A novel V1a receptor antagonist blocks vasopressin-induced changes in the CNS response to emotional stimuli: An fMRI study
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BACKGROUND: We hypothesized that SRX246, a vasopressin V1a receptor antagonist, blocks the effect of intranasally administered vasopressin on brain processing of angry Ekman faces. An interaction of intranasal and oral drug was predicted in the amygdala. METHODS: Twenty-nine healthy male subjects received a baseline fMRI scan while they viewed angry faces and then were randomized to receive oral SRX246 (120 mg PO twice a day) or placebo. After an average of 7 days of treatment, they were given an acute dose of intranasal vasopressin (40 IU) or placebo and underwent a second scan. The primary outcome was BOLD activity in the amygdala in response to angry faces. Secondary analyses were focused on ROIs in a brain regions previously linked to vasopressin signaling. RESULTS: In subjects randomized to oral placebo-intranasal vasopressin, there was a significantly diminished amygdala BOLD response from the baseline to post-drug scan compared with oral placebo-intranasal placebo subjects. RM-ANOVA of the BOLD signal changes in the amygdala revealed a significant oral drug × intranasal drug × session interaction (F (1, 25) = 4.353, p < 0.05). Follow-up tests showed that antagonism of AVPR1a with SRX246 blocked the effect of intranasal vasopressin on the neural response to angry faces. Secondary analyses revealed that SRX246 treatment was associated with significantly attenuated BOLD responses to angry faces in the right temporoparietal junction, precuneus, anterior cingulate, and putamen. Exploratory analyses revealed that the interactive and main effects of intranasal vasopressin and SRX246 were not seen for happy or neutral faces, but were detected for aversive faces (fear + anger) and at a trend level for fear faces. CONCLUSION: We found confirmatory evidence that SRX246 has effects on the amygdala that counter the effects of intranasal vasopressin. These effects were strongest for angry faces, but may generalize to other emotions with an aversive quality.
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SRX246 attenuated amygdala activation in response to angry faces and vasopressin administration, indicating a role of amygdalar V1A receptors in the processing of aversive emotional information.
“and attenuated amygdala activation in response to angry faces (Fig. 3) and vasopressin administration indicating a role of amygdalar V 1A receptors in the processing of aversive emotional information (Lee et al., 2013).”
From Novel pharmacological targets in drug development for the treatment of anxiety and anxiety-related disorders (2019) · cites this paper as Lee et al., 2013
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Norred, M. A., Zuschlag, Z. D., & Hamner, M. B. (2024) · Drugs · doi:10.1007/s40265-023-01983-5 · Cited by 11 · see citing works
ANXIOLYTICS: Origins, drug discovery, and mechanisms
Witkin, J. M., & Barrett, J. E. (2024) · Pharmacology Biochemistry and Behavior · doi:10.1016/j.pbb.2024.173858 · Cited by 12 · see citing works
Anxiety and the brain: Neuropeptides as emerging factors
Satao, K. S., & Doshi, G. (2024) · Pharmacology Biochemistry and Behavior · doi:10.1016/j.pbb.2024.173878 · Cited by 12 · see citing works
Novel targets for Huntington’s disease: future prospects
Mason, S., & Barker, R. A. (2016) · Degenerative Neurological and Neuromuscular Disease · doi:10.2147/dnnd.s83808 · Cited by 10 · see citing works
Thompson, R. R., Price, D., Burris, D., Cloutier, A., & Rilling, J. K. (2024) · Psychopharmacology · doi:10.1007/s00213-024-06551-7 · Cited by 8 · see citing works
Cognition and psychological wellbeing in hypopituitary patients
Imran, S. A., & Wilkinson, M. (2023) · Reviews in Endocrine and Metabolic Disorders · doi:10.1007/s11154-023-09869-3 · Cited by 7 · see citing works
Neurotransmitters and Intermittent Explosive Disorder
Lee, R., & Coccaro, E. F. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-813858-8.00005-x · Cited by 7 · see citing works
Difede, J., McAleavey, A. A., Emrich, M., Jick, A. R., Ovalles, A., Wyka, K., Spielman, L. A., Olden, M., Peskin, M., Becket-Davenport, C., et al. (2023) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2023.101116 · Cited by 6 · see citing works
The Vasopressin V1A Receptor and Aggression
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Translational Medicine Strategies for Drug Development for Impulsive Aggression
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The Vasopressin V1A Receptor and Aggression
Tan, O., & Bowen, M. T. (2023) · Springer eBooks · doi:10.1007/978-3-031-31547-3_90
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Arginine-vasopressin in the management of brain disorders: recent advancement and future perspective
Kumar, S., Sanap, S., Vasoya, M., Chormale, J., Pandey, P., Khopade, A. J., Sawant, K. K., & Handa, M. (2026) · iPharma · doi:10.1016/j.iphar.2026.100007
- Authors
- Lee, R. J., Coccaro, E. F., Cremers, H., McCarron, R., Lu, S.-F., Brownstein, M. J., & Simon, N. G.
- Affiliations
- University of Chicago (US)
- Lehigh University (US)
- Azevan Pharmaceuticals (United States) (US)
- Corresponding author
- Lee, Royce J.
- Venue
- Frontiers in Systems Neuroscience
- Publisher
- Frontiers Media SA
- Published
- 2013
- Volume
- 7
- Pages
- 100-100
- ISSN
- 1662-5137 (ISSN-L)
- PMC
- PMC3859978
- OpenAlex
- W2056814513
- Cited by
- 50
- References
- 56
- Citations by year
- 2026: 6 · 2024: 4 · 2023: 6 · 2022: 3 · 2021: 7 · 2020: 3 · 2019: 5 · 2018: 3 · 2017: 1 · 2016: 6 · 2015: 4 · 2014: 2
- FWCI
- 5.99
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Systems Neuroscience (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institute of Mental Health (R44MH063663, MH063663, R44MH087001)
- Topics
- Social Sciences › Psychology › Social Psychology › Neuroendocrine regulation and behavior
- Life Sciences › Neuroscience › Cognitive Neuroscience › Face Recognition and Perception
- Life Sciences › Neuroscience › Sensory Systems › Olfactory and Sensory Function Studies
- Keywords
- vasopressin, V1a receptor antagonist, AVPR1A, amygdala, angry faces, emotional face processing, aversive emotions, temporoparietal junction, precuneus, anterior cingulate cortex, putamen
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