N-acetylcysteine prevents stress-induced anxiety behavior in zebrafish
Ricieri Mocelin
a,1
, Ana P. Herrmann
b,1
, Matheus Marcon
a
, Cassiano L. Rambo
c
, Aline Rohden
a
,
Fernanda Bevilaqua
a
, Murilo Sander de Abreu
d
, Leila Zanatta
a
, Elaine Elisabetsky
b
, Leonardo J.G. Barcellos
d,e
,
Diogo R. Lara
c,g
, Angelo L. Piato
f,g,
⁎
a
Programa de Pós-Graduação em Ciências Ambientais, Universidade Comunitária da Região de Chapecó, Av. Senador Attílio Fontana, 591E, 89809-000 Chapecó, SC, Brazil
b
Programa de Pós-Graduação em Ciências Biológicas: Bioquímica, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, 2600, 90035-000 Porto Alegre, RS, Brazil
c
Laboratório de Neuroquímica e Psicofarmacologia, Programa de Pós-Graduação em Biologia Celular e Molecular, Pontifícia Universidade Católica do Rio Grande do Sul, Av. Ipiranga, 6681,
90619-900 Porto Alegre, RS, Brazil
d
Programa de Pós-Graduação em Farmacologia, Universidade Federal de Santa Maria, Campus Universitário, Camobi, 97105-900 Santa Maria, RS, Brazil
e
Programa de Pós-Graduação em Bioexperimentação, Universidade de Passo Fundo, BR 285, 99052-900 Passo Fundo, RS, Brazil
f
Laboratório de Psicofarmacologia e Comportamento, Programa de Pós-Graduação em Farmacologia e Terapêutica, Universidade Federal do Rio Grande do Sul, Av. Sarmento Leite 500/202,
90050-170 Porto Alegre, RS, Brazil
g
Zebrafish Neuroscience Research Consortium (ZNRC), USA
abstract article info
Article history:
Received 20 December 2014
Received in revised form 28 May 2015
Accepted 4 August 2015
Available online 7 August 2015
Keywords:
N-acetylcysteine
Anxiety
Stress
Zebrafish
Despite the recent advances in understanding the pathophysiology of anxiety disorders, the pharmacological
treatments currently available are limited in efficacy and induce serious side effects. A possible strategy to
achieve clinical benefits is drug repurposing, i.e., discovery of novel applications for old drugs, bringing new treat-
ment options to the market and to the patients who need them. N-acetylcysteine (NAC), a commonly used mu-
colytic and paracetamol antidote, has emerged as a promising molecule for the treatment of several
neuropsychiatric disorders. The mechanism of action of this drug is complex, and involves modulation of antiox-
idant, inflammatory, neurotrophic and glutamate pathways. Here we evaluated the effects of NAC on behavioral
parameters relevant to anxiety in zebrafish. NAC did not alter behavioral parameters in the novel tank test,
prevented the anxiety-like behaviors induced by an acute stressor (net chasing), and increased the time zebrafish
spent in the lit side in the light/dark test. These data may indicate that NAC presents an anti-stress effect, with the
potential to prevent stress-induced psychiatric disorders such as anxiety and depression. The considerable ho-
mology between mammalian and zebrafish genomes invests the current data with translational validity for the
further clinical trials needed to substantiate the use of NAC in anxiety disorders.
© 2015 Elsevier Inc. All rights reserved.
1. Introduction
Despite the recent advances in understanding the pathophysiology
of psychiatric disorders, pharmaceutical industries are increasingly
abandoning drug development programs in this field. Exorbitant finan-
cial losses consequent to high failure rates in early stage clinical trials
are the most likely explanation for this current situation, which includes
arrested development of agents once considered as promising novel
treatments (Insel, 2012). A possible strategy to bypass this drug pipeline
drain is the repurposing of available drugs, which reduces uncertainty
regarding safety and pharmacokinetic issues and allows a faster track
to achieve clinical benefits (Ashburn and Thor, 2004; Insel et al., 2013).
N-acetylcysteine (NAC) – a commonly used mucolytic and paraceta-
mol antidote – has emerged as a promising molecule for the treatment
of several neuropsychiatric disorders, such as bipolar disorder, schizo-
phrenia and drug addiction (Dean et al., 2011a; Berk et al., 2013). The
myriad of positive clinical data is related to the multi-target profile of
NAC, which modulates antioxidant, inflammatory, neurotrophic and
glutamate pathways (Dean et al., 2011b). Specifically for glutamate,
NAC activates the astrocytic cystine–glutamate antiporters, leading to
glutamate release, stimulation of extra-synaptic metabotropic gluta-
mate receptors (mGluRs) and decreased neurotransmitter synaptic re-
lease (Baker et al., 2002; Moran et al., 2005).
When an organism is subjected to stressful situations, the innate
stress response activates several biologic systems in order to elicit
coping strategies and restore homeostasis (Chrousos and Gold,
1992; McEwen, 2007; Gold, 2015). There are, however, maladaptive
responses to stressors, which are closely linked to the development
of anxiety disorders and depression (Sapolsky, 2000). Although no
approved treatment for stress and anxiety targets the glutamatergic
system, there is consistent experimental evidence implicating
Pharmacology, Biochemistry and Behavior 139 (2015) 121–126
⁎ Corresponding author at: Programa de Pós-Graduação em Farmacologia e
Terapêutica, ICBS, Universidade Federal do Rio Grande do Sul, Av. Sarmento Leite 500/
305, 90050-170 Porto Alegre, RS, Brazil.
E-mail address: angelopiato@ufrgs.br (A.L. Piato).
1
These authors contributed equally for this article.
http://dx.doi.org/10.1016/j.pbb.2015.08.006
0091-3057/© 2015 Elsevier Inc. All rights reserved.
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