Stress in adolescence can regulate vulnerability to traumatic stress in adulthood through region-specific epigenetic activity and catecholamine levels. We hypothesized that stress in adolescence would increase adult trauma vulnerability by impairing extinction-retention, a deficit in PTSD, by (1) altering class IIa histone deacetylases (HDACs), which integrate effects of stress on gene expression, and (2) enhancing norepinephrine in brain regions regulating cognitive effects of trauma. We investigated the effects of adolescent-stress on adult vulnerability to severe stress using the single-prolonged stress (SPS) model in male rats. Rats were exposed to either (1) adolescent-stress (33–35 postnatal days) then SPS (58–60 postnatal days; n = 14), or (2) no adolescent-stress and SPS (58–60 postnatal days; n = 14), or (3) unstressed conditions (n = 8). We then measured extinction-retention, norepinephrine, HDAC4, and HDAC5. As expected, SPS exposure induced an extinction–retention deficit. Adolescent-stress prior to SPS eliminated this deficit, suggesting adolescent-stress conferred resiliency to adult severe stress. Adolescent-stress also conferred region-specific resilience to norepinephrine changes. HDAC4 and HDAC5 were down-regulated following SPS, and these changes were also modulated by adolescent-stress. Regulation of HDAC levels was consistent with the pattern of cognitive effects of SPS; only animals exposed to SPS without adolescent-stress exhibited reduced HDAC4 and HDAC5 in the prelimbic cortex, hippocampus, and striatum. Thus, HDAC regulation caused by severe stress in adulthood interacts with stress history such that seemingly conflicting reports describing effects of adolescent stress on adult PTSD vulnerability may stem in part from dynamic HDAC changes following trauma that are shaped by adolescent stress history.
Stress during development is so prevalent that it in some populations the majority of children experience at least one traumatic event1,2,3. Stressful events have diffuse effects on the adolescent transition into adulthood, including impairments in health, financial and academic success, and risk of drug taking4,5. In clinical populations, decades of research have used a cumulative load model which conceptualizes effects of stress across the lifespan as conferring accruing risk for pathological stress responses6,7. Clinical studies have shown adolescent-stress can have lasting and delayed effects, which interact with environmental factors to promote vulnerability or resilience to psychopathology1,8,9,10,11,12, reviewed in13.
Clinical observations regarding the contribution of adolescent-stress to adult vulnerability to PTSD are by nature correlative, with inherent challenges in defining the timing of stress exposure in retrospect. Additionally, accounting for the specific timing of developmental stress is challenging given variability in stress duration, chronicity, predictability, and the non-linearity of maturational processes within adolescence, resulting from puberty and region-specific brain maturation that is both progressive and regressive14,15. These limitations have made the effects of adolescent-stress difficult to define. In parallel, preclinical evidence has demonstrated that adolescent-stress can enhance16,17,18,19, attenuate16,20, or have no detectable effect on cognitive and endocrine features of adult stress responsivity17,18,19; reviewed in21,22. One key mechanism by which adolescent-stress may enhance vulnerability to psychopathology is epigenetic modification, including the removal of acetyl groups by histone deacetylases (HDACs)23. HDACs reduce transcriptional access and decrease gene expression, thereby acting as epigenetic repressors which modulate behavior and memory13,24. HDACs are grouped into classes based on homology, and function independently or cooperatively to achieve rapid, complex changes in gene regulation25. HDAC regulation of gene transcription is necessary for adolescent development but can be regulated by stress exposure26,27, for example, HDAC4 and HDAC5 are class IIa HDACs which are environmentally regulated and modulate stress responsivity28,29. Early stress can lastingly regulate expression of HDACs 1,3,7,824,30, yet, the effects of adolescent-stress on adulthood levels of HDACs are unknown.
Among HDACs, HDAC4/5 are particularly relevant to our inquiry because (1) several studies have linked these targets to effects of environmental context on complex cognition and (2) dysregulation of HDAC4 and HDAC5 can contribute to the development of psychopathology28,29,31,32,33,34. For example, HDAC4 is linked to heightened fear expression during fear extinction learning through an interaction with PTSD status33. HDAC5 has been proposed as a central integrator of the effects of adverse environmental stimuli on chromatin and gene expression31. Further, an HDAC5 target, NPAS4, appears to regulate neural activity following stress and contextual memory formation29,35,36. Broad pharmacological inhibition of class I and II HDACs can enhance fear memory reconsolidation or fear extinction, including extinction learning, following exposure to the preclinical model of severe stress called single-prolonged stress (SPS)37,38,39,40. Deficits in the ability to recall and apply extinction learning to attenuate fear responses upon re-exposure to the extinction context, referred to as an extinction retention deficit, is a prominent model of the effects of trauma-like stress that has been characterized in individuals with PTSD and in preclinical models of severe stress41,42,43,44,45. Extinction retention deficits in PTSD have been linked to hypoactivation of the medial prefrontal cortex (PFC) and the hippocampus, coupled with amygdala hyperactivation41,43.
Another potential key modulator of extinction retention is norepinephrine (NE). NE is also highly relevant to our question of adolescent-stress effects on trauma vulnerability because PTSD is characterized by increased NE in cerebrospinal fluid46,47 which is thought to contribute to PTSD symptoms including aberrant fear memory and extinction learning48, hyperarousal, re-experiencing, and sleep disturbance49,50. Additionally, NE regulation develops throughout adolescence, such that the developmental timing of stress exposure can shape NE systems as well as the effects of NE on cognition, extinction learning54,55,56, and potentially dysregulated memory in PTSD51,52,53,54,57,58. Further, NE regulation is dynamic and can change in magnitude and direction with compounding stress59. SPS affects the noradrenergic system50; by increasing NE in the prefrontal cortex, amygdala60, and hippocampus61. There are also region-specific patterns of NE change following developmental stress23,52,62. Thus, we aimed to determine the effects of adolescent-stress followed by adult trauma-like stress on NE in the prelimbic cortex (PLC), hippocampus, striatum, and amygdala in the context of extinction retention.
Here, we investigate the effects of adolescent-stress on cognitive, noradrenergic, and epigenetic effects of trauma-like stress exposure in adulthood using a preclinical model of a deficit found in PTSD. Specifically, we tested the effects of adolescent-stress and adult severe stress (SPS) on extinction retention and region-specific levels of HDAC4, HDAC5, NPAS4, and NE. We predicted that adolescent-stress exposure would increase vulnerability to adverse effects of severe stress, such that animals exposed to adolescent-stress prior to SPS would show impaired extinction retention. We also predicted that the extinction retention deficit would co-occur with (1) lasting decreases in HDAC4/5 and (2) elevated NE. We further predicted that molecular changes, in concert with prominent hypotheses of the cumulative effects, would be greatest following exposure to both adolescent-stress and SPS in adulthood.
Subjects and housing
Male Sprague–Dawley CD rats (n = 36) were obtained at 30 days of age from Charles River Laboratories (Kingston, NY). Upon arrival, rats were pair-housed and assigned to one of three groups: (1) adolescent-stress and SPS in early adulthood (n = 14), (2) control rearing and SPS in early adulthood (n = 14; i.e. SPS only), or (3) no stress exposure (n = 8). A timeline of procedures is depicted in Fig. 1. Following arrival, rats were given 5 days to acclimate before handling (20–22 °C; 50% relative humidity; 12:12 light/dark cycle; lights on at 0600 h). Animals were housed in standard plastic cages (20 cm × 26 cm × 45 cm) with wood chip bedding; cleaned weekly, except following SPS. Standard rat chow (LabDiet 5001, 23% protein) and tap water were available ad libitum. To control for circadian rhythms, testing started a minimum of 3 h after the beginning of the light cycle and completed within 4 h of the start of the test. Testing order was pseudo-randomized (randomized within blocks), and treatment groups were evenly distributed during the first and last hours of the testing. To minimize disturbance, the experimenter was not in the room during fear conditioning procedures or adolescent stressor administration. Procedures were approved by the VA Ann Arbor Healthcare System Institutional Animal Care and Use Committee (#1312-004); all procedures were performed in accordance with the relevant guidelines and regulations.
Repeated variable stress in adolescence
Rats were exposed to repeated variable stress in mid-adolescence, from 33 to 35 postnatal days of age. The repeated variable stress paradigm encompassed three stressors, each representing a different modality of predation cues (visual: a swooping hawk model, olfactory: fox urine, auditory: large cat vocalizations, stressors described in Table 1). Rats encountered 1 stressor per day, for 3 consecutive days. Stressor timing was varied (i.e. unpredictable) and counterbalanced such that half of the rats from each age group experienced 2 stressors during the light phase and 1 during the dark phase with the other half experiencing 1 stressor during the light phase and 2 during the dark phase.
Single prolonged stress
SPS has been used for two decades to model PTSD traits63,64; reviewed in50. In SPS, rats are exposed to three stressors in succession followed by isolation for 7-days [additional detail in supplementary methods and44,64,65]. Briefly, rats were restrained for 2 h, then forced to swim (23–24 °C) in a 68 × 56 × 45 cm opaque plastic container in groups of 6–8 for 20 min. Rats were then towel-dried and given 15 min to recuperate with a heat source. Next, rats were exposed to diethyl ether vapors in a desiccator until loss of consciousness. Finally, rats were individually-housed in clean cages and undisturbed for 7-days44,67. SPS-induced neuroendocrine effects, including HPA negative feedback and glucocorticoid receptor mRNA expression, are only evident a 7-day quiescent period of SPS63,67. Isolation can have neuroendocrine effects, thus control rats were isolated to account for potential housing effects which could otherwise confound group comparisons68.
Fear learning, extinction, and extinction retention testing
SPS can induce an extinction retention deficit, in which fear is enhanced after a fear association has been extinguished, indicating the dominance of fear memory over extinction memory44,65,67. To test extinction retention, rats were trained on the 8th day following SPS to associate a tone with a shock across five shock-tone pairings in a fear conditioning chamber (day 1: fear conditioning; shock features: 1 s, 1 mA; tone: 10 s, 1 kHz, 80 dB, 60 s inter-trial-interval65,69). Freezing responses were quantified as a proxy of fear44,70. On the 9th day after SPS, rats were presented with the same tone 30 times without the shock to extinguish fear responses in a second context (day 2: fear extinction). The second context was differentiated by novel auditory, visual, tactile, and olfactory cues65,69. Finally, rats were returned to the extinction context on the 10th day after SPS and were re-exposed to the tone without the shock for 10 presentations (day 3: extinction retention). Additional details are provided in the supplementary methods, based on65. Freezing was defined as immobility, > 1 s, with or without small pendulum-like head movements with feet/body/neck immobility without vibrissae movement69, as this is indicative of fear in rats71 and other small mammals72,73.
Brain dissection for neurochemical analysis
Brains were harvested after rapid decapitation without anesthesia and immediately frozen on dry ice for later processing, on the day following extinction retention testing [methods based on69]. To obtain tissue punches of specific regions, brains were thawed at − 20 °C for 10 min. Brains were sliced into 2 mm coronal sections using a chilled stainless-steel rat brain matrix. Bilateral tissue punches (1.5 mm) were obtained from the PLC, dorsolateral striatum, amygdala, and dorsal hippocampus, in accordance with the Paxinos and Watson Rat Brain Atlas, and frozen at − 80 °C for subsequent analysis. Punch hemisphere was randomized at the individual-level for high-pressure liquid chromatography (HPLC) and alternative punches were used for immunoblotting.
Norepinephrine analysis with high pressure liquid chromatography (HPLC)
Whole tissue NE levels were measured with HPLC [methods based on69,74]. Tissue punches were suspended in 50 μL of 0.2 N HClO4, then sonically disrupted and centrifuged (4 °C; 12,300 rpm; 10 min). Next, 25 μL aliquots of supernatant were loaded into a Dionex Ultimate 3000 HPLC system for analysis (Thermoscientific, Waltham, MA). Thermoscientific TEST Mobile Phase flowed in the column at a rate of 0.6 mL/min; containing acetonitrile, phosphate buffer, and an ion-pairing reagent. Coulometric electrochemical detection was achieved with a dual electrode cell set at − 175 mV (reference) and 300 mV (working). Chromatograms were analyzed using Dionex Chromeleon software (version 7); a detection threshold was set at 3 times the average height of 4 solvent peaks (neurochemicals below this threshold were omitted from further analysis). Absolute values of NE were determined by comparison with external standard (Sigma-Aldrich, St. Louis, MO) run in parallel and in duplicate at the beginning and the end of each run. NE levels were corrected using frozen tissue weight to obtain total concentration, expressed as ng neurochemical/mg tissue weight.
Immunoblotting for HDAC4, HDAC5, and NPAS4 protein levels
Tissue punches were homogenized in lysis buffer (20 mM Tris [pH 7.5], 150 mM NaCl, 2 mM EDTA, 1% Triton X-100, 10% glycerol with protease and phosphatase inhibitors) then centrifuged (4 °C; 10,000 rpm; 10 min). Total protein content of each sample was determined with a Pierce 660 nm Protein Assay (ThermoFisher). Standardized amounts of protein (5 µg) were loaded into 4–12% sodium dodecyl sulfate–polyacrylamide gels and proteins were separated by electrophoresis. Separated proteins were transferred to nitrocellulose membrane by region using a semi-dry transfer apparatus (15V; 40 min; Invitrogen, NY). Nitrocellulose membranes were exposed to antibodies against HDAC4 (rabbit monoclonal, Cell Signaling Technology, #7628; 1:300075) followed by HDAC5 (rabbit polyclonal, Proteintech, 16166-1-AP; 1:100076), then β-Actin (mouse monoclonal, LI-COR, 926-42212; 1:3000) and NPAS4 (goat polyclonal, Abcam, #ab109984; 1:2000) in Odyssey blocking buffer in Tris-buffered saline containing 0.1% sodium azide (LI-COR). Secondary antibodies were used for visualization (HDACs: goat polyclonal anti-rabbit, LI-COR, 1:2000; Actin: goat polyclonal anti-mouse, LI-COR, 1:300077) then blots were scanned on an Odyssey CLx Near-Infrared Fluorescence Imaging System (LI-COR); reference blots in supplementary Figure S1. Following visualization of each secondary antibody, band intensity was quantified with Image J software (NIH) using densiometric analysis for each band, minus the blot background signal for each band78. Total protein signals were normalized to β-actin signals and are presented as a ratio to β-actin.
Percent freezing during each fear learning testing phase was analyzed with a separate repeated measure analysis of variance (RMANOVA), with stress condition and time as fixed effects. Fear extinction (30 trials) and extinction retention (10 trials), due to their length, were separated into an early phase (first half of trials) and late phase (second half of trials)44,69,79. If a main effect was detected, groupwise univariate ANOVAs were used to compare each group directly. One rat from the SPS-only group was omitted from behavioral analysis because the video system malfunctioned and did not provide a recording for that animal. To evaluate NE, HDAC4/5, and NPAS4, univariate general linear models were used with adolescent-stress and SPS as fixed effects. If analytes were below the threshold for detection in HPLC the individual measurement was omitted from analysis, these included: one SPS-only animal for the hippocampus; one control and one SPS-only animal in the prelimbic cortex; three control and two rats from each SPS group in the striatum. For the NPAS4 PLC nitrocellulose membrane, two samples were obscured by hyper-staining and were omitted: one SPS-only and one adolescent-stress animal. Analyses were run using IBM SPSS Statistics v.24; values are reported as means ± standard error.
All groups showed equivalent increases in fear during the fear conditioning phase (treatment: F1,29 = 0.29, P = 0.75, time x treatment: F1,29 = 2.94, P = 0.07, time: F1,29 = 140.84, P < 0.01; Fig. 2A).
During fear extinction there was a main effect of treatment during the first phase (F1,29 = 5.95, P < 0.01, time x treatment: F1,29 = 1.99, P < 0.01, time: F1,29 = 14.24, P < 0.01) and the second phase (F1,29 = 3.42, P < 0.05, time x treatment: F1,29 = 1.21, P = 0.21, time: F1,29 = 2.56, P < 0.01; Fig. 2B). Group-level comparisons within extinction phase demonstrated that SPS exposure increased fear responses during extinction compared with control rats (no stress) in the first phase (SPS vs. control: F1,19 = 11.31, P < 0.01) and the second phase (SPS vs. control: F1,19 = 5.74, P < 0.03). SPS also decreased the rate of extinction learning compared to controls in the first phase (time × treatment: F1,19 = 2.88, P < 0.01), but this attenuated to a trend in the second phase (F1,19 = 2.88, P = 0.096). Exposure to adolescent-stress (AS), compared to SPS alone, prevented the development of deficits in extinction learning in the first phase (SPS vs. AS + SPS: F1,22 = 4.07, P = 0.05; time × treatment: F1,22 = 1.83, P = 0.03), at the level of a trend in the second phase (SPS vs. AS + SPS: F1,22 = 3.16, P = 0.089, no interaction detected). In both phases animals exposed to AS and SPS did not differ from controls (phase 1: AS + SPS vs. control: F1,18 = 2.26, P = 0.15, interaction: F1,18 = 1.24, P = 0.25; phase 2: AS + SPS vs. control: F1,18 = 0.66, P = 0.43, interaction: F1,18 = 0.56, P = 0.89).
In the first half of the extinction retention testing there was a main effect across the three treatments (F1,29 = 3.32, P = 0.05, interaction and time effects P > 0.05; Fig. 2C). Subsequent group comparisons showed that SPS enhanced freezing during the first half of extinction retention compared with unstressed rats (SPS vs. control: F1,16 = 6.94, P = 0.02, interaction: F1,16 = 2.42, P < 0.06), but rats exposed to AS and SPS did not differ from either the SPS only or unstressed groups (P > 0.05). For the second phase of extinction retention testing there was a main effect of treatment (F1,29 = 3.70, P = 0.04, no interaction or time effects, P > 0.05). SPS rats continued to show elevated freezing responses compared with unstressed rats (SPS vs. control: F1,16 = 5.46, P = 0.03, no interaction detected). However, the combination of AS and SPS decreased freezing compared with SPS alone, i.e. increased extinction retention (SPS vs. AS + SPS: F1,22 = 4.09, P = 0.05, no interaction detected). Further, the extinction retention freezing scores of rats exposed to AS prior to SPS did not differ from unstressed rats (AS + SPS vs. control: F1,20 = 0.50, P = 0.49, no interaction detected).
In the PLC, SPS exposure alone did not affect NE levels (SPS main effect: F1,29 = 2.46, P = 0.13). However, PLC NE was elevated by the combination of AS and SPS (AS main effect: F1,29 = 4.78, P = 0.04, Fig. 3). In the hippocampus, SPS exposure decreased NE (SPS main effect: F1,28 = 8.21, P = 0.01). Conversely, exposure to the combination of AS and SPS did not affect hippocampal NE (AS main effect: F1,28 = 2.64, P = 0.11). In the striatum, exposure to SPS elevated NE (SPS main effect: F1,26 = 4.42, P < 0.05), but this effect was reversed by AS (AS main effect: F1,29 = 7.07, P = 0.01). In the amygdala, seven samples were below thresholds for detection, such that NE could not be accurately determined for this region.
HDAC4, HDAC5, and NPAS4 protein levels
In the PLC, HDAC4 levels were affected by exposure to AS (AS main effect: F1,23 = 4.00, P = 0.05) whereas SPS had a trend-level effect (SPS main effect: F1,23 = 2.92, P = 0.10, Fig. 4). Compared to controls, SPS decreased PLC HDAC4 levels by 34%, whereas the combination AS + SPS increased PLC HDAC4 levels by 4%. Similarly, compared with the control condition, PLC HDAC5 levels were decreased 49% by SPS and 26% by AS + SPS, but no AS effect was detected (SPS main effect: F1,23 = 6.08, P = 0.02; AS main effect: F1,23 = 1.53, P = 0.23). The HDAC5 target NPAS4 was not affected by either stress manipulation in the PLC (P > 0.51, Supplementary Fig. S1).
In the hippocampus, SPS decreased HDAC4 and HDAC5 levels by 37% and 45%, respectively, compared with unstressed controls (SPS main effect: HDAC4: F1,25 = 5.52, P = 0.03; HDAC5: F1,25 = 7.02, P = 0.02). Conversely, hippocampal HDAC4 and HDAC5 were increased by 4% and 7% in rats exposed to AS + SPS, respectively, compared to controls (AS main effect: HDAC4: F1,25 = 7.83, P = 0.01; HDAC5: F1,25 = 10.73, P < 0.01). Hippocampal NPAS4 was not affected by any stress manipulation (P > 0.41, Supplementary Fig. S2).
In the striatum, AS shaped HDAC4 and HDAC5 levels (AS main effect: HDAC4: F1,23 = 6.16, P = 0.02; HDAC5: F1,23 = 7.74, P = 0.01). Compared to controls, AS + SPS increased HDAC4 by 10% and HDAC5 by 16% whereas SPS-alone decreased HDAC4 by 34% and HDAC5 by 26%. However, SPS did not have a statistically detectable effect (P > 0.11).
In the amygdala, neither AS nor SPS had detectable effects on HDAC4/5 levels (P > 0.15). Thus, NPAS4 was not evaluated in the amygdala.
We predicted that adolescent-stress exposure would exacerbate extinction retention deficits as well as epigenetic and noradrenergic changes seen in animals exposed to trauma-like stress in adulthood. Contrary to our prediction, adolescent-stress buffered the adverse effects of adult severe stress on extinction retention and HDAC levels (Fig. 2A,B). In line with our predictions, adolescent-stress increased PLC NE following adult SPS, suggesting that adverse adolescent conditions lastingly regulate noradrenergic responses to severe stress in adulthood. In the other regions tested, NE did not conform to our prediction: SPS elevated striatal NE but this effect was not seen if SPS was preceded by adolescent-stress, suggesting buffering effects of adolescent-stress. In the hippocampus, NE was decreased by adult stress exposure, without a detectable effect of adolescent-stress. These results support dynamic, region-specific effects of adolescent-stress on adult noradrenergic signaling rather than additive effects of the combined stress manipulations (Fig. 3). Similarly, adolescent-stress prior to adult-stress had systematic buffering effects on HDAC4 and HDAC5 levels in brain regions that mediate cognitive effects of traumatic stress (Fig. 4). Thus, exposure to stress in adolescence has the capacity to shape the cognitive, noradrenergic, and epigenetic effects of future stress in adulthood.
The effects of adolescent-stress and adult SPS on NE levels were region specific but were not additive in any region tested. In the PLC, the combination of adolescent-stress and adult SPS exposure increased NE, which is consistent with prior evidence that stress exposure increases PLC NE80,81, yet SPS alone did not affect PLC NE [similar to61]. Thus, regulation of stress-induced PLC NE could be a mechanism by which adolescent-stress precipitates the emergence of adverse cognitive effects of traumatic stress. Our findings extend prior evidence that adolescence may be a period of increased stress sensitivity in NE regulation compared with adulthood82, and support that adolescence is a sensitive period for shaping adult responses to stress through region-specific NE regulation. In the hippocampus, SPS decreased NE; hippocampal NE modulates synaptic plasticity and is necessary for the retrieval of contextual memories such that decreased hippocampal NE could inhibit extinction retention83,84. In the striatum, adolescent-stress appeared to buffer effects of SPS on NE levels, concurring with the group patterns of extinction retention performance. Post hoc analysis did not reveal individual-level relationships; a design powered for individual-level analysis could elucidate these patterns. The functional significance of increased striatal NE is unclear, but it should be noted that NE changes are dynamic and exposure to shocks, such as those administered during fear conditioning, triggers release of NE from the locus coeruleus thereby increasing NE58,84. However, a time-course study has yielded insights into the timing of NE release following shock and has shown a short-term depletion in NE across the brain (including in the PFC and hippocampus), except in the striatum85. Overall, changes in NE are dynamic and mediated by pre-existing NE levels and the specifics of task stimuli86. To elucidate the relationship between effects of stress history on HDAC4/5 levels and changes in NE demonstrated by the current results, future studies could leverage pharmacological manipulation of NE or HDAC4/5 levels and time-course measurements in limbic and frontal regions and the locus coeruleus. Defining the capacity for stress history to shape effects of trauma on NE is essential given that (1) NE regulation has been implicated in various features of PTSD, including aberrant fear extinction48, and (2) therapeutic drugs to either elevate or reduce NE transmission have both had varied success in off-label treatment of PTSD, highlighting key gaps in current knowledge86. Of interest, administration of a systemic \(\upbeta\)-noradrenergic receptor antagonist after fear conditioning in male rats can reduce fear behavior during extinction learning and enhance extinction retention, demonstrating a role of NE in extinction learning and memory87.
Consistent with our predictions and prior clinical evidence of decreased HDAC4 in PTSD33, our results demonstrate that SPS decreased HDAC4/5 in brain regions mediating cognitive effects of traumatic stress. Contrary to our prediction, we found that exposure to adolescent-stress prior to adult SPS buffered effects on HDAC4/5. This is in contrast to apparent cumulative effects of adverse childhood experiences on methylation9,10,11,12, and reflects evidence that while DNA methylation is thought to lead to stable gene repression, certain histone modifications are reversible and regulate dynamic pathways that may present novel therapeutic targets88. Our current results suggest that HDAC4/5 expression can be dynamically modulated by both current stress and stress history. Adolescent-stress could buffer SPS-induced changes in HDAC4/5 through three possible mechanisms: (1) preventing changes in HDAC4/5 following SPS, (2) reversing effects of SPS after a temporal delay, or (3) opposing effects that precede SPS exposure (i.e. lasting HDAC4/5 increases). The latter possibility is less congruent with accumulating evidence of dynamic HDAC regulation in response to environmental conditions31,33. Adolescent-stress could prevent (1) or reverse (2) effects of SPS on HDAC4/5 by lastingly modulating the sensitivity by which HDAC4/5 are synthesized or degraded. HDAC4 degradation is regulated by the ubiquitin–proteasome system, with stress-dependent activity enabling cells to withstand stress34,88,89,91. The similar patterns of change detected following stress in HDAC4/5 may reflect that both of these can be regulated by the same microRNAs92,93. Although we show HDAC4/5 patterns to be similarly affected by stress and stress history, differential HDAC4/5 activity could arise through differential subcellular distribution, actions of histone acetyl transferases, or interaction with downstream targets94,95. Here, levels of an HDAC5 target, NPAS4, were not affected by stress manipulation, emphasizing the independent regulation of gene targets and suggesting that NPAS4 may not be a gene target consolidating effects of traumatic stress exposure.
A key extension of the current study would be the inclusion of female rodents. Epigenetic effects of developmental stress can be greater in females than in males96,97. Further, HDAC binding and expression in the brain is sex specific, and sex steroids modulate effects of stress on HDAC regulation33,97,98,99,101. Additionally, humans and rodents show sex specificity in effects of traumatic stress and learned fear responses, including fear conditioning behavior101,102,104. A limitation of the current study is that effects of adolescent-stress are not isolated or directly compared to effects during adulthood or other, earlier developmental stages. Given the extensive maturational changes of systems investigated here, and unknown ontogenetic changes in HDAC4/5, effects of stress during other phases may differ in magnitude or direction. Finally, all neurochemical measures were obtained at a single time-point, such that plasticity is unclear. Time-course studies could determine whether adolescent-stress prevents change in HDAC4/5 following traumatic stress or reverses effects after a delay as well as define effects of stress timing and intensity.
Our results demonstrate a novel, unanticipated capacity for stress in adolescence to buffer effects of adult trauma-like stress on a cognitive deficit characteristic of PTSD as well as HDAC4/5 and NE levels. Our findings also expand current models of developmental stress with respect to epigenetic regulation in adulthood, by demonstrating that HDAC4 and HDAC5 are dynamically regulated following stress exposure in a manner that reflects stress history. Given this result, and prior evidences that HDAC4/5 have key roles regulating effects of stress on behavior, complex cognition, glucocorticoids, and neural activity, evaluation of HDAC4/5 in the context of resilience and population subgrouping could be informative29,35,36. Additionally, our findings suggest that stress history can drive heterogeneity in responses to traumatic stress in adulthood through dynamic HDAC programming effects, which may manifest in clinical inconsistencies in the effects of childhood stress on vulnerability to adverse effects of adult trauma.
Data will be made publicly available at the time of publication through ResearchGate: https://www.researchgate.net/profile/Lauren_Chaby/publications.
Posttraumatic stress disorder
HDAC4 and HDAC5
Single prolonged stress
Fincham, D. S., Altes, L. K., Stein, D. J. & Seedat, S. Posttraumatic stress disorder symptoms in adolescents: Risk factors versus resilience moderation. Compr. Psychiatry 50, 193–199 (2009).
Green, J. G. et al. Childhood adversities and adult psychopathology in the National Comorbidity Survey Replication (NCS-R) I: Associations with first onset of DSM-IV disorders. Arch. Gen. Psychiatry 67, 113 (2010).
Seedat, S., Nyamai, C., Njenga, F., Vythilingum, B. & Stein, D. J. Trauma exposure and post-traumatic stress symptoms in urban African schools. Survey in CapeTown and Nairobi. Br. J. Psychiatry 184, 169–175 (2004).
Copeland, W. E. et al. Association of childhood trauma exposure with adult psychiatric disorders and functional outcomes. JAMA Netw. Open 1, e184493–e184493 (2018).
Carliner, H. et al. Childhood trauma and illicit drug use in adolescence: A population-based national comorbidity survey replication-adolescent supplement study. J. Am. Acad. Child Adolesc. Psychiatry 55, 701–708 (2016).
McEwen, B. S. & Stellar, E. Stress and the individual. Mechanisms leading to disease. Arch. Intern. Med. 153, 2093–2101 (1993).
Gallo, L. C., Fortmann, A. L. & Mattei, J. Allostatic load and the assessment of cumulative biological risk in biobehavioral medicine: Challenges and opportunities. Psychosom. Med. 76, 478–480 (2014).
Hébert, M., Lavoie, F. & Blais, M. Post traumatic stress disorder/PTSD in adolescent victims of sexual abuse: Resilience and social support as protection factors. Ciênc. Saúde Coletiva 19, 685–694 (2014).
McGowan, P. O. et al. Epigenetic regulation of the glucocorticoid receptor in human brain associates with childhood abuse. Nat. Neurosci. 12, 342–348 (2009).
Beach, S. R. H., Brody, G. H., Todorov, A. A., Gunter, T. D. & Philibert, R. A. Methylation at SLC6A4 is linked to family history of child abuse: An examination of the iowa adoptee sample. Am. J. Med. Genet. B Neuropsychiatr. Genet. 153B, 710–713 (2010).
Beach, S. R. H., Brody, G. H., Todorov, A. A., Gunter, T. D. & Philibert, R. A. Methylation at 5HTT mediates the impact of child sex abuse on women’s antisocial behavior: An examination of the Iowa adoptee sample. Psychosom. Med. 73, 83–87 (2011).
Perroud, N. et al. Increased methylation of glucocorticoid receptor gene (NR3C1) in adults with a history of childhood maltreatment: A link with the severity and type of trauma. Transl. Psychiatry 1, e59 (2011).
Hunter, R. G. & McEwen, B. S. Stress and anxiety across the lifespan: Structural plasticity and epigenetic regulation. Epigenomics 5, 177–194 (2013).
Pratchett, L. C. & Yehuda, R. Foundations of posttraumatic stress disorder: Does early life trauma lead to adult posttraumatic stress disorder?. Dev. Psychopathol. Camb. 23, 477–491 (2011).
Spear, L. P. Adolescent neurodevelopment. J. Adolesc. Health 52, S7-13 (2013).
Pohl, J., Olmstead, M. C., Wynne-Edwards, K. E., Harkness, K. & Menard, J. L. Repeated exposure to stress across the childhood-adolescent period alters rats’ anxiety- and depression-like behaviors in adulthood: The importance of stressor type and gender. Behav. Neurosci. 121, 462–474 (2007).
Mathews, I. Z., Wilton, A., Styles, A. & McCormick, C. M. Increased depressive behaviour in females and heightened corticosterone release in males to swim stress after adolescent social stress in rats. Behav. Brain Res. 190, 33–40 (2008).
Wright, L. D., Hébert, K. E. & Perrot-Sinal, T. S. Periadolescent stress exposure exerts long-term effects on adult stress responding and expression of prefrontal dopamine receptors in male and female rats. Psychoneuroendocrinology 33, 130–142 (2008).
Chaby, L. E., Cavigelli, S. A., Hirrlinger, A. M., Caruso, M. J. & Braithwaite, V. A. Chronic unpredictable stress during adolescence causes long-term anxiety. Behav. Brain Res. 278, 492–495 (2015).
Uys, J. D. K. et al. Early life trauma decreases glucocorticoid receptors in rat dentate gyrus upon adult re-stress: Reversal by escitalopram. Neuroscience 137, 619–625 (2006).
Green, M. R. & McCormick, C. M. Effects of stressors in adolescence on learning and memory in rodent models. Horm. Behav. 64, 364–379 (2013).
Chaby, L. E., Zhang, L. & Liberzon, I. The effects of stress in early life and adolescence on posttraumatic stress disorder, depression, and anxiety symptomatology in adulthood. Curr. Opin. Behav. Sci. 14, 86–93 (2017).
Lupien, S. J., McEwen, B. S., Gunnar, M. R. & Heim, C. Effects of stress throughout the lifespan on the brain, behaviour and cognition. Nat. Rev. Neurosci. 10, 434–445 (2009).
Agis-Balboa, R. C., Pavelka, Z., Kerimoglu, C. & Fischer, A. Loss of HDAC5 impairs memory function: Implications for Alzheimer’s disease. J. Alzheimers Dis. 33, 35–44 (2013).
Katan-Khaykovich, Y. & Struhl, K. Dynamics of global histone acetylation and deacetylation in vivo: Rapid restoration of normal histone acetylation status upon removal of activators and repressors. Genes Dev. 16, 743–752 (2002).
Stefanko, D. P., Barrett, R. M., Ly, A. R., Reolon, G. K. & Wood, M. A. Modulation of long-term memory for object recognition via HDAC inhibition. PNAS 106, 9447–9452 (2009).
Whittle, N. & Singewald, N. HDAC inhibitors as cognitive enhancers in fear, anxiety and trauma therapy: Where do we stand?. Biochem. Soc. Trans. 42, 569–581 (2014).
Makinistoglu, M. P. & Karsenty, G. The class II histone deacetylase HDAC4 regulates cognitive, metabolic and endocrine functions through its expression in osteoblasts. Mol. Metab. 4, 64–69 (2015).
Taniguchi, M. et al. HDAC5 and its target gene, Npas4, function in the nucleus accumbens to regulate cocaine-conditioned behaviors. Neuron 96, 130-144.e6 (2017).
Levine, A., Worrell, T. R., Zimnisky, R. & Schmauss, C. Early life stress triggers sustained changes in histone deacetylase expression and histone H4 modifications that alter responsiveness to adolescent antidepressant treatment. Neurobiol. Dis. 45, 488–498 (2012).
Renthal, W. et al. Histone deacetylase 5 epigenetically controls behavioral adaptations to chronic emotional stimuli. Neuron 56, 517–529 (2007).
Fitzsimons, H. L., Schwartz, S., Given, F. M. & Scott, M. J. The histone deacetylase HDAC4 regulates long-term memory in Drosophila. PLoS One 8, e83903 (2013).
Maddox, S. A. et al. Estrogen-dependent association of HDAC4 with fear in female mice and women with PTSD. Mol. Psychiatry 23, 658–665 (2018).
Wu, Y. et al. Aberrant expression of histone deacetylases 4 in cognitive disorders: Molecular mechanisms and a potential target. Front. Mol. Neurosci. 9, 20 (2016).
Ramamoorthi, K. et al. Npas4 regulates a transcriptional program in CA3 required for contextual memory formation. Science 334, 1669–1675 (2011).
Drouet, J.-B. et al. Stress-induced hippocampus Npas4 mRNA expression relates to specific psychophysiological patterns of stress response. Brain Res. 1679, 75–83 (2018).
Bredy, T. W. et al. Histone modifications around individual BDNF gene promoters in prefrontal cortex are associated with extinction of conditioned fear. Learn. Mem. 14, 268–276 (2007).
Bredy, T. W. & Barad, M. The histone deacetylase inhibitor valproic acid enhances acquisition, extinction, and reconsolidation of conditioned fear. Learn. Mem. 15, 39–45 (2008).
Stafford, J. M., Raybuck, J. D., Ryabinin, A. E. & Lattal, K. M. Increasing histone acetylation in the hippocampus-infralimbic network enhances fear extinction. Biol. Psychiatry 72, 25–33 (2012).
Matsumoto, Y. et al. Vorinostat ameliorates impaired fear extinction possibly via the hippocampal NMDA-CaMKII pathway in an animal model of posttraumatic stress disorder. Psychopharmacology 229, 51–62 (2013).
Milad, M. R. et al. Recall of fear extinction in humans activates the ventromedial prefrontal cortex and hippocampus in concert. Biol. Psychiatry 62, 446–454 (2007).
Milad, M. R. et al. Presence and acquired origin of reduced recall for fear extinction in PTSD: Results of a twin study. J. Psychiatr. Res. 42, 515–520 (2008).
Milad, M. R. et al. Neurobiological basis of failure to recall extinction memory in posttraumatic stress disorder. Biol. Psychiatry 66, 1075–1082 (2009).
Knox, D., Nault, T., Henderson, C. & Liberzon, I. Glucocorticoid receptors and extinction retention deficits in the single prolonged stress model. Neuroscience 223, 163–173 (2012).
Perrine, S. A. et al. Severe, multimodal stress exposure induces PTSD-like characteristics in a mouse model of single prolonged stress. Behav. Brain Res. 303, 228–237 (2016).
Geracioti, T. D. et al. CSF norepinephrine concentrations in posttraumatic stress disorder. AJP 158, 1227–1230 (2001).
Mather, M., Clewett, D., Sakaki, M. & Harley, C. W. Norepinephrine ignites local hot spots of neuronal excitation: How arousal amplifies selectivity in perception and memory. Behav. Brain Sci. 39, e200 (2016).
Maeng, L. Y. & Milad, M. R. Post-traumatic stress disorder: The relationship between the fear response and chronic stress. Chron. Stress 1, 2470547017713297 (2017).
Southwick, S. M. et al. Noradrenergic alterations in posttraumatic stress disorder. Ann. N. Y. Acad. Sci. 821, 125–141 (1997).
Lisieski, M. J., Eagle, A. L., Conti, A. C., Liberzon, I. & Perrine, S. A. Single-prolonged stress: A review of two decades of progress in a rodent model of post-traumatic stress disorder. Front. Psychiatry 9, 20 (2018).
Bingham, B. et al. Early adolescence as a critical window during which social stress distinctly alters behavior and brain norepinephrine activity. Neuropsychopharmacology 36, 896–909 (2011).
Kao, C.-Y., Stalla, G., Stalla, J., Wotjak, C. T. & Anderzhanova, E. Norepinephrine and corticosterone in the medial prefrontal cortex and hippocampus predict PTSD-like symptoms in mice. Eur. J. Neurosci. 41, 1139–1148 (2015).
Bradshaw, S. E., Agster, K. L., Waterhouse, B. D. & McGaughy, J. A. Age-related changes in prefrontal norepinephrine transporter density: The basis for improved cognitive flexibility after low doses of atomoxetine in adolescent rats. Brain Res. 1641, 245–257 (2016).
Goodman, J., Leong, K.-C. & Packard, M. G. Emotional modulation of multiple memory systems: Implications for the neurobiology of post-traumatic stress disorder. Revneuro 23, 627–643 (2012).
Mueller, D. & Cahill, S. P. Noradrenergic modulation of extinction learning and exposure therapy. Behav. Brain Res. 208, 1–11 (2010).
Arnsten, A. F. T. Stress weakens prefrontal networks: Molecular insults to higher cognition. Nat. Neurosci. 18, 1376–1385 (2015).
Goodman, J., Leong, K.-C. & Packard, M. G. Glucocorticoid enhancement of dorsolateral striatum-dependent habit memory requires concurrent noradrenergic activity. Neuroscience 311, 1–8 (2015).
Goodman, J. & McIntyre, C. K. Impaired spatial memory and enhanced habit memory in a rat model of post-traumatic stress disorder. Front. Pharmacol. 8, 20 (2017).
De Souza, E. B. & Van Loon, G. R. Brain serotonin and catecholamine responses to repeated stress in rats. Brain Res. 367, 77–86 (1986).
Lin, C.-C., Tung, C.-S., Lin, P.-H., Huang, C.-L. & Liu, Y.-P. Traumatic stress causes distinctive effects on fear circuit catecholamines and the fear extinction profile in a rodent model of posttraumatic stress disorder. Eur. Neuropsychopharmacol. 26, 1484–1495 (2016).
Harvey, B. H., Brand, L., Jeeva, Z. & Stein, D. J. Cortical/hippocampal monoamines, HPA-axis changes and aversive behavior following stress and restress in an animal model of post-traumatic stress disorder. Physiol. Behav. 87, 881–890 (2006).
Tanaka, M. Emotional stress and characteristics of brain noradrenaline release in the rat. Ind. Health 37, 143–156 (1999).
Liberzon, I., Krstov, M. & Young, E. A. Stress-restress: Effects on ACTH and fast feedback. Psychoneuroendocrinology 22, 443–453 (1997).
Khan, S. & Liberzon, I. Topiramate attenuates exaggerated acoustic startle in an animal model of PTSD. Psychopharmacology 172, 225–229 (2004).
Chen, C. V., Chaby, L. E., Nazeer, S. & Liberzon, I. Effects of trauma in adulthood and adolescence on fear extinction and extinction retention: Advancing animal models of posttraumatic stress disorder. Front. Behav. Neurosci. 12, 20 (2018).
Fendt, M. & Endres, T. 2,3,5-Trimethyl-3-thiazoline (TMT), a component of fox odor – just repugnant or really fear-inducing? Neurosci. Biobehav. Rev. 32, 1259–1266 (2008).
Liberzon, I., López, J. F., Flagel, S. B., Vázquez, D. M. & Young, E. A. Differential regulation of hippocampal glucocorticoid receptors mRNA and fast feedback: Relevance to post-traumatic stress disorder. J. Neuroendocrinol. 11, 11–17 (1999).
Raz, S. & Berger, B. D. Social isolation increases morphine intake: Behavioral and psychopharmacological aspects. Behav. Pharmacol. 21, 39 (2010).
Chaby, L. E., Karavidha, K., Lisieski, M. J., Perrine, S. A. & Liberzon, I. Cognitive flexibility training improves extinction retention memory and enhances cortical dopamine with and without traumatic stress exposure. Front. Behav. Neurosci. 13, 20 (2019).
Bouton, M. E. & Bolles, R. C. Conditioned fear assessed by freezing and by the suppression of three different baselines. Anim. Learn. Behav. 8, 429–434 (1980).
Kolpakov, V. G., Borodin, P. M. & Barykina, N. N. Catatonic behaviour in the Norway rat (КATATOHИЧECКИE ФOPMЫ ПOBEДEHИЯ y HOPBEЖCКOЙ КPЫCЫ). Behaviour 62, 190–208 (1977).
Halpin, Z. T. Naturally occurring encounters between black-tailed prairie dogs (Cynomys ludovicianus) and snakes. Am. Midl. Nat. 109, 50–54 (1983).
Ayon, R. E., Putman, B. J. & Clark, R. W. Recent encounters with rattlesnakes enhance ground squirrel responsiveness to predator cues. Behav. Ecol. Sociobiol. 71, 149 (2017).
Enman, N. M., Arthur, K., Ward, S. J., Perrine, S. A. & Unterwald, E. M. Anhedonia, reduced cocaine reward, and dopamine dysfunction in a rat model of posttraumatic stress disorder. Biol. Psychiatry 78, 871–879 (2015).
Castets, P. et al. mTORC1 and PKB/Akt control the muscle response to denervation by regulating autophagy and HDAC4. Nat. Commun. 10, 3187 (2019).
He, M. et al. HDAC4/5-HMGB1 signalling mediated by NADPH oxidase activity contributes to cerebral ischaemia/reperfusion injury. J. Cell Mol. Med. 17, 531–542 (2013).
Liu, L. et al. Hippocampal mechanisms underlying impairment in spatial learning long after establishment of noise-induced hearing loss in CBA mice. Front. Syst. Neurosci. 12, 20 (2018).
Conti, A. C. et al. Distinct regional and subcellular localization of adenylyl cyclases type 1 and 8 in mouse brain. Neuroscience 146, 713–729 (2007).
George, S. A., Rodriguez-Santiago, M., Riley, J., Rodriguez, E. & Liberzon, I. The effect of chronic phenytoin administration on single prolonged stress induced extinction retention deficits and glucocorticoid upregulation in the rat medial prefrontal cortex. Psychopharmacology 232, 47–56 (2015).
Nakane, H., Shimizu, N. & Hori, T. Stress-induced norepinephrine release in the rat prefrontal cortex measured by microdialysis. Am. J. Physiol. 267, R1559-1566 (1994).
Gresch, P. J., Sved, A. F., Zigmond, M. J. & Finlay, J. M. Stress-induced sensitization of dopamine and norepinephrine efflux in medial prefrontal cortex of the rat. J. Neurochem. 63, 575–583 (1994).
Zitnik, G. A., Curtis, A. L., Wood, S. K., Arner, J. & Valentino, R. J. Adolescent social stress produces an enduring activation of the rat locus coeruleus and alters its coherence with the prefrontal cortex. Neuropsychopharmacology 41, 1376–1385 (2016).
Murchison, C. F. et al. A distinct role for norepinephrine in memory retrieval. Cell 117, 131–143 (2004).
Tully, K. & Bolshakov, V. Y. Emotional enhancement of memory: How norepinephrine enables synaptic plasticity. Mol. Brain 3, 1–9 (2010).
Adell, A., Trullas, R. & Gelpi, E. Time course of changes in serotonin and noradrenaline in rat brain after predictable or unpredictable shock. Brain Res. 459, 54–59 (1988).
Giustino, T. F. & Maren, S. Noradrenergic modulation of fear conditioning and extinction. Front. Behav. Neurosci. 12, 20 (2018).
Fitzgerald, P. J., Giustino, T. F., Seemann, J. R. & Maren, S. Noradrenergic blockade stabilizes prefrontal activity and enables fear extinction under stress. PNAS 112, E3729–E3737 (2015).
Cedar, H. & Bergman, Y. Linking DNA methylation and histone modification: Patterns and paradigms. Nat. Rev. Genet. 10, 295–304 (2009).
Bolger, T. A. & Yao, T.-P. Intracellular trafficking of histone deacetylase 4 regulates neuronal cell death. J. Neurosci. 25, 9544–9553 (2005).
Cernotta, N., Clocchiatti, A., Florean, C. & Brancolini, C. Ubiquitin-dependent degradation of HDAC4, a new regulator of random cell motility. Mol. Biol. Cell 22, 278–289 (2011).
Ciechanover, A. The ubiquitin-proteasome proteolytic pathway. Cell 79, 13–21 (1994).
Roccaro, A. M. et al. microRNA-dependent modulation of histone acetylation in Waldenstrom macroglobulinemia. Blood 116, 1506–1514 (2010).
Di Giorgio, E. & Brancolini, C. Regulation of class IIa HDAC activities: It is not only matter of subcellular localization. Epigenomics 8, 251–269 (2016).
Zhao, X. et al. The modular nature of histone deacetylase HDAC4 confers phosphorylation-dependent intracellular trafficking. J. Biol. Chem. 276, 35042–35048 (2001).
Chawla, S., Vanhoutte, P., Arnold, F. J. L., Huang, C.L.-H. & Bading, H. Neuronal activity-dependent nucleocytoplasmic shuttling of HDAC4 and HDAC5. J. Neurochem. 85, 151–159 (2003).
Markham, J. A., Mullins, S. E. & Koenig, J. I. Peri-adolescent maturation of the prefrontal cortex is sex-specific and disrupted by prenatal stress. J. Comp. Neurol. 521, 1828–1843 (2013).
Kunzler, J., Braun, K. & Bock, J. Early life stress and sex-specific sensitivity of the catecholaminergic systems in prefrontal and limbic regions of Octodon degus. Brain Struct. Funct. 220, 861–868 (2015).
Zhao, Z., Fan, L. & Frick, K. M. Epigenetic alterations regulate estradiol-induced enhancement of memory consolidation. Proc. Natl. Acad. Sci. USA 107, 5605–5610 (2010).
McCarthy, M. M. & Nugent, B. M. At the frontier of epigenetics of brain sex differences. Front. Behav. Neurosci. 9, 20 (2015).
Ferland, C. L. & Schrader, L. A. Regulation of histone acetylation in the hippocampus of chronically stressed rats: A potential role of sirtuins. Neuroscience 174, 104–114 (2011).
Sterrenburg, L. et al. Chronic stress induces sex-specific alterations in methylation and expression of corticotropin-releasing factor gene in the rat. PLoS One 6, e28128 (2011).
Graham, B. M. & Milad, M. R. Blockade of estrogen by hormonal contraceptives impairs fear extinction in female rats and women. Biol. Psychiatr. 73, 371–378 (2013).
Keller, S. M., Schreiber, W. B., Staib, J. M. & Knox, D. Sex differences in the single prolonged stress model. Behav. Brain Res. 286, 29–32 (2015).
Shansky, R. M. Sex differences in PTSD resilience and susceptibility: Challenges for animal models of fear learning. Neurobiol. Stress 1, 60–65 (2015).
We thank our funding sources the National Institutes of Health (NIH), R01-DA042057 awarded to SAP, the Department of Defense, Grant W81XWH-13-1-0377 awarded to IL, and the US Department of Veterans Affairs (VA), 1I21RX002900 VA SPiRE awarded to ACC. We thank the members of the Liberzon, Perrine, and Conti laboratories for their support, especially Chieh Chen and Brandy Schneider. We also thank the Ann Arbor and Detroit VA facilities for their support and resources. The views expressed are those of the authors and not necessarily those of the sponsors of the study.
The authors declare no competing interests.
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Chaby, L.E., Sadik, N., Burson, N.A. et al. Repeated stress exposure in mid-adolescence attenuates behavioral, noradrenergic, and epigenetic effects of trauma-like stress in early adult male rats. Sci Rep 10, 17935 (2020). https://doi.org/10.1038/s41598-020-74481-3