“…Epac is thought to be a key mediator in the effects of PACAP (Ster et al, 2009), a peptide that has been recently implicated in the pathophysiology of posttraumatic stress disorder (PTSD) and fear memory formation (Ressler et al, 2011). Thus, NPY may modulate a variety of behaviors, including conditioned fear (Gutman et al, 2008) and human stress reactivity (Mickey et al, 2011;Witt et al, 2011) via Epac pathways and serve as a critical element in the pathophysiology of depression, PTSD, and other neuropsychiatric disorders. Indeed, several studies implicate changes in NPY levels in depression (Domschke et al, 2010;Nikisch and Mathe, 2008), anxiety disorders (Amstadter et al, 2010;Wu et al, 2011), and PTSD (Rasmusson et al, 2010;Sah et al, 2009).…”