Abstract
To investigate the neuroendocrine alterations linked to inborn emotionality in two Wistar rat lines selectively bred for either high (HAB) or low (LAB) anxiety-related behavior, we administered the combined dexamethasone (DEX)/corticotropin-releasing hormone (CRH) test. DEX (12:00 M. (noon); 30 μg/kg) resulted in a significantly less efficient suppression of the diurnal increase in the circulating corticotropin (ACTH) levels in the male HAB rats than in the male LAB rats. In addition, plasma ACTH and corticosterone responses to subsequent CRH (7:30 P.M.; 50 ng/kg) were significantly higher in male HAB rats. The rise in ACTH after CRH in the DEX-pretreated male HAB rats points toward an enhanced activity and involvement of endogenous vasopressin synthesized in the hypothalamic paraventricular nucleus (PVN) and acting at pituitary corticotrope cells. We tested this hypothesis by in situ hybridization and in vivo microdialysis, and found an increase in both basal synthesis and release of vasopressin within the PVN of the male HAB rats. As expected, pretreatment with a selective vasopressin type 1 receptor antagonist abolished the CRH-stimulated increase in ACTH secretion in the DEX-pretreated male HAB rats. The results indicate that vasopressin-mediated effects are critically involved in the profound disturbance of the hypothalamic-pituitary-adrenocortical system in male HAB rats, thus revealing striking parallels to the neuroendocrine situation in human depression.
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Neuroendocrine studies provide strong indications that hyperactivity of central corticotropin-releasing hormone (CRH) circuits, resulting in a characteristic dysregulation of the hypothalamic–pituitary-adrenocortical (HPA) system, plays a causal role in the symptomatology of affective and anxiety disorders (review: Keck and Holsboer 2001). The effects of CRH are modulated by vasopressin (AVP), which, after prolonged stress and in senescence, is increasingly coexpressed and secreted from hypothalamic CRH neurons in both humans and rodents (Antoni 1993; Tilders et al. 1993; Hatzinger et al. 2000; Keck et al. 2000). Similarly, increased numbers of CRH neurons that coexpress AVP mRNA have been found in the hypothalamus of depressed patients (Raadsheer et al. 1993; Purba et al. 1996). The excessive release of CRH and AVP into hypophysial portal blood is thought to increase the secretion of corticotropin (ACTH) from pituitary corticotrope cells, and this in turn to increase the release of corticosteroids from the adrenal gland. In this context, a variety of changes in HPA system regulation have been demonstrated in psychiatric disorders such as major depression, among them defective negative feedback of the HPA system, basal hypercortisolemia, inappropriate HPA suppression by the synthetic corticosteroid dexamethasone (DEX) and a paradoxical stimulation of ACTH secretion by CRH after DEX pretreatment (review: Holsboer and Barden 1996; Holsboer 2000). In depression, the combined DEX/CRH test, in which DEX-pretreated subjects receive a single dose of CRH, has proven to be the most sensitive tool for the detection of altered HPA regulation. Depending on age and gender, up to 90% of patients with depression show this neuroendocrine phenomenon (Heuser et al. 1994). Moreover, studies using the DEX/CRH test not only agree that normalization of an initial aberrance is predictive of a favorable treatment response but also corroborate other evidence that a persistent HPA abnormality correlates with chronicity or relapse (Heuser et al. 1996; Zobel et al. 1999). Since activation of corticosteroid receptors suppresses the synthesis and release of CRH and AVP from the hypothalamic paraventricular nucleus (PVN) (de Kloet et al. 1998), these findings are consistent with the hypothesis of functionally impaired corticosteroid receptor signaling in both depressed patients (Modell et al. 1997) and healthy subjects at genetic risk for depression (Holsboer et al. 1995; Modell et al. 1998).
As the mechanisms underlying the abnormal HPA reactivity in patients with certain psychiatric disorders are not fully understood, animal models are needed to further investigate the hypothesized linkage between these disorders and changes in the regulation of the HPA system. After several generations of selective breeding, we could establish two Wistar rat lines differing markedly and consistently in their inborn emotionality (Liebsch et al. 1998a, b). These animals were bred for either high (HAB) or low (LAB) anxiety-related behavior on exposure to the elevated plus-maze (EPM), one of the most widely used non-conditioned tests of rodent anxiety. However, males and females of the two rat lines differ not only in their inborn anxiety as revealed by a variety of behavioral paradigms (Liebsch et al. 1998b; Neumann et al. 1998b; Henniger et al. 2000; Ohl et al. 2001), but also in their stress coping strategies in that HAB rats show markedly passive stress coping in the forced swim test (Liebsch et al. 1998b; Keck et al. 2001a). The forced swim test is considered to have predictive value for the efficacy of antidepressant treatments in humans (review: Lucki 1997). Therefore, it is the passive stress coping behavior that renders HAB animals a valuable model for investigating potentially antidepressant treatment strategies such as chronic paroxetine treatment (Keck, unpublished observation), transcranial magnetic stimulation (Keck et al. 2001a) and the high-affinity CRH1 receptor antagonist R121919 (Keck et al. 2001b). Interestingly, the high emotionality of HAB rats is accompanied by an increased HPA system susceptibility to external stressors (Landgraf et al. 1999). Therefore, HAB rats provide a tool to identify neuroendocrine alterations associated with inborn emotionality in an animal model that mimics several signs and symptoms prevalent in human anxiety disorders and depression.
Recently, we established the DEX/CRH test in rats and showed characteristic alterations during aging (Hatzinger et al. 1996, 2000). In the present study, we investigated ACTH and corticosterone secretory responses during the DEX/CRH test in both HAB and LAB rats. To elucidate potential gender-specific differences, we performed the test in both male and female rats. In addition, we studied basal AVP mRNA expression and basal AVP release within the PVN using in situ hybridization and in vivo microdialysis. To explore the role of endogenous AVP in mediating HPA activity, we further studied the effect of a selective AVP type 1 (V1) receptor antagonist on ACTH and corticosterone secretion during the DEX/CRH test. Finally, we examined the maximal number of binding sites (Bmax) and relative binding affinity (Kd) of brain and pituitary mineralocorticoid (MR) and glucocorticoid receptors (GR) to see whether changes in these receptors with putative subsequent defects in corticosteroid feedback might play a role in the altered regulation of HPA activity.
MATERIALS AND METHODS
Animals
The animal studies were conducted in accordance with the Guide for the Care and Use of Laboratory Animals of the Government of Bavaria and the guidelines of the NIH. Experiments were carried out on adult male and female HAB and LAB rats (males: n = 105; 350 ± 18 g body weight; females: n = 21; 275 ± 14 g body weight). At the age of 10 weeks, 4–5 weeks prior to the experiments, outbred HAB and LAB rats were tested on the EPM according to the breeding protocol to confirm the emotional trait (Liebsch et al.1998a,b; Landgraf et al. 1999). Rats were housed in groups of six in the breeding unit of the Max Planck Institute of Psychiatry under standard laboratory conditions until surgery (12:12 h light/dark cycle with lights on at 7 A.M., 22 ± 1°C, 60% humidity, pelleted food and water ad libitum). After surgery the rats were housed singly in polycarbonate cages (23 × 39 × 36 cm) until testing and handled daily to reduce nonspecific stress during the experiments.
Surgery
Surgery was performed under halothane anesthesia using aseptic procedures.
Jugular venous catheter: Five days before the experiment, the jugular vein was chronically catheterized for subsequent blood sampling as described previously (Neumann et al. 1998a; Keck et al. 2000). The catheter was exteriorized at the neck of the animal and filled with sterile saline containing gentamicin (30,000 IU/rat; Centravet, Bad Bentheim, Germany); 0.2 ml was infused into the animal.
Microdialysis: Three days before the experiment, the U-shaped microdialysis probes (dialysis membrane: molecular cutoff of 18 kDa; Hemophan™, Gambro Dialysatoren, Hechingen, Germany) were stereotaxically implanted according to the atlas of Paxinos and Watson (1986) with their tips aimed at the right PVN (1.5 mm caudal to bregma, 1.8 mm lateral to midline, 8.9 mm beneath the surface of the skull, angle of 10° to avoid sagittal sinus damage). The probe was secured with dental cement to two stainless steel screws inserted into the skull.
DEX/CRH Test in Male and Female HAB Rats and LAB Rats
On the day of the experiment animals were weighed at 7 A.M. Male (HAB: n = 13, LAB: n = 11) and female (HAB: n = 10, LAB: n = 11) animals were investigated in separate experiments, with the females being in proestrus or estrus of their estrous cycle as determined by vaginal smears taken at 7 A.M. on the day of the experiment. The DEX/CRH test was performed as previously described (Hatzinger et al. 1996). In brief, at 8 A.M. the jugular venous catheter was connected via 50-cm PE-50 tubing to a plastic syringe filled with sterile heparinized saline (30 IU/ml; Ratiopharm, Ulm, Germany). Thereafter, the rats remained undisturbed. DEX (30 μg/kg, dissolved as phosphate in 0.9% saline; 0.5 ml/kg; Merck, Darmstadt, Germany) was administered intravenously (i.v.) at 12 M. (noon), during the diurnal trough of the rats’ HPA system. To monitor the effects of DEX treatment on basal plasma concentrations of ACTH and corticosterone during the diurnal acrophase, four 0.2-ml blood samples were collected at 6:00, 6:30, 7:00 and 7:30 P.M. At 7:31 P.M., CRH (50 ng/kg, 0.5 ml/kg i.v.; Ferring, Kiel, Germany) was injected. To assess the CRH-stimulated ACTH and corticosterone secretion, further blood samples were taken at 7:40, 8:00, 8:20, and 8:40 P.M.
DEX/CRH Test in Vehicle- or V1 Receptor Antagonist-Treated Male HAB Rats
The DEX/CRH test was performed in male HAB rats as described above. At 7:15 P.M., either vehicle (0.9% saline, 0.5 ml/kg; n = 19) or the V1a/b receptor antagonist dP[Tyr(Me)2]AVP (10 μg/kg dissolved in 0.9% sterile saline, 0.5 ml/kg; Dr. M. Manning, Toledo, OH, USA; n = 13) was injected i.v. At 7:31 P.M., CRH (50 ng/kg, 0.5 ml/kg) was injected. To assess the CRH-stimulated ACTH and corticosterone concentrations, further blood samples were taken at 7:40, 8:00, 8:20, and 8:40 P.M.
Basal Intra-PVN Release of AVP in Male HAB Rats and LAB Rats
Experiments were performed between 7 A.M. and 12 noon. Three days after surgery microdialysis (3.3 μl/min; Ringer solution, pH 7.4) was performed in the right PVN (HAB: n = 6, LAB: n = 8) as described previously (Wotjak et al. 1996b; Keck et al. 2000). After perfusion without sampling for 3 h, two consecutive 30-min dialysates were collected and immediately stored on dry ice.
Postmortem Analysis and Histology
Animals were killed with an overdose of halothane at the end of the experiments. Brains were removed, frozen in prechilled n-methylbutane on dry ice and stored at −80°C. For histological verification of the placement of the microdialysis probes, 25 μm coronal cryostat sections were stained with cresyl violet.
Treatment of Blood Samples and Radioimmunoassays
Blood samples were collected in prechilled tubes containing EDTA and a protease inhibitor (10 μl aprotinin, Trasylol™, Bayer, Germany) and centrifuged (5 min, 4000 rpm, 4°C). Plasma samples were stored at −20°C until measurement. Plasma ACTH (50 μl) and corticosterone (10 μl) levels were measured using commercially available kits (Biochem, Freiburg, Germany) according to the respective protocols (sensitivity: ACTH: <1.0 pg/ml; corticosterone: <2.0 ng/ml). The intra- and interassay coefficients of variation were 7% and 10%, respectively. AVP content was measured in lyophilized dialysates by a highly sensitive and selective radioimmuno-assay (detection limit: 0.1 pg/sample; cross-reactivity of the antisera with other related peptides, including oxytocin, was <0.7%; for a detailed description see Landgraf et al. 1995).
In situ Hybridization Histochemistry
In situ hybridization histochemistry was performed essentially as previously described (Hatzinger et al. 2000) in male HAB (n = 5) and LAB (n = 5) rats. Briefly, consecutive frozen cryostat sections of the rat hypothalamus (14 μm) were alternately mounted on poly-L-lysine-coated slides for subsequent hybridization of AVP mRNA. Sections were stored at –20°C until use. The following oligonucleotide DNA probe was used for in situ hybridization: AVP (48-mer): 5′–GCA GAA GGC CCC GGC CGG CCC GTC CAG CTG CGT GGC GTT GCT CCG GTC–3′ (directed against the last 16 amino acids of the glycoprotein that are not shared with oxytocin; Ivell and Richter 1984). The specificity of this oligonucleotide has been described in detail elsewhere (Villar et al. 1994).
All sections were run in the same experiment under identical conditions. Briefly, the synthesized oligonucleotides were labeled at the 3′ end with α-[35S] dATP (NEN DuPont) using terminal dexoynucleotidyl transferase (Boehringer, Mannheim, Germany). Radiolabeled probe (106 cpm/200 μl/slide) was diluted into hybridization buffer consisting of 1 × Denhardt's solution, 0.25 mg/ml yeast tRNA (Sigma, Deisenhofen, Germany), 0.5 mg/ml salmon sperm DNA (Sigma, Deisenhofen, Germany), 10% dextran sulfate, 10 mM dithiothreitol and 50% formamide, applied to the slides and incubated for 20 h at 42°C. Following hybridization, the slides were washed, 4 times for 15 min each, in 1 × SSC (55°C) dehydrated in ethanol and air-dried. Finally, the slides were dipped in Kodak NTB2 emulsion diluted 1:1 in distilled water, exposed for five weeks at 4°C and then developed in Kodak D19 solution. The developed slides were lightly counterstained with cresyl violet and examined using a Leica microscope with both bright- and dark-field condensers. To check for the specificity of the oligonucleotide binding, some sections were pre-incubated with a 50-fold excess of the cold oligonucleotides before the radioactively labeled probes were added. Under these conditions no signals were registered within the respective nuclei.
For evaluation of the hybridization signals, sections of the same level of the PVN were chosen according to the brain atlas of Paxinos and Watson (1986), and histological criteria (prominent part of magnocellular and parvocellular neurons, respectively). For objective evaluation, the images of at least three stions per animal were scanned by a computer-assisted image analyzer (Optimas-Bioscan) fitted with a Zeiss Axioplan microscope and a Sony CCD camera. The images were overlapped with predefined masks, which enclosed either the magnocellular or the parvocellular part of the PVN (according to Kiss 1988, Kiss et al. 1991). Levels of mRNA expression (optical density) were determined by measuring the mean gray value on inverted (in situ hybridization signal: black), automatically thresholded images in the PVN, with the left and right hemispheres being analyzed separately. The mean values for each animal and region were calculated.
Immunohistochemistry
Immunohistochemistry was performed exactly as described previously (Müller et al. 2000b). Briefly, animals (n = 4 per breeding line) were deeply anesthetized with phenobarbital and transcardially perfused with phosphate-buffered 4% paraformaldehyde. Brains were removed from the skull, postfixed for 6 h in 4% paraformaldehyde and then transferred to 15% sucrose in phosphate-buffered saline (PBS; pH 7.4). Serial 30-mm coronal frozen sections were cut in a cryostat into PBS and processed as free-floating sections. For each animal, all sections spanning the region of the median eminence were analyzed to allow for exact comparison. All following steps were interposed by copious washes in PBS, and all reagents for immunohistochemistry were diluted in PBS with 1% bovine serum albumin (BSA) unless otherwise specified. After blocking of endogenous peroxidase in absolute methanol with 0.01% hydrogen peroxide for 15 min, preincubation with 5% normal goat serum for 2 h was performed. The sections were then incubated with the primary antibody diluted 1:10,000 (polyclonal rabbit-anti AVP antibody (IHC 8103, Peninsula Laboratories, Belmont, California, USA) at 4°C. The sections were then incubated with a biotinylated goat-anti-rabbit secondary antibody diluted 1:300 for 45 min at room temperature (Vector, USA), followed by incubation with avidin-biotinylated horseradish peroxidase complex (ABC Elite universal kit, Vector) for 45 min at room temperature (1:300). Finally, the sections were developed in a substrate solution of 0.05% diaminobenzidine tetrahydrochloride and 0.01% hydrogen peroxide in 0.05 M Tris-HCl, pH 7.6, washed, mounted on glass slides, air-dried and lightly counterstained with hematoxylin. Appropriate negative controls were performed by omission of the primary antibody.
Adrenalectomy, Tissue Collection and [3H]-steroid Binding Assay
In a separate set of experiments, the MR and GR concentrations were assessed by a soluble corticosteroid binding assay (Reul and de Kloet 1985; Reul et al. 1993). For the corticosteroid binding experiments, male HAB (n = 11) and LAB (n = 10) rats were bilaterally adrenalectomized (ADX; via the dorsal approach under halothane anesthesia) between 7 A.M. and noon, i.e. 24 h before sacrifice. ADX rats received 0.9% NaCl in tap water as their drinking solution. One day after ADX, rats were quickly anesthetized with halothane and decapitated. Trunk blood was collected in pre-chilled EDTA-coated tubes and the plasma was checked for the absence of any corticosterone by radioimmunoassay. Animals with detectable levels of corticosterone were excluded. Brains were rapidly removed from the skull, the hippocampus and hypothalamus were dissected and the anterior pituitary was collected. Dissected tissues were instantaneously frozen in liquid N2 and stored at −80°C until corticosteroid receptor assay as described elsewhere (Reul et al. 1993).
Briefly, brain tissues were individually homogenized. Because of their small size, anterior pituitary tissues were pooled per group. The homogenate was centrifuged to obtain cytosol (i.e. supernatant fraction). All reagents used were analytical grade. Aliquots of cytosol were incubated with [3H]-labeled steroids (10 nM; >90% saturation) in triplicate. Apart from these individual cytosol incubations, pooled cytosol for each group was established by mixture of equal aliquots of each individual cytosol. The pooled cytosol was required to obtain a large enough amount to conduct incubations over an extended concentration range (0.1–10 nM in duplicate) for saturation binding analysis and Scatchard analysis for the determination of the affinity binding constant (Kd). Total binding to soluble macromolecules was determined with [3H]-aldosterone (87–94 Ci/mmol, NEN DuPont, Dreieich, Germany) or with [3H]-DEX (85–106 Ci/mmol, Amersham, Braunschweig, Germany). For measurement of MRs, total binding was assessed by incubating cytosol with [3H]-aldosterone in the presence of a 100-fold excess of the specific glucocorticoid RU 28362 (11β,17β-dihydroxy-6-methyl-17 -(1-propionyl)androsta-1,4,6-triene-3-one). Unlabeled RU 28362 was included to prevent [3H]-aldosterone from binding to GRs, so that only binding of this [3H]-ligand to MR was measured. Nonspecific binding was determined in parallel incubations containing a 1000-fold excess of corticosterone in addition to cytosol and [3H]-aldosterone. Total binding for the GR was determined by incubating cytosol with [3H]-DEX. Since [3H]-DEX also displays considerable affinity for MR, the fraction of [3H]-DEX binding to MR was estimated by including a 100-fold excess of RU 28362 in parallel incubation tubes. Nonspecific binding was determined in parallel incubations containing a 1000-fold excess of DEX in addition to cytosol and [3H]-DEX. Bound and free [3H]-steroid were separated by Sephadex LH-20 (Pharmacia, Sweden) gel filtration, and radioactivity was measured in a liquid scintillation counter. The protein concentration was determined by the method of Lowry with BSA as the standard. The binding data were expressed as fmol/mg protein, and nonspecific binding was subtracted from total binding to yield specific binding. This enabled direct measurement of the MR concentration; GR binding, however, was estimated by subtraction of the specific binding of [3H]-DEX + 100 × RU 28362 from the specific binding of [3H]-DEX. [3H]-DEX + 100 × RU 28362 rather than [3H]-aldosterone + 100 × RU 28362 binding data were used to estimate the amount of the specific [3H]-DEX binding to MR because [3H]-DEX + 100 × RU 28362 binding to MRs has been found to be about 30% less than [3H]-aldosterone + 100 × RU 28362 binding to this receptor type (Reul, unpublished observation).
Statistical Analysis
Results are reported as means ± SEM. After CRH administration, ACTH and corticosterone responses were computed as the area under the concentration-time curve (AUC, arbitrary units) corrected for basal concentration (averaged plasma concentration of ACTH and corticosterone, respectively, between 6:00 and 7:30 P.M.) using trapezoidal integration. Additionally, the ratios of the AUCs for ACTH and corticosterone were calculated as a crude estimate of adrenal responsiveness to ACTH (pituitary-adrenal ratio). To analyze the in situ hybridization data, the mean gray value per region and animal was calculated. Binding data were expressed as fmol/mg and in the case of the individual cytosol measurements (except for anterior pituitary) group means. Scatchard analyses were performed on the binding data from pooled cytosol and maximal binding capacity (Bmax) and Kd were calculated. Statistical analysis was performed with a statistical software package (GB-Stat version 6.0, Dynamic Microsystems, Silver Spring, MD, USA). Statistical significance was determined by 2-way ANOVA for repeated measures (group X time) followed by Fisher's least-significant-difference protected t-test, or the Mann-Whitney U-test (for comparisons of the number of positively labeled cells/silver grains, AVP dialysates and AUC values). Statistical significance was accepted if p < .05.
RESULTS
DEX/CRH Test in Male HAB Rats and LAB Rats
After DEX pretreatment, the usual elevation in basal plasma ACTH levels due to the diurnal rise in HPA system activity was abolished in the male LAB rats, whereas in the male HAB rats basal ACTH levels at 6:00, 7:00 and 7:30 P.M. were significantly higher, indicating DEX nonsuppression. The release of ACTH in response to CRH was significantly greater in the male HAB than the male LAB rats (2-way ANOVA, group X time: p = .03; Figure 1 ), which was also reflected by significantly higher AUC values (HAB: 2346 ± 400; LAB: 883 ± 268; p < .05). Similarly, the maximal rise of the plasma corticosterone concentration after CRH stimulation was significantly greater in the HAB than in the LAB rats (group X time: p = .0062), which was also reflected by higher AUC values (HAB: 8306 ± 1500; LAB: 3709 ± 458; p < .05).
The pituitary-adrenal ratio was similar in the HAB (0.28 ± 0.07) and LAB animals (0.24 ± 0.05; p = .94), indicating that the adrenal responsiveness to ACTH is not significantly different between male HAB and LAB rats.
DEX/CRH Test in Female HAB Rats and LAB Rats
After DEX pretreatment, there were no statistically significant differences in basal ACTH plasma concentrations (6:00–7:30 P.M.) between female HAB and female LAB rats. After CRH stimulation, the rise in the ACTH level was abolished in both groups of rats (group X time: p = .28; (Figure 2 ), which was also reflected by similar AUC values (HAB: 236 ± 37; LAB: 214 ± 53; p > .05). There were no significant differences in basal plasma corticosterone levels after DEX-pretreatment between the female HAB and LAB rats. In contrast to ACTH secretion, the rise in the plasma corticosterone concentration was not abolished in either group in response to CRH stimulation (factor time: p < .0001; Figure 2). There was no difference in corticosterone AUC values between the female HAB and LAB animals (HAB: 2916 ± 513; LAB: 2818 ± 708; p > .05).
DEX/CRH Test in Male HAB Rats Treated with Vehicle or V1 Receptor Antagonist
After DEX pretreatment, basal ACTH and corticosterone levels between 6:30 and 7:30 P.M. did not differ between the groups of male HAB rats treated subsequently with either vehicle or the V1 receptor antagonist (Figure 3 ). Administration of vehicle or the V1 receptor antagonist had no immediate effect (first 15 min) on ACTH or corticosterone secretion (Figure 3). However, antagonist administration attenuated the CRH-stimulated increase in both ACTH and corticosterone secretion seen in the vehicle-treated HAB rats (time X treatment: p < .0001 and p < .05, respectively). This effect was also reflected by lower AUC values for both ACTH (vehicle: 3386 ± 343; V1: 1169 ± 214; p < .01) and corticosterone (vehicle: 4675 ± 424; V1: 2739 ± 534; p < .05) after treatment with antagonist.
Basal Intra-PVN Release of AVP in Male HAB and LAB Rats
The averaged AVP content of two consecutive dialysates collected from the PVN of male HAB and LAB rats was found to be significantly different (p < .05), with higher basal levels in HAB rats (Figure 4 ).
Expression of AVP mRNA within the PVN of Male HAB and LAB Rats
Only a few scattered silver grains were detectable within the parvocellular neurons of the PVN synthesizing AVP in male HAB and LAB rats decapitated under basal conditions. In contrast, the mean gray value within the magnocellular part of the PVN was significantly higher in the male HAB rats (Figure 4; p < .05).
Immunohistochemistry
There were no differences in AVP-like immunoreactivity between the male HAB and LAB rats in either the external or internal zone of the median eminence (data not shown).
GR and MR Binding in Hippocampus, Hypothalamus and Pituitary of Male HAB and LAB Rats
Table 1 shows that there were no statistically significant differences between the male HAB and LAB rats in Bmax or Kd of GR or MR in any of the brain regions studied.
DISCUSSION
The HAB and LAB rat lines, differing markedly in their inborn anxiety-related and acute stress coping behaviors (Liebsch et al. 1998a,b; Keck et al. 2001a), provide a promising tool for investigating the relationship between inborn emotionality, acute stress coping, physiological and neuroendocrine stress responses and their underlying mechanisms (Liebsch et al. 1998a). Thus, studies on aberrant patterns in these selected laboratory animals genetically predisposed to certain behavioral strategies may contribute to a better understanding of human psychopathology states. Using the combined DEX/CRH test we were able to demonstrate a profound dysregulation of the HPA system in male rats with inborn hyperanxiety. The significantly elevated basal synthesis and release of AVP within the PVN indicates that AVP is critically involved in the aberrant HPA system reactivity under these psychopathological conditions. Accordingly, administration of a selective V1 receptor antagonist abolished the increased plasma ACTH and corticosterone response to the CRH challenge in the DEX-pretreated male HAB animals. This is the first direct evidence that the activation of the vasopressinergic system accounts for the disturbance of the HPA system in male HAB rats.
Aberrant Outcome of the Combined DEX/CRH Test in Male HAB Rats
In rats, the peak in plasma ACTH and glucocorticoids is found at the onset of the normal period of wakefulness in the evening and a trough is observed 12–18 h later (Krieger 1979). Receptor occupancy by endogenous glucocorticoids at the pituitary, which is known to be the preferred site of DEX action (Schinkel et al. 1995; de Kloet et al. 1998; Meijer et al. 1998), is minimal during the diurnal trough. Thus, a maximal effect is achieved by administering DEX at 12 M, when the endogenous HPA system activity is minimal (Krieger 1979; Hatzinger et al. 1996).
Our finding of elevated basal ACTH levels 6–7 h after DEX pretreatment in male HAB rats, but not in male LAB rats, indicates a partial failure of DEX suppression in HAB rats. In male LAB rats subsequent CRH stimulation failed to induce an escape of ACTH and corticosterone from DEX suppression, which supports the idea of a reciprocal interaction between exogenous and/or endogenous glucocorticoid titers and the degree of pituitary-adrenocortical activation by CRH (Rivier et al. 1982; Hatzinger et al. 1996). In contrast, as in patients suffering from major depression (Holsboer and Barden 1996), male HAB rats responded with a substantial increase in ACTH and corticosterone. Because the pituitary-adrenal ratios were indistinguishable between HAB and LAB rats, our data do not support the view that changes at the adrenal level account for the increased ACTH and corticosterone secretion after a CRH challenge. Furthermore, earlier studies showed a similar response of pituitary corticotropes to an i.v. CRH challenge in male HAB and LAB rats (Liebsch et al. 1998a; Keck et al. 2001a).
The aberrant outcome of the DEX/CRH test was gender-dependent as the female HAB rats were found to be indistinguishable from the female LAB rats when tested during the proestrus/estrus phase of their estrous cycle. Thus, in females DEX-suppression of ACTH secretion could be found in both HAB and LAB rats. Subsequent CRH stimulation did not cause escape of ACTH secretion from DEX suppression in either HAB or LAB females. In contrast, there was a profound corticosterone response to CRH stimulation, which, again, was indistinguishable between HAB and LAB females. This, however, is indicative of a generally enhanced adrenal sensitivity to ACTH in female rats under these conditions. Consistent with these findings, it could also be demonstrated in human studies that gender profoundly affects DEX/CRH test outcome (Heuser et al. 1994; Zobel et al. 2001).
It has been reported that the activity of the HPA system varies with the level of sexual steroids during the estrous cycle (Viau and Meaney 1991) and during female reproduction (Lightman and Young 1989; Walker 1995; Neumann et al. 1998a,b), and that there are differences between males and females (Kitay 1961; Rivier 1999; Neumann et al. 2000). Interestingly, prenatal (Weinstock 1997) and postnatal (Wigger and Neumann 1999) stress altered HPA system responsiveness in adult male, but not female, offspring demonstrating a greater vulnerability in males than in females. However, females of the HAB and LAB breeding lines show the same differences in their emotional profile as males (Liebsch et al. 1998b; Neumann et al. 1998b). Recent results also show a hyperresponsiveness of the HPA axis of female HAB rats when exposed to the maternal defense test (Neumann and Douglas, unpublished observation), a relevant stressor for females (Neumann et al. 2001).
Hyperactivity of the Intra-PVN Vasopressinergic System: Major Drive of the Aberrant Outcome of the DEX/CRH Test or Compensatory Mechanism?
After the discovery of CRH (Vale et al. 1981) it was rapidly established that AVP potently synergizes with CRH to stimulate pituitary ACTH secretion: when CRH and AVP are co-administered, hormone output is well above the combined effects of the two neuropeptides in both humans (von Bardeleben and Holsboer 1985) and rodents (Gillies et al. 1982). AVP is mainly synthesized in the magnocellular neurons of the hypothalamic PVN and the supraoptic nucleus. In addition, CRH and AVP are (co-)localized in parvocellular neurons of the PVN (Tilders et al. 1993), representing the hypothalamic origin of the HPA system. The CRH/AVP synergism is known to be functionally relevant under conditions of long-term activation of the HPA system, such as chronic stress in rats (e.g. de Goeij et al. 1992), human and rodent aging (Lucassen et al. 1993; Hatzinger et al. 2000; Keck et al. 2000) and human depression (Holsboer 1999; Purba et al. 1996). Thus, the hypothalamic signal for ACTH secretion produced by the parvocellular CRH neurons gradually shifts from a CRH-dominated signal to a more AVP-dominated one (Tilders et al. 1993). Indeed, Purba et al. (1996) found indications of an enhanced vasopressinergic drive by showing an increased number of AVP-expressing neurons in the PVN of depressed patients. Although the findings so far are not consistent (Heuser et al. 1998), additional indirect evidence for a role of AVP in affective disorders comes from the finding that fluoxetine treatment leads to a reduction in cerebrospinal fluid concentrations of AVP in patients with major depression (de Bellis et al. 1993). In this context there is strong evidence that AVP derived not only from parvocellular neurons of the PVN, but also from the magnocellular neurosecretory system, contributes to HPA system activity: AVP can be released from magnocellular neurons into the portal blood system, either by en passant release while passing through the internal zone of the median eminence or via short portal vessels from the posterior pituitary (Antoni 1983; Wotjak et al. 1996a,b).
The present study provides evidence that AVP contributes to the marked dysregulation of the HPA system in the HAB rat, which may be considered a genetically prone animal model to study the neurochemical correlates of depression and anxiety. The escape of both ACTH and corticosterone from the suppressive effects of DEX could be abolished by peripheral administration of a selective V1 receptor antagonist prior to the CRH challenge. Interestingly, both the synthesis of AVP in magnocellular neurons of the PVN and the release of AVP within the PVN were found to be increased more in HAB than in LAB rats, which favors hyperactivity of the magnocellular vasopressinergic system as an explanation for HPA system alterations. As an approach to study a differential activation of magnocellular and parvocellular AVP neurons in HAB and LAB rats, we used the detection of AVP-like immunoreactivity in the internal and external zone of the median eminence, which was indistinguishable in the two rat breeding lines. Therefore, increased intra-PVN release, and thus increased local synthesis of AVP in magnocellular neurons of this nucleus, might simply represent local compensatory mechanisms of the organism to counterregulate an HPA system that is hyperactive per se (Wotjak et al. 1996b). Accordingly, secretion of AVP into the blood circulation is similar in HAB and LAB rats under basal conditions (Landgraf et al. 1999), arguing against a general hyperactivity of the magnocellular AVP system in HAB rats.
As has been hypothesized for human major depressive illness, in the HAB rats the vasopressinergic hyperdrive partially overrides the inhibitory action of DEX on ACTH release by the enhanced AVP secretion, which acts synergistically to the external CRH challenge in the DEX/CRH test (review: Holsboer and Barden 1996). The elevated central (intra-PVN) release of AVP in male HAB rats shown in this study adds a new dimension to the phenomenon of AVP hyperdrive in psychopathology and deserves further investigation.
Involvement of Glucocorticoid and Mineralocorticoid Receptors
Although the mechanisms underlying the abnormal HPA reactivity to a combined DEX/CRH test in depressed patients are not fully understood, defects in the corticosteroid feedback regulation of the activity of the HPA system have been hypothesized (Modell et al. 1997, 1998; review: Holsboer 2000). This altered feedback might be involved in adaptive changes described post mortem in the hypothalamic CRH and AVP neurons that control the pituitary-adrenocortical system (Purba et al. 1996). Thus, the HAB animals may represent a promising model for further investigation of the psychopathological significance of a dysregulated HPA system.
Recently, stress induced by social defeat has been found to prompt long-lasting changes in the regulation of the HPA system in rats, in that the ACTH response to CRH after DEX administration was significantly greater in defeated rats than in controls (Buwalda et al. 1999). These changes were reflected in temporal dynamic alterations in hippocampal, hypothalamic and pituitary GR and MR binding. In this context it is important to note that the translation of the corticosteroid signal into a cellular response comprises various steps, including receptor binding, trafficking to the nucleus and nuclear actions of ligand-activated receptors (Holsboer 2000). In the present study we did not detect any alterations in either GR or MR binding. Therefore, the pathological DEX/CRH challenge outcome in male HAB rats might be related to increased AVP signaling per se rather than to impaired corticosteroid feedback inhibition. However, it is more likely that the phenomena reported here are linked to changes in mechanisms other than those detected by measuring Bmax and Kd, e.g. at the level of post-receptor signaling cascades (Holsboer 2000), including differences in the homo- or heterodimerization pattern of gluco- and mineralocorticoid receptors (Trapp et al. 1994) and their association with transcription factors and chaperones (Truss and Beato 1993). In support of this notion is the previous finding that in transgenic mice with impaired GR function, long-term treatment with the antidepressant moclobemide led to an increased GR function without changes in GR binding (Montkowski et al. 1995).
In summary, we could demonstrate that a high level of inborn emotionality is accompanied by impaired stress hormone regulation as reflected by an altered outcome of the DEX/CRH test. We submit that a basal hyperdrive of the hypothalamic vasopressinergic system contributes to this phenomenon. Thus, the increased release of endogenous AVP into hypophysial portal vessels is likely to mediate, together with the exogenous CRH, the escape of ACTH and corticosterone from DEX-induced HPA suppression. These data provide additional evidence in support of the hypothesis that in patients suffering from major depression the intrahypothalamic AVP release is enhanced, contributing to both endocrine and psychopathological abnormalities (Müller et al. 2000a).
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Acknowledgements
The authors would like to thank M. Rücker, G. Kohl, A. Zahn, K. Moschke and P. Lörscher for expert technical assistance. The V1 receptor antagonist was kindly provided by Dr. M. Manning, Toledo, OH, USA. This work was supported by the Deutsche Forschungsgemeinschaft (DFG). I.D.N. is in receipt of a Heisenberg grant from the DFG.
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Keck, M., Wigger, A., Welt, T. et al. Vasopressin Mediates the Response of the Combined Dexamethasone/CRH Test in Hyper-anxious Rats: Implications for Pathogenesis of Affective Disorders. Neuropsychopharmacol 26, 94–105 (2002). https://doi.org/10.1016/S0893-133X(01)00351-7
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DOI: https://doi.org/10.1016/S0893-133X(01)00351-7
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