Abstract
Based on the human epidemiological association between prenatal infection and higher risk of schizophrenia, a number of animal models have been established to explore the long-term brain and behavioral consequences of prenatal immune challenge. Accumulating evidence suggests that the vulnerability to specific forms of schizophrenia-related abnormalities is critically influenced by the precise timing of the prenatal immunological insult. In the present study, we tested the hypothesis whether late prenatal immune challenge in mice may induce long-term behavioral and neurochemical dysfunctions primarily associated with the negative symptoms of schizophrenia. We found that prenatal exposure to the viral mimic polyriboinosinic-polyribocytidilic acid (Poly-I:C; 5 mg/kg, i.v.) on gestation day (GD) 17 led to significant deficits in social interaction, anhedonic behavior, and alterations in the locomotor and stereotyped behavioral responses to acute apomorphine (APO) treatment in both male and female offspring. In addition, male but not female offspring born to immune challenged mothers displayed behavioral/cognitive inflexibility as indexed by the presence of an abnormally enhanced latent inhibition (LI) effect. Prenatal immune activation in late gestation also led to numerous, partly sex-specific changes in basal neurotransmitter levels, including reduced dopamine (DA) and glutamate contents in the prefrontal cortex and hippocampus, as well as reduced γ-aminobutyric acid (GABA) and glycine contents in the hippocampus and prefrontal cortex, respectively. The constellation of behavioral and neurochemical abnormalities emerging after late prenatal Poly-I:C exposure in mice leads us to conclude that this immune-based experimental model provides a powerful neurodevelopmental animal model especially for (but not limited to) the negative symptoms of schizophrenia.
Keywords: anhedonia, behavioral/cognitive flexibility, dopamine, glutamate, prefrontal cortex, social interaction
INTRODUCTION
Human epidemiological studies have repeatedly demonstrated that the risk of developing schizophrenia and related disorders is significantly enhanced following prenatal exposure to infection (Brown, 2006; Brown and Derkits, 2010; Fatemi, 2005; Patterson, 2007). This has motivated the establishment of several rodent models of prenatal infection and/or immune activation, which aim at exploring this epidemiological association on experimental grounds (for a recent review, see Meyer et al, 2009a, 2009b; Meyer and Feldon, 2009, 2010; Patterson, 2009). One such model is based on prenatal exposure to the viral mimic polyriboinosinic-polyribocytidilic acid (Poly-I:C) in rats or mice. Poly-I:C is a synthetic analog of double-stranded RNA, which elicits a cytokine-associated viral-like acute phase response in mammalian organisms (Kimura et al, 1994; Traynor et al, 2004). Numerous experimental investigations have provided robust evidence for the emergence of long-term functional and structural brain abnormalities following prenatal exposure to Poly-I:C-induced immune challenge in both rats and mice (reviewed in Meyer et al, 2009a, 2009b; Meyer and Feldon, 2009, 2010; Patterson, 2009). Importantly, many of the prenatal Poly-I:C-induced behavioral, cognitive, and pharmacological dysfunctions in adult offspring are directly implicated in schizophrenia and other psychosis-related disorders, including abnormalities in sensorimotor gating, selective attention, working memory, and sensitivity to psychostimulant drugs. At least some of these functional abnormalities can be normalized by acute and/or chronic antipsychotic drug treatment (Meyer et al, 2010; Ozawa et al, 2006; Shi et al, 2003; Zuckerman et al, 2003; Zuckerman and Weiner, 2005) and are dependent on post-pubertal maturational processes (Meyer et al, 2006c, 2008b; Ozawa et al, 2006; Vuillermot et al, 2010; Wolff and Bilkey, 2008; Zuckerman et al, 2003). Taken together, the prenatal Poly-I:C model in rats and mice is characterized by a high level of face, construct, and predictive validity for schizophrenia-like psychopathology, and it successfully mimics the developmental delay of symptom onset (Fatemi and Folsom, 2009; Meyer and Feldon, 2010; Rapoport et al, 2005; Weinberger, 1987).
Using the Poly-I:C model of prenatal immune activation in mice, we have recently shown that the vulnerability to specific forms of schizophrenia-related functional and structural abnormalities is critically influenced by the precise timing of the prenatal immunological challenge (Li et al, 2009; Meyer et al, 2006a, 2006b, 2007, 2008b). For example, abnormalities in selective attention in the form of latent inhibition (LI) disruption (Meyer et al, 2006a) and sensorimotor gating impairment in the form of reduced prepulse inhibition (Li et al, 2009; Meyer et al, 2008b) are part of a symptom cluster that are characteristic for prenatal Poly-I:C-induced immune activation in early/middle gestation. On the other hand, emergence of perseverative behavior in the form of impaired discrimination reversal learning (Meyer et al, 2006b), spatial working memory deficits under low storage load in the temporal domain (Meyer et al, 2008b), and marked potentiation of the sensitivity to -methyl--aspartate (NMDA)-receptor antagonism by acute dizocilpine (MK-801) treatment (Meyer et al, 2008b) are more readily seen following prenatal Poly-I:C exposure in late gestation compared with identical prenatal immune challenge in early/middle gestation. Based on this, it has been suggested that late prenatal immune activation in mice may mimic some critical functional abnormalities relevant to the negative symptoms of schizophrenia (Sullivan et al, 2006; Meyer et al, 2009b). However, experimental support for this hypothesis is relatively sparse thus far, and the extent to which late prenatal immune activation may induce long-term behavioral abnormalities relevant to the negative symptoms of schizophrenia clearly warrants further exploration.
Therefore, the present study tested the hypothesis that prenatal Poly-I:C-induced immune activation in late gestation may lead to multiple behavioral abnormalities relevant to the negative symptoms of schizophrenia. These symptoms refer to features that are normally present in healthy subjects but are reduced or absent as a result of the disease process (Crow, 1980). Besides others, negative symptoms include social interaction deficits, presence of repetitive stereotyped behaviors, anhedonia, and behavioral and/or cognitive inflexibility (Blanchard and Cohen, 2006; Crider, 1997; Crow, 1980; Foussias and Remington, 2010; McGlashan and Fenton, 1992; Morrens et al, 2006). In keeping with our working hypothesis, our phenotypic characterization of the effects of late prenatal immune challenge thus comprised tests which have been designed to assess such behavioral functions in translational rodent models (Arguello and Gogos, 2006; Crawley, 2007; Meyer and Feldon, 2010). In addition to the functional phenotyping, we also explored the neurochemical correlates of behavioral dysfunctions following prenatal immune challenge. This was achieved by means of neurochemical analyses of central monoamines and their metabolites, as well as of excitatory and inhibitory amino acids in postmortem brain tissue of prenatally immune challenged and control offspring.
MATERIALS AND METHODS
Animals
C57BL/6 mice were used throughout the study. Female and male breeders were obtained from our in-house specific pathogen free colony at the age of 10–14 weeks. Breeding began after 2 weeks of acclimatization to the new animal holding room, which was a temperature and humidity controlled (21±1°C, 55±5%) holding facility under a reversed light–dark cycle (lights off: 08:00–20:00 hours). All animals had ad libitum access to food (Kliba 3430, Klibamühlen, Kaiseraugst, Switzerland) and water. All procedures described in the present study had been previously approved by the Cantonal Veterinarian's Office of Zurich and are in agreement with the principles of laboratory animal care in the Guide for the Care and Use of Laboratory Animals (National Institutes of Health Publication No. 86-23, revised 1985). All efforts were made to minimize the number of animals used and their suffering.
Maternal Immune Activation in Late Gestation
For the purpose of the maternal immunological manipulation in late gestation, female mice were subjected to a timed mating procedure as described previously (Meyer et al, 2005). Pregnant dams on gestation day (GD) 17 received either a single injection of Poly-I:C (potassium salt; Sigma-Aldrich, Buchs, St Gallen, Switzerland) or vehicle. Poly-I:C (5 mg/kg) was dissolved in sterile pyrogen-free 0.9% NaCl (vehicle) solution to yield a final concentration of 1 mg/ml and was administered via the intravenous (i.v.) route at the tail vein under mild physical constraint. The dose of Poly-I:C was chosen based on our previous studies in C57BL/6 mice (Meyer et al, 2006a, 2006b, 2008b). All solutions were freshly prepared on the day of administration and were injected at a volume of 5 ml/kg.
The selected gestational window (ie, GD 17) in mice corresponds roughly to the middle-to-late second trimester of human pregnancy, with respect to developmental biology and percentage of gestation from mice to human (Clancy et al, 2001; Clancy et al, 2007). This gestational stage is identical to the one selected in our previous experimental studies examining the impact of the precise timing of prenatal immune activation on postnatal brain dysfunctions (Li et al, 2009; Meyer et al, 2006a, 2006b, 2008c).
Phenotypic Characterization of Offspring
All offspring were weaned and sexed on postnatal day (PND) 21. Littermates of the same sex were caged separately. All animals were maintained under ad libitum food and water, and were kept in a temperature and humidity controlled animal vivarium under a 12 : 12 h reversed light–dark cycle as described above.
Offspring from multiple independent litters (eight Poly-I:C, eight saline) were randomly selected for the behavioral and pharmacological tests. Both male and female offspring were included in all the tests described below to assess potential sex-dependent effects of the prenatal immunological manipulation. A first cohort of Poly-I:C and control offspring (N=16 (eight males, eight females) in each experimental group) was subjected to behavioral testing in the following test order: (1) social interaction test, (2) sucrose preference test, and (3) LI test (see below). All animals were allowed a 1-week resting period between each test. The first cohort of Poly-I:C and control offspring was then used for postmortem neurochemical analyses (see below) following a resting period of 4 weeks upon conclusion of the LI test. A second cohort of Poly-I:C and control offspring (N=12 (six males, six females) in each experimental group) was used for the assessment of basal and APO-induced stereotypies (see below). All behavioral testings commenced when the offspring reached the adult stage of development (ie, PND 80 onwards).
Social Interaction Test
Social behavior is commonly referred to as the behavior that occurs in a social context and results from the interaction between and among individuals (of the same species). As mice (like most other rodents) are highly social animals, social interaction can be efficiently studied under experimental conditions (Crawley, 2007). Social interaction was assessed by analyzing the relative exploration time between an unfamiliar congenic mouse and an inanimate dummy object. A detailed description of the test apparatus and procedures used in the social interaction test can be obtained in the Supplementary Materials and Methods.
Sucrose Preference Test
Anhedonic behavior was assessed by a standard sucrose preference test using methods adapted from previous studies (Hayward et al, 2006; Slattery et al, 2007). The sucrose preference test is based on the observation that rodents typically show a preference for a sweet sucrose solution when presented with a free choice between the sucrose solution and water. A reduction in this preference is commonly considered as an indication of anhedonia (Cryan and Mombereau, 2004; Hayward et al, 2006; Slattery et al, 2007) and conversely an increase may suggest hyperhedonia. A detailed description of the apparatus and experimental procedures used can be obtained in the Supplementary Materials and Methods. Sucrose preference was indexed by a percentage score (sucrose consumption/(total liquid consumption) × 100%) obtained on two consecutive test days (Supplementary Materials and Methods). In addition, we also recorded and analyzed total fluid consumption during the habituation and test phases (Supplementary Materials and Methods) to compare the general fluid intake between the two prenatal treatment groups.
LI Test
Behavioral/cognitive inflexibility was studied by assessing the presence of LI persistence. LI is a selective learning procedure, in which previous repeated pre-exposures to the to-be-conditioned stimulus (CS) alters the subsequent development of the conditioned response (CR) following explicit parings between the same CS and an unconditioned stimulus (US; Weiner, 2003). A significant LI effect (ie, impaired conditioning following repeated inconsequential pre-exposures to the CS) is typically manifest when the organism is subjected to a high number of CS-pre-exposures (CS-PE) before CS–US conditioning (Weiner, 2003; Weiner and Arad, 2009). In contrast, presentation of a low number of CS-alone stimuli during the pre-exposure phase readily prevents the expression of LI in normal subjects (Weiner, 2003; Weiner and Arad, 2009). However, organisms which tend to show behavioral and/or cognitive inflexibility are expected to express the LI effect under parametric conditions that are insufficient for control animals to display LI (Weiner, 2003; Weiner and Arad, 2009).
LI persistence was studied in a two-way active avoidance procedure using four identical two-way shuttle boxes. The test apparatus used has been fully described before (Meyer et al, 2006c). A white noise stimulus served as the CS and electric foot shock served as the US. To facilitate the anticipated expression of LI persistence in prenatally immune challenged offspring relative to control offspring, we used an LI procedure, which has been shown in preliminary studies to result in minimal or no LI in adult control C57BL/6 mice (Meyer, Feldon: unpublished observations). The test procedures consisted of two phases: pre-exposure and conditioning, conducted 24 h apart. Equal numbers of offspring from both prenatal treatment (Poly-I:C or vehicle) conditions were allocated to one of the two conditions: CS-PE and non-pre-exposure (NPE). In the pre-exposure phase, CS-PE subjects were presented with 40 pre-exposures to a 5-s white noise CS according to a random interstimulus interval schedule, whereas NPE subjects were confined to the chamber for an equivalent period of time without any stimulus presentation. On the conditioning day, the subjects were returned to the same shuttle boxes and received a total of 100 avoidance trials. A detailed description of the test procedures can be found in the Supplementary Materials and Methods.
To index conditioned avoidance learning, the mean response latency performed on successive 10-trial blocks was analyzed (Supplementary Materials and Methods). In addition, the mean numbers of spontaneous shuttles during the inter-trial intervals (ITIs) were recorded and analyzed to account for basal locomotor activity during the conditioning phase.
Basal and APO-Induced Stereotyped Behavior
Behavioral stereotypy is defined as uniform, repetitive, and compulsive actions within a restricted pattern, which often have no obvious goals or end points. Acute treatment with the mixed DA D1/D2 receptor agonist APO is well known to induce a dose-dependent enhancement of stereotyped behaviors in mice, including repetitive climbing, wall-leaning, sniffing, and gnawing (Protais et al, 1976; Cabib and Puglisi-Allegra, 1985; Tirelli and Witkin, 1994). Acute APO treatment can thus be used to probe the sensitivity to drug-induced stereotyped behavioral responses.
Basal and APO-induced stereotyped behaviors were assessed by analyzing horizontal and vertical movements and behaviors in a wire mesh cylinder following vehicle (vitamin C solution (VitC)) or APO (5 mg/kg, s.c.) administration. A detailed description of the test apparatus and experimental procedures used can be found in the Supplementary Materials and Methods.
Postmortem Neurochemistry
Levels of monoamines (noradrenaline (NA), DA, serotonin (5-hydroxytryptamine (5-HT))) and their metabolites (dihydroxyphenylacetic acid (DOPAC), homovanillic acid (HVA), 5-hydroxyindoleacetic acid (5-HIAA), 3-methoxytyramine (3-MT)), amino acids (γ-aminobutyric acid (GABA), glutamate, aspartate, glycine), and the sulfonic amino acid taurine were determined using high-performance liquid chromatography (HPLC) according to procedures established before (Peleg-Raibstein et al, 2005; Peleg-Raibstein et al, 2008) and are described in detail in the Supplementary Materials and Methods. The rationale of measuring brain levels of monoamines, glutamate, aspartate, and glycine was primarily because these neurotransmitters have all been implicated in the modulation of behavioral/cognitive flexibility (Dalley et al, 2004; Errico et al, 2008; Singer et al, 2009; Weiner and Arad, 2009), as well as in the regulation of hedonic and social behavior (Berridge and Robinson, 1998; Fernandez Espejo, 2003). The rationale of including measurements of GABA and taurine was to extend our previous findings of prenatal Poly-I:C-induced neuroanatomical alterations in GABA-related markers (Meyer et al, 2008c) to measurements at the neurochemical level.
Following decapitation and dissection of the brain, coronal sections were prepared using razorblade cuts along the following coordinates with respect to bregma: anterior–posterior +2.3 to +1.3, +1.3 to +0.3, −0.1 to −0.6, −1.2 to −2.2, and −2.8 to −3.8. Discrete brain regions were then collected using a micropunch needle (1 mm in diameter) generating micropunches for the medial prefrontal cortex (mPFC), amygdala (AMY), caudate putamen (CPu), nucleus accumbens (NAc), dorsal hippocampus (dHPC), and ventral hippocampus (vHPC; for a detailed description, see Supplementary Materials and Methods). Monoamines and amino acids were determined using amperometric electrochemical and fluorescence detectors, respectively (see Supplementary Materials and Methods for detailed information).
Statistical Analyses
All statistical analyses were conducted using the Statistical Package for the Social Sciences (SPSS) software (version 13.0) implemented on a personal computer running the Windows XP operating system. Statistical significance was set at P<0.05.
All behavioral and pharmacological data were analyzed using parametric analysis of variance (ANOVA) followed by Fisher's least significant difference post hoc group comparisons or restricted ANOVA whenever appropriate. In the social interaction test, exploration time was expressed as a function of 1-min bins and analyzed using a 2 × 2 × 2 × 5 (prenatal treatment × sex × object × 1-min bin) repeated measures ANOVA (RM-ANOVA). Additional 2 × 2 × 5 (sex × object × 1-min bin) RM-ANOVAs of exploration time restricted to control and Poly-I:C offspring were further conducted to confirm the presence or absence of a significant preference towards the live unfamiliar mouse vs the inanimate dummy object. In the sucrose preference test, baseline fluid consumption during the initial 72-h habituation phase was evaluated using a 2 × 2 × 3 (prenatal treatment × sex × days) RM-ANOVA of water consumption. Sucrose preference was then assessed using a 2 × 2 × 2 (prenatal treatment × sex × days) RM-ANOVA of percentage sucrose intake during the subsequent 48-h test period. Total fluid intake during the 48-h test period was also analyzed using a 2 × 2 × 2 (prenatal treatment × sex × days) RM-ANOVA. In the two-way active avoidance LI paradigm, conditioned avoidance learning (indexed by the response latency) was expressed as a function of 10-trials blocks and analyzed using a 2 × 2 × 2 × 10 (prenatal treatment × sex × pre-exposure × 10-trials block) RM-ANOVA, followed by a posteriori 2 × 10 (pre-exposure × 10-trials block) RM-ANOVA restricted to each prenatal treatment condition and/or sex, if appropriate. In the APO sensitivity test, locomotor activity (indexed by the horizontal distance traveled in wire mesh cylinder) was expressed as a function of 5-min bins and analyzed using a 2 × 2 × 6 (prenatal treatment × sex × bins) RM-ANOVA for the VitC treatment phase, and by a 2 × 2 × 12 (prenatal treatment × sex × bins) for the APO treatment phase. Behavioral measures obtained in the analysis of stereotyped responses to VitC and APO treatment (ie, scores for climbing, leaning, and sniffing behavior) were first subjected to square-root transformation to better conform the data to the normal distribution assumption of parametric ANOVA. These measures were then analyzed using a 2 × 2 × 5 (prenatal treatment × sex × sampling interval) RM-ANOVA following VitC treatment, and by a 2 × 2 × 11 (prenatal treatment × sex × sampling interval) RM-ANOVA following APO treatment.
Each neurotransmitter, metabolite or metabolite/neurotransmitter ratio of interest was first analyzed using a 2 × 2 × 6 (prenatal treatment × sex × brain area) RM-ANOVA. The within-subjects factor of brain area was included to explore whether the anticipated effects of prenatal immune challenge on specific neurotransmitters, metabolites or metabolite/neurotransmitter ratios would be dependent on the precise brain area investigated. Subsequent 2 × 2 (prenatal treatment × sex) ANOVAs restricted to individual brain areas were conducted if the initial RM-ANOVA revealed a significant interaction between prenatal treatment and brain area. If the initial RM-ANOVA revealed a significant three-way interaction between prenatal treatment, sex, and brain area, the effects of prenatal immune activation on neurotransmitter, metabolite or metabolite/neurotransmitter ratios in individual brain areas were investigated separately in male and female animals using ANOVA restricted to sex. Finally, if the initial 2 × 2 × 6 (prenatal treatment × sex × brain area) RM-ANOVA failed to detect any significant interactions involving the between-subjects factor of prenatal treatment, no further restricted ANOVAs were conducted.
RESULTS
Late Prenatal Immune Challenge Leads to Reduced Social Interaction
The relative exploration time between an unfamiliar congenic mouse and an inanimate dummy object was used to assess social interaction in adult control and Poly-I:C offspring. The relative exploration time was recorded during a 5-min test period and analyzed as a function of 1-min bins. As shown in Figure 1, control offspring born to vehicle-treated mothers displayed a clear preference towards the unfamiliar mouse, indicating intact social interaction. On the other hand, offspring exposed to prenatal Poly-I:C treatment in late gestation displayed no such preference (Figure 1). The Poly-I:C-induced disruption of social interaction was evident in both male and female offspring.
Statistical support for these impressions was obtained by RM-ANOVA of exploration time, which yielded a significant main effect of treatment (F(1, 28)=4.56, P<0.05) and its interaction with object (F(1, 28)=6.07, P<0.05). Additional RM-ANOVA of exploration time restricted to control and Poly-I:C offspring was then conducted to further confirm the presence or absence of a significant preference towards the live unfamiliar mouse vs the inanimate dummy object. By revealing a significant main effect of object (F(1, 14)=8.23, P<0.05), the RM-ANOVA restricted to control offspring confirmed a significant preference towards the live mouse. In contrast, the main effect of object (or its interaction with bins) was far from significant in the restricted RM-ANOVA of exploration time in Poly-I:C offspring (F<0.5). Additional RM-ANOVAs of exploration time restricted to the two objects (ie, live mouse and inanimate dummy object) were also conducted. The analysis restricted to the inanimate dummy object revealed a significant main effect of prenatal treatment (F(1, 28)=9.28, P<0.05), reflecting the significant increase in dummy object exploration exhibited by Poly-I:C offspring compared with control offspring (Figure 1). The RM-ANOVA restricted to the live mouse did not reveal any significant main effects or interactions.
Late Prenatal Immune Challenge Leads to Anhedonic Behavior in the Sucrose Preference Test
Prenatal Poly-I:C-induced immune activation on GD17 did not significantly affect basal water intake during the habituation phase of the sucrose preference test. RM-ANOVA of water consumption during the initial 72-h habituation phase did not reveal any significant main effects or interactions. The overall daily mean±SEM of water intake during this phase was 7.67±0.24 ml. Similarly, RM-ANOVA of total fluid (water and sucrose solution) consumption during the subsequent 48-h test period did not reveal any significant main effects or interactions, indicating that the amount of total fluid consumed during the two test days was highly comparable between the two prenatal treatment groups and sex (Figure 2b). The overall mean±SEM of total fluid (water and sucrose solution) intake during the test phase was 6.36±0.18 ml.
However, prenatal Poly-I:C exposure significantly reduced sucrose preference (as indexed by the percentage score of sucrose consumption) compared with prenatal control treatment (Figure 2a). This specific effect of the prenatal immunological manipulation was equally seen at each of the two test days and emerged in both male and female offspring. Statistical support for these impressions was yielded by the RM-ANOVA of percentage sucrose intake, which revealed a significant main effect of prenatal treatment (F(1, 28)=7.89, P<0.01). No other main effects or interactions reached statistical significance.
Late Prenatal Immune Challenge Leads to Abnormally Enhanced LI
Conditioned avoidance learning was assessed by analyzing the mean response latency performed on successive 10-trials blocks. Acquisition of the CR was evident by a significant decrease in response latency as a function of blocks, leading to a significant main effect of blocks (F(9, 216)=35.03, P<0.001) in the RM-ANOVA of response latency. As expected, pre-exposures to a low number of the white-noise CS did not induce a LI effect (ie, a decrease in conditioned responding following repeated CS-PE before conditioning) in offspring born to control mothers (Figure 3). Hence, the response latency between control NPE and PE subjects was highly comparable (Figure 3). However, prenatal Poly-I:C exposure led to a sex-dependent enhancement of the LI effect in male offspring born to Poly-I:C-treated mothers (Figure 3). This pattern of results led to a significant three-way interaction between prenatal treatment, sex, and pre-exposure in the RM-ANOVA of response latency (F(1, 24)=6.72, P<0.05). An additional RM-ANOVA restricted to male Poly-I:C subjects provided further statistical support for the presence of significant LI effect by revealing a significant main effect of pre-exposure (F(1, 6)=5.87, P<0.05).
As depicted in Figure 3, the emergence of a significant LI effect in male Poly-I:C offspring was attributable to delayed learning in CS-PE subjects relative to CS-PE control offspring. RM-ANOVA restricted to male CS-PE subjects revealed a significant main effect of prenatal treatment (F(1, 6)=12.30, P<0.05) and a significant two-way interaction (F(9, 54)=2.72, P<0.05). In contrast, RM-ANOVA restricted to male NPE subjects did not provide any evidence for a significant effect of the prenatal manipulation on conditioned learning in NPE subjects.
Locomotor activity as indexed by the spontaneous ITI shuttles during conditioning decreased in all animals as a function of successive 10-trial blocks, leading to a significant main effect of blocks in the RM-ANOVA of ITI shuttles (F(9, 216)=119.11, P<0.001). This was not significantly influenced by the prenatal treatment or stimulus pre-exposure conditions. However, female offspring generally displayed a higher number of ITI shuttles compared with male offspring regardless of the prenatal treatment and stimulus pre-exposure conditions. This led to a significant main effect of sex (F(1, 24)=8.27, P<0.01) and its interaction with 10-trial blocks (F(9, 216)=3.93, P<0.01). The mean±SEM of ITI shuttles per 10-trials block was 1.70±0.30 and 0.93±0.21 in female and male offspring, respectively.
As our findings of a sex-specific enhancement of the LI effect in male Poly-I:C offspring (Figure 3) were based on a small number of NPE and CS-PE subjects (four male subjects per pre-exposure condition and prenatal treatment group), we re-assessed the effects of prenatal Poly-I:C exposure on LI enhancement in an independent experiment. As outlined in the Supplementary Data, we were able to successfully replicate our initial findings in a second independent cohort of male Poly-I:C and control offspring (Supplementary Data). The successful replication suggests that our initial findings of LI enhancement in male Poly-I:C offspring (Figure 3) can not be accounted for by spurious findings and/or possible litter effects, but rather represents a robust effect of the prenatal treatment on behavioral/cognitive perseveration in selective associative learning.
Late Prenatal Immune Challenge Leads to Altered Locomotor and Stereotyped Behavioral Responses to Acute APO Treatment
Horizontal locomotor activity
Figure 4a shows that adult Poly-I:C offspring appeared to display increased levels of horizontal locomotor activity compared with adult control offspring in the initial vehicle (VitC) phase. However, RM-ANOVA of horizontal locomotor activity following VitC administration failed to attain a significant main effect or interaction involving the between-subjects factor of prenatal treatment. In contrast, a significant difference between Poly-I:C and control offspring was obtained in terms of horizontal locomotor activity following acute APO administration, with APO-treated Poly-I:C offspring displaying a general increase in horizontal locomotor activity compared with APO-treated control offspring (Figure 4a). This effect of prenatal Poly-I:C exposure emerged similarly in male and female offspring, and was statistically supported by the presence of a significant main effect of prenatal treatment (F(1, 19)=5.80, P<0.05) in the RM-ANOVA of horizontal locomotor activity following APO administration. Horizontal locomotor activity was generally increased in APO-treated female mice compared with APO-treated male mice regardless of the prenatal treatment conditions. This led to a significant main effect of sex (F(1, 19)=4.01, P<0.05). However, the between-subjects factor of sex did not interact significantly with the factor of prenatal treatment (F<1). The mean±SEM (cm) of horizontal locomotor activity displayed per 5-min bin was 281.60±14.18 and 193.48±8.92 in female and male offspring, respectively.
Climbing
There were no significant differences between Poly-I:C and control offspring in terms of climbing behavior during the initial vehicle phase (Figure 4b). Administration of APO led to a marked increase in climbing behavior (Figure 4b). Most interestingly, Poly-I:C offspring displayed a faster onset of APO-induced enhancement in climbing behavior in comparison with control offspring (Figure 4b). Indeed, although climbing behavior in APO-treated Poly-I:C offspring approached peak levels immediately after APO treatment, climbing behavior in APO-treated control offspring reached peak levels only by 15 min following the APO injection (Figure 4b). Statistical support for these impressions was obtained by the RM-ANOVA of climbing behavior following APO administration, which yielded a significant main effect of sampling interval (F(10, 190)=4.63, P<0.001) and its interaction with prenatal treatment (F(10, 190)=3.08, P<0.01). Additional ANOVAs restricted to each of the 11 sampling intervals were then performed to further verify the presence or absence of significant group or sex differences in climbing behavior at specific post-injection intervals. By revealing a significant main effect of prenatal treatment (F(1, 19)=7.77, P<0.05), the ANOVA restricted to the first sampling interval confirmed that Poly-I:C offspring displayed a faster onset of APO-induced climbing behavior compared with controls (Figure 4b). This time-dependent effect of the Poly-I:C treatment emerged in both male and female offspring.
Leaning
In agreement with the outcomes in the analysis of climbing behavior (Figure 4b), leaning behavior was highly comparable between Poly-I:C and control offspring during the initial VitC phase (Figure 4c). Acute APO treatment led to a temporary increase in leaning behavior: It led to an initial increase, which was most pronounced during the first 10 min following APO administration, but subsided later (Figure 4b). This led to a highly significant main effect of sampling interval (F(10, 190)=5.50, P<0.001) in the RM-ANOVA of leaning behavior following APO administration. Interestingly, the APO-induced temporary increase in leaning behavior appeared to be blunted in Poly-I:C offspring relative controls (Figure 4b), as indicated by the prenatal treatment × sampling time interaction approaching statistical significance (F(10, 190)=1.82, P=0.059). Additional ANOVAs restricted to each of the 11 sampling intervals confirmed that Poly-I:C offspring displayed reduced leaning behavior relative to controls specifically during the first sampling interval, as supported by the presence of a significant main effect of prenatal treatment (F(1, 19)=4.89, P<0.05) in the ANOVA restricted to the first sampling interval. This specific effect of the Poly-I:C treatment emerged in both male and female offspring.
Sniffing
Figure 4d depicts sniffing behavior displayed by Poly-I:C and control offspring during the initial vehicle (VitC) and subsequent APO phase. Prenatal Poly-I:C treatment appeared to increase the amount of sniffing during the VitC phase compared with sniffing displayed by VitC-treated control offspring (Figure 4d). However, the main effect of prenatal treatment in the RM-ANOVA of sniffing following VitC administration only attained statistical trend level (F(1, 19)=4.31, P=0.0516). As depicted in Figure 4d, APO administration led to a noticeable reduction in the amount of sniffing relative to sniffing measured in the initial VitC phase. The APO-induced reduction in sniffing displayed by Poly-I:C offspring appeared to be maximal at the first and last sampling interval, whereas the APO-induced reduction in sniffing displayed by control offspring was maximal between sampling intervals 2 and 6 (Figure 4d). These patterns of results led to a significant main effect of sampling interval (F(10, 190)=2.78, P<0.01) and its interaction with prenatal treatment (F(10, 190)=2.60, P<0.01).
Grooming and biting/gnawing
The amount of grooming and biting/gnawing behavior in Poly-I:C and control offspring was generally very low, both following VitC and APO administration; no significant group differences were revealed in the corresponding statistical analyses (data not shown).
Region- and Sex-Specific Effects of Late Prenatal Immune Challenge on Brain Monoamine Contents
NA
Prenatal Poly-I:C exposure did not significantly affect levels of NA in the brain (data not shown). RM-ANOVA of NA contents did not reveal a significant main effect or interactions involving the between-subjects factor or prenatal treatment.
DA
Prenatal immune activation significantly influenced brain levels of DA in a region-specific manner, as indicated by the presence of significant main effect of prenatal treatment (F(1, 21)=5.11, P<0.05) and its interaction with brain region (F(5, 105)=2.60, P<0.05) in the initial RM-ANOVA. Subsequent ANOVAs restricted to individual brain areas showed that prenatal Poly-I:C treatment led to a significant reduction in DA contents specifically in the mPFC (main effect of prenatal treatment: F(1, 27)=6.68, P<0.05) and vHPC (main effect of prenatal treatment: F(1, 25)=7.25, P<0.05; Figure 5a). The effects of the prenatal Poly-I:C treatment were apparent in both male and female offspring.
Serotonin (5-HT)
Prenatal Poly-I:C exposure led to sex- and region-specific changes in 5-HT, as supported by the presence of a significant three-way interaction between prenatal treatment, sex, and brain area (F(5, 115)=2.52, P<0.05). By revealing a significant main effect of prenatal treatment (F(5, 115)=2.52, P<0.05) and its interaction with brain areas (F(5, 115)=2.52, P<0.05), the subsequent RM-ANOVA restricted to female subjects indicated that prenatal Poly-I:C treatment significantly influenced 5-HT levels in females. Additional ANOVAs restricted to individual brain areas confirmed that female offspring born to Poly-I:C-treated mothers displayed a significant enhancement of 5-HT in the AMY (F(5, 115)=9.65, P<0.01) and NAc (F(1, 13)=7.47, P<0.05) relative to levels measured in female control offspring (Figure 5b). No significant differences were found in other brain regions of Poly-I:C-exposed females compared with control females (Figure 5b). Prenatal Poly-I:C treatment did not significantly influence 5-HT levels in male offspring (Figure 5b). RM-ANOVA restricted to males failed to detect a significant main effect and/or interaction with brain area.
Monoamine metabolites and metabolites/monoamine ratios
Prenatal immune activation significantly affected the levels of 5-HIAA depending on the brain area investigated. Statistical support for this impression was obtained by the RM-ANOVA, which revealed a significant interaction between prenatal treatment and brain area (F(5, 115)=2.61, P<0.05). Subsequent ANOVAs restricted to individual brain areas confirmed that prenatal Poly-I:C exposure significantly enhanced 5-HIAA contents specifically in the AMY (main effect of prenatal treatment: F(1, 23)=4.59, P<0.05), but not in the other brain areas investigated. The levels of metabolites (DOPAC, HVA, 3-MT, and 5-HIAA) and monoamine/metabolite ratios (DOPAC/DA, HVA/DA, 3-MT/DA, 5-HIAA/5-HT) measured in Poly-I:C and control animals are summarized in Table 1.
Table 1. Mean±SEM Values (in ng/mg tissue) of Monoamine Metabolites and Monoamine/Metabolite Ratios in the Distinct Brain Regions of Adult Control Offspring and Offspring Subjected to Prenatal Poly-I:C Treatment in Late Gestation.
DOPAC | HVA | 3-MT | DOPAC/DA | HVA/DA | 3-MT/DA | 5-HIAA | 5-HIAA/5HT | |
---|---|---|---|---|---|---|---|---|
mPFC | ||||||||
Control | ||||||||
Male | 0.13±0.02 | 0.14±0.02 | 0.02±0.00 | 0.79±0.11 | 0.99±0.15 | 0.16±0.05 | 0.13±0.02 | 0.58±0.03 |
Female | 0.19±0.06 | 0.15±0.03 | 0.03±0.01 | 1.06±0.28 | 0.92±0.21 | 0.17±0.04 | 0.14±0.02 | 0.94±0.10 |
PolyI:C | ||||||||
Male | 0.06±0.01 | 0.11±0.01 | 0.01±0.00 | 0.76±0.13 | 1.47±0.21 | 0.21±0.05 | 0.13±0.02 | 0.55±0.03 |
Female | 0.10±.015 | 0.11±0.01 | 0.01±0.00 | 1.36±0.19 | 1.35±0.14 | 0.17±0.05 | 0.14±0.02 | 0.92±0.10 |
AMY | ||||||||
Control | ||||||||
Male | 0.30±0.07 | 0.31±0.05 | 0.09±0.02 | 0.50± 0.09 | 0.40±0.06 | 0.11±0.02 | 0.23±0.04 | 0.55±0.08 |
Female | 0.80±0.24 | 0.48±0.10 | 0.17±0.04 | 0.52±0.08 | 0.32±0.04 | 0.11±0.02 | 0.24±0.04 | 0.92±0.06 |
PolyI:C | ||||||||
Male | 0.34±0.09 | 0.30±0.05 | 0.11±0.02 | 0.34±0.08 | 0.35±0.08 | 0.15±0.06 | 0.29±0.03** | 0.64±0.08 |
Female | 0.67±0.18 | 0.45±0.09 | 0.15±0.04 | 0.53±0.08 | 0.39±0.06 | 0.12±0.01 | 0.39±0.05** | 0.70±0.10 |
CPu | ||||||||
Control | ||||||||
Male | 0.96±0.12 | 0.70±0.08 | 0.25±0.02 | 0.13±0.01 | 0.10±0.01 | 0.04±0.00 | 0.13±0.02 | 0.77±0.03 |
Female | 2.21±0.30 | 0.76±0.05 | 0.30±0.01 | 0.36±0.06 | 0.12±0.01 | 0.05±0.00 | 0.09±0.01 | 0.78±0.04 |
PolyI:C | ||||||||
Male | 1.05±0.05 | 0.79±0.07 | 0.30±0.02 | 0.13±0.01 | 0.09±0.01 | 0.04±0.00 | 0.12±0.02 | 0.71±0.03 |
Female | 2.21±0.43 | 0.90±0.08 | 0.32±0.02 | 0.12±0.01 | 0.13±0.01 | 0.04±0.01 | 0.12±0.02 | 0.87±0.06 |
NAc | ||||||||
Control | ||||||||
Male | 1.07±0.14 | 0.72±0.07 | 0.22±0.02 | 0.21±0.03 | 0.13±0.01 | 0.04±0.00 | 0.13±0.02 | 0.72±0.13 |
Female | 1.74±0.48 | 0.63±0.05 | 0.19±0.05 | 0.61±0.13 | 0.21±0.03 | 0.06±0.01 | 0.05±0.02 | 2.39±0.81 |
PolyI:C | ||||||||
Male | 1.02±0.16 | 0.75±0.11 | 0.22±0.03 | 0.17±0.02 | 0.12±0.01 | 0.04±0.00 | 0.08±0.03 | 0.41±0.06 |
Female | 2.10±0.57 | 0.81±0.19 | 0.25±0.06 | 0.17±0.02 | 0.17±0.02 | 0.05±0.01 | 0.10±0.04 | 0.79±0.15 |
dHPC | ||||||||
Control | ||||||||
Male | 0.27±0.06 | 0.16±0.03 | 0.07±0.02 | 0.75±0.25 | 0.45±0.14 | 0.16±0.06 | 0.12±0.01 | 0.98±0.12 |
Female | 0.26±0.10 | 0.12±0.03 | 0.07±0.02 | 1.42±0.26 | 0.89±0.24 | 0.36±0.07 | 0.10±0.02 | 1.44±0.15 |
PolyI:C | ||||||||
Male | 0.17±0.04 | 0.12±0.03 | 0.06±0.01 | 0.76±0.11 | 0.50±0.09 | 0.21±0.05 | 0.13±0.02 | 0.96±0.06 |
Female | 0.14±0.01 | 0.10±0.01 | 0.04±0.00 | 1.22±0.23 | 0.88±0.18 | 0.41±0.10 | 0.14±0.02 | 1.38±0.18 |
vHPC | ||||||||
Control | ||||||||
Male | 0.16±0.03 | 0.11±0.02 | 0.06±0.01 | 0.41±0.05 | 0.29±0.05 | 0.15±0.02 | 0.13±0.01 | 0.83±0.06 |
Female | 0.17±0.05 | 0.10±0.02 | 0.06±0.01 | 1.05±0.16 | 0.81±0.21 | 0.34±0.08 | 0.12±0.02 | 1.14±0.09 |
PolyI:C | ||||||||
Male | 0.08±0.02 | 0.06±0.01 | 0.03±0.00 | 0.78±0.16 | 0.80±0.16 | 0.35±0.08 | 0.09±0.01 | 1.02±0.07 |
Female | 0.10±0.02 | 0.08±0.01 | 0.04±0.00 | 1.63±0.29 | 1.45±0.31 | 0.59±0.17 | 0.15±0.02 | 1.20±0.09 |
Abbreviations: AMY, amygdala; CPu, caudate putamen; DA, dopamine; dHPC, dorsal hippocampus; DOPAC, dihydroxyphenylacetic acid; HVA, homovanillic acid; mPFC, medial prefrontal cortex; NAc, nucleus accumbens; vHPC, ventral hippocampus; 5-HIAA, 5-hydroxyindoleacetic acid; 5-HT, 5-hydroxytryptamine; 3-MT, 3-methoxytyramine.
Prenatal Poly-I:C exposure significantly enhanced 5-HIAA contents specifically in the AMY but not in the other brain areas investigated.
**P<0.01, based on the ANOVA of 5-HIAA levels in the AMY of male and female offspring.
Region- and Sex-Specific Effects of Late Prenatal Immune Challenge on Excitatory Amino Acids
Glutamate
Prenatal Poly-I:C exposure induced region- and sex-specific changes of glutamate levels (Figure 6a). Statistical support for this impression was obtained by RM-ANOVA, which revealed a significant interaction between prenatal treatment and brain area (F(5, 135)=5.98, P<0.05) and between prenatal treatment, brain area, and sex (F(5, 135)=2.81, P<0.05). Subsequent RM-ANOVAs restricted to male and female subjects further indicated that prenatal Poly-I:C treatment led to region-specific changes in glutamate levels in both sexes, as supported by the presence of significant interactions between prenatal treatment and brain area (males: F(5, 70)=2.77, P<0.05; females: F(5, 65)=3.05, P<0.05). Separate ANOVAs conducted for each individual brain area showed that prenatal Poly-I:C treatment significantly (F(1, 14)=17.84, P<0.001) reduced glutamate levels in the mPFC of males but not female offspring (Figure 6a), whereas the prenatal manipulation led to a significant decrease in glutamate levels in the dHPC of both male and female subjects (males: F(1, 14)=10.71, P<0.01; females: F(1, 13)=8.81, P<0.01; Figure 6a). No other significant effects were observed in the analyses of glutamate.
Aspartate
Prenatal Poly-I:C exposure also induced region- and sex-specific changes in aspartate levels (Figure 6b). Statistical support for this interpretation was obtained by RM-ANOVA, which yielded a significant interaction between prenatal treatment and brain area (F(5, 140)=3.48, P<0.01) and between prenatal treatment, brain area, and sex (F(5, 140)=2.72, P<0.05). Subsequent RM-ANOVAs restricted to male and female subjects further indicated that prenatal Poly-I:C treatment led to region-specific changes in aspartate levels in both sexes, as supported by the presence of significant interactions between prenatal treatment and brain area (males: F(5, 70)=3.27, P<0.05; females: F(5, 70)=2.925, P<0.05). Separate ANOVAs conducted for individual brain areas verified that prenatal Poly-I:C exposure significantly (F(1, 14)=17.84, P<0.001) reduced aspartate levels in the mPFC of males but not female offspring (Figure 6b), whereas the prenatal manipulation led to a significant decrease in aspartate levels in the dHPC of both male and female subjects (males: F(1, 14)=7.56, P<0.01; females: F(1, 14)=9.31, P<0.01; Figure 6b). No other significant effects were observed in the analyses of aspartate.
Region- and Sex-Specific Effects of Late Prenatal Immune Challenge on Inhibitory Amino Acids
Glycine
Prenatal Poly-I:C exposure did not significantly affect the brain levels of glycine (data not shown). RM-ANOVA of glycine contents did not reveal a significant main effect or interactions involving the between-subjects factor of prenatal treatment.
GABA
Prenatal immune activation in late gestation exerted region- and sex-specific effects on GABA levels, as supported by the presence of a significant interaction between prenatal treatment, sex, and brain region (F(5, 140)=3.42, P<0.01) in the RM-ANOVA of GABA contents. By revealing a significant interaction between prenatal treatment and brain areas (F(5, 70)=3.52, P<0.05), the subsequent RM-ANOVA restricted to female subjects further indicated that prenatal Poly-I:C treatment led to region-specific changes in GABA levels in female offspring. Separate ANOVAs conducted for individual brain areas in females showed that female offspring prenatally exposed to Poly-I:C treatment displayed a significant (F(1, 14)=7.81, P<0.05) reduction in GABA levels specifically in the dHPC relative to female control offspring (Figure 7a). On the other hand, the lack of any statistically significant effects in the RM-ANOVA restricted to male subjects suggested that prenatal immune activation did not significantly affect GABA levels in males (Figure 7a).
Taurine
Prenatal Poly-I:C treatment also induced region- and sex-specific effects on brain taurine contents. Statistical support for this impression was obtained by RM-ANOVA of taurine levels, which revealed a significant interaction between prenatal treatment and brain region (F(5, 140)=2.91, P<0.05) and between prenatal treatment, sex, and brain region (F(5, 140)=3.51, P<0.01). Subsequent RM-ANOVAs restricted to male and female subjects further indicated that prenatal Poly-I:C treatment led to region-specific changes in taurine levels in both sexes, as supported by the presence of significant interactions between prenatal treatment and brain area (males: F(5, 70)=3.69, P<0.01; females: F(5, 70)=2.51, P<0.05). Separate ANOVAs conducted for individual brain areas verified that prenatal Poly-I:C exposure significantly (F(1, 14)=10.04, P<0.01) reduced taurine levels in the mPFC of males (Figure 7b), whereas the prenatal manipulation led to a significant decrease in taurine levels in the dHPC of female subjects (F(1, 14)=5.83, P<0.05; Figure 7b). No other significant effects were observed in the analyses of taurine.
DISCUSSION
The present experimental investigation in mice demonstrates that exposure to a viral-like acute phase response by Poly-I:C treatment in late gestation leads to long-term deficits in social interaction, anhedonic behavior in the sucrose preference test, presence of abnormally enhanced LI in associative learning, and alterations in the locomotor and stereotyped behavioral responses to acute APO treatment. These effects extend our previous observations that late prenatal Poly-I:C-induced immune challenge in mice is capable of inducing cognitive abnormalities in the form of deficient spatial working and recognition memory (Bitanihirwe et al, 2010; Meyer et al, 2008c, 2010), impaired discrimination reversal learning (Meyer et al, 2006b), and enhanced behavioral sensitivity to acute treatment with the indirect DA receptor agonist amphetamine and the NMDA-receptor antagonist MK-801 (Meyer et al, 2008c). The present study thus identified several novel phenotypes which are part of a pathological symptom cluster characteristic for prenatal Poly-I:C-induced immune activation in late gestation. Our detailed postmortem neurochemical analyses further show that the behavioral and pharmacological abnormalities emerging after late prenatal immune challenge are associated with various changes in basal neurotransmitter levels. This confirms the expectation that the appearance of multiple behavioral and pharmacological abnormalities following prenatal immune challenge is paralleled by multiple neurochemical disturbances.
One of the main findings of the present study is that adult offspring of mothers treated with Poly-I:C in late gestation (ie GD17) display LI under parametric conditions which are insufficient to induce the LI effect in control offspring. Hence, late prenatal Poly-I:C exposure in mice leads to abnormally enhanced LI under such conditions. According to the ‘switching model' of LI proposed by Weiner (1990, 2003), the development of LI involves the acquisition of two independent and conflicting contingencies in pre-exposure and conditioning, which then compete for expression during conditioning. To show LI, the organism must remain under the control of the information acquired in pre-exposure. Since during the pre-exposure phase the CS is not followed by a significant event, the information acquired in pre-exposure relates to a stimulus-no event contingency. In contrast, absence of LI would indicate that the organism switches to respond according to the new stimulus-event (ie, CS-US) contingency present during conditioning. According to these theoretical accounts, manipulations that delay switching and thus induce behavioral/cognitive perseveration facilitate the expression of LI under parametric conditions in which control subjects fail to show LI. It follows that the abnormally enhanced LI effect manifested in prenatally Poly-I:C-treated offspring may readily be accounted for by such perseveration effects, so that CS-pre-exposed Poly-I:C subjects remain under the control of information acquired in pre-exposure (stimulus-no event) and therefore display impaired learning during the critical CS-US conditioning phase. The comparison between conditioned learning in CS-pre-exposed Poly-I:C and control offspring further supports this possibility and suggests that the presence of LI in Poly-I:C offspring exclusively stems from a specific effect of the prenatal manipulation on conditioned learning in CS-PE subjects (Figure 3). Furthermore, the current interpretation of perseveration effects in LI are in agreement with our previous findings showing that prenatal Poly-I:C-induced immune activation in late gestation leads to perseverative behavior in the form of delayed reversal learning (Meyer et al, 2006b).
LI is known to be a window phenomenon, in which the stimulus-no event association acquired in pre-exposure is only expressed under a very specific balance between the behavioral impact of pre-exposure and conditioning (Weiner, 1990, 2003). Thus, LI is expressed only with specific combinations of pre-exposure and conditioning parameters (conditions denoted by the switching model as ‘low mismatch', which for example can occur as a result of extensive stimulus pre-exposure or minimal conditioning and/or low impact of reinforcement); changes in any of these parameters such as restricting the amount of stimulus pre-exposure or extending conditioning (conditions denoted by the switching model as ‘high mismatch') can cause the organism to switch responding according to the stimulus-reinforcement contingency and to cease to express LI. In one of our previous attempts to characterize the long-term brain and behavioral consequences of prenatal Poly-I:C exposure in mice, we used a LI paradigm with extensive CS-PE which was effective to produce a robust LI effect in adult control offspring (Meyer et al, 2006a). Under such parametric conditions, prenatal Poly-I:C treatment on GD17 did not significantly enhance LI compared with prenatal control treatment (Meyer et al, 2006a). It is important to emphasize that this ‘lack of effect' in our earlier study is not surprising, nor is it inconsistent with the present data. Indeed, parametric conditions which induce a robust LI effect in control subjects often impede the identification of potential LI enhancement/persistence in manipulated subjects because of possible ceiling effects (Weiner, 2003). In the present study, we therefore used parametric conditions with low amount of CS-PE to facilitate the identification of potential LI enhancement/persistence in offspring subjected to prenatal Poly-I:C exposure in late gestation.
Several studies in humans have shown that LI is disrupted in acutely ill schizophrenic patients with marked positive symptoms (reviewed in Weiner, 2003; Lubow, 2005). Hence, under parametric conditions in which healthy human subjects show a significant LI effect, acutely psychotic patients fail to do so (reviewed in Weiner, 2003; Lubow, 2005). This resembles the long-term consequences of prenatal Poly-I:C treatment in early/middle gestation in mice and rats, which lead to a loss of the LI effect under parametric conditions in which adult control subjects display significant LI (for mice see eg, Meyer et al, 2005, 2006a; Smith et al, 2007; for rats, see Zuckerman et al, 2003; Zuckerman and Weiner, 2005). On the other hand, the presence of abnormally enhanced LI positively correlates with the severity of negative symptoms in (chronically ill) patients with schizophrenia (Cohen et al, 2004; Rascle et al, 2001). Based on these findings in humans and parallel experimental investigations in rats and mice (Gaisler-Salomon and Weiner, 2003; Gaisler-Salomon et al, 2008; Lipina et al, 2005), it has been suggested that the presence of abnormally enhanced LI may provide a correlate of a specific aspect of negative symptomatology, namely, behavioral or attentional perseveration (Weiner, 2003; Weiner and Arad, 2009). Against this background, the presence of abnormally enhanced LI in adult offspring subjected to prenatal Poly-I:C treatment in late gestation suggests that this prenatal immunological manipulation can induce specific behavioral/cognitive abnormalities directly implicated in the negative symptoms of schizophrenia. Interestingly, this LI perseveration effect only emerged in male but not female offspring born to Poly-I:C-treated mothers, indicating that the male sex is more vulnerable than the female sex to develop such behavioral/cognitive abnormalities. This sex-dependent effect of prenatal Poly-I:C treatment is consistent with the clinical impressions that male schizophrenic patients seem to exhibit a more severe clinical profile compared with female patients (Aleman et al, 2003; Flor-Henry, 1990), especially in terms of negative symptomatology and cognitive deficits (Roy et al, 2001). However, the efficacy of prenatal Poly-I:C treatment to induce sex-specific abnormalities appears to be specific to the behavioral and/or cognitive processes involved in LI, as maternal Poly-I:C exposure induced social interaction deficits and anhedonic behavior similarly in male and female offspring.
Using a social interaction test which is based on the relative exploration of an unfamiliar live mouse vs an inanimate dummy object, we found that whereas control offspring spent significantly more time exploring the live mouse, prenatally Poly-I:C-treated offspring displayed no preference towards either objects (Figure 1). Hence, offspring born to Poly-I:C-exposed mothers spent equal amounts of time exploring the live mouse and the inanimate dummy object, indicating a marked disruption of normal social behavior. This effect is consistent with previous reports of social interaction deficits emerging in adult mice exposed to Poly-I:C in middle gestation (GD 12; Smith et al, 2007) or to the bacterial endotoxin lipopolysaccharide in late gestation (GD 17; Hava et al, 2006). Notably, deficient social interaction is one of the hallmark negative symptoms in schizophrenia (Foussias and Remington, 2010; McGlashan and Fenton, 1992; Schooler and Spohn, 1982). Therefore, the presence of genuine social interaction deficits revealed in Poly-I:C offspring provides further direct support for our proposal that late prenatal immune challenge in mice can induce long-term behavioral abnormalities relevant to the negative symptoms of this disorder.
To the best of our knowledge, the present study is the first to demonstrate significant long-term effects of prenatal immune activation in the sucrose preference test of anhedonia. This test has been shown to be a sensitive experimental paradigm to evaluate hedonic aspects of feeding behavior in mice (Cryan and Mombereau, 2004; Hayward et al, 2006; Pothion et al, 2004). Indeed, when presented with a free choice between sucrose solution and water, mice (and other rodent species) typically show a marked preference for the sucrose solution. Consistent with this natural tendency of rodents, we found that both Poly-I:C and control offspring preferred the sucrose solution over the water solution during the choice test phase: the preference index for sucrose consumption was clearly above a level of 50% indifference in both prenatal treatment groups (Figure 2). Most importantly, however, prenatally immune challenged offspring showed a significant (∼15%) reduction in the sucrose preference index relative to control offspring. As a reduction in this preference index is often indicative of anhedonic behavior (Cryan and Mombereau, 2004; Hayward et al, 2006; Pothion et al, 2004), our findings suggest that late prenatal exposure to a viral-like acute phase response may facilitate the expression of anhedonia in adulthood. Anhedonia has often been discussed to be another hallmark feature of negative symptoms in schizophrenia (Foussias and Remington, 2010; Horan et al, 2008; Juckel et al, 2003; McGlashan and Fenton, 1992). Hence, late prenatal Poly-I:C treatment in mice also successfully captures this specific aspect of behavioral pathology seen in schizophrenic patients with marked negative symptoms.
Another previously unexplored pathological phenotype emerging after late prenatal Poly-I:C treatment in mice is alterations in the locomotor and stereotyped behavioral reactions to acute APO treatment (Figure 4). Consistent with previous reports in C57BL/6 mice (Cabib and Puglisi-Allegra, 1985; Protais et al, 1976), we found that acute APO treatment at the selected dose (5 mg/kg, s.c.) led to a pronounced increase in repetitive climbing (Figure 4b). Most importantly, we revealed that adult Poly-I:C offspring displayed a faster onset of APO-induced climbing compared with APO-treated control offspring (Figure 4b). This effect was paralleled by a temporary attenuation of leaning behavior in APO-induced Poly-I:C offspring relative to APO-treated controls (Figure 4c). Poly-I:C and control offspring also differed in terms of the horizontal locomotor response to acute APO treatment, with APO-treated Poly-I:C offspring showing an overall increase in horizontal movements relative to APO-treated control offspring (Figure 4a). Taken together, our findings suggest that prenatal Poly-I:C treatment in late gestation is effective in enhancing the sensitivity to acute APO treatment both in terms of stereotyped behavioral responses as well as horizontal locomotor activity. In relation to the clinical pathology in humans, it is interesting to note that several (but not all) studies have reported enhanced sensitivity of schizophrenic patients to systemic APO treatment, as assessed by APO-stimulated peripheral growth hormone (GH) responses (Hirschowitz et al, 1986; Meltzer et al, 1984; Zemlan et al, 1986). Interestingly, APO-induced GH responses appear to positively correlate with psychosis ratings and negative symptom scale scores (Meltzer et al, 1984). This clinical impression agrees well with the present interpretation that (1) experimentally induced prenatal immune challenge in mice leads to long-term behavioral and pharmacological changes relevant to the negative symptoms of schizophrenia and (2) this experimentally induced pathological symptom cluster includes enhanced sensitivity to acute APO treatment.
Another major finding of the present study is that late prenatal immune activation leads to long-term neurochemical changes in multiple neurotransmitter systems (Figures 5, 6 and 7). However, the prenatal Poly-I:C-induced changes in neurotransmitter levels were dependent on the precise brain area examined, suggesting that distinct brain structures may have a differential vulnerability for prenatal infection-induced imbalances in basal neurotransmitter levels. This interpretation is consistent with previous experimental attempts to characterize the long-term neurochemical consequences of prenatal immune challenge during early fetal development in mice (Winter et al, 2009) and of prenatal exposure to human influenza in mice (Fatemi et al, 2008; Winter et al, 2008). Furthermore, we found that some of the Poly-I:C-induced neurochemical changes are clearly sex-specific, highlighting a differential vulnerability of the male and female sex to long-term neurochemical abnormalities emerging after late prenatal immune challenge.
Besides other significant changes, the neurochemical abnormalities present in prenatally immune challenged offspring are characteristic of marked hypodopaminergic (Figure 5b) and hypoglutamatergic (Figure 6a) states in prefrontal and hippocampal regions. Converging evidence derived from studies in humans and translational animal models suggests that such hypodopaminergic and hypoglutamatergic states in prefrontal and hippocampal areas may be critically involved especially in the precipitation of negative and cognitive symptoms of schizophrenia (reviewed in Davis et al, 1991; Goff and Coyle, 2001; Knable and Weinberger, 1997; Tamminga, 2006). Hence, the results obtained in the analyses of DA and glutamate provide imperative evidence that the long-term abnormalities induced by late prenatal immune challenge in mice involve neurochemical changes highly relevant for the pathophysiology of negative symptoms.
We deem it likely that the identified neurotransmitter changes in Poly-I:C offspring may, at least in part, provide a neurochemical basis for the emergence of behavioral pathology described here. For example, reduced glutamatergic signaling may be critically involved in the emergence of abnormally enhanced LI. This suggestion would be consistent with the seminal work by Weiner and colleagues showing that impaired glutamatergic signaling induced by MK-801 treatment leads to a similar pattern of LI enhancement in rats and mice (Gaisler-Salomon and Weiner, 2003; Gaisler-Salomon et al, 2008; Lipina et al, 2005). Interestingly, the effects of prenatal immune challenge on glutamatergic changes appear more pronounced in males compared with female subjects (Figure 6a), and these effects parallel the sex-dependent effects of prenatal immune challenge on LI persistence (Figure 3). On the other hand, a reduced dopaminergic tone may be involved in the expression of anhedonia, based on the suggested role of DA in reward-related behavior (Berridge and Robinson, 1998; Cagniard et al, 2006; Wise, 2008), as well as in the development of social interaction deficits (Cabib et al, 2000; Fernandez Espejo, 2003). Additional pharmacological and/or in-vivo microdialysis approaches will be needed to further dissect the relative contribution of distinct neurochemical abnormalities to specific behavioral and pharmacological abnormalities in prenatally immune challenged subjects.
One limitation of the present study is that we did not include different postnatal ages in our phenotypic characterization of the effects of late prenatal immune challenge. Hence, the ontogeny of the various behavioral, pharmacological, and neurochemical abnormalities identified in adult offspring subjected to late prenatal Poly-I:C treatment remain essentially unknown thus far. Given that a hallmark feature of schizophrenia is the post-pubertal maturational delay of symptom onset, it will be highly relevant to extend the present study by including phenotypic characterizations at different pre- and post-pubertal stages of development.
As discussed in detail elsewhere (Meyer et al, 2007, 2009a, 2009b; Meyer and Feldon, 2009, 2010), there are several plausible mechanisms whereby prenatal Poly-I:C-induced immune activation can bring about changes in brain and behavioral development relevant to schizophrenia. Above all, converging evidence derived from several lines of research emphasizes a critical role of enhanced expression of pro-inflammatory cytokines in the precipitation of long-term brain dysfunctions following prenatal Poly-I:C-induced immune challenge (Meyer et al, 2006b, 2008a; Shi et al, 2003; Smith et al, 2007). According to the prenatal cytokine imbalance hypothesis (Meyer et al, 2009b), a shift towards excess levels of pro-inflammatory cytokines during fetal life can interfere with fetal neurodevelopmental processes and predispose the organisms to long-term changes in subsequent brain and behavioral development. Recent longitudinal investigations provide direct support for this hypothesis by showing that maternal Poly-I:C-induced immune challenge is capable of directly affecting the development of fetal brain regions and neurotransmitter systems, which are involved in the precipitation of schizophrenia-related behavioral, cognitive, and pharmacological abnormalities at adult age (Vuillermot et al, 2010). Nevertheless, even though evidence for a critical role of pro-inflammatory cytokines in this context is compelling, alternative (but not mutually exclusive) mechanisms exist whereby prenatal exposure to (Poly-I:C-induced) prenatal immune challenge may affect brain and behavioral development. Such alternative mechanisms include infection-induced stimulation of maternal/fetal stress response systems as well as (short-term) placental insufficiency and maternal/fetal nutritional deprivation, all of which are also known to exert an impact on early brain development (Brown and Susser, 2008; Koenig et al, 2002; Patterson, 2007; Susser et al, 2008). Therefore, additional cellular and molecular studies will be needed to further dissect the relative contribution of specific neuroimmunological, endocrinological, and developmental factors to the precipitation of schizophrenia-related brain dysfunctions induced by prenatal immune challenge.
In summary, the constellation of behavioral and neurochemical abnormalities induced by late prenatal Poly-I:C exposure in mice reported here and previously (Meyer et al, 2006a, 2006b, 2008b) leads us to conclude that this immune-based experimental model provides a powerful neurodevelopmental animal model especially for (but not limited to) the negative symptoms of schizophrenia. This model can successfully capture a wide spectrum of behavioral and neurochemical abnormalities implicated in the negative symptoms of this disorder. Importantly, it incorporates neurodevelopmental perspectives and etiological significance. The late prenatal Poly-I:C model in mice thus represents a clear improvement over the limited success and etiological relevance of traditional pharmacological or lesion-based experimental approaches in modeling brain and behavioral abnormalities relevant to the negative symptoms of schizophrenia (Ellenbroek and Cools, 2000). As current pharmacotherapy of negative symptoms remains unsatisfactory (Buchanan et al, 2007; Remington et al, 2010), the late prenatal Poly-I:C model in mice may provide fruitful new avenues for the establishment and evaluation of novel antipsychotic compounds in attempts to improve pharmacological treatments for the negative symptoms of schizophrenia. It also interesting to note that our experimental studies reported here and previously (Meyer et al, 2006a, 2006b, 2008b) suggest that prenatal viral-like immune challenge taking place during early fetal development may particularly enhance the vulnerability and/or severity of positive symptoms in schizophrenia, whereas identical immune challenge during later periods of fetal development may be more critical for shaping the vulnerability for negative/cognitive symptoms of this disorder. In support for the latter suggestion, there is preliminary evidence that the levels of negative symptoms such as anhedonia are exaggerated in schizophrenic patients who were born in winters with high infectious disease rates (Watson et al, 1987), pointing to infection-related effects taking place in late gestation. Our experimental data may thus also be relevant for future epidemiological attempts to dissect the relative contribution of prenatal infectious processes to distinct symptom clusters and/or brain pathologies in schizophrenia and related disorders.
Acknowledgments
This study was supported by the Swiss National Science Foundation (Grant 3100AO-100309 and Grant 3100A0-116719), by the Swiss Federal Institute of Technology (Grant 11 07/03) and by a 2009 NARSAD Distinguished Investigator Award to Joram Feldon. We are extremely grateful to Stéphanie Vuillermot and Celia Hampson-Reid for technical support. We are also indebted to the Animal Services Department Schwerzenbach, Swiss Federal Institute of Technology, for their excellent animal husbandry and care.
The authors declare no conflict of interest.
Footnotes
Supplementary Information accompanies the paper on the Neuropsychopharmacology website (http://www.nature.com/npp)
Supplementary Material
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