Abstract
Prenatal protein malnutrition continues to be a significant problem in the world today. Exposure to prenatal protein malnutrition increases the risk of a number of neuropsychiatric disorders in adulthood including depression, schizophrenia and attentional deficit disorder. In the present experiment we have examined the effects of stress on extracellular serotonin (5-HT) and dopamine in the medial prefrontal cortex and dorsal hippocampus of rats exposed in utero to protein malnutrition. The medial prefrontal cortex and dorsal hippocampus were chosen as two limbic forebrain regions involved in learning and memory, attention and the stress response. Extracellular 5-HT and dopamine were determined in the medial prefrontal cortex and dorsal hippocampus of adult male Sprague-Dawley rats using dual probe in vivo microdialysis. Basal extracellular 5-HT did not differ between malnourished and well-nourished controls in either the medial prefrontal cortex or the dorsal hippocampus. Basal extracellular dopamine was significantly decreased in the medial prefrontal cortex of malnourished animals. Restraint stress (20 m) produced a significant rise in extracellular dopamine in the medial prefrontal cortex of well-nourished rats but did not alter release in malnourished rats. In malnourished rats, stress produced an increase in 5-HT in the hippocampus, whereas stress produced a decrease in 5-HT in the hippocampus of well-nourished rats. These data demonstrate that prenatal protein malnutrition alters dopaminergic neurotransmission in the medial prefrontal cortex as well as altering the dopaminergic and serotonergic response to stress. These changes may provide part of the bases for alterations in malnourished animals’ response to stress.
Keywords: In vivo microdialysis, dopamine, serotonin, prenatal protein malnutrition, medial prefrontal cortex, dorsal hippocampus, stress, dual-probe microdialysis
1. INTRODUCTION
Prenatal protein malnutrition affects a significant portion of the world’s population. Our group has attempted to understand the consequences of malnutrition on the development of the brain in a rat model of prenatal protein malnutrition which exposes rats in utero to a low (6%) casein diet (Morgane et al., 1993; Morgane et al., 2002; Tonkiss et al., 1993). We have found that prenatal protein malnutrition, though affecting broad areas of the brain, particularly impacts the limbic formation (Morgane et al., 2002).
Protein malnutrition has been shown to alter brain development in a number of ways. A clear and continuous finding in prenatally malnourished animals has been alterations in the serotonergic systems of the brain (Blatt et al., 1994; Díaz-Cintra et al., 1981; Galler et al., 1996; Miller et al., 1977; Mokler et al., 1999; Mokler et al., 2003; Morgane et al., 1999; Morgane et al., 2002; Resnick and Morgane, 1984). Neuroanatomical findings by our group have shown diminished growth and arborization of serotonin neurons of the dorsal raphé nucleus (Blatt et al., 1994; Cintra et al., 1997; Díaz-Cintra et al., 1981). Further studies have shown decreases in serotonergic nerve terminals in the hippocampus as reflected by decreased 5-hydroxytryptamine (5-HT) transporters (5-HTT) and 5-HT1A receptors (Blatt et al., 1994). Our neurochemical studies of malnourished brains, on the other hand, have reported increased 5-HT levels throughout the brain during development (Resnick and Morgane, 1984; Stern et al., 1975) and more recently increased extracellular 5-HT in the dorsal hippocampus as determined by in vivo microdialysis (Mokler et al., 1999; Mokler et al., 2003). However, other studies using the same model of prenatal protein malnutrition have not reported changes in tissue levels of 5-HT in the hippocampus (Blatt et al., 1994) or the hippocampus, striatum, brainstem and cerebral cortex (Chen et al., 1997). Never the less, exposure to prenatal protein malnutrition substantially alters serotonergic systems in the brain, in particular the hippocampal formation. In the present study we have extended this research in two directions, into another key area of the limbic forebrain, the medial prefrontal cortex (mPFC) and another key limbic system neurotransmitter, dopamine.
In clinical studies, children exposed to prenatal or early postnatal malnutrition show behavioral changes throughout development and into adulthood (Galler et al., 2005; Galler et al., 2006; Galler and Ramsey, 1989). These changes include attentional problems, increased aggression, hyperactivity, and conduct disorders (Liu et al., 2004). In addition, exposure to prenatal malnutrition increases the risk of development of psychiatric disorders such as depression (Neugebauer et al., 1999; Susser et al., 1998) and schizophrenia (St Clair et al., 2005). Behavioral studies in rats have shown alterations in learning and memory as well as decreased sensitivity to benzodiazepines in prenatally malnourished animals (Almeida et al., 1996; Tonkiss et al., 2000a). Rosene et al. (2004) have shown that restraint stress for 20 min increases c-Fos expression in the anterior cingulate cortex and medial prefrontal cortices of malnourished animals greater than animals exposed to a control diet. Since the complex functions of learning and memory are widely distributed (Morgane et al., 2005; Morgane and Mokler, 2006), this suggests that other brain areas in addition to the hippocampal formation are impacted by protein malnutrition during the prenatal period. In order to investigate this hypothesis further we have used dual-probe in vivo microdialysis to examine the release of 5-HT in the mPFC and dorsal hippocampus of adult rats exposed to prenatal protein malnutrition. We have also examined the changes in extracellular dopamine in the mPFC given the role of dopamine in attentional processes (Dalley et al., 2004; Seamans and Yang, 2004; Sullivan, 2004).
Studies have shown an important role of the mPFC and hippocampal formation in the stress response (Deutch and Roth, 1990; Mizoguchi et al., 2000; Mizoguchi et al., 2003; Morgane et al., 2005; Sorg and Kalivas, 1993; Sullivan, 2004). Furthermore, exposure to prenatal protein malnutrition alters the behavioral and neural response to stress (Duran et al., 2006; King et al., 2004; Rosene et al., 2004; Trzcinska et al., 1999). Thus, we have included in the current experiments a restraint stress to examine how the malnourished brain responds to stress. Finally, given the important roles of the mPFC and hippocampus in the stress response, we have examined the changes in dialysate dopamine and 5-HT following restraint stress.
2. RESULTS
Histological verification of all probe tracks showed them located in the dorsal hippocampus or the medial prefrontal cortex. Representative photomicrographs showing the location of the probes are shown in Figure 1(A and B). In each photomicrograph the top of the photo shows the track of the guide cannula. The track of the microdialysis probe placement is seen below the track of the guide cannula.
In order to determine how extracellular 5-HT and dopamine change over the course of 6 hours after probe implantation, in a control experiment we placed a microdialysis probe into the mPFC and perfused the mPFC for 6 hours (2 hours for stabilization of extracellular dopamine and 5-HT followed by 4 hours of sample collection). Extracellular 5-HT and dopamine in the mPFC did not change significantly over a 4-hour period. There was a slow decline in the concentrations of dopamine and 5-HT in dialysate over the 4-hour period which reach a nadir of 60% of control after 3 hours (Figure 2; a 2-hour period preceded the collection of samples for stabilization of extracellular dopamine and 5-HT after probe insertion).
Basal dialysate levels of dopamine and 5-HT in the mPFC and 5-HT in the dorsal hippocampus are shown in Figure 3. Basal extracellular dopamine in the mPFC was significantly lower in malnourished animals than in control animals (2.73 ± 0.32 fmol/10 μl vs 8.14 ± 1.44 fmol/10 μl, t = 3.425, p<0.05). Basal extracellular levels of 5-HT in the mPFC were unchanged in animals exposed to prenatal protein malnutrition compared with control animals (4.88 ± 1.05 fmol/10 μl vs. 3.98 ± 0.60 fmol/10 μl., t = 0.80, p = 0.43) There was also no difference between well-nourished and malnourished animals in the basal extracellular levels of 5-HT in the dorsal hippocampus (2.71 ± 0.31 fmol/10 μl vs 2.70 ± 0.37 fmol/10 μl, t = 0.02, p = 0.99). Dopamine, being low in the hippocampus, was not measured.
Exposure to 20 min of restraint stress significantly increased the release of dopamine in the mPFC of well-nourished but not malnourished animals (Figure 4). Normalization of extracellular dopamine as a percent of control when compared to well-nourished controls (Fig 4A) demonstrates no significant differences between the two nutritional groups (F(1,8) = 3.78, p = 0.088) but shows a significant time effect (F(12,96) = 8.01, p<0.05). This was seen as a significant increase in dialysate dopamine in well-nourished animals during exposure to the stressor. There was also a significant decline in extracellular dopamine in the malnourished animals beginning 2 hr following the stress with a maximal decrease to 48% of control at 3 hours post stress.
Because of the differences in basal dopamine between the two groups we also analyzed extracellular dopamine in terms of absolute extracellular concentrations of dopamine. Figure 4B shows the differences between well-nourished and malnourished animals and the response to stress. There was a significant difference between nutritional groups (F(1,8) = 5.55, p<0.05) as well as a significant time effect (F(12,96) = 3.78, p < 0.05).
Stress also significantly increased extracellular 5-HT in the mPFC (Fig 5, F(1,12) = 3.079, p<0.05). There were no significant differences in extracellular 5-HT between malnourished and well-nourished animals (F(1,10) = 0.0019).
Stress also induced changes in extracellular 5-HT in the hippocampus (Figure 6). Although there were no significant differences between nutritional groups (F(1,10)=0.019) or over time (F1,12)=0.89, there was a significant interaction between the two factors (F(1,110)=3.39, p<0.05). This interaction is best explained by the differences between the two nutritional groups in response to the stress. Thus, stress in the malnourished animal produces a different response than in well-nourished animals.
3. DISCUSSION
The medial prefrontal cortex (mPFC) has recently been the topic of considerable research due to its role in a number of executive functions. We have begun to examine the mPFC of malnourished animals due to recent reports of human population studies showing the effects of protein malnutrition on behaviors that involve the prefrontal cortex, namely ADHD (Liu et al., 2004; Neugebauer et al., 1999), depression (Susser et al., 1998) and schizophrenia (St Clair et al., 2005). Of particular note was a recent study, which showed an increase in dopamine transporters in the prefrontal cortex of individuals with ADD/ADHD (Arnsten, 2006; Sullivan and Brake, 2003)
A novel finding in the present study is the significant decrease in basal extracellular dopamine in the mPFC in malnourished animals. This decrease suggests either an alteration in the dynamics of dopamine release or decreases in dopamine neurons in malnourished animals. Previous studies have shown that tyrosine levels in the striatum of malnourished rats are decreased which would lead to a decrease in synthesis of dopamine (Chen et al., 1997). Studies examining tyrosine hydroxylase and dopamine transporters in these cortical areas are planned to determine if there is evidence of changes in the dopamine innervation of the mPFC of malnourished animals. Previous studies by our group have reported changes in 5-HT terminal density in the hippocampal formation in malnourished animals (Blatt et al., 1994) thus raising the possibility of a similar change in the dopaminergic system as well.
A decrease in extracellular dopamine in the mPFC may have a significant impact on behavior. Not only are basal extracellular levels of dopamine decreased in the mPFC of malnourished animals but, in response to stress, there is a subsequent further decline in extracellular dopamine. Studies into the neuropathology of attentional deficit disorder have shown a decrease in extracellular dopamine in the mPFC, which has been attributed to an increase in dopamine transporters (Davids et al., 2003; Sullivan and Brake, 2003). Low extracellular dopamine in the mPFC has also been attributed to attentional, and learning and memory problems in animal studies (Davids et al., 2003; Mizoguchi et al., 2000). Malnourished animals have been shown to have deficits in learning and memory tasks (Shumsky et al., 2002; Tonkiss et al., 2000a; Tonkiss et al., 2000b; Tonkiss and Galler, 1990). Thus, the present findings point to a deficit in mPFC dopamine, which would be predicted to have an impact on attention in malnourished animals.
Stress results in an increased dialysate dopamine in the mPFC during the stress period and for 1 hour after stress in well-nourished animals. This is in agreement with numerous other studies that have reported a similar effect of stress on dopamine release (Abercrombie et al., 1989; Deutch and Roth, 1990; Feenstra et al., 1995; Feenstra, 2000; Miura et al., 2002; Pehek et al., 2006; Sorg and Kalivas, 1993; Sullivan, 2004). The small, but significant, increase in dopamine would suggest that this restraint stress is a mild stress to these rats (Sorg and Kalivas, 1993; Vermetten and Bremner, 2002). Malnourished animals did not show an increase in extracellular dopamine in the mPFC following this stressor. The inability of malnourished animals to mount a stress response may suggest that these animals, and possibly humans exposed to prenatal protein malnutrition would respond inappropriately to stress and may lead to the increased risk of behavioral and psychiatric disorders observed in clinical studies of humans exposed to prenatal protein malnutrition (Liu et al., 2004; McClellan et al., 2006; Neugebauer et al., 1999; St Clair et al., 2005).
Stress has been shown to increase extracellular 5-HT in the mPFC and in the hippocampal formation (Matuszewich et al., 2002; Storey et al., 2006). In other studies, stress-induced changes in extracellular 5-HT in the hippocampus have been reported to be either increased or decreased (Chaouloff et al., 1999). Storey et al. (2006) have shown that there are differences between the mPFC response to stress and the hippocampal response to stress in terms of 5-HT release. Both acute and chronic stress increase 5-HT in the mPFC but only chronic stress increases 5-HT in the hippocampus (Storey et al., 2006). Our current results are of interest in that we found a decrease in hippocampal extracellular 5-HT in well-nourished rats and increase in extracellular 5-HT in malnourished rats following stress. The present findings that extracellular 5-HT increase following stress in malnourished animals suggests that these animals may have been exposed to chronic stress (Storey et al., 2006) as a result of exposure to prenatal protein malnutrition. This indicates a change produced by prenatal protein malnutrition in the serotonergic response to stress in the mPFC.
Mechanisms that may contribute to differences in 5-HT release in the hippocampus following stress include the actions of glucocorticoids on the dorsal raphé nucleus (Heim and Nemeroff, 2002). The changes in the serotonergic system that we have reported in malnourished rats may reflect changes in the actions of glucocorticoids at the level of the raphé nuclei. Rosene et al. (2004) have reported, using the same period of restraint stress, that plasma corticosterone levels do not increase in malnourished animals while well-nourished animals show an expected increase in plasma corticosterone. This finding is again suggestive of a blunted stress response in malnourished animals. Of particular note is that in the hippocampus, there are differences in the effect of an acute stress on extracellular 5-HT while no differences are apparent in the medial prefrontal cortex. Hence, since the dorsal hippocampus receives its heaviest innervation from the median raphé nucleus and the mPFC receives its heaviest serotonergic innervation from the dorsal raphé nucleus (Molliver, 1987; Vertes, 1991; Vertes et al., 1999), our findings would suggest a difference in the impact of prenatal protein malnutrition on these rostral raphé nuclei. Related to this, Diaz-Cintra et al. (1981) have shown marked alterations in the dorsal raphé nucleus but to date no studies are available on malnutrition effects on median raphé.
Of particular relevance to the present study is current research examining the interrelationships between the mPFC and the hippocampus. Jay and co-workers (Jay et al., 2005) have shown that increases in dopamine in the mPFC increases the strength of long-term potentiation (LTP) at hippocampal-mPFC synapses whereas depletion of dopamine in the mPFC decreases this LTP. Furthermore, Bronzino et al. (1997) have shown that prenatal protein malnutrition produces a decrease in the strength of LTP in the hippocampal formation throughout the life of the rat. Taken together with the decrease in basal dopamine in the mPFC reported in the present study, these data suggest a mechanism for the deficits in memory and learning seen in animals exposed to prenatal protein malnutrition.
Previous studies of malnourished animals using a diet of 6% casein have shown increases in extracellular 5-HT in the dorsal hippocampus as determined by in vivo microdialysis (Mokler et al., 1999; Mokler et al., 2003). In the current study we did not find a difference between malnourished and well-nourished rats in extracellular 5-HT in either the dorsal hippocampus or the mPFC. Previous studies of malnourished rats by Chen et al. (1992) and Blatt et al. (1994) have also shown no differences between malnourished rats and well-nourished rats in the tissue levels of 5-HT in the dorsal hippocampus or the cerebral cortex, although other studies using a similar prenatal protein restriction have shown increases in 5-HT during development from birth to postnatal day 300 (Resnick and Morgane, 1984; Stern et al., 1975). The present results may be explained by the fact that in the present study animals were handled extensively and thus may not have been stressed initially in the beginning of the dialysis experiment. This would be in keeping with our findings that the increased extracellular 5-HT in the dorsal hippocampus of malnourished rats is decreased to levels of well-nourished controls by administration of chlordiazepoxide (Mokler et al., 2003).
This is the first report of extracellular 5-HT in the mPFC of malnourished animals. Previous studies have shown either increases or no change in 5-HT in the brains of animals exposed to prenatal protein malnutrition (Blatt et al., 1994; Chen et al., 1992; Mokler et al., 1999; Mokler et al., 2003), see introduction). As suggested by the results of the current study on dialysate 5-HT in the hippocampus, these differences in findings may be related to the level of stress in the animals.
In the present study we have shown that malnourished animals show an altered response to stress in the hippocampus and a blunted response to stress in the mPFC. In the hippocampal formation, extracellular 5-HT rises in response to an acute stressor in malnourished animals as compared with a decrease in extracellular 5-HT in the hippocampus of well-nourished rats. Furthermore, basal extracellular dopamine is significantly decreased in the mPFC of animals exposed to prenatal protein malnutrition. There is also a blunted response to an acute stressor in the medial prefrontal cortex. This agrees with previous work in our group that has shown that malnourished animals have a blunted response to stress compared to well-nourished animals (King et al., 2004; Trzcinska et al., 1999). Thus, the present study extends the pathology of prenatal protein malnutrition into the dopaminergic system of the mPFC. This has significant implications for the widespread life-long changes in the limbic system that may result due to prenatal protein malnutrition.
4. EXPERIMENTAL PROCEDURES
4.1 Nutritional Treatment
Virgin female Sprague-Dawley rats (Charles River Laboratories, Kingston, MA) were fed either an adequate protein diet (25% casein, Teklad Laboratories) or an iso-caloric low protein diet (6% casein, Teklad Laboratories, Madison WI) five weeks prior to mating and throughout pregnancy (Almeida et al., 1996; Morgane et al., 1993). All females were mated with males that had been acclimated to the diet for 1 week. Throughout pregnancy and until weaning, females were housed individually in polycarbonate breeding cages (Lab Products, Maywood NJ). At birth, litters were culled to 8 pups (6 males and 2 females) and the entire litter cross-fostered to well-nourished (25% casein) females that had given birth during the same 24-hour period. At 21 days of age (p21) rats were weaned from the dams and housed with same-sex littermates. Animals were then maintained ad libitum on a standard laboratory chow diet (Purina Mills, Richmond, IN; Formula 5001) and water. The vivarium was kept on a reversed light/dark cycle (lights on 1900, lights off 0700). All protocols conform to the NIH Guide for the Care and Use of Laboratory Animals and were approved by the Boston University IACUC.
Due to the limited number of animals available from the malnourished studies, the time course of extracellular dopamine and 5-HT in the mPFC following probe implantation was done in a separate group of male Sprague-Dawley rats (Charles River Laboratories, Kingston, MA) weighing between 250–300 g was used. These animals were maintained ad libitum on standard laboratory chow (containing 25% casein) and water and housed as described above. The surgery and microdialysis experiments were performed as indicated below.
4.2 Subjects
One male adult animal (90–120 days of age) from each litter was used for the studies of extracellular 5-HT and dopamine in the mPFC and dorsal hippocampus in well-nourished and malnourished pups.
4.3 Stereotaxic surgery
Adult animals (90 – 120 days of age) were anesthetized with pentobarbital (50 mg/kg ip). Guide cannulae (CMA 12, CMA/Microdialysis AB, Acton, Mass.) were implanted into dorsal hippocampus or mPFC using the coordinates of Paxinos and Watson (Paxinos and Watson, 2005). The coordinates for the tips of the guide cannulae for the dorsal hippocampus used were AP: −3.30 mm; L: 1.6 mm; DV: 2.4 mm with reference to bregma and the coordinates for the mPFC were AP: 3.2 mm; L: 0.8mm; DV: 2mm with reference to bregma. Guide cannulae were affixed to the skull with dental acrylic and three stainless steel screws.
4.4 In Vivo Microdialysis
Following 3 days for recovery, 3 mm CMA 12 probes (CMA/Microdialysis AB, Acton, MA) were slowly lowered through the guide cannula into the dorsal hippocampus and mPFC while the animal was either under gentle hand restraint or moving unrestrained about the dialysis chamber. The probe was perfused with artificial cerebrospinal fluid (artCSF) at a rate of 1.0 μl/min. The artCSF consisted of 147 mM NaCl, 1.26 mM CaCl2, 2.5 mM KCl, and 1.18 mM MgCl in sterile water. The animal was placed in a large Plexiglas bowl with a collar attached by a guide wire to a suspension arm. ArtCSF was perfused through the probe using a CMA/Microdialysis Syringe pump and a 1.0 ml syringe. The awake animal system, syringe pump and fraction collector were purchased from CMA/Microdialysis (N. Chelmsford, MA).
Basal samples were collected every 20 min for 3 hrs. All experiments were started at 0800–0830 with lights off at 0700 (reverse light cycle). Experiments were carried out in low red-filtered lighting. After 3 hrs of baseline determinations the animals were exposed to immobilization stress by being wrapped tightly in plastic mesh secured with Velcro straps for 20 min. The animal was then released from the restraint and samples were collected at 20 min intervals for another 3 hrs.
In studies of the time course of the release of 5-HT and dopamine from the mPFC after probe implantation the animals were not handled throughout the experiment.
4.5 Analysis of 5-HT and Dopamine
Twenty μl microdialysis samples were divided in half and 10 μl samples were analyzed immediately by HPLC with electrochemical detection (HPLC-EC) for 5-HT and dopamine. The system was an ESA Choulochem II using a 3 μM 4.6mm × 100mm C-18 column (Microsorb MV, Varian, Walnut Creek, CA). The mobile phase consisted of 0.1 M disodium phosphate, 15% acetonitrile, 10 mM EDTA, and 1.5 mM octanesulfonic acid at a pH of 5.4 at a flow rate of 1 ml/min. Electrode potentials were set at: guard cell +300 mV, E1 −150 mV, and E2 +175 mV. This allowed for the measurement of 5-HT with a sensitivity of 5.0 fmol/10μl sample. The area under the curve for samples was compared using computer software Chromperfect (Justice Laboratory Software, Palo Alto, CA) with a regression analysis of AUC for three authentic standards (10μl of 10−9, 5×10−10, 10−10 M authentic dopamine and 5-HT) injected onto the column at the beginning of each experimental day to determine the levels of 5-HT and dopamine. 5-HT and dopamine peaks were verified by examining the voltammogram for standards against that determined using microdialysis samples. All standard curves were fitted to a linear regression model and had an r-squared value (correlation coefficient) of greater than 0.97.
4.6 Histology
At the completion of each study, the animal was perfused transcardially with neutral buffered formalin under pentobarbital anesthesia and the brain removed. The brain was sectioned at 40 μm in the frontal plane and Nissl stained for verification of the probe placement (see Figure 1).
4.7 Statistics
Statistical analysis was done using Sigmastat v1.0. Basal extracellular concentrations of dopamine and 5-HT in the mPFC and dorsal hippocampus between groups were compared using a t-test of values determined as time points of −60, −40 and −20 min prior to the beginning of stress. The time courses of changes in extracellular dopamine and 5-HT in the mPFC and dorsal hippocampus before, during and after stress were compared using a two way ANOVA with repeated measures. Statistical significance was determined when p<0.05.
Acknowledgments
This study was supported by NIH Grant HD 22539-15.
Footnotes
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