Current address: CNS Psychiatry, Pharmaceutical Research & Development, Johnson & Johnson, Turnhoutseweg 30, 2340 Beerse, Belgium
Serotonergic systems arising from the mid-rostrocaudal and caudal dorsal raphe nucleus (DR) have been implicated in the facilitation of anxiety-related behavioral responses by anxiogenic drugs or aversive stimuli. In this study we attempted to determine a threshold to engage serotonergic neurons in the DR following exposure to aversive conditions in an anxiety-related behavioral test. We manipulated the intensity of anxiogenic stimuli in studies of male Wistar rats by leaving them undisturbed (CO), briefly handling them (HA), or exposing them to an open-field arena for 15-min under low-light (LL: 8-13 lux) or high-light (HL: 400-500 lux) conditions. Rats exposed to HL conditions responded with reduced locomotor activity, reduced time spent exploring the center of the arena, a lower frequency of rearing and grooming, and an increased frequency of facing the corner of the arena compared to LL rats. Rats exposed to HL conditions had small but significant increases in c-Fos expression within serotonergic neurons in subdivisions of the rostral DR. Exposure to HL conditions did not alter c-Fos responses in serotonergic neurons in any other DR subdivision. In contrast, rats exposed to the open-field arena had increased c-Fos expression in non-serotonergic cells throughout the DR compared to CO rats, and this effect was particularly apparent in the dorsolateral part of the DR. We conclude that exposure to HL conditions, compared to LL conditions, increased anxiety-related behavioral responses in an open-field arena but this stimulus was at or below the threshold required to increase c-Fos expression in serotonergic neurons.
Serotonin (5-hydroxytryptamine; 5-HT) influences a variety of behavioral and physiological processes including arousal, sleep-wake cycles, food intake, and anxiety-related behavior [
A wealth of evidence supports an association between the neuronal activity of brainstem serotonergic neurons and the level of somatic motor activity or behavioral arousal. Single unit recording studies in behaving cats [
Recent studies have revealed that serotonergic neurons within the mid-rostrocaudal and caudal regions of the DR may play a particularly important role in the facilitation of anxiety-related physiological or behavioral responses by anxiogenic drugs or uncontrollable, aversive stimuli. These parts of the DR have efferent projections to the amygdala (mid-rostrocaudal DR), as well as to the hippocampus and locus coeruleus (caudal DR) [
The open-field exposure paradigm is a generally accepted animal model for measurement of anxiety-related behavior [
In the present study we attempted to manipulate the aversiveness of the test conditions by comparing undisturbed control and gently-handled Wistar rats with rats that were exposed to low(8-13 lux) or high-light (400-500 lux) illumination in the open-field arena. The light intensities used in this study were comparable to previous behavioral studies using a similar behavioral test arena for an alternative anxiety paradigm, i.e. the social interaction test [
A total of 32 male outbred Wistar rats (B & K Universal Ltd, Hull, UK) were used in this study. Rats and experimental procedures used in this study were identical to those used in a previous publication examining the effects of open-field exposure on c-Fos expression within the basolateral complex of the amygdala [
All animal procedures were approved by the University of Bristol Ethical Review Group and were conducted in accordance with Home Office guidelines and the UK Animals (Scientific Procedures) Act, 1986. In addition, all studies were consistent with the
Prior to the test day, all rats were weighed and handled daily for 2 min on 5 consecutive days to familiarize rats with the general procedures involved and to increase the stability of behavioral responses [
The open-field arena (90 cm width × 90 cm length × 40 cm height) was divided into a 6 × 6 grid of equally-sized squares using black tape. The outer section of the box (OS) was defined as the sum of all squares adjacent to a wall (i.e. 16 out of 36 squares) not including the 4 corner (C) squares. The central region of the box (16 squares) was subdivided into a large (LC) and a small center (SC) of 12 and 4 squares respectively. The test started by placing a rat (LL or HL group only) in the same side of the outer section (halfway along one of the four walls of the box, facing the center) such that the rat could visit the center area first or move to one of the corners. The behavior of each rat in the open-field box was recorded on video and scored afterwards with The Observer® 5.0 software (Noldus Information Technologies BV, Wageningen, The Netherlands, supplied by Tracksys Ltd. Nottingham, UK). For behavior, the data were collapsed for the 4 identical quarters of the box (each containing 3 × 3 squares consisting of 1 C, 4 OS, 3 LC and 1 SC squares each). Time spent in each category of square was recorded. In addition, the fifteen minute open-field test was divided into 3 blocks of 5 minutes and total locomotor activity was scored as the number of square entries in each five minute block. In addition, the frequency of the following behaviors was recorded: stretched-attend posture (stretching forward with the forelimbs extended, often with the back arched in order to maintain a low profile), rearing (standing on hind legs, with our without contact with the sides of the arena), grooming (using paws or tongue to clean/scratch body) and corner-facing (i.e. standing or sitting with the face directed toward the corner of the box). Finally, the latency to visit the large center and any one of the four corners was scored manually.
Following anesthesia, rats were perfused with 0.05 M phosphate buffered saline (PBS: pH 7.4) at 4 °C followed by 4% paraformaldehyde in 0.1 M sodium phosphate buffer (PB: pH 7.4). Brains were removed from the skull and stored in the 4% paraformaldehyde solution at 4 °C. The next day, brains were put in 0.1 M PB for 2 × 12 h, after which they were stored in 30% sucrose in 0.1 M PB until they had sunk. At that point, each brain was cut using a rat brain matrix (RBM-4000C, ASI Instruments, Warren, MI USA) into forebrain and hindbrain sections which were stored at −80 °C until further processing. The hindbrain, including the midbrain raphe complex, was then serially sectioned at 30 μm intervals using a cryostat (Leica CM1900, Leica Microsystems Ltd, Buckinghamshire, UK). Sections were collected as six alternate sets of slices (with each set containing one section at 180 μm intervals throughout the hindbrain) and stored at −20 °C in a cryoprotectant storage buffer (30% ethylene glycol, 20% glycerol in 0.05 M PB; pH 7.4).
One set of sections, including the midbrain raphe complex, was used for double immunostaining using primary antisera directed against the protein product of the immediate-early gene
Free-floating tissue was incubated at room temperature (RT) in 12-well tissue culture plates and washed in plastic tubs using mesh wells (Corning Costar, Corning, NY, USA), and gently shaken on an orbital shaker throughout double immunostaining. The length of all washes, rinses and pre-incubations was 15 min. Tissue was first washed in 0.05 M PBS, then rinsed in 1% hydrogen peroxide in PBS, washed in 0.05 M PBS, and pre-incubated in PBS containing 0.3% Triton X-100 (PBST); sections were then incubated overnight at RT with rabbit anti-c-Fos antiserum in 0.1% PBST. After 15 h, tissue was washed twice in 0.3% PBST followed by incubation with a biotinylated swine anti-rabbit IgG polyclonal antibody (Cat. No. E0353, 1:200; DakoCytomation Ltd, Cambridgeshire, UK) in 0.1% PBST for 90 min. Tissue was washed twice in 0.3% PBST followed by incubation with Elite ABC reagent (Cat. No. PK-6100, 1:200; Vector Laboratories, Peterborough, UK) in 0.1% PBST for 90 min. Last, tissue was washed in 0.3% PBST, then in PBS, and incubated in SG substrate (Vector Laboratories; Cat. No. SK4700; diluted as recommended by the vendor in PBS) for 23 min. After the chromogen reaction, tissue was immediately washed in PBS, 1% hydrogen peroxide in PBS, PBS, and 0.3% PBST respectively. Sections were then incubated with affinity-purified sheep anti-TrpOH antibody in 0.1% PBST for 18 h. All subsequent steps were identical to those described above for the immunohistochemical localization of c-Fos, except for use of a rabbit anti-sheep secondary antibody (Cat. No. PK-6106, Vector Laboratories) and for the chromogen reaction. For the chromogen reaction, sections were incubated in a solution containing 0.01% diaminobenzidine tetrahydrochloride (DAB) and 0.0015% hydrogen peroxide in PBS for 20 min. Sections were washed twice in PBS to stop the reaction. Brain sections were rinsed briefly in distilled water then mounted on SuperFrost® Microscope slides (Fisher Scientific UK, Leicestershire, UK), dehydrated through an alcohol series and cleared with xylene. Slides were then coverslipped using DPX mounting medium (RA Lamb, London, UK). The color reaction of the c-Fos immunostaining was blue-black and localized to the nucleus while TrpOH immunostaining was orange-brown and localized to the cytoplasm. The numbers of c-Fos-immunopositive serotonergic neurons (i.e., c-Fos-immunopositive/TrpOH-immunopositive cells), the numbers of c-Fos-immunopositive non-serotonergic neurons (i.e., cFos-immunopositive/TrpOH-immunonegative neurons), and the total numbers of TrpOHimmunopositive neurons sampled (i.e. both c-Fos-immunopositive and c-Fos-immunonegative TrpOH-immunopositive neurons) were counted in different regions of the dorsal raphe nucleus at multiple rostrocaudal levels (−7.46, −8.00, −8.18, and −8.54 mm Bregma,
Data were analyzed using analysis of variance (ANOVA) or, when appropriate, ANOVA with repeated measures analysis. ANOVA analysis was followed, when appropriate, by post hoc analysis using Bonferroni pairwise comparisons using SPSS software (Version 11.5 for Windows, SPSS Inc., Chicago, IL, USA). A Greenhouse-Geisser correction epsilon (ε) was used for repeated measures analysis to correct for potential violation of the sphericity assumption [
Locomotor activity was analyzed using treatment group (2 levels: LL and HL) as a between-subjects factor and time (3 levels: 0-5 min, 5-10 min, 10-15 min) as a within-subjects factor. The time spent in each square type for the rats exposed to LL or HL conditions was analyzed using independent samples t-tests with a Bonferroni-corrected p value, with an adjusted two-tailed α level for significance of 0.0125. The frequency of each behavior, stretched-attend posture, rearing, grooming and corner facing, was also analyzed using independent samples t-tests.
Cell counts for the numbers of c-Fos-immunopositive serotonergic neurons, the numbers of c-Fos-immunopositive non-serotonergic neurons and the total numbers of TrpOH-immunopositive neurons sampled in the whole DR were analyzed using separate ANOVAs with treatment group (4 levels: CO, HA, LL and HL) as a between-subjects factor. Cell counts for the numbers of c-Fos-immunopositive serotonergic neurons, the numbers of c-Fos-immunopositive non-serotonergic neurons and the total numbers of TrpOH-immunopositive neurons sampled in different subdivisions of the DR were analyzed separately using treatment group as a between-subjects factor and brain region (11 levels) as a within-subjects factor. Significance was accepted for the ANOVAs and post hoc comparisons when
Open-field exposure in the LL and HL conditions differentially affected behavior (
The frequency of stretched-attend posture was similar in the LL and HL groups (
The total numbers of both c-Fos-immunopositive serotonergic neurons (double-immunostained; F(3,28) = 5.612, p = 0.004) and c-Fos-immunopositive non-serotonergic cells (F(3,28) = 144.40, p, 0.001) within the DR were significantly higher in rats exposed to either the LL or the HL condition in the open-field test, compared to both CO and HA rats (
Factorial repeated measures ANOVA of the numbers of c-Fos-immunopositive/TrpOH-immunopositive (serotonergic) neurons within specific subdivisions of the DR revealed significant main effects for both DR subdivision (
Factorial repeated measures ANOVA of the numbers of c-Fos-immunopositive/TrpOH-immunonegative (non-serotonergic) cells within specific subdivisions of the DR revealed a significant interaction between treatment group and subdivision (
The number of TrpOH-immunopositive cells sampled within each subdivision of the DR varied across subdivisions (
Exposure of rats to the HL condition in an open-field increased anxiety-related behavior relative to rats exposed to LL conditions. Exposure of rats to an open-field arena, with either low or high levels of illumination, increased the expression of c-Fos in serotonergic and non-serotonergic neurons within subdivisions of the dorsal raphe nucleus, relative to home cage control rats. Exposure to the open-field arena in the HL condition resulted in small but significant increases in c-Fos expression in serotonergic neurons within the rostral part of the dorsal raphe nucleus (DR). In contrast, with the exception of a small but significant increase in c-Fos expression in serotonergic neurons within the DRC, exposure to the open-field arena had no effect on c-Fos expression in serotonergic neurons within the mid-rostrocaudal and caudal parts of the DR, suggesting that this stimulus was below the threshold required to induce an intense and prolonged activation of serotonergic neurons in this region. Furthermore, despite the observation that exposure of rats to a HL condition, relative to a LL condition, increased anxiety-related behavioral responses, exposure to the HL condition had no effect on the number of c-Fos-immunopositive serotonergic or non-serotonergic neurons relative to exposure to the LL condition. It is possible that there were increases in the neuronal activity of serotonergic and non-serotonergic neurons in the DR in HL rats compared to LL rats, but that the increases in neuronal activity were below the threshold required to induce the expression of c-Fos protein.
Exposure of rats to the HL condition, relative to the LL condition, increased multiple measures of anxiety-related behavior. Increasing the intensity of illumination of the open-field arena reduced locomotor activity and increased avoidance of the center of the arena. In addition, rearing and grooming were reduced under the HL condition while the duration of time spent in the corners of the apparatus and the frequency of a stereotypical behavior of facing the corners of the apparatus were increased. Facing the corner is interpreted as a coping style to avoid the exposure to the bright light and the open surface of the arena. It is important here to highlight the differences in distributions of percent time spent in specific regions of the arena and the number of visits to specific regions of the arena. The combination of these measures elucidated that rats had a strong preference to stay in the corner of the open-field arena, while they moved quickly from one corner to the next. Activity in the center of the arena was low in both groups, but significantly reduced in the HL rats, none of which visited the small center, compared with 5/8 rats in the LL group that did visit the small center. Previous studies have demonstrated that the initial response to the open-field arena is behavioral activation and exploration, although subtle procedural distinctions can influence the response [
Exposure of rats to an open-field arena in high-light conditions resulted in a small but significant increase in c-Fos expression in serotonergic neurons within the rostral DR, including its dorsal and ventral parts. This region of the DR gives rise to serotonergic projections to forebrain systems involved in somatic motor responses including the substantia nigra and caudate putamen [
The finding that exposure of rats to the open-field arena in high-light conditions increased c-Fos expression in serotonergic neurons in the rostral DR, but not in other regions of the DR is consistent with previous studies demonstrating a dissociation of the activation of mesostriatal serotonergic systems (which are located primarily in the rostral DR) and mesolimbocortical serotonergic systems (which are located primarily in the caudal DR and median raphe nucleus). Studies by Daugherty and colleagues [
The effect of exposure to the open-field arena on c-Fos expression in the rostral DR under HL conditions in the present study was small and, because rats exposed to the HL condition responded with less locomotor activity than rats exposed to LL conditions, not directly associated with locomotor activity. Studies in behaving animals have demonstrated that the firing rates of DR serotonergic neurons are correlated with muscle tone [
Although it is difficult to identify the physiological or behavioral correlates of the increase in c-Fos expression in serotonergic neurons within the rostral DR in rats exposed to the HL condition, compared to either CO or HA rats, this effect is consistent with previous studies demonstrating an association between the firing rate of DR serotonergic neurons and behavioral state. The majority of serotonergic neurons in behaving cats [
Of particular interest in this study is the finding that exposure to the open-field arena, either in the LL condition or the HL condition, had little or no effect on c-Fos expression in serotonergic neurons within the mid-rostrocaudal and caudal DR compared to the CO or HA groups. This is in contrast to previous studies which have described effects of multiple anxiogenic drugs [
As serotonergic systems within the DR, particularly those within the mid-rostrocaudal and caudal DR, are thought to play a role in facilitation of anxiety-related behavior, and as rats exposed to the HL condition in the open-field test responded with increased anxiety-related behavior, we expected to find greater increases in c-Fos expression in serotonergic neurons in rats exposed to the HL condition, compared to the LL condition in the open-field. However, we found no evidence for greater c-Fos expression in serotonergic or non-serotonergic neurons in rats exposed to the HL condition, compared to rats exposed to the LL condition, within any subdivision of the DR studied.
Based on several lines of evidence, it remains possible that serotonergic systems arising from the DR are necessary for the HL-induced facilitation of anxiety-related behavior in open-field test. Several studies suggest that disruption of the normal serotonergic tone within the DR can have anxiolytic effects when rats are tested under aversive conditions. For example, intra-DR injections of the 5-HT1A receptor agonists (±)-8-hydroxy-dipropylaminotetraline (8-OH-DPAT) and 5-carboxamidotryptamine (5-CT), the 5-HT1A receptor partial agonists buspirone and ipsapirone, or the GABAA receptor agonist muscimol, have anxiolytic effects in the social interaction test when tested under high-light, unfamiliar conditions [
Rapid and intense activation of stress coping mechanisms may explain why we did not detect widespread increases in c-Fos expression in rats exposed to the HL condition compared to those subjected to the LL condition. For example, stress coping mechanisms may be engaged that reduce the activation of serotonergic system to a period of time which is insufficient to induce c-Fos expression. Indeed studies using microdialysis to measure serotonin release in Fisher 344 and Sprague-Dawley rats exposed to the elevated plus-maze have found that increases in extracellular serotonin concentrations in the ventral hippocampus are very brief (≤ 20 min) [
Rats exposed to the open-field, relative to home cage control rats, had increased c-Fos expression in non-serotonergic neurons throughout the DR, independent of the level of illumination. Indeed, the majority (>98%) of c-Fos-positive cells in rats exposed to the open-field arena in the present study were non-serotonergic. The DRVL contained the largest numbers of c-Fos-immunopositive non-serotonergic cells in rats exposed to LL or HL conditions in the open-field arena. This finding is consistent with a previous study demonstrating that exposure of mice to the elevated plus-maze increased c-Fos expression in the DRVL region measured 2 h after maze exposure (although the previous study did not determine if the c-Fos expression was in serotonergic or non-serotonergic neurons) [
Overall, the increased c-Fos expression observed in subpopulations of serotonergic and non-serotonergic neurons in the DR may be associated with the facilitation of anxiety-related behavior. However, there are other possibilities that should be considered. As mentioned above, the increased c-Fos expression may be associated with aspects of behavioral arousal, vigilance, or muscle tone, but could also be associated with changes in physical parameters such as cutaneous or core body temperature, or even adaptive or coping mechanisms following the return of rats to their home cages, particularly given the 2 h interval before anesthesia. For example, the large increases in c-Fos expression in non-serotonergic neurons within the DRVL regions could reflect activation of GABAergic interneurons, limiting the intensity or duration of activation of serotonergic systems, when it is perceived by the rat that the stimulus is controllable or escapable. It is important to recognize the range of possible associations that may exist between the behavioral test and c-Fos expression within the DR.
This study demonstrates for the first time that behavioral arousal associated with exposure to a novel environment is associated with small but significant increases in c-Fos expression within a subset of serotonergic neurons located within the rostral DR, a region that gives rise to mesostriatal serotonergic projections and contains a high density of serotonergic neurons that display increases in neuronal firing rates during active waking states versus quiet waking states in rats. Although the level of illumination in the open-field arena affected anxiety-related behavioral responses, data from this study suggest exposure to the HL condition did not result in an intense and prolonged activation of DR serotonergic neurons. These findings do not exclude, however, the possibility that exposure to the HL condition increased serotonergic neuronal activity but that the effect was below the threshold for induction of c-Fos expression. Together, these findings support an anatomical and functional topographical organization of the DR and raise interesting questions related to the functional relationship between DR serotonergic systems and anxiety-related behavior.
This research is supported by NIMH R01 MH065702 (Anantha Shekhar). Christopher A. Lowry is a Wellcome Trust Research Fellow (068558/Z/02/Z).
Low magnification photomicrographs illustrating TrpOH/c-Fos-immunostained sections from different rostrocaudal levels of the DR from a control (CO) rat. TrpOH-immunopositive neurons and dendrites can be identified by the brown/orange precipitate within subdivisions of the DR. The subdivisions of the DR analyzed are illustrated by dashed lines (adapted from a standard stereotaxic atlas of the rat brain [
Graphs illustrating the effects of open-field exposure in low-light (LL: 8-13 lux) or high-light (HL: 400-500 lux) conditions on behavior (mean + SEM), including A) locomotor activity, scored as the number of square entries during each five min block of the 15 min open-field test, *p < 0.05, **p < 0.01 versus LL group; post hoc Bonferroni pairwise comparisons, and B) percentage of time spent in each square type, **p < 0.01; Student's
Graphs illustrating the effects of open-field exposure in low-light (LL: 8-13 lux) or high-light (HL: 400-500 lux) conditions on the frequency (mean + SEM) of specific behaviors including A) stretched-attend posture, B) rearing, C) grooming and D) corner facing during the 15 min test. *p < 0.05, **p < 0.01 versus LL group; Student's
Graphs illustrating the effects of handling, low-light, or high-light open-field exposure, compared to home cage controls, on the number of c-Fos-immunopositive/TrpOH-immunopositive cells (mean + SEM) within different subdivisions of the dorsal raphe nucleus at the four rostrocaudal levels analyzed. Rats were left undisturbed in their home cages (CO), briefly handled (HA), or exposed to low-light (LL: 8-13 lux) or high-light (HL: 400-500 lux) conditions in an open-field arena for 15 min. *P < 0.05, **P< 0.01 versus CO group; ++P < 0.01 versus HA group; post hoc Bonferroni pairwise comparisons. For abbreviations, see
Graphs illustrating the effects of handling, low-light, or high-light open-field exposure, compared to home cage controls, on the number of c-Fos-immunopositive/TrpOH-immunonegative cells (mean + SEM) within different subdivisions of the dorsal raphe nucleus at the four rostrocaudal levels analyzed. Rats were left undisturbed in their home cage (CO), briefly handled (HA) or exposed to low-light (LL: 8-13 lux) or high-light (HL: 400-500 lux) conditions in an open-field arena for 15 min. *P < 0.05, **P< 0.01 versus CO group. +P < 0.05, ++P < 0.01 versus HA group; post hoc Bonferroni comparisons. For abbreviations, see
Photomicrographs illustrating c-Fos-immunopositive nuclei and TrpOH-immunopositive neurons in the mid-rostrocaudal DRVL (−8.18 mm Bregma) of rats exposed to A) CO, B) HA, C) LL, and D) HL conditions. Black boxes indicate regions shown at higher magnification in insets in the lower right hand corner of each panel. Arrowheads indicate examples of c-Fos-immunopositive cells (blue/black nuclear staining); arrows indicate TrpOH-immunopositive (serotonergic) neurons (brown/orange cytoplasmic staining). c-Fos-immunopositive/TrpOH-immunopositive neurons were rarely observed. Abbreviation: bv, blood vessels characteristic of the DRVL region at this rostrocaudal level. Scale bar, 50 μm, inset 25 μm.
Numbers of cells counted across all subdivisions of the dorsal raphe nucleus (mean ± SEM)
| Counts | Area | CO | HA | LL | HL | Group Effect |
|---|---|---|---|---|---|---|
| c-Fos+/TrpOH+ | All levels | 2.6 ± 0.4 | 4.1 ± 1.0 | 15.3 ± 2.5 |
18.0 ± 5.9 |
P < 0.005 |
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| c-Fos+/TrpOH− | All levels | 27 ± 5 | 36 ± 3 | 109 ± 16 |
115 ± 15 |
P < 0.001 |
| Total TrpOH+ | All levels | 1241 ± 36 | 1202 ± 33 | 1187 ± 32 | 1149 ± 29 | P = 0.28 |
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| %Double/total TrpOH | All levels | 0.20 ± 0.03% | 0.35 ± 0.10% | 1.32 ± 0.23% |
1.60 ± 0.39% |
P < 0.005 |
| %Double/total c-Fos | All levels | 10.4 ± 2.1% | 10.7 ± 2.2% | 11.8 ± 0.8% | 12.1 ± 1.7% | P = 0.89 |
P < 0.05 versus CO rats
P < 0.05 versus HA rats.
Abbreviations: c-Fos+/TrpOH+, c-Fos-immunopositive/TrpOH-immunopositive neurons; c-Fos+/TrpOH−, c-Fos-immunopositive/TrpOH-immunonegative cells; %Double/totalTrpOH, the percentage of c-Fos-immunopositive/TrpOH-immunopositive neurons/the total number of TrpOH-immunopositive neurons; %Double/total c-Fos, the percentage of c-Fos-immunopositive/TrpOH-immunopositive neurons/the total number of c-Fos-immunopositive cells
Numbers of TrpOH-immunopositive cells sampled in subdivisions of the dorsal raphe nucleus (mean ± SEM)
| Rostrocaudal |
Area | CO | HA | LL | HL | Group Effect |
|---|---|---|---|---|---|---|
| −7.46 mm | DRD | 137 ± 6 | 138 ± 9 | 138 ± 9 | 125 ± 9 | P = 0.62 |
| −8.00 mm | DRD | 96 ± 7 | 98 ± 5 | 104 ± 9 | 102 ± 6 | P = 0.86 |
| −8.18 mm | DRD | 103 ± 7 | 100 ± 5 | 92 ± 4 | 96 ± 9 | P = 0.67 |
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| −7.46 mm | DRV | 146 ± 10 | 127 ± 7 | 128 ± 9 | 133 ± 10 | P = 0.43 |
| −8.00 mm | DRV | 208 ± 5 | 220 ± 13 | 216 ± 14 | 203 ± 7 | P = 0.66 |
| −8.18 mm | DRV | 105 ± 12 | 98 ± 8 | 99 ± 10 | 85 ± 7 | P = 0.52 |
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| −8.00 mm | DRVL | 172 ± 5 | 164 ± 12 | 149 ± 7 | 156 ± 13 | P = 0.40 |
| −8.18 mm | DRVL | 103 ± 6 | 88 ± 4 | 87 ± 8 | 93 ± 9 | P = 0.33 |
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| −8.18 mm | DRI | 28 ± 3 | 27 ± 2 | 24 ± 2 | 26 ± 3 | P = 0.64 |
| −8.54 mm | DRI | 50 ± 5 | 51 ± 4 | 56 ± 6 | 46 ± 4 | P = 0.53 |
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| −8.54 mm | DRC | 92 ± 6 | 93 ± 7 | 94 ± 3 | 86 ± 4 | P = 0.69 |