Abstract
Sex differences and gonadal hormone influences are well known for diverse aspects of forebrain amine and indolamine neurotransmitter systems, the cognitive and affective functions they govern and their malfunction in mental illness. This study explored whether hormone regulation/dysregulation of these systems could be related to gonadal steroid effects on catechol-O-methyltransferase and monoamine oxidase which are principal enzymatic controllers of forebrain dopamine, serotonin and norepinephrine levels. Driven by male over female differences in cortical enzyme activities, by male-specific associations between monoamine oxidase and catechol-O-methyltransferase gene polymorphisms and cognitive and dysfunction in disease and by male-specific consequences of gene knockouts in mice, the question of hormone sensitivity was addressed here using a male rat model where prefrontal dopamine levels and related behaviors are also known to be affected. Specifically, quantitative O-methylation and oxidative deamination assays were used to compare the activities of catechol-O-methyltransferase's soluble and membrane-bound isoforms and of monoamine oxidase's A and B isoforms in the pregenual medial prefrontal cortex and dorsal striatum of male rats that were sham operated, gonadectomized or gonadectomized and supplemented with testosterone propionate or with estradiol for 28 days. These studies revealed significant effects of hormone replacement but not gonadectomy on the soluble but not the membrane-bound isorfom of catechol-O-methyltransferase in both striatum and cortex. A significant, cortex-specific testosterone—but not estradiol—attenuated effect (increase) of gonadectomy on monoamine oxidase's A but not B isoform was also observed. Although none of these actions suggest potential roles in the reguation/dysregulation of prefrontal dopamine, the suppressive effects of testosterone on cortical monoamine oxidase-A that were observed could have bearing on the increased incidence of cognitive deficits and symptoms of depression and anxiety that are repeatedly observed in males in conditions of hypogonadalism related to aging, other biological factors or in prostate cancer where androgen deprivation is used as a neoadjuvant treatment.
Keywords: estrogen, androgen, schizophrenia, depression/anxiety, monoamines, indolamines
The prefrontal cortices are essential in mediating highest order executive functions such as planning, working memory and behavioral flexibility (Goldman-Rakic, 1990; Goldman-Rakic et al., 1990; Dalley et al., 2004). These functions are all exquisitely sensitive to prefrontal cortical dopamine (DA) signaling and information from disease processes and gene polymorphisms in humans (Davis et al., 1991; Egan et al., 2001; Goldberg et al., 2003; Goldberg and Weinberger, 2004) and from studies in experimental animal models (Tassin et al., 1978; Kessler and Markowitsch, 1981; Kalsbeek et al., 1989; Murphy et al., 1996; Verma and Moghaddam, 1996; Zahrt et al., 1997; Morrow et al., 2000) have shown that both too much and too little local DA tone is detrimental to performance on prefrontal cortical-dependant tasks. Gonadal hormones are also known to modulate prefrontal cortical cognitive information processing (Einon, 1980; Tees et al., 1981; van Haaren et al., 1990; Janowsky et al., 2000; Lacreuse, 2006; Luine, 2008) and recent studies in male rats suggest that this occurs in part via an induced exaggeration of prefrontal DA levels. Thus, gonadectomy in adult male rats has been shown to disrupt DA-dependent prefrontal cortical behaviors including open field activity, acquisition of T-maze delayed alternation, behavioral flexibility, and novel object recognition (Adler et al., 1999; Kritzer et al., 2001, 2007; Aubele et al., 2008a) in an androgen sensitive manner that is significantly correlated with gondectomy-induced increases in prefrontal cortical DA axon density (Kritzer et al., 1999; Kritzer, 2000) and that occurs in parallel with gonadectomy-induced increases in extracellular prefrontal DA levels (Aubele et al., 2008b). One objective of the work presented here was to explore whether this dysregulation might be a consequence of effects of gonadectomy and/or hormone replacement on the DA catabolic enzymes catechol-O-methyltransferase (COMT) and monoamine oxidase (MAO) which are principal controllers of the functionally critical parameter of DA tone in the prefrontal cortex (Westerink and Spaan, 1982; Karoum et al., 1994; Yavich et al., 2007). In addition, there are other, independent a priori reasons to suspect that both MAO and COMT may not only be sensitive to gonadal steroid stimulation but that they may be especially so in the cerebral cortex of males. These include evidence of male over female differences in human prefrontal cortical COMT activity (Chen et al., 2004), male-specific associations between MAO and COMT gene polymorphisms and specific higher order cognitive and/or affective disturbances, for example aggression, in mental illness (Volavka et al., 2004; Ducci et al., 2006; Biederman et al., 2008; Harrison and Tunbridge, 2008; Sjoberg et al., 2008) and male-specific physiological, pharmacological and/or behavioral effects that both COMT (Gogos et al., 1998; Huotari et al., 2002) and MAO-A (Cases et al., 1995) gene knockouts have on forebrain amine neurotransmitter systems in mice. Surprisingly, however, few studies have systematically assessed gonadal hormone impact on COMT or MAO activity in the CNS of either sex, fewer still have assessed hormone sensitivity of enzyme activity in forebrain structures such as the cerebral cortex, and few to none have explored hormone sensitivity of MAO or COMT in forebrain structures of males. To address this potentially important and as yet understudied area, the present studies paired functional enzyme assays with classical hormone manipulation paradigms to separately quantify and compare the activities of COMT's soluble and membrane-bound forms and of MAO's A and B isoforms in the medial prefrontal cortex and dorsal striatum of adult male rats that were sham operated, gonadectomized or gonadectomized and supplemented with testosterone propionate or with estradiol for 28 days.
Experimental Procedures
Animal subjects
Tissue from 72 adult male Sprague–Dawley rats (Taconic Farms, Germantown, NY, USA) was used. All animals were housed with food and water freely available under a 12-hour light/dark cycle and were gonadectomized, with and without replacement with 17-β-estradiol or testosterone propionate (below), or sham operated 28 days prior to euthanasia (below). All procedures involving animals are approved by the Institutional Animal Care and Use Committee of Stony Brook University, and minimize their use and discomfort.
Surgical procedures
Gonadectomy and sham surgeries were performed under aseptic conditions using ketamine/Ketaset HCL Injection (Fort Dodge Animal Health, Fort Dodge, IA, USA) (.09 ml/100 g) and xylazine/AnaSed Injection (Lloyd Laboratories, Shenandoah, IA, USA) (.05 ml/100 g) for anesthesia. For both operations, the sac of the scrotum and underlying tunica were incised; for gonadectomies, the vas deferens was also bilaterally ligated and the testis were removed. For gonadectomized, hormone-replaced rats, slow-release pellets (below) were implanted within the scrotal sac. Incisions were closed using sterile surgical staples that were removed after 10 days.
Hormone treatments
Subsets of gonadectomized animals were implanted with slow release pellets that contained either testosterone propionate or 17-β-estradiol (Innovative Research of America, Toledo, OH, USA). The testosterone propionate-containing pellets used have been used in previous studies in this laboratory and others and have been shown to release between 0.5–2ng of TP per milliliter of blood per day and yield plasma TP and E levels (ELISA) that are an average 70 and 90% of plasma TP and E levels, respectively, measured in gonadally intact controls (Turvin et al., 2007); likewise, the estradiol-containing pellets used were also identical to those used previously and have been shown to release between 10–40pg of E per milliliter of blood per day and yield plasma E levels that are roughly 90% of plasma E levels measured in gonadally intact controls (Turvin et al., 2007).
Euthanasia
Twenty-eight days after gonadectomy or sham surgery, rats were weighed and euthanized by rapid decapitation. Immediately afterward the brains were rapidly removed and regions of interest (pregenual medial prefrontal cortex, Fig. 1A, dorsal striatum Fig. 1B) were dissected out over ice. To maximize consistency, all brain dissections were performed by the same person (MFK). The bulbospongiosus muscles (BSM) were also dissected from all subjects and weighed.
Enzyme assays
Each individual assay was performed in triplicate using cortical or striatal tissue homogenates that were pooled from three animal subjects per hormone treatment group. Individual assay types (defined by enzyme- catechol-O-methyltransferase, membrane-bound isoform (COMT-mb), catechol-O-methyltransferase, soluble isoform (COMT-s), MAO-A, MAO-B; by brain region- striatum, cortex; and by animal group- control, gonadectomized (GDX), gonadectomised, testosterone propionate replaced (GDX-TP), gonadectomised, estradiol replaced, (GDX-E)) were also repeated three times using tissue homogenates prepared and pooled from three different sets of three animal subjects. Due to different requirements for preparation, the tissues used in MAO-A and MAO-B were obtained from a common set of animals while those for the COMT assays (s and mb isoforms) were pooled from a separate series of animal subjects.
COMT
COMT enzyme activity was determined using methods similar to those previously described (Zurcher and Da Prada, 1982).
Tissue preparation
Striatal and cortex tissue were dissected from three sets of three animal subjects per hormone treatment group. Tissue homogenates were pooled, weighed, re-supsended at 50 mg/ml in ice-cold homogenization buffer (1.2% Tris–HCl, 50% glycerol, pH 7.4, containing one EDTA-free Protease Inhibitor Cocktail tablet (Roche)/14 ml) and were homongenized using a glass dounce homogenizer. Tissues were then rapidly frozen in powdered dry ice and stored at −80 °C until assay.
On the day of assay, frozen homogenates were rapidly thawed and the soluble from membrane-bound forms of COMT were separated by centrifugation. Specifically, tissue homogenates were centrifuged at 14,000 g for 30 min. The supernatant was then collected and stored on ice prior to assay for COMT-s, and the pellet was re-suspended in 1 vol of homogenate buffer for COMT-mb assays. To assess the effectiveness of these centrifugation procedures in separating the two enzyme isoforms, six-point saturation assays were performed on control cortex and striatal (as per assay conditions, below) and Michaelis–Menten constants (Km) and maximal reaction velocities (Vmax.) were determined (GraphPad Prism, 4.0, Graph Pad Software, Inc., San Diego, CA, USA); these analyses revealed expected results of significantly higher catalytic activity and lower substrate affinity for COMT-s compared to COMT-mb samples.
Assays
Tissue homogenates were pre-incubated for 5 min in a water bath set to 37 °C in parallel with reaction buffer consisting of 10 mM Tris–HCl, pH 7.4, containing 1 mM MgCl2, 10 μM catechol, 1 μM DTT and 0.45 μCi [3H] adenosyl-S-methionine (PerkinElmer, Boston, MA, USA). Afterward, triplicate sets of reaction tubes (1.5 m; Ependorf) were prepared by adding 20 μl of tissue to 500 μl of reaction buffer. Total activity was assessed in parallel in additional triplicate sets of tubes that were prepared using the same reaction buffer but with the addition of 0.1 mg tropolone to assess non-specific activity. After 20 min, reactions were terminated by the addition of 500 μl of 1 M HCl; 1 ml samples were then taken from each tube, placed in 10 ml of scintillation fluid (Betafluor, National Diagnostics, Atlanta, GA, USA), vortexed and after settling were quantified by liquid scintillation counting using an LS-6500 Beckman-Coulter Scintillation Counter (Beckman Instruments, Inc, Fullerton, CA, USA). Time-course assays were performed on homogenates of cortical and striatal tissues collected from gonadally intact control animals using these methods but varying incubation times from 1 to 60 min to confirm that for each tissue and enzyme form evaluated, the twenty-minute incubation period selected for singe point assessments (below) was within an interval over which the rate of product formation was linear.
MAO
MAO-A and MAO-B activities were determined using methods similar to those described by Hallman et al. (1987).
Tissue preparation
For both MAO-A and MAO-B assays, tissue samples of medial prefrontal cortex and dorsal striatum were dissected from three sets of three animal subjects per hormone treatment group were combined, weighed, re-supsended at 100 mg/ml in ice-cold homogenization buffer (0.01 M phosphate buffer, pH 7.7, containing 1 mM EDTA and 0.25 M sucrose) and homogenized by hand using a small glass dounce homogenizer. Tissue homogenates were then rapidly frozen in powdered dry ice and stored at −80 °C until the time of assay.
Assays
Tissue samples were preincubated in a water bath set to 37 °C for 5 min in parallel with reaction buffer consisting of 0.05 mM phosphate buffer, pH 7.4. For MAO-A assays, reaction buffers additionally contained either 0.05 μCi/50 μM [14C] 5-hydroxytyrptamine (Perkin Elmer) as substrate or [14C] 5-hydroxytyrptamine plus 1 μM clorgyline to determine total and non-specific MAO-A activity, respectively. For MAO-B assays, reaction buffers also contained either 0.025 μCi/25 μM [14C] phenylethylamine (Perkin Elmer) as substrate or [14C] phenylethylamine plus 1μM pargyline to determine total and non-specific MAO-B activity, respectively.
Following preincubation, reaction tubes (1.5 ml Eppendorf) for both MAO-A and MAO-B assays were prepared by adding 10 μl of tissue to 700 μl of the reaction buffer or reaction buffer containing enzyme inhibitor. These tubes, prepared in triplicate for totals and non-specific blanks for each tissue and animal group, were vortexed and incubated for 20 min at 37 °C. The reactions were terminated by the addition of 50 μl 6 M HCl to each tube. The acid oxidation products formed were then extracted by adding 750 μl of a 1:1 solution of toluene-ethylacetate to each tube, vortexing, and then collecting 400 μl of the organic phase. This product was placed in glass scintillation vials containing 8 ml of scintillation cocktail (Betafluor, National Diagnostics, Atlanta, GA, USA), vortexed, and after settling and was counted by liquid scintillation spectrometry using an LS-6500 Beckman-Coulter Scintillation Counter. Time course assays were performed for MAO-A and MAO-B activity using homogenates of cortical and striatal tissues from control animals as per these methods but varying in incubation times from 1 to 60 min to confirm that the 20 min incubation period selected was within the time interval over which the rate of product formation was linear for MAO-A and MAO-B for cortical and subcortical tissue. MAO-A activity in prefrontal cortical tissue from control and GDX subjects was also evaluated in six-point saturation assays that were performed as above using substrate concentrations that ranges from 2 to 200 μM; Michaelis–Menten constants (Km) and maximal reaction velocities (Vmax) were determined using GraphPad Prism, 4.0 (Graph Pad Software, Inc., San Diego, CA, USA).
Protein quantification
Protein content was measured using a Bio Rad Protein Assay Kit (BioRad Life Sciences, Hercules, CA, USA). Triplicate samples of tissue homogenates used in each enzyme assay were diluted eightfold and measured at 595 nm using a Nanodrop 1000 Spectrophotometer (Nanodrop Technologies, Inc. Wilmington, DE, USA). Protein concentrations from these samples were calculated in relation to standard curves generated using 0.2–1.4 mg/ml of bovine γ globulin (provided with the kits). These values were used to normalize enzyme activity data prior to the within and across group analyses described below.
Data analysis
Protein-normalized, triplicate total and non-specific data points obtained from each of the three repeated enzyme activity assays performed per brain area and per hormone treatment group comprised the raw data that were used for all of the analyses described below. Because the experimental “n” for each was three, the data were first assessed first using descriptive statistics, and were then compared as allowed within and across animal groups using both parametric and non-parametric assessments to obtain the most reliable picture of the statistical power of resultant findings. Within group analyses utilized the Student's T-test and the Wilcoxon Signed Rank or Mann Whitney U-test; across animal group comparisons utilized analyses of variance (ANOVA) or the Kruskal–Wallis test. Individual bulbospongiosus muscle weights from each of the individual animal subjects used in the assays were also evaluated using descriptive statistics and were compared across hormone treatment groups using an ANOVA. For all statistical assessments, a P<0.05 level was accepted as significant, and allowed post-hoc testing utilized Fisher's PLSD (Stat View, 4.5).
Results
Effectiveness of hormone treatment
Separate analyses and comparisons of the weights of the androgen-sensitive BSM obtained from each animal subject used for COMT and MAO assays revealed expected differences in mass between the GDX and GDX-E groups on the one hand and the control and GDX-TP groups on the other (Fig. 2A, B). Thus, for both sets of animal groups, mean BSM weights of the GDX and GDX-E cohorts were only about 25% of the control whereas the weights of the GDX-TP groups were similar to or slightly higher than control. Separate analyses of variance (ANOVA) performed on the data collected from subjects used for the MAO and COMT assays further identified significant main effects of hormone treatment on BSM mass for both sets of subjects [for MAO-A assays: F(3,30)=14.67, P<0.0001; for COMT assays: F(3,30)=7.90, P<0.0001] and post hoc comparisons revealed significant differences in muscle mass between the GDX and GDX-E but not the GDX-TP groups compared to the sham-operated controls (Fig. 2A, B).
Catechol-O-Methyltransferse (COMT) activity
Assays of the COMT-mb revealed no obvious differences in protein-normalized enzyme activity in prefrontal compared to striatal tissues for any of the four animal groups (Fig. 3A). This was confirmed in within group parametric and non-parametric statistical comparisons (Student's t-test, Wilcoxon Signed Rank test) that found no significant or near significant differences in cortical compared to subcortical enzyme activity for any of the animal groups. There were also no obvious differences observed in normalized enzyme activity measures for either striatal or for cortical tissues in intact compared to GDX or GDX-hormone treated animals (Fig. 3A); this was further supported in both parametric and non-parametric statistical comparisons (ANOVA, Kruskal–Wallis test) that found no significant or near significant main effects of hormone treatment on COMT-mb activity for either prefrontal cortex or for dorsal striatum.
Protein-normalized enzyme activity levels for the soluble form of COMT (COMT-s) were similar and not significantly different for both cortical and subcortical tissue in all animal groups (Fig. 3B). Mean activity levels for cortex and for striatum were also similar and not significantly different from one another in GDX compared to control groups (Fig. 3B). However, normalized activity levels for both tissue types were about 15% higher than control in the GDX-E group and about 30% higher than control in the GDX-TP cohort (Fig. 3B). Subsequent statistical analyses confirmed that there were significant main effects of hormone treatment on COMT-s activity in prefrontal cortex (ANOVA, F3,18=8.66, P<0.0009; Kruskal–Wallis, H=13.63, P<0.0035) and near significant main effects of hormone treatment on COMT-s activity in striatum (ANOVA, F3,18=3.045, P<0.056; Kruskal–Wallis, H=5.60, P<0.133). Allowed post-hoc comparisons (Fisher's PLSD) further showed that these effects were driven by hormone replacement and not gonadectomy per se. Thus, there were significant differences between the GDX-TP and control groups for both striatum and cortex (P<0.011 and P<0.0003, respectively) and near significant differences between GDX-E and control in prefrontal cortex (P<0.057), but no significant or near significant differences in COMT-s in the GDX compared to control group for either tissue (Fig. 3B).
Monoamine oxidase (MAO) activity
Assays for MAO-B revealed protein-normalized enzyme activities that were similar and not significantly different in cortical compared to subcortical tissues in all four animal groups and that were also similar and not significantly different for both tissue types in the control compared to hormone treatment groups (Fig. 4A). Assays for MAO-A, on the other hand, revealed enzyme activity levels that in all animals groups were about 80% higher in striatum compared to prefrontal cortex (Fig. 4B); parametric (t-test) and non-parametric (Wilcoxon Signed Rank test) paired comparisons further identified these tissue differences as significant or near significant in all four animal groups (Student's T-test: corrected t-values from −3.129 to 6.061, P-values from <0.09 to 0.0005; Wilcoxon Signed Rank test: Z-values −1.540 to −2.521, P-values 0.123–0.012). For the dorsal striatum, there were no obvious trends or significant or near-significant differences in MAO-A activity in the control compared to hormone treatment groups (Fig. 4B). However, for the prefrontal cortex protein-normalized activity in the GDX cohort was about 30% higher than control whereas activities in the GDX-E and GDX-TP groups were both similar to each other and to control (Fig. 4B). Subsequent statistical analyses identified significant main effects of hormone treatment on prefrontal MAO-A activity (ANOVA, F3,24=4.505, P<0.012; Kruskal–Wallis, H=9.568, P<0.0226) and allowed post-hoc comparisons confirmed that these effects were a consequence of a significant difference between the GDX but not the GDX-TP or GDX-E groups and control.
The stimulatory effects of GDX on prefrontal MAO-A activity were evaluated further in saturation assays that compared substrate affinity and reaction velocity between the GDX and control groups. These studies revealed Michaelis–Menten constants that were similar in GDX rats and controls (Km=16.70±3.11 and 19.40±3.46 μM, respectively) but Vmax values that were roughly 40% higher in the GDX compared to control group (145,924±5794 DPM/mg tissue/20 min versus 106,401±7679 DPM/mg tissue/20 min, respectively, Fig. 4C). Subsequent parametric (ANOVA) and non-parametric (Mann–Whitney U-test) comparisons confirmed that Km values in GDX and controls were similar to one another while the Vmax values of these two groups were significantly to nearly significantly different (ANOVA, F1,3=13.36, P<0.034; Mann–Whitney test, U=0, U′=6, P<0.083).
Discussion
Gonadal hormone influence over the monoamine and indolamine neurotransmitters in forebrain regions of the brain has been shown to include modulation of synthesis (Simerly, 1989; Fink et al., 1996, 1999; Pecins-Thompson et al., 1996; Thanky et al., 2002; Serova et al., 2004; Jeong et al., 2006; Guerra-Araiza et al., 2008), vesicular and/or synaptic release (Ji et al., 2007; Dluzen et al., 2008; Dluzen and McDermott, 2008), the number and/or affinity of the receptors and transporter proteins they interact with (Landry and Di Paolo, 2003; Bhatt and Dluzen, 2005; Le Saux and Di Paolo, 2006; Meyers and Kritzer, 2009), and the second messenger cascades these can activate (Le Saux and Di Paolo, 2005; Mani et al., 2009). It is likely that these actions—and very possibly others, help shape the sex differences and hormone malleability that has been observed for the complex cognitive, mnemonic and affective functions that these neurotransmitter systems support (Cosgrove et al., 2007), and could also have bearing on the sex differences that are also seen in the incidence, symptom severity and efficacy of drug treatment in the devastating forms of mental illness such as schizophrenia and major depression in which these forebrain systems fail (Goodman and Stevenson, 1989; Seeman and Lang, 1990). Accordingly, it is important to have as full a view as possible of the means by which gonadal steroid hormones affect these pivotal signaling systems. Here classical means of hormone deprivation and replacement were used to explore the hormone sensitivity of two catabolic enzymes, COMT and MAO, which are particularly active in regulating functional amine neurotransmitter levels in forebrain structures including the cerebral cortex (Westerink and Spaan, 1982; Karoum et al., 1994; Yavich et al., 2007). Stimulated by findings from this laboratory of a profound dysregulation of the prefrontal DA system in male rats, by evidence for male over female sex differences in and male-specific associations with polymorphisms of both enzymes in human health and mental illness (Volavka et al., 2004; Ducci et al., 2006; Sjoberg et al., 2007; Biederman et al., 2008; Harrison and Tunbridge, 2008) and by the striking male specific phenotypes seen in both MAO and COMT knockout mice (Cases et al., 1995; Gogos et al., 1998; Huotari et al., 2002), this approach was applied specifically to the adult male rat model. As discussed further below, these analyses revealed significant, regionally selective effects of hormone replacement on COMT-s but not COMT-mb, and of GDX on MAO-A but not MAO-B. Although none of the effects observed were consistent with roles in the regulation/dysregulation of DA in the prefrontal cortex (PFC) seen in the same animal model, they do provide new and more detailed information about the hormone sensitivity of identified enzyme isoforms in brain areas and in a sex where although there has been a wealth of data that predicts significant gonadal steroid impact on normal as well as pathological operations, systematic assessments have rarely to never been applied.
Effects of gonadectomy and hormone replacement on COMT: comparisons with previous studies
Given that DA disturbances in the prefrontal cortex are significant parts of the pathophysiology of schizophrenia, it is not surprising that the enzyme principally responsible for regulating prefrontal cortical DA levels, COMT has been identified as a susceptibility gene for this and other disorders including obsessive-compulsive disorder and attention deficit hyperactivity disorder (ADHD) where prefrontal DA systems are also at risk (Biederman et al., 2008; Harrison and Tunbridge, 2008). Further, as for the incidence, expression and/or outcome of these same disorders (Goodman and Stevenson, 1989; Seeman and Lang, 1990), there are also significant sexual dimorphisms associated with COMT. For example, the Met (A) allele of the COMT Val158 Met polymorphism has been associated with aggressive and impulsive behavior (Strous et al., 1997; Lachman et al., 1998; Kotler et al., 1999; Strous et al., 2003), ADHD (Biederman et al., 2008) and obsessive-compulsive disorder (Karayiorgou et al., 1997, 1999; Poyurovsky et al., 2005; Denys et al., 2006; Pooley et al., 2007) in males but not females, and with anxiety disorders in females but not males (Eley et al., 2003; Domschke et al., 2004; Woo et al., 2004; Stein et al., 2005; Rothe et al., 2006). In health, this allele has also been associated with better performance in behavioral measures of IQ, attention and working memory in boys but not girls (Barnett et al., 2007), and independent of the functional Val158 Met polymorphism, significant male over female differences have also been identified in COMT activity measured in prefrontal cortex (Chen et al., 2004), liver (Boudikova et al., 1990) and erythrocytes (Fahndrich et al., 1980; Floderus and Wetterberg, 1981; Philippu et al., 1981). Analyses in COMT −/−mice have also shown that the significant effects that this gene knockout has on forebrain DA levels and on certain DA drug responses are exclusive to males while behavioral consequences of this manipulation for measures of anxiety are female-specific (Gogos et al., 1998; Huotari et al., 2002).
Studies in this laboratory have shown that in adult male rats gonadal hormones exert a significant and selective stimulatory influence over basal prefrontal cortical DA levels and innervation densities (Kritzer et al., 1999; Kritzer, 2000). Given that the COMT enzyme is uniquely relied upon by the mesocortical DA system to regulate the key parameter of local DA tone, it seemed plausible that these findings and those noted above in humans and mice could be explained by testicular hormone regulation/gonadectomy-induced dysregulation of COMT. However, until now the question of hormone impact over this enzyme has been addressed mainly in studies that focused on ovarian hormones and female subjects. While these studies have clearly shown that COMT is estradiol-sensitive, they also suggest that hormone sensitivity may be largely limited to peripheral tissues and cell lines and to the soluble isoform of COMT that predominates therein. For example, estrogen response elements have been identified within the proximal COMT promoter region which specifically regulates transcription of COMT-s (Xie et al., 1999). Further, estradiol treatment has been shown to diminish COMT mRNA, activity and immunoreactivity in estrogen receptor expressing, COMT-s-enriched MCF-7 cells (Xie et al., 1999; Jiang et al., 2003). However, whereas estradiol administration in rats has also been shown to decrease COMT activity in liver, where the majority of COMT present is its soluble form, corresponding effects were not seen in the brain where COMT-mb predominates (Cohn and Axelrod, 1971; Tenhunen et al., 1993; Lundstrom et al., 1995; Matsumoto et al., 2003).
The present studies are to our knowledge a first to assess the effects of gonadectomy and hormone replacement on COMT in male subjects and a first to independently assess hormone actions on COMT-s versus COMT-mb in brain. The data that were obtained do, however, align with previous studies in indicating a gonadal hormone insensitivity of brain COMT and, more specifically, brain COMT-mb. Thus, no effects of either gonadectomy or hormone replacement were found on the activity of this enzyme isoform in either cortical or subcortical tissue. There were also no effects of gonadectomy itself on COMT-s. However, the present analyses did identify significant and near significant stimulatory effects on this enzyme isoform in GDX animals supplemented with testosterone and with estradiol, respectively. Given the paucity of COMT-s in brain and the low affinity that this isoform has for catecholamines (Lotta et al., 1995), it may be unlikely that this limited sphere of hormone sensitivity contributes significantly to the diverse sex differences that have come to be associated with brain COMT activity. Further, it is also unlikely that these effects are involved in the gonadectomy-induced upregulation of the prefrontal DA system that has been identified in the same animal model, where enzyme inhibition would be expected in the GDX cohort. The stimulation of COMT-s observed in both cortical and subcortical tissues of the testosterone- and the estradiol-supplemented groups is also at odds with the exclusively androgen-sensitive and prefrontal-selective effects that long-term gonadectomy in adult male rats exerts on mesocortical dopaminergic endpoints (Kritzer et al., 1999; Kritzer, 2000; Meyers and Kritzer, 2009).
In sum, all available data—including that added here, suggests that direct actions of gonadal steroids on enzyme activity may not be primary means by which sex differences are conferred on COMT in brain and the membrane-bound enzyme isoform that predominates there. However, there is a growing consensus for hormone regulation of COMT-s. Further, whereas previous studies had shown this isoform to be hormone malleable in non-neural tissues and cell cultures, the present study shows that the COMT-s present in brain is also hormone sensitive. Interestingly, however, both the testosterone- and the weaker estradiol-driven, stimulating effects on COMT-s that were identified here in the male brain are opposite to the inhibitory actions that have been previously identified for estradiol (above) and for the non-aromatizable androgen dihydrotestosterone in decreasing COMT transcription and activity in COMTs-enriched, cultured ovarian tissues (porcine and human granulose cell lines; Salih et al., 2008). Taken together, these findings not only suggest that gonadal hormones may be directly involved in regulating COMT-s, but that enzyme activity may be oppositely tuned by gonadal steroids in male versus female subjects. Understanding how this occurs may provide important clues as to how gonadal steroid stimulation contributes to the sex differences in the actions and activities of COMT/COMT-s that have been observed in non-neural tissues, that may have more to do with catabolism of catechol estrogens rather than the catecholamines, and that have been implicated in sex-specific patterns of protection from and vulnerability to certain estrogen-related cancers (Yin et al., 2004).
Effects of gonadectomy and hormone replacement on MAO: comparisons with previous studies
Studies in humans and animal models have identified male-specific links between MAO-A activity and MAO-A gene polymorphisms and/or gene knockouts with aggressive, impulsive and antisocial behaviors (Brunner et al., 1993; Cases et al., 1995; Kim et al., 1997; Caspi et al., 2002; Saito et al., 2002; Nilsson et al., 2006; Widom and Brzustowicz, 2006; Sjoberg et al., 2007), with related effects on forebrain levels of serotonin, norepnephrine and to a lesser degree DA (Cases et al., 1995; Chen et al., 2007), and with disorders including antisocial personality disorder, ADHD and schizophrenia where these functions and neurotransmitter systems are at risk (Sjoberg et al., 2008). That the promoter region of the human MAO-A gene has been shown to contain multiple androgen response elements (Ou et al., 2006) further suggests that this regulatory enzyme is influenced by gonadal, perhaps specifically testicular, hormones in males. Nonetheless, few studies have directly explored the question of gonadal hormone sensitivity of MAO in male subjects. Rather, most of the literature that exists to date has explored the potential hormone sensitivity of MAO enzyme activity in hindbrain and/or neuroendocrine brain centers in female rodent and non-human primate ovariectomy and hormone replacement models. While these analyses have identified effects of ovarian steroids on MAO that are in part brain region, hormone manipulation paradigm and MAO isoform specific, there are consensus findings of inhibitory effects of estrogen on MAO-A activity or mRNA (Luine et al., 1975; Chevillard et al., 1981; Luine and Rhodes, 1983; Ortega-Corona et al., 1994; Holschneider et al., 1998; Bethea et al., 2002; Gundlah et al., 2002) and more variable and generally more limited effects of estrogen on MAO-B (Holschneider et al., 1998; Gundlah et al., 2002).
In the two prior studies of MAO activity that were carried out in male rats (Luine et al., 1975; Birgner et al., 2008), the steroid hormone manipulations that were used were substantially different from those used in of this study. Perhaps as a consequence, both yielded results that do not readily match those identified here. Thus, whereas the current studies found that MAO-A activity in prefrontal cortex but not dorsal striatum was significantly increased by long-term gonadectomy, short-term testosterone treatment (3 days to 1 week) in gonadectomized rats was shown to increase MAO activity in the preoptic area and have no effects on MAO in cortex, amygdala, hippocampus or hypothalamus (Luine et al., 1975). A second study also showed that 14 days of i.m. administration of the anabolic steroid nandrolone in gonadally intact males dose-dependently decreased both MAO-A and MAO-B activity in striatum but not prefrontal cortex (Birgner et al., 2008). These findings are also essentially opposite to those identified here, where there were no effects of gonadectomy or hormone replacement on MAO-A or B in the striatum and no effects on MAO-B in prefrontal cortex. Thus, like other endpoints—and as presaged in studies of MAO in females (above), the effects of gonadal steroids on MAO activity in males may be sensitive to the specifics, for example, duration, dose, of the hormone deprivation, stimulation, supplementing and/or replacement used. This is supported in part by findings obtained in adult, male non-human primates where both the model and the findings obtained were more concordant with those of this study. Thus, in these previous analyses, MAO activity measured in plasma in gonadally intact animals at different times during the breeding season and in animals that had been gonadectomized for the long term revealed that MAO activity was inversely correlated with serum testosterone levels in the intact animals and significantly increased in a long-term gonadectomized cohort (Redmond et al., 1976). In the present study, testosterone suppressing effects over MAO were defined further in by isolating effects to MAO-A versus MAO-B, and by revealing an equal effectiveness of both TP and E in attenuating the effects of GDX on MAO-A; because both the TP and E replacement paradigms used in this study have been shown to result in similar plasma E levels (Turvin et al., 2007) this suggest that aromatized estrogenic derivatives of testosterone may be principally responsible for the hormone regulation observed. Finally, it was also shown that the influence of gonadectomy over the pivotal regulatory enzyme MAO-A relates to its abundance (Vmax.) rather than the efficiency of its interactions with substrate (Km).
Although DA is a known substrate for MAO-A (Shih, 1991; Shih et al., 1999), there are several reasons to reject the conclusion that the effects of GDX on MAO-A identified here are responsible for the effects that this same manipulation has on the prefrontal DA system. Specifically, although both endpoints show selectivity for the prefrontal cortex, the stimulatory actions of GDX identified here on the degradative enzyme MAO-A are counter to the stimulatory effects on prefrontal DA systems that this manipulation also brings. Further, whereas effects on prefrontal DA systems are typically androgen sensitive and estrogen insensitive, the effects observed here on MAO-A were attenuated in both the testosterone- and estradiol-supplemented, gonadectomized groups. However, whereas, the impact of GDX on MAO is more likely to be compensatory rather than causal for prefrontal DA systems, it is possible that the hormone influence identified here could have significant bearing on the preferred substrates of MAO-A, which for forebrain include 5-HT and NE (Shih, 1991; Shih et al., 1999). Further, the suppressive effects of testosterone on cortical MAO-A identified here could help explain the appearance of certain cognitive deficits, for example, in spatial memory, verbal fluency, and the increased incidence of symptoms of depression and anxiety that have been repeatedly identified in male subjects in clinical instances of hypogonadalism related to aging or other biological factors (Alexander et al., 1998; Cherrier et al., 2003b; Shores et al., 2004, 2005; Janowsky, 2006; Almeida et al., 2008; Amore et al., 2009), or in prostate cancer patients where androgen deprivation has been used as a neoadjuvant treatment (Cherrier et al., 2003b; Salminen et al., 2003, 2005; Janowsky, 2006). Given the present results from our surgical hypogonadalism rodent model and the previous data collected in gonadectomized, non-human primates (Redmond et al., 1976), it may well be predicted that in human conditions where circulating testosterone levels are decreased there would be increased levels of MAO-A and a related decrease in forebrain levels of 5-HT and NE, that in turn could produce a neurochemical milieu conducive to the production and/or exacerbation of exactly types of behavioral symptoms that are seen clinically (above) that have long been associated with deficits in catechol- and indolamine neural transmission. Finally, whereas testosterone replacement therapies in aging men and in certain male patient populations have had mixed or disappointing results in alleviating cognitive decline and/or affective symptoms (Janowsky et al., 2000; Kenny et al., 2002; Lu et al., 2006), the present findings that identified the MAO-A suppressing actions of testosterone as being androgen and/or estrogen-driven suggest that greater clinical benefit might be gained by the use of aromatizable rather than non-aromatizable androgens in applied hormone replacement therapies (Cherrier et al., 2003a, 2005).
Acknowledgments
This work supported by RO1-NS41966 to MFK.
Abbreviations
- ANOVA
analysis of variance
- BSM
bulbospongiosus muscles
- COMT
catechol-O-methyltransferase
- COMT-mb
catechol-O-methyltransferase, membrane-bound isoform
- COMT-s
catechol-O-methyltransferase, soluble isoform
- DA
dopamine
- GDX
gonadectomized
- GDX-E
gonadectomised, estradiol replaced
- GDX-TP
gonadectomised, testosterone propionate replaced
- MAO
monoamine oxidase
- MAO-A
monoamine oxidase, A, isoform
- MAO-B
monoamine oxidase, B isoform
- SHM
sham-operated control
Footnotes
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