Abstract
Stress affects the hippocampus, a brain region crucial for memory. In rodents, acute stress may reduce density of dendritic spines, the location of postsynaptic elements of excitatory synapses, and impair long-term potentiation and memory. Steroid stress hormones and neurotransmitters have been implicated in the underlying mechanisms, but the role of corticotropin-releasing hormone (CRH), a hypothalamic hormone also released during stress within hippocampus, has not been elucidated. In addition, the causal relationship of spine loss and memory defects after acute stress is unclear. We used transgenic mice that expressed YFP in hippocampal neurons and found that a 5-h stress resulted in profound loss of learning and memory. This deficit was associated with selective disruption of long-term potentiation and of dendritic spine integrity in commissural/associational pathways of hippocampal area CA3. The degree of memory deficit in individual mice correlated significantly with the reduced density of area CA3 apical dendritic spines in the same mice. Moreover, administration of the CRH receptor type 1 (CRFR1) blocker NBI 30775 directly into the brain prevented the stress-induced spine loss and restored the stress-impaired cognitive functions. We conclude that acute, hours-long stress impairs learning and memory via mechanisms that disrupt the integrity of hippocampal dendritic spines. In addition, establishing the contribution of hippocampal CRH–CRFR1 signaling to these processes highlights the complexity of the orchestrated mechanisms by which stress impacts hippocampal structure and function.
Keywords: corticotropin-releasing factor, long-term potentiation, memory, synaptic plasticity, hippocampus
The hippocampal formation is involved in a circuit that is required for several types of memory in both humans and rodents (1–4). At the physiological/cellular level, memory processes generally are believed to involve long-term potentiation (LTP) of synaptic function (5–8). This potentiation, in turn, is associated with an increase in the size (9, 10) and altered composition (11–13) of dendritic spines of hippocampal principal cells that carry excitatory synapses (14, 15).
Stress affects both the function and the structure of the hippocampus (16–25). A large body of work has demonstrated that chronic stress may result in memory deficits (26–31) and abnormal LTP (32–34), and these functional deficits often are accompanied by diminished dendritic arborization (35–42). Short-term or acute stress, lasting minutes to hours, also has been found to affect memory (43–47). In parallel, short-term stress has been reported to influence LTP (48–52) and reduce the density of dendritic spines in area CA1 (44, 53) or area CA3 (51, 54). Whereas hippocampus-mediated memory deficits commonly were associated with—and perhaps result from—loss of synapse-bearing dendrites and dendritic spines, this association has not been universal (37, 46, 55), so that the structure–function relationship underlying the effects of stress on hippocampal neurons has not been resolved.
Because of the prevalence and pervasiveness of stress in modern life, the mechanisms by which acute and chronic stress impact the hippocampus have received significant attention. Stress involves activation of the hypothalamic-pituitary-adrenal axis (16, 56). This activation consists of release of the stress neuropeptide corticotropin-releasing hormone (CRH) from hypothalamic neurons and activation of CRH receptors (CRHRs) within the pituitary. The resulting release of adrenocorticotropic hormone leads to secretion of corticosteroids from the adrenal gland into the circulation. Indeed, a large number of seminal studies have elucidated the roles of steroid hormones in the effects of both chronic (16, 19, 35) and acute stress (52, 57, 58). However, stress initiates a protean response involving, in addition to corticosteroids, the activation of classical neurotransmitters including monoamines and of neuropeptides (24, 56, 59, 60). Contributions of serotonin (27, 42) and glutamate receptor (GR) activation (43, 49) to the effects of stress on dendritic structure and LTP, often in concert with glucocorticoids (24), have been reported. Interestingly, many of the structural and functional consequences of stress on hippocampus have been apparent in area CA3, where there is a paucity of GRs, the receptor type activated by stress levels of corticosteroids (61, 62). These observations have raised the possibility that the mechanisms by which stress influences hippocampal neurons might be complex, involving a broad repertoire of stress mediators and receptors (16, 24, 63).
Focusing on the potential involvement of CRH, we previously have shown that short-term stress releases this neuropeptide not only from hypothalamic neurons but also within the hippocampus (64, 65). In addition, selective loss of dendritic spines in the stratum radiatum of area CA3, provoked by acute stress, was abrogated by an antagonist of the CRH receptor type 1 (CRFR1) (54). However, the functional significance of the loss of spines and the relationship of the loss of spines to both cellular and functional measures of learning and memory have remained unclear. Here we report that acute stress-induced spine loss is associated with attenuation of LTP in the corresponding synapses but not in the mossy fiber–CA3 synapses. In addition, using transgenic mice with visible YFP-expressing neurons, we find that the degree of stress-provoked spine loss correlates significantly with the memory impairment in individual mice. Finally, we discover here that elimination of spine loss by blocking CRHR signaling rescues memory function. These data illustrate a mechanistic structure–function relationship of stress-vulnerable memory processes and highlight the complexity of the orchestrated mechanisms by which severe stress impacts hippocampal structure and function.
Results
Hours-Long Multimodal Stress Impairs Learning/Memory and Attenuates LTP in Select Synapses.
Simulating intense, real-life stress, we exposed mice to 5 h of restraint, bright light, unpredictable loud noise, awareness of peer discomfort, and jostling (54, 65). This multimodal stress resulted in defective learning and memory functions evident as an inability to remember a previously seen object (1, 66). Specifically, at 90 min after the stress, both control and stressed mice were capable of exploring two objects, and both groups explored the two presented objects for the same duration (Fig.1). However, when tested for memory of these objects 6 h later, stressed mice failed to distinguish a previously encountered object from a novel one (Fig. 1A).
Although novel object recognition probably involves a wide range of neuronal populations (1, 66, 67), impairment of synaptic function in hippocampal field CA3 was apparent in the stressed mice when LTP was examined in acute slices. Field excitatory postsynaptic potentials (fEPSPs) in area CA3 stratum radiatum were assessed after single stimulation pulses delivered to commissural/associational (C/A) afferents; LTP was evaluated in response to a single train of theta-burst stimulation (TBS) (Fig. 1C). The magnitude of the LTP (fEPSP slope; means ± SEM) was reduced significantly in slices from eight stressed mice (132 ± 4% of baseline) as compared with controls (150 ± 8; P = 0.01; Fig. 1C). In contrast, mossy fiber potentiation in the adjacent stratum lucidum of area CA3 was not impaired in stressed animals (Fig.1D). No effect of stress was observed on input (stimulus duration)/output (fEPSP amplitude) relationships in either lamina. These results indicate that the acute stress provoked a region- and circuit-specific deficit of synaptic plasticity and provide a plausible mechanism for the observed behavioral memory deficits (5–8).
Stress-Induced Reduction of Spine Density Is Selective and Corresponds to LTP Deficits.
The density of spines in apical dendrites of stress-sensitive area CA3 pyramidal cells (35, 36) in stressed and unstressed mice was compared. Spine density in proximal stratum radiatum, the portion of the apical dendrite innervated by the C/A pathways, was diminished in mice that experienced the short multimodal stress (Fig. 2 A and B), in line with our previous study (54). Spine densities in the distal apical dendrites of the same neurons were not altered.
Correlation of Stress-Induced Spine Loss and Memory Impairment in Individual Mice.
If the stress-induced reduction of spine density (and associated loss of postsynaptic elements of excitatory synapses) contributed to the learning and memory impairment provoked by the stress, then spine density and memory performance should correlate in individual mice. To test this possibility, we examined the effects of stress on novel object recognition and the density of apical dendrite spines in area CA3 in the same mice. We first queried if the reduction in dendritic spine density was still apparent at the end of the memory-testing paradigm (7.5 h after the termination of the stress). Dendritic spine density in the area CA3 stratum radiatum of stressed mice still was significantly lower than that of unstressed mice at this time point (12.39 ± 0.62 spines/10 μm dendrite, n = 6 mice vs.14.83 ± 0.56 spines/10 μm dendrite, n = 7 mice; P = 0.0013). We then plotted memory function for objects, expressed as the ratio of the time spent exploring the novel object to the time spent exploring the familiar object (novel/familiar) versus spine density in area CA3 stratum radiatum (Fig. 2C). The resulting correlation (r = 0.68; P = 0.0055) was highly significant, uncovering the relationship of spine density and cognitive function.
Prevention of Stress-Induced Spine Loss Rescues Memory Function.
We reasoned that if reduced dendritic spine density in hippocampal area CA3 pyramidal cells contributed to the mechanisms of memory impairment provoked by stress, then prevention of the spine loss should abrogate the cognitive defects. In hippocampal area CA3 neurons, CRFR1 resided on dendritic spine heads (Fig. 3 A and B), where it colocalized with the postsynaptic density protein-95 (PSD-95) (Fig. 3C). Based on our previous work, we attempted to prevent stress-induced spine loss by blocking the ability of CRH to bind its receptor, CRFR1, within the hippocampus (54). The selective blocker of CRFR1, NBI 30775, was infused directly into the brains of stressed and control mice at doses that do not leak to the peripheral blood and thus do not prevent activation of pituitary CRFR1 and the stress-induced increase of plasma glucocorticoids (65). This procedure, selectively blocking central CRH−CRFR1 signaling, prevented the reduction of spine density provoked by the 5-h stress (Fig. 3D). Notably, the antagonist rescued the novel object recognition in stressed mice (Fig. 3E).
Discussion
Stress is a biologically important and ubiquitous circumstance that can influence brain function. Because of the importance of both the beneficial and deleterious effects of acute and chronic stress on cognitive function, they have been a subject of numerous studies during the past 8 decades. Focusing on the effects of stress on the hippocampus, a large body of work has uncovered effects of chronic and short-term stress on learning and memory (17, 19, 22, 23). These effects have been accompanied by morphological changes: Specifically, reduced dendritic arbors after chronic stress (35, 36, 68) and reduced spine density after acute stress (39, 43, 54) have been described. Interestingly, diverse locations of stress-induced structural changes have been reported. For example, chronic stress reportedly reduced dendritic complexity in area CA1 (39), in area CA3 (35, 37, 42), or in both fields (38). After short-term stress, altered spine density has been found in basal dendrites of area CA1 (46) or in apical dendrites of area CA3 (35, 36, 44, 54). Even within field CA3, investigators found alterations of synapses in stratum lucidum (44), in stratum radiatum (51, 54), throughout the apical dendrites (35), or in locations that varied depending on the type of the area CA3 pyramidal cells (long vs. short shaft) that were examined (38, 51).
These diverse morphological effects of stress are not surprising, given the wide array of stress types and contexts (24) coupled with the biological variability of the hippocampus that is being stressed, including gender (53, 69, 70) and age (41, 71). Therefore it is reasonable to propose that the plethora of structural and functional changes provoked by stress might be a result of a broad repertoire of stress-activated mediators acting via numerous mechanisms. Among these mediators are corticosteroids that are released from the adrenal gland, enter the brain, and activate GRs and mineralocorticoid receptors within hippocampus (16, 61, 72). In addition, stress activates the autonomic nervous system and a variety of monoamines and neuropeptides, including hypothalamic and hippocampal CRH (22, 24, 56). The crucial role of glucocorticoids in structural and functional consequences of acute stress on hippocampus, the focus of the current study, has been widely documented (73). For example, Alfarez et al. (74) modulated the effects of acute psychosocial stress on LTP in area CA1 by manipulating glucocorticoid levels. Cazakoff and Howland (52) found memory deficits and attenuated LTP in area CA1 in a model of acute psychological stress, and these effects were prevented by a GR antagonist, as reported also by others (75). Area CA1 is rich in GRs (61, 62, 76), further validating the important role of these hormones in stress-induced modulation of synaptic plasticity in this region.
A number of studies have supported the involvement of additional mechanisms in the detrimental effects of stress on hippocampal structure and function (68, 77), including activation of glutamate (43, 45, 49, 63), serotonin (27, 37, 42, 47), and GABA (78) receptors. The resulting downstream processes might be reversed by antidepressants including lithium (55, 79), tianeptine, and agomelatine (28, 63), potentially via cellular cascades including neural cell adhesion molecules (47, 79).
In the current study, a 5-h period of psychological/physical stress reduced spine density in hippocampal area CA3 and prominently in the lamina where C/A fibers form synapses on dendritic spines of area CA3 pyramidal cells. The spine loss was associated with the attenuation of LTP selectively in the C/A pathway and required CRH–CRFR1 signaling. CRH is released in hippocampus during stress and at modest levels contributes to priming of LTP (80). At higher levels the peptide may injure hippocampal neurons directly (81, 82) via CRFR1 (54). Together with the current finding that blocking CRH–CRFR1 signaling abolished the stress-induced spine loss, these observations suggest that acute stress may release endogenous CRH within the hippocampus in sufficient amounts to impact the integrity of dendritic spines in hippocampal area CA3 apical dendrites. The mechanisms by which CRH results in rapid loss of spines are not fully understood. Although the final step includes disintegration of spine cytoskeleton (54), upstream mechanisms might involve cellular adhesion molecules (79) and/or tissue-plasminogen activator (40). In addition, the basis for the region specificity of the CRH-dependent stress-induced changes found here remains unclear. We speculate that the elimination of spines and loss of synaptic plasticity might require interaction of CRH signaling with other stress mediators acting on the same neurons and subcellular domains (24). Thus, although blocking of CRH–CRFR1 signaling prevented the stress-induced spine loss and overt memory defects, it is likely that CRH is only one of several effectors that interact coordinately to impact synapse and spine integrity.
The current results also further our understanding of the relationship of stress-induced spine and dendritic loss and cognitive deficits. Significant correlation of dendritic atrophy and memory defects has been found in chronic stress, as well as correlations between recovery of dendritic trees and spatial memory loss induced by chronic stress or corticosterone (16–18, 34). Others have discussed the relationship between area CA3 spine loss in acute stress and LTP (83). However, several groups found a dissociation between the effects of therapeutic interventions such as lithium or tianeptine on hippocampal structure and function (37, 46, 55), suggesting that the causal relationship between dendrite, spine, and synapse loss and impaired memory might be complex. Here we found congruent lamina- and circuit-specific effects of acute stress on hippocampal structure and function. Loss of spines was apparent in area CA3 pyramidal cell apical dendrites in proximal stratum radiatum, a region where spines provide the postsynaptic targets for C/A axons, but not in distal dendritic branches which are innervated predominantly by entorhinal (temporoammonic) afferents. This lamina specificity was in accord with the impairment of LTP in C/A afferents but not in the mossy fiber pathway that terminates in the more proximal apical dendrites (stratum lucidum). Importantly, the significant correlation of the degree of spine loss and the degree of cognitive impairment in individual mice supports a causal relationship, a conclusion strengthened by our finding that blocking stress-induced spine loss abrogated the memory impairments in the same mice. Together, and as proposed in the prefrontal cortex after chronic stress (84, 85), these data suggest that stress causes loss of spines and thus reduction in the number of postsynaptic elements harboring glutamatergic receptors crucial for LTP, learning, and memory. These structural changes, in turn, underlie the poor cognitive function of the stressed mice.
In summary we find that a combined psychological/physical stress for several hours impairs memory and leads to a selective, congruent loss of LTP and dendritic spines in hippocampus. The degree of spine loss correlates significantly with the memory defects in individual mice, and preventing spine loss using a CRHR blocker improves memory function. These findings support selective spine loss, with resulting loss of excitatory synapses, as a basis of LTP and cognitive defects. The data further highlight a role for hippocampal CRH in the complex stress-activated machinery that is involved in stress-induced hippocampal dysfunction, suggesting potential therapeutic strategies.
Methods
Stress Paradigms.
The multimodal, combined physical/psychological 5-h stress was carried out as described (54). Briefly, 3- to 4-mo-old male mice expressing YFP under the Thy-1 promoter (B6.Cg-TgN Thy1-YFP; Jackson Laboratories) were restrained in 50-mL tubes, and put six in a cage that was placed on a rapid laboratory shaker in a brightly lit room bathed in loud rap music for 5 h. The CRFR1 antagonist NBI 30775 (15 μg/μL) was infused into the lateral ventricle of mice 30 min before the stress. Infusion was accomplished via cannulae implanted 6–7 d earlier as described (54, 65).
The novel object recognition test was performed as described (41) and modified for mice (86). Initial studies were carried out to determine the duration required for stressed mice to recover, enabling them to explore objects to the same extent as nonstressed cohorts. We found that a recovery period of 90 min after the end of stress sufficed to engender equal object exploration by control and stressed mice. Mice then were presented with two objects in a dimly lit, quiet room and permitted 10 min of exploration. Six hours later, mice were presented with a replica of one of the encountered objects and a novel one, and the duration of exploration of each object was quantified (41, 86). The ratio of time (in seconds) spent exploring the novel vs. the previously encountered object was considered a measure of recognition memory.
Field electrophysiology was tested in300-μm hippocampal slices prepared from adult male mice 20–45 min after 5 h of multimodal stress and maintained in an interface recording chamber as described (87). Baseline potentials were set at 30–40% of the maximum spike-free fEPSP. For area CA3 C/A recordings, stimulation was delivered to area CA3c stratum radiatum and recorded in area CA3b stratum radiatum. LTP was induced using TBS (10 bursts, each containing four 100-Hz pulses, with 200-ms interburst intervals). For mossy fiber recordings, stimulation was delivered to the hilus near the inner blade of the dentate gyrus, and recordings were made from the stratum lucidum. Mossy fiber potentiation was induced by tetanic stimulation (100 Hz, 1 s); presynaptic potentiation was confirmed using paired test pulses with 100-ms interpulse intervals (88). Input (stimulus duration)–output (fEPSP amplitude) relationships were tested as described (87). LTP magnitude was determined by comparisons of fEPSP slopes at 35–40 min after TBS by two-way repeated-measures ANOVA and Tukey's post hoc test. One statistical outlier was removed from analysis in the area CA3 comparisons.
Immunohistochemistry was carried out on 20-μm free-floating sections from perfused, fixed brains as described previously (89). Antisera used included an anti-CRH receptor, CRFR1, directed against the N terminus (1:2,000; Everest), and anti-PSD-95 (1:2,000; Affinity BioReagents). Sections from all experimental groups were run concurrently in the same solutions and conditions, and all sections were processed and analyzed without knowledge of treatment group.
Spine density analyses were performed as described (54). Briefly, dendrites and spines were traced using Neurolucida (Neurolucida, Inc.) and counted per branch and per unit distance without knowledge of treatment. Differences among groups were analyzed using two-way ANOVA and post hoc Bonferroni test.
Acknowledgments
This work was supported by National Institutes of Health Grants NS28912 and MH73136 (to T.Z.B.), NS45540 (to C.S.R.), NS37799 (to C.M.G.), and NS45260 (to C.M.G, G.L., and T.Z.B.) and by a grant from the George E. Hewitt Foundation for Medical Research (to C.J.R.).
Footnotes
The authors declare no conflict of interest.
This article is a PNAS Direct Submission.
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