Li Y, Yang RF, Xu JP, Li YF (2013) Repeated administration of AC-5216, a ligand for the 18 kDa translocator protein, improves behavioral deficits in a mouse model of post-traumatic stress disorder. Prog Neuro-Psychopharmacol Biol Psychiatry 45:40–46

    Article  CAS  Google Scholar 

  • Qiu ZK, Li MS, He JL, Liu X, Zhang GH, Lai S et al (2015) Translocator protein mediates the anxiolytic and antidepressant effects of midazolam. Pharmacol Biochem Behav 139:77–83

    Article  CAS  PubMed  Google Scholar 

  • Raines AM, Capron DW, Stentz LA, Walton JL, Allan NP, McManus ES et al (2017) Posttraumatic stress disorder and suicidal ideation, plans, and impulses: the mediating role of anxiety sensitivity cognitive concerns among veterans. J Affect Disord 222:57–62

    Article  PubMed  Google Scholar 

  • Rasmusson AM, Pinna G, Paliwal P, Weisman D, Gottschalk C, Charney D, Krystal J, Guidotti A (2006) Decreased cerebrospinal fluid allopregnanolone levels in women with posttraumatic stress disorder. Biol Psychiatry 60:704–713

    Article  CAS  PubMed  Google Scholar 

  • Rasmusson AM, Marx CE, Pineles SL, Locci A, Scioli-Salter ER, Nillni YI, Liang JJ, Pinna G (2017) Neuroactive steroids and PTSD treatment. Neurosci Lett 649:156–163

    Article  CAS  PubMed  Google Scholar 

  • Rasmusson AM, King MW, Valovski I, Gregor K, Scioli-Salter E, Pineles SL et al (2018) Relationships between cerebrospinal fluid GABAergic neurosteroid levels and symptom severity in men with PTSD. Psychoneuroendocrinology 102:95–104

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Ravagnan L, Marzo I, Costantini P, Susin SA, Zamzami N, Petit PX, Hirsch F, Goulbern M, Poupon MF, Miccoli L, Xie Z, Reed JC, Kroemer G (1999) Lonidamine triggers apoptosis via a direct, Bcl-2-inhibited effect on the mitochondrial permeability transition pore. Oncogene 18:2537–2546

    Article  CAS  PubMed  Google Scholar 

  • Reid AM, McNamara JP, Murphy TK, Guzick AG, Storch EA, Goodman WK et al (2016) Side-effects of SSRIs disrupt multimodal treatment for pediatric OCD in a randomized-controlled trial. Psychiatry Res 74:94

    Article  Google Scholar 

  • Richards EM, Zanotti-Fregonara P, Fujita M, Newman L, Farmer C, Ballard ED et al (2018) PET radioligand binding to translocator protein (TSPO) is increased in unmedicated depressed subjects. EJNMMI Res 8:57

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Ristikj-Stomnaroska D, Risteska-Nejashmikj V, Papazova M (2019) Role of inflammation in the pathogenesis of diabetic peripheral neuropathy. Open Access Maced J Med Sci 7:2267–2270

    Article  PubMed  PubMed Central  Google Scholar 

  • Rone MB, Liu J, Blonder J, Ye X, Veenstra TD, Young JC, Papadopoulos V (2009) Targeting and insertion of the cholesterol-binding translocator protein into the outer mitochondrial membrane. Biochemistry. 48:6909–6920

    Article  CAS  PubMed  Google Scholar 

  • Rothbaum BO, Rizzo AS, Difede J (2010) Virtual reality exposure therapy for combat-related posttraumatic stress disorder. Ann N Y Acad Sci 1208:126–132

    Article  PubMed  Google Scholar 

  • Rupprecht R, Papadopoulos V, Rammes G, Baghai TC, Fan J, Akula N, Groyer G, Adams D, Schumacher M (2010) Translocator protein (18 kDa) (TSPO) as a therapeutic target for neurological and psychiatric disorders. Nat Rev Drug Discov 9:971–988

    Article  CAS  PubMed  Google Scholar 

  • Saloner R, Grelotti DJ, Tyree G, Sundermann EE, Ma Q, Letendre S, Heaton RK, Cherner M (2019) Benzodiazepine use is associated with an increased risk of neurocognitive impairment in people living with HIV. J Acquir Immune Defic Syndr 82:475–482

    Article  PubMed  PubMed Central  Google Scholar 

  • Santoro A, Mattace Raso G, Taliani S, Da Pozzo E, Simorini F, Costa B et al (2016) TSPO-ligands prevent oxidative damage and inflammatory response in C6 glioma cells by neurosteroid synthesis. Eur J Pharm Sci 88:124–131

    Article  CAS  PubMed  Google Scholar 

  • Schawo SJ, Carlier IVE, van Hemert AM, de Beurs E (2019) Measuring treatment outcome in patients with anxiety disorders: A comparison of the responsiveness of generic and disorder-specific instruments. J Anxiety Disord 64:55–63

    Article  CAS  PubMed  Google Scholar 

  • Seal KH, Metzler TJ, Gima KS, Bertenthal D, Maguen S, Marmar CR (2009) Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using Department of Veterans Affairs health care, 2002-2008. Am J Public Health 99:1651–1658

    Article  PubMed  PubMed Central  Google Scholar 

  • Selvaraj V, Tu LN (2016) Current status and future perspectives: TSPO in steroid neuroendocrinology. J Endocrinol 231:R1–R30

    Article  CAS  PubMed  Google Scholar 

  • Shang C, Guo Y, Yao JQ, Fang XX, Sun LJ, Jiang XY et al (2019) Rapid anti-PTSD-like activity of the TSPO agonist YL-IPA08: emphasis on brain GABA, neurosteroids and HPA axis function. Behav Brain Res 24:112320

    Google Scholar 

  • Shoyab M, Gentry LE, Marquardt H, Todaro G (1986) Isolation and characterization of a putative endogenous benzodiazepinoid (Endozepine) from bovine and human brain. J Biol Chem 261:11968–11973

    Article  CAS  PubMed  Google Scholar 

  • Stocco DM (2014) The role of PBR/TSPO in steroid biosynthesis challenged. Endocrinology. 155:6–9

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Stocco DM, Clark BJ (1996) Regulation of the acute production of steroids in steroidogenic cells. Endocr Rev 17:221–244

    CAS  PubMed  Google Scholar 

  • Sumner JA, Kronish IM, Pietrzak RH, Shimbo D, Shaffer JA, Parsons FE, Edmondson D (2015) Dimensional structure and correlates of posttraumatic stress symptoms following suspected acute coronary syndrome. J Affect Disord 186:178–185

    Article  PubMed  PubMed Central  Google Scholar 

  • Szeszko PR, Lehrner A, Yehuda R (2018) Glucocorticoids and hippocampal structure and function in PTSD. Harv Rev Psychiatry 26:142–157

    Article  PubMed  Google Scholar 

  • Tay AK, Rees S, Tam N, Kareth M, Silove D (2019) Defining a combined constellation of complicated bereavement and PTSD and the psychosocial correlates associated with the pattern amongst refugees from West Papua. Psychol Med 49:1481–1489

    Article  PubMed  Google Scholar 

  • Tishkina A, Stepanichev M, Kudryashova I, Freiman S, Onufriev M, Lazareva N, Gulyaeva N (2016) Neonatal proinflammatory challenge in male wistar rats: effects on behavior, synaptic plasticity, and adrenocortical stress response. Behav Brain Res 304:1–10

    Article  PubMed  Google Scholar 

  • Van Ameringen M, Mancini C, Patterson B, Boyle MH (2008) Post-traumatic stress disorder in Canada. CNS Neurosci Ther 14:171–181

    Article  PubMed  PubMed Central  Google Scholar 

  • Veenman L, Shandalov Y, Gavish M (2008) VDAC activation by the 18 kDa translocator protein (TSPO), implications for apoptosis. J Bioenerg Biomembr 40:199–205

    Article  CAS  PubMed  Google Scholar 

  • Verma A, Nye JS, Snyder SH (1987) Porphyrins are endogenous ligands for the mitochondrial (peripheral-type) benzodiazepine receptor. Proc Natl Acad Sci U S A 84:2256–2260

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Von Kanel R, Hepp U, Kraemer B, Traber R, Keel M, Mica L et al (2007) Evidence for low-grade systemic proinflammatory activity in patients with post traumatic stress disorder. J Psychiatr Res 41:744–752

    Article  Google Scholar 

  • Voos W, Rottgers K (2002) Molecular chaperones as essential mediators of mitochondrial biogenesis. Biochim Biophys Acta 1592:51–62

    Article  CAS  PubMed  Google Scholar 

  • Vujanovic AA, Bakhshaie J, Martin C, Reddy MK, Anestis MD (2017) Post traumatic stress and distress tolerance: associations with suicidality in acute-care psychiatric pnpatients. J Nerv Ment Dis 205:531–541

    Article  PubMed  Google Scholar 

  • Waldinger MD (2015) Psychiatric disorders and sexual dysfunction. Handb Clin Neurol 130:469–489

    Article  PubMed  Google Scholar 

  • Wang Z, Young MR (2016) PTSD, a disorder with an immunological component. Front Immunol 7:219

    PubMed  PubMed Central  Google Scholar 

  • Weis CN, Belleau EL, Pedersen WS, Miskovich TA, Larson CL (2018) Structural connectivity of the posterior cingulum is related to reexperiencing symptoms in posttraumatic stress disorder. Chronic Stress (thousand oaks).2

  • Weizman A, Burgin R, Harel Y, Karp L, Gavish M (1995) Platelet peripheral-type benzodiazepine receptor in major depression. J Affect Disord 33:257–261

    Article  CAS  PubMed  Google Scholar 

  • Whalin ME, Boujrad N, Papadopoulos V, Krueger KE (1994) Studies on the phosphorylation of the 18 kDa mitochondrial benzodiazepine receptor protein. J Recept Res 14:217–228

    Article  CAS  PubMed  Google Scholar 

  • Xie C, Chen B, Wu B, Guo J, Cao Y (2018) LncRNA TUG1 promotes cell proliferation and suppresses apoptosis in osteosarcoma by regulating miR-212-3p/FOXA1 axis. Biomed Pharmacother 97:1645–1653

    Article  CAS  PubMed  Google Scholar 

  • Yonkers KA, Gilstad-Hayden K, Forray A, Lipkind HS (2017) Association of panic disorder, generalized anxiety disorder, and benzodiazepine treatment during pregnancy with risk of adverse birth outcomes. JAMA Psychiat 74:1145–1152

    Article  Google Scholar 

  • Young JC, Hoogenraad NJ, Hartl FU (2003) Molecular chaperones Hsp90 and Hsp70 deliver preproteins to the mitochondrial import receptor Tom70. 112:41-50

  • Zass LJ, Hart SA, Seedat S, Hemmings SM, Malan-Müller S (2017) Neuroinflammatory genes associated with post-traumatic stress disorder: implications for comorbidity. Psychiatr Genet 27:1–16

    Article  CAS  PubMed  Google Scholar 

  • Zhang LM, Yao JZ, Li Y, Li K, Chen HX, Zhang YZ et al (2012) Anxiolytic effects of flavonoids in animal models of posttraumatic stress disorder. Evid Based Complement Alternat Med 2012:623753

    PubMed  PubMed Central  Google Scholar 

  • Zhang LM, Zhao N, Guo WZ, Jin ZL, Qiu ZK, Chen HX, Xue R, Zhang YZ, Yang RF, Li YF (2014a) Antidepressant-like and anxiolytic-like effects of YL-IPA08, a potent ligand for the translocator protein (18 kDa). Neuropharmacology. 81:116–125

    Article  CAS  PubMed  Google Scholar 

  • Zhang LM, Qiu ZK, Zhao N, Chen HX, Liu YQ, Xu JP, Zhang YZ, Yang RF, Li YF (2014b) Anxiolytic-like effects of YL-IPA08, a potent ligand for the translocator protein (18 kDa) in animal models of post-traumatic stress disorder. Int J Neuropsychopharmacol 17:1659–1669

    Article  CAS  PubMed  Google Scholar 

  • Zhang LM, Qiu ZK, Chen XF, Zhao N, Chen HX, Xue R, Zhang YZ, Yang RF, Li YF (2016) Involvement of allopregnanolone in the anti-PTSD-like effects of AC-5216. J Psychopharmacol 30:474–481

    Article  CAS  PubMed  Google Scholar 

  • Zhang LM, Wang YL, Liu YQ, Xue R, Zhang YZ, Yang RF, Li YF (2017) Antidepressant-like effects of YL-IPA08, a potent ligand for the translocator protein (18 kDa) in chronically stressed rats. Neuropharmacology. 113:567–575

    Article  CAS  PubMed  Google Scholar 

  • Zhang XY, Wei W, Zhang YZ, Fu Q, Mi WD, Zhang LM et al (2018) The 18 kDa Translocator protein (TSPO) overexpression in hippocampal dentate Gyrus elicits anxiolytic-like effects in a mouse model of post-traumatic stress disorder. Front Pharmacol 9:1364

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Zhao YY, Yu JZ, Li QY, Ma CG, Lu CZ, Xiao BG (2011) TSPO-specific ligand vinpocetine exerts a neuroprotective effect by suppressing microglial inflammation. Neuron Glia Biol 7:187–197

    Article  PubMed  Google Scholar 

  • Zimmerman G, Shaltiel G, Barbash S, Cohen J, Gasho CJ, Shenhar-Tsarfaty S et al (2012) Post-traumatic anxiety associates with failure of the innate immune receptor TLR9 to evade the pro-inflammatory NF-κB pathway. Transl Psychiatry 2:e78

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Acknowledgments

This study was supported by a grant from Natural Science Foundation of Guangdong Province, China (No. 2017A030313448), National Natural Science Foundation of China (No. 81703731) and Educational Commission of Guangdong Province, China (No. 2016KQNCX086).

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Qiu, ZK., Liu, X., Chen, Y. et al. Translocator protein 18 kDa: a potential therapeutic biomarker for post traumatic stress disorder. Metab Brain Dis 35, 695–707 (2020). https://doi.org/10.1007/s11011-020-00548-9

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