Abstract
Prepulse inhibition (PPI) is a compelling endophenotype (biological markers) for mental disorders including schizophrenia. In a previous study, we identified Fabp7, a fatty acid binding protein 7 as one of the genes controlling PPI in mice and showed that this gene was associated with schizophrenia. We also demonstrated that disrupting Fabp7 dampened hippocampal neurogenesis. In this study, we examined a link between neurogenesis and PPI using different animal models and exploring the possibility of postnatal manipulation of neurogenesis affecting PPI, since gene-deficient mice show biological disturbances from prenatal stages. In parallel, we tested the potential for dietary polyunsaturated fatty acids (PUFAs), arachidonic acid (ARA) and/or docosahexaenoic acid (DHA), to promote neurogenesis and improve PPI. PUFAs are ligands for Fabp members and are abundantly expressed in neural stem/progenitor cells in the hippocampus. Our results are: (1) an independent model animal, Pax6 (+/−) rats, exhibited PPI deficits along with impaired postnatal neurogenesis; (2) methylazoxymethanol acetate (an anti-proliferative drug) elicited decreased neurogenesis even in postnatal period, and PPI defects in young adult rats (10 weeks) when the drug was given at the juvenile stage (4–5 weeks); (3) administering ARA for 4 weeks after birth promoted neurogenesis in wild type rats; (4) raising Pax6 (+/−) pups on an ARA-containing diet enhanced neurogenesis and partially improved PPI in adult animals. These results suggest the potential benefit of ARA in ameliorating PPI deficits relevant to psychiatric disorders and suggest that the effect may be correlated with augmented postnatal neurogenesis.
Introduction
The etiologies of psychiatric illnesses are largely unknown. Recently, biological traits relevant to psychiatric illnesses called “endophenotypes” have gained attention. Among them, deficits in prepulse inhibition (PPI) have been well documented across mental disorders including schizophrenia [1], [2]. PPI is the normal suppression of a startle response when a low intensity stimulus eliciting little or no behavioral response, immediately precedes an unexpected stronger startling stimulus [1]. Biologically, PPI is deemed to be a reflection of sensory motor gating functions within the central nervous system. The experimental advantage of PPI is that it is evaluable in animals. It is known that specific brain regions, including the hippocampus, cortex, amygdala and nucleus accumbens, form a circuit for PPI [3] (Figure S1), with hippocampal involvement being well studied. For instance, Weinberger and his colleagues reported that when rats received ventral hippocampal ablation during the early postnatal period, they exhibited PPI defects at the later adult stage [4].
In our recent study, we identified Fabp7, that encodes a brain-type fatty acid binding protein (also known as brain lipid binding protein; BLBP) as a gene responsible for PPI in mice and showed that human FABP7 is a susceptibility gene for schizophrenia [5]. Fabp7-deficient mice did not show gross anatomical brain abnormalities, but interestingly, neurogenesis is impaired in the hippocampus. A similar biological cascade of “decreased neurogenesis” “impaired PPI” and “genetic association with schizophrenia” has been reported for Npas3 [6]–[8] and Neuregulin1 [9]–[11].
Here, we further address the question of whether decreased neurogenesis not only in the fetal (this is probably true in gene ablated animals) but also the postnatal period may serve as a determinant for PPI deficits. Since examining gene knockout mice would not be able to distinguish these ‘critical period’ issues, we utilized both genetic and pharmacological approaches in the analyses of Pax6(+/−) rats (for the former approach) and normal rates treated with the anti-proliferative drug, methylazoxymethanol acetate (MAM) after birth (for the latter one). In parallel, we also examined whether the dietary administration of polyunsaturated fatty acids (PUFAs) such as docosahexaenoic acid (DHA) and arachidonic acid (ARA) enhance neurogenesis in the rat hippocampus and elicit improved PPI. The ultimate hope is for developing preventive measures for mental disorders. In this study, we analyzed rats as experimental animals, because our study contained nutritional (varying lipid-containing feed) and to some degree toxicological issues where the use of rats is legitimate (http://www.ich.org/cache/compo/276-254-1.html). We found that disturbed postnatal neurogenesis led to impaired PPI. In contrast, ARA specifically promoted hippocampal neurogenesis and mitigated PPI defects seen in Pax6(+/−) rats that display both debilitated neurogenesis and PPI.
Materials and Methods
Animals
Wild-type (from CLEA JAPAN, Tokyo, Japan) and Pax6 (+/−) (both on a Sprague-Dawley background) rats were maintained at Tohoku University, Sendai, Japan and Mitsubishi Kagaku Institute of Life Sciences, MITILS, Tokyo, Japan. All animal experiments were carried out in accordance with the National Institute of Health guidelines for the care and use of laboratory animals, and were approved by The Committee for Animal Experiments in the aforementioned organizations.
PPI measurements
Rats were tested in a startle chamber (SR-lab System, San Diego Instruments, San Diego, CA) positioned within a soundproof cabinet in a sound-attenuating room according to standard methodology [12]. A constant background white noise of 65 dB was presented throughout the test. To measure prepulse inhibition (PPI), rats were presented with a 68, 71 or 77 dB prepulse (pp68, pp71 or pp77 for 20 ms) followed by a 105 or 120 dB pulse (for 40 ms in length) 100 ms later. The percentage PPI of the startle response was calculated using the following formula: 100-[(SRPP/SR)×100], where SR denotes the startle response to the pulse stimulus, and SRPP denotes the startle response to the pulse with prepulse stimulus.
MAM treatment and subsequent analyses
Four-week old wild-type rats were intraperitoneally injected with MAM (0, 5, 7, 10 or 15 mg/kg) once a day for 1 week. For 5-bromo-2-deoxyuridine (BrdU) analysis (see below), MAM treated 5 and 10-week old rats were given a single BrdU injection and sacrificed 2 hours later. For behavioral analyses, the MAM treated rats were handled for 1 week, and then subjected to PPI tests.
PUFA diets
We prepared 3 different diets by altering the fatty acid composition of AIN-76A: control, ARA(+), DHA(+) and ARA(+)DHA(+) diets (Table 1). Dietary foods with ARA or DHA were stored at 4°C and shaded from the light to prevent oxidation and denaturation. In addition, they were not treated with gamma rays or autoclave sterilization. Wild-type and Pax6(+/−) rats were fed from postnatal day 2 (P2) with DHA or ARA-triglyceride supplementation until they were used for various analyses.
Table 1. Fatty acid composition of the modified AIN-76A diets used in this experiment.
Fatty acids | PUFA Diets | ||||
Abbreviated notation | Conventional name | Control (%) | ARA(+) (%) | DHA(+) (%) | ARA(+)DHA(+) (%) |
16:0 | Palmitic acid | 11.5 | 11.3 | 11.6 | 11.6 |
18:0 | Stearic acid | 2.2 | 2.9 | 2.4 | 2.9 |
18:1 n-9 | Oleic acid | 28.8 | 26.8 | 28.6 | 26.6 |
18:2 n-6 | Linoleic acid | 54.7 | 50.3 | 50.4 | 46.1 |
18:3 n-3 | alpha-Linolenic acid | 0.9 | 0.9 | 0.9 | 0.8 |
20:3 n-6 | Dihomo-gamma-linolenic acid | 0.0 | 0.3 | 0.0 | 0.3 |
20:4 n-6 | Arachidonic acid (ARA) | 0.0 | 4.0 | 0.0 | 4.0 |
22:6 n-3 | Docosahexaenoic acid (DHA) | 0.0 | 0.0 | 4.0 | 4.0 |
Others | 1.9 | 3.5 | 2.1 | 3.7 | |
Total (%) | 100.0 | 100.0 | 100.0 | 100.0 |
Immunohistochemistry
For the analyses of expression markers related to cell proliferation, at least five rats at P30 were examined. Rats were deeply anesthetized with sodium pentobarbital and then transcardially perfused with 4% paraformaldehyde and 0.5% picric acid in 0.01 M phosphate-buffered saline (PBS). The brains were removed and further immersion-fixed in the same fixative at 4°C for 2 hours. Coronal sections of 14 µm thickness were prepared using a cryostat (CM3050, Leica, Germany). The sections were washed with Tris-buffered saline containing Tween 20 (TBST; pH 7.4). For immunostaining, the cryostat sections were incubated at 4°C for 18 hours with primary antibodies. For detection of the antigen localization, sections were incubated at 4°C for 2 hours with appropriate secondary antibodies. Information on the primary and secondary antibodies and other reagents is listed in Table S1. Fluorescent signals were detected using a confocal laser-scanning microscope (LSM5 Pascal, Zeiss, Germany) or a fluorescent microscope (Axioplan-2, Zeiss, Germany).
BrdU labeling analysis
P30 rats fed on either control or ARA(+) or DHA(+) or ARA(+)DHA(+) diets received intraperitoneal injections of BrdU (Sigma, St. Louis, MO) at 50 mg/kg body weight (10 mg/ml stock, dissolved in 0.9% saline), 3 times a day and were sacrificed after 1 day. Fourteen µm frozen sections were boiled in 0.01 M citric acid and incubated in 2 N HCl for 10 min at 37°C, and washed in 0.01 M PBS. For quantification analysis, sampling of BrdU-positive cells was done throughout the dentate gyrus (DG) in its rostrocaudal extension. Three consecutive sections (14 µm each) out of a total of 18 sections were used for counting, and the total number of positives was obtained by multiplying the value by 6 [13].
Results
PPI deficits in Pax6(+/−) rats
We examined Small eye rats (rSey2) that have a mutation in the transcription factor gene Pax6 which controls neurodevelopment [14]. This animal model displays decreased hippocampal neurogenesis without any gross structural abnormalities in the brain [13]. To determine whether heterozygous Pax6 mutant [Pax6(+/−)] rats have PPI defects (the homozygous mutantion is lethal), we scored PPI with acoustic stimuli (105 dB startle sound) at different postnatal stages (Figure 1A–1C). PPI levels were significantly lowered with 68 and 71 dB prepulse stimuli (P = 0.0038 and P = 0.0468, respectively; Figure 1B) at 12–20 weeks, and with 71 dB prepulse sound (P = 0.0098; Figure 1C) at 36–40 weeks in Pax6(+/−) rats, compared to wild-type rats. Decreased PPI was also observed when a pulse (startle sound) was set at 120 dB (data not shown). Interestingly, defects in PPI were not observed in juvenile rats (6 weeks; Figure 1A). This may correspond to the fact that schizophrenia, a typical mental illness that shows decreased PPI, develops after adolescence. The magnitude of the startle response itself was not significantly different between the wild type and Pax6(+/−) rats (Figure S2). Other behaviors were normal in Pax6(+/−) rats, except for rearing activity and the light-dark choice test (data not shown).
Postnatal MAM treatment provokes reduction in neurogenesis and deficits in PPI
To explore the causative relationship between postnatal neurogenesis and PPI outcome in-depth, we used the drug MAM, a known attenuator of neurogenesis [15]. We administered the MAM to juvenile wild-type rats for 1 week (from at 4 to 5 weeks), and examined neurogenesis (at 5 and 10 weeks) and scored PPI (at 10 weeks) (Figure 2A and Figure S3A). The MAM-treated rats showed a transient decrease (63% of the control value) in hippocampal neurogenesis at 5 weeks (Figure 2B), then recovered neurogenesis to control levels by 10 weeks (Figure 2B). But interestingly, they displayed impaired PPI (at pulse levels of both 105 dB and 120 dB) at 10 weeks (Figure 2C and Figure S3A, S3B, S3C). We could not detect any differences in general activity measured by the open-field test at 10 weeks (data not shown). These results show that disturbances of postnatal neurogenesis, at least during the juvenile period, could evoke PPI deficits later in adulthood, without affecting locomotor activity. In addition, this is the first study demonstrating that PPI deficits can be induced by MAM treatments not only at fetal [16] but also at postnatal stages.
Administration of arachidonic acid increases postnatal neurogenesis in the rat hippocampus
We thought that if we could foster hippocampal neurogenesis using dietary supplements, we could ameliorate PPI deficits, a biological marker relevant to mental disorders. We tested PUFAs because: (1) Fabp7 and another Fabp member Fabp5, can bind PUFAs [17], [18], and are abundantly expressed in neural stem/progenitor cells from fetal [19], [20] to adult stages (Figure S4A, S4B, S4C, S4D, S4E, S4F); and (2) Fabp7 is required for proliferation of neuroepithelial cells [19]. For the PUFAs, we chose the typical n-3 and n-6 lipids, DHA and ARA, respectively, and prepared dietary pellets containing these PUFAs (Table 1). PUFAs can be absorbed into the digestive organs and blood stream, and subsequently secreted into breast milk [21], [22]. When rat pups suck breast milk from their mothers treated with PUFAs, it is expected that PUFAs will be transmitted to body organs including the brain via the blood-brain barrier of the pups. Data presented below confirms that this occurred (see section below).
Rat pups from P2 and older and their mothers were fed with control, ARA(+), DHA(+), ARA(+)DHA(+) diets for 4 weeks (Figure 3A). We first measured the ratio of DHA and ARA in the hippocampus of the treated rat pups at P31, and confirmed that the ratio of ARA/DHA increased or decreased according to the administration of ARA or DHA, respectively (Text S1, Figure S5A, S5B). Next, the PUFA-treated rats were intraperitoneally injected with BrdU three times at day 30 (P30) and sacrificed one day after BrdU injections (at P31) (Figure 3A). We compared the total number of BrdU+ cells in the dentate gyrus (DG) of the control diet-, ARA(+) diet-, DHA(+) diet-, ARA(+)DHA(+) diet-treated rats. A 32 percent increase in the total number of BrdU-labeled cells was observed in ARA(+) diet-treated rats compared to control diet-treated rats (Figure 3B and 3C), whereas there were no significant differences between the control diet and DHA(+) diet- and between control diet and ARA(+)DHA(+) diet-treated rats (Figure 3C), although a trend of slight increase was seen in the DHA(+) diet- and to lesser extent ARA(+)DHA(+) diet-treated rats. We further investigated whether neural stem/progenitor cells in the DG were increased in ARA(+) diet-treated rats. Interestingly, GFAP (glial fibrillary associated protein) positive cells were slightly increased (data not shown), while PSA-NCAM (polysialylated neural cell adhesion molecule) positive cells were dramatically increased (Figures S6A, S6B) at P31. Both GFAP and PSA-NCAM are markers for hippocampal neural progenitor cells, with the former being the earlier stage [23], [24]. Significantly, we observed an elevated number of mossy fibers that expressed PSA-NCAM (data not shown). These data clearly indicate that the number of proliferating progenitors and subsequent newly-born neurons is considerably increased in the hippocampal subgranular zone (SGZ) of ARA(+) diet-treated rats. We confirmed that most of these proliferating cells went on to differentiate into neurons at 1 (Figure S7A, S7B, S7C, S7D) and 4 (data not shown) weeks later.
Administration of arachidonic acid augments neurogenesis and ameliorates PPI defects in Pax6(+/−) rats
Since dietary ARA improved neurogenesis in normal rats, we embarked on a study to see whether ARA-treatments could restore defective neurogeneis (an approximately 30% decrease) in Pax6(+/−) rats [13]. Wild type and Pax6(+/−) rat pups were raised on diets either containing or lacking ARA from day P2 to P31 (Figure 4A). When the ARA(+) diet was given to Pax6(+/−) rats, neurogenesis was increased by 33% at P31 compared to those fed with control diet (Figure 4B).
These results prompted us to see whether impaired PPI in Pax6(+/−) rats could be also reinstated by ARA-treatment, providing a potential therapeutic intervention. The reduced PPI seen in Pax6(+/−) rats was partially recovered with an ARA(+) diet at 15 weeks, compared to Pax6(+/−) rats fed with a control diet (Figure 4C) [also note that there were no significant differences of PPI between wild-type rats with ARA(+) diet and Pax6 mutants with ARA(+) diet] (for the results of PPI at pp 71 dB, see Figure S8).
Discussion
Although PPI has been most frequently studied in schizophrenia, impairments have also been observed in patients with neuropsychiatric disorders including bipolar disorder, autism and Tourette syndrome [25], suggesting that PPI defects may be a shared neural dysfunction across the current diagnostic categories of mental disorders. Therefore, in this study, we targeted PPI as a behavioral phenotype that is highly relevant to psychiatric illnesses and may constitute an important aspect of the pathophysiology of these diseases.
In this study, we have shown that postnatal neurogenesis can be impaired by an environmental milieu, MAM-treatments, in addition to gene disruptions (Pax6 in the current study) in rats. In addition, we reveal for the first time that even postnatal MAM administration can induce PPI deficits. It is already known that the MAM-induced decrease in fetal neurogenesis can cause PPI deficits [16]. The current findings also suggest that once postnatal neurogenesis is impaired, at the developmental period equivalent to adolescence in humans even if neurogenesis recovers later in life, the susceptibility for PPI deficits remains. This may mean that a ‘critical period’ for the formation of neural circuits underlying PPI spans at least 4–5 weeks in rats. The 4–5 week-old rats show salient neurogenesis [13]. However, because we did not examine other developmental periods for MAM-treatments, we recognize the need for further studies to determine the chronological relationship between impaired neurogenesis and reduced PPI.
It is noteworthy that the administration of ARA successfully and dramatically increased neurogenesis not only in wild-type but also Pax6(+/−) rats. It is known that prostaglandin E2 (PGE2) plays an important role in neurogenesis [26], stimulates CB2, a receptor for endocannabinoids and promotes mouse neural stem cell proliferation [27]. Both PGE2 and endocannabinoids are metabolites of ARA. It is also possible that ARA itself augments proliferation of neural progenitor cells. ARA could be transmitted from Fabps to nuclear receptor proteins [17], thereby indirectly controlling the transcription of genes related to cell proliferation. This scenario is analogous to that where retinoic acid (a metabolite of vitamin A) is transmitted from a cellular retinoic acid binding protein and Fabp5 to nuclear receptors RAR and PPARβ/δ, respectively [28]. We also speculate from our current study that the effect of DHA albeit small, may be caused by promoting differentiation and prevention of apoptosis, rather than by increasing cell proliferation [Figures S7B, S7D] [29]. The precise mechanisms for the role of PUFAs in fostering neurogenesis, however, warrants further studies.
Treating the Pax6(+/−) rats with ARA for 15 weeks from birth, we were able to alleviate their PPI defects. Because this was the first attempt to evaluate the effects of ARA on PPI, we administered ARA long term to obtain an unequivocal and maximum outcome. There are several possibilities of how ARA can prevent or restore PPI defects in our model rodents. One explanation is that ARA affects postnatal neurogenesis in several brain regions including the hippocampus, and eventually leads to modifications of the neural circuitry of PPI [see Figure S1 and Table S2]. It may not be excluded another explanation, for example, that ARA can directly influence the fluidity of neuronal membranes, thereby regulating neuronal transmission [17], [30] because ARA was continuously administered until scoring PPI. In this case, we may have to consider the roles of Fabp3 also. Fabp3 is expressed in mature neurons in the dentate gyrus (our unpublished results) and reported to have a substantial affinity to ARA [31].
On one hand, the recovery of PPI was not complete in the Pax6(+/−) rats. It is likely that the multiple neuro-functional disturbances caused by the gene defect cannot be fully compensated for by postnatal nutritional interventions. In contrast to Mendelian disorders that are usually caused by single gene defects and often manifest with serious physical and/or intellectual abnormalities without effective cures, predisposition to functional psychiatric illnesses is generally associated with multiple susceptibility gene variants with small to modest effects [32]. Therefore, we believe that the improved PPI demonstrated in this study (albeit not complete in gene-disrupted rats), could be meaningful when developing risk-reducing measures for mental disorders.
There are numerous clinical studies reporting symptomatic improvements of schizophrenia and other mental illnesses including mood disorders when PUFAs are given in combination with psychotropic drugs, although PUFAs alone are not sufficient as therapeutic agents [33]–[36]. Such PUFAs are exclusively n-3 fatty acids like EPA (eicosapenteanoic acid) and DHA. The currently observed beneficial effects of ARA may due to the period of administration, i.e. an early postnatal stage, which is different from those examined in human studies. Interestingly it has been reported that patients with schizophrenia show a reduced niacin (vitamin B3) skin flush response, although there is wide inter-individual variation [37]. In this test, varying concentrations of niacin are applied to forearm skin and the flush response is rated [38]. A decreased flush response is deemed to be a peripheral marker of disturbed lipid-ARA pathways [39].
There are two large epidemiological studies demonstrating that when pregnant mothers suffered from famine, the risk of their offspring developing schizophrenia increased to two fold [40], [41]. As a potential mechanism, Heijman et al. recently reported that individuals who were prenatally exposed to famine in Holland had, 6 decades later, less DNA methylation of an imprinted gene compared with their unexposed, same-sex siblings [42]. Therefore, relationship between ARA treatments (and their timing) and epigenetic changes would make a compelling topic for future research. Although multiple nutrients are needed for healthy brain development and maintenance, our current results suggest that an adequate maternal dietary intake of ARA may be especially important for reducing the vulnerability of brains to mental illnesses.
Dietary ARA is a PUFA that can be transmitted directly into the brain via the blood-brain barrier and occurs naturally in nourishing foods such as meat, eggs, fish and seaweed. ARA would therefore appear to be a beneficial molecule for promoting neurogenesis and PPI integrity in a safer way than many artificial compounds. We hope that future studies address the possibility that PUFAs given to lactating mothers (and to young children up to puberty) may reduce the burden of psychiatric diseases including schizophrenia [43], [44]. These studies should clarify the untested issues including the optimal ratio of n-3 and n-6, the total dosage of PUFAs, the time of intervention and period of administration.
Supporting Information
Acknowledgments
We thank Dr. A. Sawa, Dr. A. Pieper, Dr. R. Hen, Dr. S. Yuasa, Dr. M. Fujiwara, and Dr. A. Watanabe for valuable discussion and critical reading of the manuscript. We also thank S. Makino for technical assistance. We are grateful to members of the Inokuchi and Osumi laboratories for critical comments and heartful encouragement.
Footnotes
Competing Interests: The authors have declared that no competing interests exist.
Funding: This work was supported by the CREST program of the Japan Science and Technology Agency, the Global COE program of MEXT, the Ministry of Health, Labor and Welfare, the Takeda Foundation, and Asahi Glass Foundation. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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