INTRODUCTION

Anatomical and functional studies have revealed a central role of the hippocampal formation in various physiological mechanisms related to cognitive and affective processes (Kandel, 2001). These observations are corroborated by clinical evidence, linking cognitive and memory impairment to structural and functional changes in the hippocampal formation (Deweer et al, 2001; Heckers, 2001). Recent studies have also indicated that the hippocampal formation is affected in human depression (Sapolsky, 2000; Nestler et al, 2002), as well as in animal models of depression (Czeh et al, 2001). It has been reported that major depression is associated with atrophy of the hippocampus, resulting in a significant volume loss (Sheline et al, 1996, 1999; Bremner et al, 2000), which might explain some of the well-documented cognitive deficits that accompany major depression.

Changes in hippocampal formation in response to antidepressant treatment have also attracted great interest. The vast majority of presently available and clinically effective antidepressant drugs act via presynaptic uptake transporters of biogenic amines, such as the selective serotonin reuptake inhibitors (eg fluvoxamine, citalopram, paroxetine) or norepinephrine (NE) reuptake inhibitors (eg desipramine, reboxetine). While their acute mechanism of action is well established, it is now recognized that gradually developing adaptive changes downstream to enhanced serotonin and NE neurotransmission are likely to mediate their therapeutic action (Holsboer, 2001; Nestler, 2002). These adaptive changes range from modulation of intracellular signalling cascade to changes in gene expression. In addition, electrophysiological studies revealed modulating effects of chronic antidepressants treatment on the activity of individual hippocampal neurons (Haddjeri et al, 1998; Bijak et al, 2001); however, the effect of these drugs on the oscillatory activity of the hippocampal formation has not been studied.

Based on experimental observations in rats, theta oscillation of the hippocampal formation is commonly regarded as a physiological encoding frequency in memory formation (Buzsaki, 2002; Jensen and Tesche, 2002; Seager et al, 2002). In addition, recent observation of human theta has strengthened the connection between theta oscillation and cognitive processes. Intracranial recordings from human cortex have revealed evidence of high-amplitude theta oscillations throughout the brain, including the neocortex, and its occurrence during working memory tasks (Raghavachari et al, 2001). Given the critical role of the septo-hippocampal system in cognitive processing, we have investigated the acute actions of the novel antidepressant drug reboxetine, a selective NE reuptake inhibitor, on the neuronal activity of the septo-hippocampal system. In comparison, the effects of the tricyclic NE reuptake inhibitor desipramine and the selective serotonin reuptake inhibitor fluvoxamine were also evaluated.

Simultaneous septal single unit and hippocampal EEG recordings were carried out from anesthetized rats. In addition to theta-frequency analysis, hippocampal gamma-wave activity was also evaluated since theta- and gamma-frequency oscillations of hippocampal electroencephalography (EEG) are closely correlated. gamma oscillation is superimposed on theta activity (Bragin et al, 1995), and both oscillations are thought to occur in similar physiological conditions and be associated with cognitive functions (Gross and Gotman, 1999; Whittington et al, 2000; Orban et al, 2001). In addition, hippocampal NE and serotonin levels have been monitored by microdialysis, paralleling electrophysiological experiments, in order to demonstrate the effect of reboxetine on hippocampal neurotransmitter levels.

MATERIALS AND METHODS

Animals

All studies were conducted with male Sprague–Dawley rats (270–300 g, Harlan, Indianapolis). Animals were housed in groups of 5–6, kept under conditions of controlled temperature (21±1°C) and lighting (lights on 06.00–18.00 h) and were given food pellets and water ad lib. Studies were performed between 8.00 and 17.00 h. All procedures were carried out under an approved animal-use protocol and were in compliance with the Animal Welfare Act Regulations (9 CFR Parts 1–3) and with the ‘Guide for the Care and Use of Laboratory Animals’ (ILAR, 1996).

Electrophysiological Experiments

Surgical procedures and drug solutions

Male Sprague–Dawley rats were anesthetized with chloral hydrate anesthesia (400 mg/kg, i.p.), and the femoral artery and vein were cannulated for monitoring arterial blood pressure and administration of drugs or additional doses of anesthetic, respectively. The anesthetized rat was placed in a stereotaxic frame, and craniotomy was performed above the regions of the medial septum and unilateral CA1 hippocampus. Body temperature of the rat was maintained at 36–37°C by means of an isothermal (37°C) heating pad (Braintree Scientific, Braintree, MA). Reboxetine, a racemic mixture of RR- and SS-([2-[a[2-ethoxyphenoxy]benzyl]-morpholine sulphonate]), synthesized at Pharmacia, Kalamazoo, MI, USA), desipramine hydrochloride (Sigma-Aldrich, St Louis, MO, USA) and fluvoxamine maleate (Solvay Duphar, Weesp, The Netherlands) solutions were made up based upon their salt weights in H2O and concentrations adjusted so that injection volumes equalled 1 ml/kg body weight. Desipramine and fluvoxamine were tested at doses that selectively and effectively inhibit NE and serotonin uptake, respectively (L'Heureux et al, 1986; Jordan et al, 1994; Bosker et al, 1995; Perry and Fuller, 1997; Hajós-Korcsok et al, 2000; Bymaster et al, 2002) to inhibit selectively and effectively either NE or serotonin uptake, respectively. After conclusion of experiments, animals were euthanized with an IV bolus of chloral hydrate. Brains were removed, blocked and frozen on a cryostat stage for histological verification of electrode placements.

Single-unit recordings

Single units were recorded from the medial septum and vertical limb of the diagonal band of Broca (MS/DBv; coordinates: 0.2 mm anterior to bregma, lateral 0 mm and 5–7 mm below the dura; Paxinos and Watson, 1986) using glass microelectrodes filled with 2M NaCl (impedance 10–20 MΩ). Extracellularly recorded potentials were amplified, filtered, displayed, discriminated and recorded for off-line analysis using conventional electrophysiological methods (Hajós et al, 1998). Neuronal activity was followed by constructing firing rate, frequency and interspike interval histograms using Spike3 program (Cambridge Electronic Design, Cambridge, UK). Oscillation of neuronal activity was analyzed by autocorrelation. Location of the recording electrode was marked with iontophoretic ejection of Pontamine Sky Blue and revealed by routine histological procedure. Only neurones located within the MS/DBv are included in the study.

EEG recording

Unilateral hippocampal field potential (EEG) was recorded by a metal monopolar macroelectrode placed into the CA1 region (coordinates: 3.0 mm posterior from the bregma, 2.0 mm lateral and 3.8 mm ventral; Paxinos and Watson, 1986). Field potentials were amplified, filtered (0.1–100 Hz), displayed, and recorded for on-line and off-line analysis (Spike3 program; Cambridge Electronic Design, Cambridge, UK). Rhythmic synchronized (theta) and large amplitude irregular hippocampal activities were distinguished in the EEG; quantitative EEG analysis was performed by means of fast Fourier transformation (Krause et al, 2003). Power spectrum density of EEG for theta activity was calculated at a peak frequency between 3 and 6 Hz. For gamma-wave activity, hippocampal EEG activity was band-pass filtered between 32 and 48 Hz with a transition gap of 22 Hz and analyzed off-line by fast Fourier transformation. Location of the recording electrode was verified histologically.

Data analysis and statistics

Mean firing rates were determined in periods of 100–300 s before and after drug treatment. Interspike interval histograms, autocorrelograms, and hippocampal EEG power spectra were determined in periods of 100–300 s, but for an identical duration preceding and following drug treatment. Differences between baseline and drug treatment were assessed by paired Student's t-test.

Microdialysis Experiments

Surgery

Rats were anesthetized with chloral hydrate (400 mg/kg, i.p.). The femoral vein was cannulated for drug administration. Microdialysis probes (2 mm tip length, CMA) were implanted as described previously (Hajós-Korcsok, 2000). Stereotaxic coordinates for the final microdialysis probe placement in the dorsal hippocampus were: rostro-caudal −3.8 mm, medio-lateral −2.0 mm, dorso-ventral −4.0 mm, from bregma and dura surface (Paxinos, 1986).

Microdialysis procedure

Probes were perfused continuously (2 μl/min) with artificial cerebrospinal fluid (aCSF) for 60 min before the start of sample collection. The composition of aCSF solution was: 145 mM NaCl, 2.7 mM KCl, 1 mM MgCl2, 2 mM Na2HPO4, and 1.2 mM CaCl2 (pH 7.4). Perfusates were collected every 10 min using a refrigerated fraction collector (BAS HoneyComb) into glass vials containing 5 μl of 0.01 N perchloric acid and 2.5 μl of 1 mM EDTA (total volume of 27.5 μl). Samples were analyzed for NE and serotonin on a high-pressure liquid chromatography (HPLC) assay. After establishing stable basal levels of NE and serotonin (about 2 h after commencing perfusion), racemic reboxetine (0.3 mg/kg) was injected intravenously (at 1 ml/kg volume) and washed in with 0.3 ml saline vehicle. The IV cannula was regularly flushed with 0.9% saline solution (containing 25 IU heparin/ml). The depth of anesthesia was constantly monitored and supplementary doses of chloral hydrate (10 mg/kg) were given via the cannula as necessary. Care has been taken to avoid injection of chloral hydrate within the same 10-min sample as reboxetine. Microdialysate samples were collected for a further 60 min.

Measurement of dialysate serotonin and NE

Perfusate samples were analyzed for serotonin and NE using HPLC with electrochemical detection (EC). Samples (20 μl) were injected by an ESA 542 refrigerated autosampler onto a Hyperosil ODS C18 column (4.6 ID × 150 mm, 3 μm particles, 40°C column temperature) perfused by ESA Model 582 HPLC pump at a rate of 0.55 ml/min with a mobile phase comprising 75 mM NaH2PO4, 1.8 mM sodium octane sulfonate, 25 μM EDTA, and 10% (v/v) methanol (final pH 3.0). Samples were analyzed by an ESA Coulochem II 5200A electrochemical detector with an ESA 5041 high-sensitivity analytical cell and an ESA 5020 guard cell. Electrochemical detection was performed at 220 mV with the guard cell at 350 mV.

Data analysis

Data are presented as % of basal NE and serotonin levels determined in dialysate samples (not corrected for membrane recovery). The effect of reboxetine on NE and serotonin was analyzed using one-way ANOVA with repeated measures. Post hoc comparisons within group were made using the protected least significant difference (PLSD) test.

RESULTS

Septo-hippocampal Electrophysiology

Single-unit activity of MS/DBv

Individual MS/DBv neurons, recorded from anesthetized rats, displayed a considerable variability in their firing activity and firing pattern. The mean firing rate of MS/DBv neurons was 14.6±2.8 spikes/s (n=28), ranging from 1.7 to 45 spikes/s. Systemic (IV) administration of the tested monoamine reuptake inhibitors did not significantly influence the firing rate activity of MS/DBv neurons at any of the tested doses. Thus, firing rates of MS/DBv neurons were 15.0±3.4 and 15.0±4.3 spikes/s following cumulative doses of 0.3 and 1.0 mg/kg reboxetine (n=8), respectively, and 19.5±6.9 spikes/s after administration of 1 mg/kg desipramine (n=7). Administration of fluvoxamine at cumulative doses of 1.0 and 3.0 mg/kg (n=6) resulted in 11.4±3.0 and 13.2±4.3 spikes/s mean firing rates, respectively, and in 14.2±4.3 spikes/s after 10 mg/kg (n=7). In addition to firing rate activity, changes in firing pattern and oscillatory activity of MS/DBv neurons were analyzed by constructing autocorrelation histograms. The selective NE reuptake inhibitor reboxetine (0.3–1 mg/kg) or despiramine (1 mg/kg) induced or enhanced a long-lasting (measured up to 30 min) oscillation of MS/DBv neurons (Figures 1 and 2). In contrast, the selective serotonin reuptake inhibitor fluvoxamine (1–10 mg/kg) failed to alter the firing pattern or oscillatory activity of MS/DBv neurons (Figure 3).

Figure 1
figure 1

Typical recording showing theta activity of the septo-hippocampal system induced by systemic administration of reboxetine. Left columns show periods of simultaneously recorded hippocampal EEG (upper trace) and firing activity of MS/DBv neuron (lower trace) during control baseline period (control), and after administration of reboxetine. Columns in the middle and the right show power spectra (μV2/0.5 Hz) of the hippocampal EEG (using fast Fourier transformation), and oscillation of the MS/DBv neuron (autocorrelation), respectively. Voltage calibration corresponds to hipppocampal EEG.

Figure 2
figure 2

Typical recording showing theta activity of the septo-hippocampal system induced by systemic administration of desipramine. Left columns show periods of simultaneously recorded hippocampal EEG (upper trace) and firing activity of MS/DBv neuron (lower trace) during control baseline period (control), and after administration of desipramine. Columns in the middle and the right show power spectra (μV2/0.5 Hz) of the hippocampal EEG, and oscillation of the MS/DBv neuron, respectively.

Figure 3
figure 3

Typical recording showing the effects of systemic administration of fluvoxamine on septo-hippocampal activity. Left columns show periods of simultaneously recorded hippocampal EEG (upper trace) and firing activity of MS/DBv neuron (lower trace) during control baseline period (control), and after administration of fluvoxamine. Columns in the middle and the right show power spectra (μV2/0.5 Hz) of the hippocampal EEG, and oscillation of the MS/DBv neuron, respectively.

Hippocampal EEG activity

Simultaneous recordings of MS/DBv neuronal activity with hippocampal CA1 field potential revealed an association between MS/DBv neuronal oscillation and hippocampal EEG activity, as it has been described previously (Ford et al, 1989; Vertes and Kocsis, 1997). Thus, it was found that parallel to changes of oscillatory activity of MS/DBv neurons, reboxetine also synchronized hippocampal EEG activity at theta frequency (Figure 1). The tricyclic NE reuptake inhibitor desipramine (1 mg/kg) (Figure 2) induced a similar synchronous hippocampal activity (Furthermore, oscillation of simultaneously recorded MS/DBv neurons was phase locked to hippocampal theta activity, and oscillated at the corresponding hippocampal frequency. Quantitative EEG analyses using fast Fourier transformation revealed that reboxetine (0.3–1 mg/kg) significantly increased the power of hippocampal EEG at peak theta frequency, the minimal significantly effective dose being 0.3 mg/kg (Figure 1; Table 1). Peak theta frequency was not altered by reboxetine significantly (Table 1). In addition, reboxetine significantly increased both the power and frequency of EEG activity in the gamma-frequency (28–48 Hz) range (Table 1). The tricyclic NE reuptake inhibitor desipramine (1 mg/kg, n=7) significantly increased theta power and, in tendency, increased gamma power (P<0.1). Desipramine did not alter hippocampal theta or gamma peak frequencies (Table 1). In contrast, fluvoxamine (1–10 mg/kg, n=13) failed to alter hippocampal EEG activity/power either at theta- or gamma-frequency range (Figure 3, Table 1).

Table 1 Effects of IV Administration of Reboxetine, Desiparmine, and Fluvoxamine (Doses Indicated in Parentheses) on Hippocampal EEG as Revealed by Fast Fourier Transformation (Mean±SEM)

Microdialysis Experiments

Basal dialysate NE and serotonin levels in the dorsal hippocampus of anesthetized rats were 0.19±0.06 and 0.28±0.07 fmol/μl (n=6), respectively. Time-course effect of intravenously administered reboxetine (0.3 mg/kg) on extracellular NE and serotonin levels is shown in Figure 4. Reboxetine caused a marked and long-lasting increase in dialysate NE levels, reaching a maximum increase of 220% of basal levels in the second sample (20 min) following drug administration. Statistical analysis of the data (one-way ANOVA) showed a significant overall effect of reboxetine on NE (F(11,75)=2.95, P<0.003). Post hoc analysis (PLSD-test) revealed that dialysate NE levels were significantly different from basal NE levels at S8, S9, S10, and S11 time points. In the same group of animals, dialysate serotonin levels were not significantly altered following systemic reboxetine administration (Figure 4). Statistical analysis of the data (one-way ANOVA) showed no effect of reboxetine on serotonin (F(11,76)=0.85, P=0.59, NS).

Figure 4
figure 4

Effect of reboxetine on dialysate NE and serotonin (5-HT) levels in the dorsal hippocampus of anesthetized rats. Reboxetine (0.3 mg/kg) was administered intravenously as indicated by the arrow. Each datapoint is a mean±SEM (n=6). *P<0.01 vs predrug values (one-way ANOVA, post hoc Dunnett's test).

DISCUSSION

The present findings demonstrate that acute administration of NE reuptake inhibitors reboxetine and desipramine induces and enhances synchronized theta activity of the septo-hippocampal system. Both reboxetine and desipramine evoked theta oscillation of medial septal neurons, and increased power of theta-wave activity of hippocampal EEG. In addition, reboxetine increased both the power and frequency of hippocampal gamma activity. In contrast, acute administration of the serotonin reuptake inhibitor fluvoxamine failed to alter activity of the septo-hippocampal system. These data indicate that NE reuptake inhibitors can modulate oscillatory activity of the septo-hippocampal system, thus potentially affecting various functions associated with this limbic circuitry.

Selective actions of fluvoxamine and desipramine on the serotonin and NE transporters, respectively, have been extensively demonstrated using in vivo microdialysis. Thus, acute administration of fluvoxamine, at same doses as tested in the present study, augments extracellular levels of serotonin, but not NE, in various brain regions (Jordan et al, 1994; Bosker et al, 1995; Bymaster et al, 2002). Conversely, the tricyclic antidepressant, desipramine selectively enhances brain extracellular NE, but not serotonin, levels (L'Heureux et al, 1986; Perry and Fuller, 1997; Hajós-Korcsok et al, 2000). Reflecting its marked and selective activity on the NE transporter (Wong et al, 2000), similar actions of the novel antidepressant drug reboxetine on brain NE levels were reported (Sacchetti et al, 1999; Millan et al, 2001). In the present study, reboxetine, when administered in the same dose and route as in the electrophysiological experiments, induced a marked and long-lasting increase in dialysate NE levels without altering dialysate serotonin levels in the hippocampus. Taken together, the present findings indicate that desipramine- and reboxetine-induced facilitation of hippocampal theta-wave activity could be contributed to enhanced NE neurotransmission.

The hippocampal formation and one of its main afferent projection regions, the medial septum/diagonal band of Broca, are heavily innervated by both NE and serotonin neurons, and it is known that they influence various hippocampal functions, including its oscillatory activity (Vertes and Kocsis, 1997; Berridge, 1998; Leranth and Vertes, 1999). In contrast to the serotonin system, NE neurons play a prominent role in controlling the degree of alertness (Aston-Jones and Bloom, 1981; Aston-Jones et al, 1999) and activation of pontine locus coeruleus NE neurons induces intense theta rhythm in the hippocampus (Berridge and Foote, 1991). The present study further substantiates a prominent role of NE in hippocampal theta-wave regulation, showing that inhibition of NE reuptake induces or enhances hippocampal theta-wave activity. However, the exact mechanism underlying the hippocampal theta activity evoked by NE reuptake inhibitors cannot be determined from the present studies. Current theories on hippocampal theta-wave regulation attribute a central role for MS/DBv projecting GABA neurons (Vertes and Kocsis, 1997; Buzsaki, 2002). In the present study, we showed that NE reuptake inhibitors, concomitantly with an increased hippocampal theta-wave activity, shifted firing pattern of MS/DBv neurons into theta oscillation. Oscillatory frequencies of MS/DBv neurons were identical, and phase locked to the corresponding hippocampal theta frequency, as it has been observed at physiological conditions (Vertes and Kocsis, 1997; Buzsaki, 2002). It has been demonstrated that local, intra-MS/DBv application of the adrenergic β agonist isoproterenol elicits robust hippocampal theta activity in anesthetized rats (Berridge, 1998); therefore, the NE reuptake inhibitor-induced theta activity could be mediated via the MS/DBv. Alternatively, an enhanced NE neurotransmission could modulate interactions between MS/DBv and hippocampal oscillators, leading to theta oscillation in both the MS/DBv and hippocampus. In contrast to the NE reuptake inhibitors, our results indicate that fluvoxamine, a selective serotonin reuptake inhibitor (Jordan et al, 1994; Bosker et al, 1995), did not induce or enhance hippocampal theta activity and theta oscillation of MS/DBv neurons. This observation is in agreement with the previous finding demonstrating a permissive role of serotonin system on theta activity: activation of serotonin neurons blocks and inhibition of serotonin neurons activates both septal and hippocampal theta activity either in anesthetized or unanesthetized, behaving animals (Kinney et al, 1996; Marrosu et al, 1996; Vertes and Kocsis, 1997). Moreover, we have shown recently that 5-HT2C receptor agonists inhibit, whereas antagonists enhance theta activity of the septo-hippocampal system (Hajós and Hoffmann, 2000).

In the present study, hippocampal field potential recordings also revealed gamma-frequency oscillation under chloral hydrate anesthesia. Parallel to an increase in hippocampal theta activity, reboxetine enhanced power of gamma oscillation, resembling physiological conditions, (either in awake or anesthetized situations), where gamma power is most prominent during the presence of hippocampal theta activity (Bragin et al, 1995; Penttonen et al, 1998). The mean frequency of gamma field oscillation was lower in our anesthetized animals than it was observed in awake, freely moving rats (Bragin et al, 1995), but similar to previously reported values under urethan anesthesia (Penttonen et al, 1998). Reboxetine not only significantly increased power but also the frequency of hippocampal gamma field oscillation. Similar changes were also observed after desipramine administration. The serotonin reuptake inhibitor fluvoxamine not only failed to enhance theta activity, but it did not increase either power or frequency of gamma field activity in the hippocampus, reflecting a close correlation between the two oscillatory activities. Although mechanisms underlying gamma oscillations are not fully understood, hippocampal gamma oscillation is thought to be generated by populations of mutually interconnected inhibitory interneurons (Traub et al, 1996; Whittington et al, 2000; Orban et al, 2001), contributing to an entrained and synchronized activity of excitatory cells at a gamma-frequency rhythm. Therefore, it is presumed that NE influences hippocampal gamma oscillation via interaction of GABA interneurons. However, given the anatomical and functional heterogeneity of hippocampal interneurons and their diverse response to NE (Parra et al, 1998), a precise mode of action of NE cannot be determined presently.

In summary, the present findings point to a different role of NE and serotonin in the regulation of septo-hippocampal oscillatory activity: enhanced NE, but not serotonin neurotransmission by antidepressant drugs, initiates septo-hipocampal theta activity. Furthermore, the increased hippocampal theta activity is accompanied by an increased gamma-wave oscillation in the hippocampus. Given the correlation between the septo-hippocampal oscillatory activity and cognitive processes, the presently described action of reboxetine could explain its lack of disrupting cognitive function (Hindmarch, 1998; Tanum, 2000; Siepmann et al, 2001), and its ability to improve cognitive disturbances associated with depression (Kasper et al, 2000; Rammsayer et al, 2001; Ferguson et al, 2002). Even though both NE and serotonin reuptake inhibitors are shown to be clinically effective antidepressant drugs, their acute action on the septo-hippocampal oscillatory behavior is different. Further studies are warranted to determine whether chronic administration of selective NE and serotonin reuptake inhibitors would differently influence the activity of the septo-hippocampal system.