Abstract
During short-term periods of separation of rat pups from their mothers, the loss of certain sensory signals suppresses the increase in ornithine decarboxylase (ODC) gene expression induced by the growth-promoting hormones prolactin (PRL) and growth hormone (GH). Here, we identify a molecular mechanism through which maternal separation (MS) curtails ODC expression. Our results demonstrate that the absence of specific tactile stimuli provided by the mother limits PRL-evoked stimulation of ODC biosynthesis by interfering with sn-1,2-diacylglycerol's (DAG) ability to activate protein kinase Cα (PKCα) and consequently c-myc mRNA and max mRNA expression. The proteins encoded by these proto-oncogenes function as direct transactivators of the ODC gene. As ODC activity is obligatory for normal cell replication and differentiation, PKCα activation by DAG represents an important control point at which ‘nurturing touch’ regulates growth and development of the neonate. Such a mechanism can explain the maladaptive consequences of disrupting mother–infant tactile interactions as occurs in isolated premature babies. Also, it could provide a basis for developing therapeutic interventions to maximize growth potential in children failing-to-thrive despite normal maternal care.
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INTRODUCTION
Survival of the mammalian neonate is highly dependent on its ability to process sensory information continuously and adapt to changing ambient conditions by expressing appropriate behavior and supportive physiology. Since the mother normally comprises the prime source of environmental input, she essentially determines the infant's psychobiological state. Our laboratory has shown that during short-term periods of maternal separation (MS), the loss of certain sensory signals provided by the mother initiates in the infant a shift from a growth-supportive strategy to one of energy conservation until contact with the mother is re-established. More specifically, MS triggers a coordinated pattern of responses in preweanling rat pups (<20 days old) that includes: (1) a decrease in ornithine decarboxylase (ODC) basal levels in major organs, (2) a suppression of tissue ODC responsiveness to administered prolactin (PRL) and growth hormone (GH), (3) an inhibition of GH secretion (Butler et al, 1978; Kuhn et al, 1979; Evoniuk et al, 1979; Schanberg et al, 1984; Pauk et al, 1986; Wang et al, 1996), and (4) a decrease in DNA synthesis (Greer et al, 1991). Further experiments established that this unique biological adaptation to MS is not related to nutritional deprivation or alterations in body temperature, but instead results from the absence of specific tactile stimuli as all effects of MS are prevented or reversed by stroking the pups with a brush simulating normal maternal licking behavior (Evoniuk et al, 1979; Schanberg et al, 1984; Pauk et al, 1986).
Interestingly, the pattern of responses in neonatal rats separated from their dam is strikingly similar to that observed in nonorganic failure-to-thrive children (now classified Reactive Attachment Disorder of Infancy; RADI) and in hospitalized preterm human neonates. As in the rat pup model of MS, children with RADI exhibit slow growth rates, diminished secretion of GH, and impaired responsiveness to administered GH (Powell et al, 1967a,1967b; Frasier and Rallison, 1972). In turn, we found that premature babies given supplemental tactile stimulation while hospitalized showed greater weight gain (Field et al, 1986, Scafidi et al, 1990), enhanced behavior, and more mature sympathoadrenal function (Kuhn et al, 1991), as compared to control groups who received standard nursery care but no additional tactile stimuli. Supplemental tactile stimulation not only proved beneficial for high-risk preterm babies, but also for full-term babies born to depressed mothers (Field et al, 1996). These studies in animals and humans indicate that ‘nurturing touch’ is a prerequisite for normal mammalian growth and development.
The similarities between the MS syndrome in rat pups and human babies suggest a common etiology. Hence, identifying the underlying mechanisms by which maternal–infant interactions optimize growth potential in the neonate is of import to advance our understanding of the basic principles governing normal mammalian development.
METHODS
Animal Treatments
Lactating CD female rats with 6-day-old litters (10 pups per litter) were obtained from Charles River Laboratories (Raleigh, NC) housed in breeding cages in a vivarium maintained at 22°C with a 12-h light–dark cycle, and provided food (Purina Lab Chow, Ralston-Purina, St Louis, MO) and water ad libitum. At 9 days of age (the day before experimentation) animals were randomized and transferred from the vivarium to the laboratory. Finally, to minimize differences in maternal care provided by individual dams, pups from all experimental groups designated not to be maternally deprived were assigned to each dam. All animals were killed at the same time of the day to minimize circadian influences on the parameters under investigation.
ODC Activity
Livers were quickly dissected, blotted, weighed, homogenized (Polytron) in 19 vol (wt : vol) of ice-cold 10 mM Tris-HCl (pH 7.2), and ODC activity was determined in the 28 000g for 20 min supernatant as previously reported (Slotkin and Bartolome, 1986). Essentially, the incubation medium contained 0.9 ml of supernatant and final concentrations of 50 μM pyridoxal-5′-phosphate, 1.8 mM dithiothreitol and 4.8 μM L-[1-14C]ornithine (58.0 mCi/mmol; New England Nuclear Corp., Boston, MA) in a total volume of 1 ml. Vials were capped with serum stoppers (into which plastic center wells containing paper filter wicks were suspended) and incubated for 30 min at 37° C. The reaction was stopped with 0.5 ml of 10% trichloroacetic acid, and the 14CO2 evolved was trapped with 0.2 ml of hyamine hydroxide (injected onto the paper wicks) during a second 30-min incubation. Center wells were removed, placed in scintillation fluid and counted for radioactivity. ODC activity is expressed as nmols of 14CO2 evolved/g of tissue wt per h.
Poly(A)+ RNA Isolation and Northern Blot Analysis
Total liver RNA was extracted with acid guanidinium thiocyanate–phenol–chloroform (Chomczynski and Sacchi, 1987), enriched for poly (A)+ RNA by Oligotex-dT chromatography (Qiagen Inc., Santa Clarita, CA), and analyzed for c-myc and ODC mRNAs as previously reported (Wang et al, 1996). The ODC probe consisted of a 2.2-kb EcoR1 fragment of mouse ODC (obtained from Dr P Blackshear, Duke University, Durham, NC), while the c-myc probe was a 4.8-kb Xbal-BamH1 fragment of mouse c-myc gene containing the second and third exons (provided by Dr R Weinberg, MIT, Cambridge, MA). Probes were radiolabeled with 5′-[α-32P]dCTP (3000 Ci/mmol; New England Nuclear, Boston, MA) to a specific activity of 1 to 2 × 106 cpm/μg, using a Primed-It Random Primer DNA Labeling kit (Stratagene, La Jolla, CA) and NucTrap push columns to separate nonincorporated deoxyribonucleoside triphosphates from the radiolabeled probes.
Protein Kinase C (PKC) Activity
PKC activation in vivo was assessed by adapting an immunoprecipitation procedure developed by Lee et al (1996). Livers were homogenized (Polytron) in 10 volumes of cold 50 mM Tris-HCl (pH 7.4) containing 25 mM KCl, 250 mM sucrose, 0.5 mM EDTA, 10 μg/ml leupeptin, 10 μg/ml aprotinin, 10 μg/ml trypsin-chymotrypsin inhibitor, 5 μg/ml pepstatin A, and 1 mM phenylmethylsulfonyl fluoride. The homogenates were cleared by filtering through several layers of cheesecloth, incubated with α or δ PKC antibodies for 60 min at 4°C, and the immunoprecipitates were collected by adsorption to protein A-Sepharose beads. Immunocomplexes bound to protein A-Sepharose beads were washed three times with washing buffer (0.5% Nonidet P-40, 0.5% deoxycholate in cold PBS), two times with kinase buffer (10 mM NaF, 1 mM Na3VO4, 0.5 mM EDTA, 0.5 mM EGTA, 2 mM MgCl2, 10 μg/ml leupeptin, 10 μg/ml aprotinin, 10 μg/ml trypsin–chymotrypsin inhibitor, 1 mM phenylmethylsulfonyl fluoride in 50 mM Tris-HCl (pH 7.4)), and then assayed for PKC activity (in the absence or presence of calcium and the lipid activators phosphatidylserine (PS) and dioleoylglycerol (DON)) using histone H3 as an exogenous substrate.
Statistical Analysis
Data were analyzed using one- or two-way analysis of variance (ANOVA), followed by Student–Newman–Keuls test for pairwise multiple comparisons. Statistical significance was accepted at P<0.05.
RESULTS AND DISCUSSION
As noted earlier, in rat pups, one of the salient characteristics of the MS syndrome is the suppression of PRL- and GH-induced stimulation of ODC activity, a rate-limiting enzyme in the biosynthesis of the polyamines spermidine and spermine (Pegg and Williams-Ashman, 1968), key regulators of cell growth, multiplication, and differentiation (Pegg and McCann, 1982; Heby, 1981; Slotkin and Bartolome, 1986). Although details of the molecular processes mediating ODC induction by trophic hormones are still unclear, strong evidence indicates a major role for the signaling enzyme PKC. Indeed, upregulation of ODC activity was one of the first cellular events to be associated with PKC function (Jetten et al, 1985). Specifically, PRL and GH appear to increase hepatic ODC activity by stimulating the hydrolysis of phosphatidylinositol 4,5-bisphosphate (PIP2) to sn-1,2-diacylglycerol (DAG) (Jetten et al, 1985; Buckley and Buckley, 1991), a physiologic activator of PKC (Nishizuka, 1988). Furthermore, PKC activation via receptor-mediated phosphoinositide turnover heightens c-myc expression (Rozengurt and Sinnett-Smith, 1987), a proto-oncogene thought to act physiologically as a regulator of ODC gene transcription (Bello-Fernandez et al, 1993; Peña et al, 1993). In this context, we have obtained evidence implicating c-myc and the related proto-oncogene max in the inhibition by MS of PRL-evoked increases in ODC activity (Wang et al, 1996). Collectively, these findings raised the possibility that MS suppressed PRL's ability to stimulate ODC activity by interfering with a signal-transduction pathway involving DAG, PKC, and c-myc/max (Figure 1). The current studies describe a series of experiments designed to test this hypothesis.
First, we evaluated the ability of sn-1,2-dioctanoylglycerol (diC8; Avanti Polar Lipids, Alabaster, AL) to increase ODC activity in the liver of rat pups kept with their mother throughout the experiment. DiC8 is a synthetic, long-acting, cell permeable DAG analog that has been reported to enhance both PKC and ODC activity in cultured cells (Jetten et al, 1985). As shown in Figure 2a, ODC values in animals administered diC8 were markedly higher than those obtained in pups treated with vehicle (DMSO : saline; 2 : 1). These results established that this DAG analog is capable of increasing ODC activity in vivo. More importantly, it verified that the upregulation of ODC by PRL could be mimicked by diC8. In the light of these results, we investigated the effect of MS on hepatic ODC response to diC8. For this purpose, we separated a group of pups from their mothers for 2 h, injected them with diC8 or vehicle, and measured ODC levels 4 h later. As was the case for PRL, MS-suppressed diC8-induced stimulation of ODC activity (Figure 2b). The evidence obtained suggests that MS downregulates tissue ODC responses to diC8, and presumably to PRL, by ‘uncoupling’ the signaling conduit at a locus downstream of DAG. This idea is in accord with earlier observations by our laboratory indicating that MS acts at a postreceptor intracellular site to inhibit ODC induction by trophic hormones (Schanberg et al, 1984).
To ensure that the inability of diC8 to induce ODC gene expression during MS is indeed caused by the absence of active mothering behavior, separate studies were performed in animals placed with urethane-anesthetized lactating female rats. Such a treatment does not affect milk production/ejection or pup's suckling behavior (Lincoln et al, 1973; Butler et al, 1978). Under these conditions, all passive sensory stimuli provided by the mother and home nest environment are maintained; pups are in constant physical contact with her and suckle normally, but obviously they are not licked. As shown in Figure 3, diC8-induced stimulation of ODC activity in pups with anesthetized dams was significantly less than that observed in pups with an actively nurturing mother. The effect cannot be attributed to the anesthetic crossing from the dam to the pup through the milk, as urethane given to the pup directly does not interfere with ODC induction (Kuhn et al, 1979).
Recently, we have shown that the inhibition by MS of PRL-evoked increases in ODC activity correlates with a reduced expression of c-myc and max mRNA (Wang et al, 1996). The proteins myc and max are thought to be involved intimately in the regulation of ODC gene expression and in mitogenic responses to ligands that act through PKC signaling cascades (Rozengurt and Sinnett-Smith, 1987; Bello-Fernandez et al, 1993; Peña et al, 1993). These observations are consonant with the notion that the loss of ODC response to PRL during MS may ultimately reflect PRL's failure to induce c-myc gene expression. If so, diC8 like PRL would normally be expected to increase c-myc and ODC mRNA levels, and that MS would block this effect. As predicted, diC8 administration markedly increased hepatic accumulation of both gene transcripts in control but not in MS pups (Figure 4). These results are particularly important as they indicate that MS blocks diC8 stimulation of ODC activity by acting at a site after DAG formation and prior to ODC gene transcription. Also, they are in accord with the literature in that an overproduction of c-myc mRNA has a positive impact on ODC gene expression (Bello-Fernandez et al, 1993; Peña et al, 1993). In turn, contrary to the suppression of diC8-evoked accumulation of c-myc and ODC mRNA levels, MS did not alter c-myc or ODC mRNA values in pups injected with vehicle instead of diC8 (Figure 4). This finding supports our earlier studies indicating that, in developing rat tissues, the molecular mechanisms regulating basal (unstimulated) ODC activity are distinctly different from those influencing stimulated ODC activity (Bartolome et al, 1995).
Finally, to establish further PKC as a prime mediator of the MS syndrome we investigated the effect of MS on changes in hepatic PKC activity evoked by PRL. It is now recognized that PKC consists of a family of isoenzymes exhibiting individual biological functions and distinct patterns of tissue distribution (Nishizuka, 1988). We targeted the α and δ isoforms because of their predominance in the liver (Alessenko et al, 1992). Figure 5a demonstrates the calcium and lipid dependency of PKCα in the assay (Nishizuka, 1988). Consistent with the lack of effect on c-myc and ODC mRNA levels in animals injected with saline, MS did not alter the PKCα activity in this experimental group of animals (Figure 5b). This appears to rule out the participation of PKCα in MS-induced decreases in basal ODC levels. In contrast, PRL markedly increased the hepatic PKCα activity in control pups but not in those subjected to MS (Figure 5b). Clearly, MS severely curtails PRL's ability to activate PKCα. Interestingly, the effect was specific for PKCα, as no significant changes in PKCδ levels were observed (data not shown). Thus, it is highly likely that the diminished ODC gene response to diC8 during MS, and therefore to PRL, is the result of an impaired activation of PKCα, an isoform thought to play a crucial role in the normal regulation of cell growth (Asaoka et al, 1992).
In summary, the experimental evidence obtained in the current study is consistent with DAG→PKCα→c-myc/max acting as the intracellular signal-transduction pathway mediating PRL stimulation of hepatic ODC activity in vivo. More importantly, our results demonstrate that nurturing touch acts at a target point in this signaling conduit, that is, the activation of PKCα by DAG, to regulate tissue ODC responsiveness to trophic hormones and thereby growth and development of the neonate.
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Acknowledgements
This research was partially supported by USF Grant IBN-00-90769. VF Ingledue was a recipient of a Howard Hughes Medical Institute Research Fellow.
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Schanberg, S., Ingledue, V., Lee, J. et al. PKCα Mediates Maternal Touch Regulation of Growth-Related Gene Expression in Infant Rats. Neuropsychopharmacol 28, 1026–1030 (2003). https://doi.org/10.1038/sj.npp.1300125
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DOI: https://doi.org/10.1038/sj.npp.1300125
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