Abstract
The anterior hippocampus is associated with emotional functioning and hippocampal volume is reduced in depression. We reported reduced neuropil volume and number of glia in the dentate gyrus (DG) and cornu ammonis (CA)1 of the anterior hippocampus in behaviorally depressed adult female cynomolgus macaques. To determine the biochemical correlates of morphometric and behavioral differences between behaviorally depressed and nondepressed adult female monkeys, glial and synaptic transcripts and protein levels were assessed in the DG, CA3 and CA1 of the anterior hippocampus. Glial fibrillary acidic protein (GFAP) was increased whereas spinophilin and postsynaptic density (PSD)-95 protein were decreased in the CA1 of depressed monkeys. GFAP was reciprocally related to spinophilin and PSD-95 protein in the CA1. Gene expression of GFAP paralleled the protein changes observed in the CA1 and was inversely related to serum estradiol levels in depressed monkeys. These results suggest that behavioral depression in female primates is accompanied by astrocytic and synaptic protein alterations in the CA1. Moreover, these findings indicate a potential role for estrogen in modulating astrocyte-mediated impairments in synaptic plasticity.
Keywords: GFAP, PSD-95, Spinophilin, CA1, Macaca fascicularis
INTRODUCTION
Numerous studies support an association between structural and functional alterations of the hippocampus and the pathophysiology of depression. Hippocampal volume is consistently reduced in depressed patients [15]. Studies in the postmortem hippocampus of depressed patients reported limited evidence of neuron loss [5,17,20], while others found decreased density of glial fibrillary acidic protein (GFAP)-immunoreactive astrocytes [20], increased neuron packing densities, decreased neuron size [32], and decreased cell layer volume [5], suggesting that neuropil alterations may contribute to volume reductions in depression. Studies in male rodents also indicate neuropil alterations, with dendritic retraction and fewer synapses in the cornu ammonis (CA)3 of the hippocampus in response to stress or glucocorticoid exposure [18,35]. Similarly, stress decreased levels of the presynaptic marker synaptophysin (SYN) and the postsynaptic marker postsynaptic density (PSD)-95 in the CA3 of male rodents [6,23], suggesting that synaptic integrity may be compromised in the neuropil of these animals. However, no differences were reported between major depressive disorder (MDD) patients and controls in SYN immunoreactivity [20] or PSD-95 expression in the postmortem hippocampus [37]. Importantly, MDD patients are frequently medicated with antidepressants that reversed or prevented deficits in SYN, PSD-95 and GFAP-immunoreactive astrocytes in stressed animal models [7,23], which may account for a lack of observed differences in patients.
Despite the increased prevalence of depression in women, little is known about the depressed female hippocampus. Sex differences in behavioral and neurobiological responses to stress have been reported [11,36]. Glial deficits associated with depression-like behavior in prenatally stressed mice are limited to female offspring [4], and estrogen protects stressed female rodents from the dendritic retraction observed in the CA3 of males [10]. In the CA1 of the hippocampus, estrogen increases spine density in rodents [12], and immunoreactivity for spinophilin, a marker of dendritic spines, in monkeys [14]. As such, estrogen-dependent alterations in hippocampal neuropil, particularly in response to stress, may be central to the neurobiology of depression in females.
To increase understanding of the depressed female primate brain, we have studied social stress-associated depressive behavior and the accompanying physiology and neurobiology in adult female cynomolgus macaques (Macaca fascicularis) for over two decades [28,40]. Cynomolgus macaques have menstrual cycles like women in length and hormone fluctuations, and the macaque hippocampus closely resembles the organization and connectivity of the human hippocampus. Behaviorally depressed monkeys have poor ovarian function relative to their nondepressed counterparts [28,40]. Recently, we reported morphological deficits in the CA1 and dentate gyrus (DG) of the anterior hippocampus in antidepressant-naïve, behaviorally depressed females, including reductions in region and cell layer volumes, neuropil size, and glia number [39]. The present study was designed to elucidate the molecular correlates of anterior hippocampal volume reduction in depressed female primates, while eliminating the confound of treatment. Protein and gene expression of glial and synaptic markers were measured in subregions of the anterior hippocampus from the same matched set of adult, female monkeys characterized for behavioral depression used in the previous morphologic study [39]. We hypothesized that markers of glia and synaptic integrity would be dysregulated in the anterior CA1 and DG of behaviorally depressed female monkeys.
MATERIALS AND METHODS
Subjects
As previously described, 28 reproductive-aged female cynomolgus macaques (Macaca fascicularis) were housed in stable social groups (N=4/group) under a 12/12 light/dark cycle for 24 months [25-27,39]. All procedures involving primates were conducted in compliance with institutional, state, and federal laws for the usage of primates in laboratory settings. As part of a larger study investigating the comorbidity of depression and cardiovascular disease risk, the animals consumed a Western diet, containing 0.28 mg cholesterol/Cal and 42% of calories as fat [27]. Characteristics of the behavior and physiology of this specific cohort of animals have been described in detail elsewhere [25-27]. Briefly, social status was determined monthly by recording the outcomes of agonistic interactions [24,27,29], and the resulting social status hierarchy within each social group was stable over time, as in previous experiments. Behavioral depression was operationally defined as a slumped or collapsed body posture (head lower than shoulders), in which an animal’s eyes are open, yet the animal lacks interest or responsivity to environmental stimuli [24,27,29] (Figure 1A-B). A dexamethasone suppression test (DST) was administered one month before necropsy to assess the sensitivity of the hypothalamic-pituitary-adrenal axis to glucocorticoid negative feedback [27]. Estradiol and progesterone were assayed in serum collected at necropsy [27].
Tissue Preparation
At necropsy, brains were rapidly removed, hemisected, and frozen at −80°C. From the initial population of 28 animals, eight animals from the upper tertile of the distribution of time spent in the depressed posture were matched with eight animals from the lower tertile as reported in Willard et al. [39]. Briefly, to reduce variance from characteristics known to affect hippocampal structure and function, animals were matched for body weight, age, social status, basal cortisol levels, cortisol response in the DST, % suppression of cortisol, and estradiol and progesterone levels at the time of necropsy. The anterior hippocampus was delineated from the posterior hippocampus by the presence of the uncus [38,39], and the anterior DG, CA1 and CA3 regions were dissected from one hemisphere and pulverized (Figure 1C). To control for effects of laterality, the dissected hemisphere was counterbalanced within groups, as reported previously [38,39]. Dissections were pulverized in liquid nitrogen and stored at −80°C for protein and gene expression analyses.
Western Blotting
Dissected hippocampal regions were fractionated into membrane and cytosolic subcellular compartments using a modified procedure [34]. Briefly, tissue samples were homogenized in 10 mM HEPES, 10 mM NaCl, 1 mM KH2PO4, 5 mM NaHCO3, 1 mM CaCl2, 0.5 mM MgCl2, 0.5 mM EDTA, Halt™ Protease Inhibitor Cocktail (PI cocktail; Pierce, Rockford, IL, USA), and centrifuged in an Eppendorf 5414 D at 7500 rpm for 5 min at 4°C. Total supernatant was centrifuged at 60,000 × g for 40 min at 4°C, and the cytosolic supernatant was stored at −80°C. The plasma membrane pellet was resuspended in phosphate-buffered saline (pH 7.4) with PI cocktail, and stored at −20°C.
Standard Western blot analyses [21] were used to assess the relative expression of anti-PSD-95 (1:5000; 6G6-1C9, Millipore, Billerica, MA), anti-spinophilin (1:500; 06-852, Millipore), anti-synaptophysin (1:5000; MAB368, Millipore), and anti-Iba1 (1:1000; ab5076, Abcam, Cambridge, MA) in the membrane fraction, and anti-GFAP (1:1000; 173002, Synaptic Systems, Gottingen, Germany) and anti-MAP2 (1:500; M4403, Sigma-Aldrich, St. Louis, MO) in the cytosolic fraction, to that of mouse monoclonal anti-neuronal tubulin (1:20,000; 05-559; Millipore). For each hippocampal region, 20μg protein was analyzed. Blots were scanned with the LI-COR Odyssey infrared scanner (LI-COR Biosciences, Lincoln, NE) and signal intensities calculated using Odyssey version 3.0 software. Data are reported as signal intensities for proteins of interests relative to those of neuronal tubulin. Preliminary analyses of synaptohphysin, MAP2 and Iba1 revealed no effects of depression, therefore these markers were eliminated from further analyses and data are not reported.
Quantitative real-time RT-PCR
Total RNA was isolated from 30 mg pulverized tissue and reverse transcribed to cDNA as previously described [1]. RNA quality was verified for each sample using the Agilent 2100 BioAnalyzer (Agilent Technologies, Inc., Santa Clara, CA), and the resulting RNA integrity values ranged from 7.7 to 8.9, indicating high quality. Taqman assays (Life Technologies, Carlsbad, CA) were used to assess gene expression of GFAP (Rh02840886_m1), Spinophilin (Hs00261636_m1), and PSD-95 (Hs00176354_m1) using an ABI Prism 7900HTS real-time detector (Life Technologies) [1]. From a panel of nine candidate reference transcripts, geNorm software was used to select the three most stable endogenous control gene transcripts [1]: TATA box binding protein (TBP: Hs99999910_m1), hypoxanthine phosphoribosyltransferase 1 (HPRT1: Hs99999909_m1), and phosphoglycerate kinase 1 (PGK1: Hs99999906_m1). Gene expression was calculated using SDS 2.1 software (Applied Biosystems, Foster City, CA, USA) to interpolate the Ct values for each well onto a standard curve generated from the Ct values of a dilution series of standards. Quantity values were then averaged across triplicates and expressed relative to the quantity value for the mean of the endogenous control genes. Data are reported as relative expression (gene of interest quantity mean/geometric mean of endogenous control quantity means).
Statistical Analyses
T-tests were used determine group differences for GFAP, spinophilin and PSD-95 protein expression. In the CA1, follow-up gene expression analyses were conducted and group differences determined using t-tests. Pearson r was used to determine correlations between variables. All analyses were two-tailed with the α-level set at 0.05, and data are depicted as means ± SEMs.
RESULTS
Western blotting revealed that alterations in glial and synaptic proteins were limited to the CA1, with no group differences observed for any protein examined in the DG or the CA3 (Figure 2). Relative quantification of GFAP revealed that depressed animals had on average 15% more GFAP protein in the CA1 compared to nondepressed animals (t(1,14) = 2.2, p < 0.05; Figure 2A). By contrast, significant reductions were observed in PSD-95 (t(1,14) = 2.4, p < 0.05; Figure 2B) and spinophilin (t(1,14) = 3.0, p < 0.01; Figure 2C); both were nearly 30% lower in the CA1 of depressed compared to nondepressed animals. Also only in the CA1, GFAP protein expression was inversely correlated with that of PSD-95 (r = −0.54, p < 0.05; Figure 2D) and spinophilin (r = −0.66, p < 0.01; Figure 2E), suggesting a reciprocal relationship between glial and synaptic proteins.
Given that differences in protein expression were observed only in the CA1, secondary analyses of GFAP, spinophilin and PSD-95 gene expression were conducted in this region to determine if protein levels were paralleled by the expression of the genes encoding those proteins. Relative gene expression of GFAP was ~28% greater in the CA1 of depressed compared to nondepressed monkeys (t(1,14) = 2.2, p < 0.05), but there were no differences in gene expression of spinophilin (t(1,14) = 1.1, p = 0.3) or PSD-95 (t(1,14) = 0.71, p = 0.5; Figure 3A). Although the groups were carefully balanced on characteristics known to affect hippocampal structure and function, correlational analyses were used to determine whether any matching variable was associated with proteins or genes observed to vary between groups. There was an inverse correlation between estradiol levels at the time of necropsy and GFAP gene expression (r = −0.57, p < 0.05; Figure 3B).
DISCUSSION
This study represents the first examination of the relationship between glial and synaptic markers in the anterior hippocampus of behaviorally depressed female primates. These observations are compelling because many of the variables that differentially affect hippocampal structure in human studies are controlled in this primate model, including housing condition, diet, and drug and alcohol exposure. We observed increased GFAP protein expression in the CA1 in the present study, whereas previously we found decreased number of glia in the CA1 of the opposite hemisphere from the same cohorts used in this study [39]. Although we did not distinguish glial subtypes in the previous study, astrocytes are the most abundant glial cell in the brain and are implicated in depression, and thus may contribute to the lower glia count observed in the previous study. In healthy tissue, many astrocytes express little to no GFAP, while expression of GFAP is upregulated during astrocyte activation in response to injury or insult [19,31]. If there are less astrocytes, yet more GFAP, then there may be fewer healthy astrocytes, and the astrocytes remaining may be reactive and thus expressing higher levels of GFAP. As such, increased GFAP protein expression in the present study may reflect fewer, yet more activated astrocytes. Increased GFAP also reflects perturbed glutamatergic neurotransmission and impaired synaptic plasticity [19]. GFAP and synaptic protein expression in the CA1 were inversely correlated in the present study, suggesting the possibility that GFAP may be regulating the observed changes in synaptic proteins, and may reflect a mechanism of altered synaptic plasticity in female depression.
Chronic psychosocial stress reduced the number of GFAP-immunoreactive astrocytes in male tree shrews [7], and GFAP protein expression in male rats [3]. However, sex differences exist in astrocyte function such that astrocytes contain estrogen receptors and can synthesize estrogen [8]. In hippocampal astrocytes, estrogen inhibits both gene and protein expression of GFAP, and increases glial glutamate transporters and glutamine synthetase [22,33]. Although the groups in the present study were carefully balanced for ovarian steroids, GFAP gene expression in the CA1 was inversely related to estradiol in depressed female monkeys. The ovarian suppression that is characteristic of depressed female monkeys [27,29] might influence the effects of estrogen in astrocytes, and may be central to understanding hippocampal alterations, particularly within the CA1 of depressed female primates. Future studies are warranted to determine whether the present findings represent a sex difference, and whether increased protein expression of GFAP is related to GFAP-immunoreactive astrocyte number.
Decreased spinophilin and PSD-95 in the CA1 of behaviorally depressed monkeys suggest alterations in postsynaptic integrity. This is supported by studies in which stress decreased spine density and synapses in the CA1 of female rodents [13,30], and our observation of reduced neuropil in the CA1 of depressed female monkeys [39]. Stress causes dendritic retraction and synapse loss in the CA3 of male and not female rodents [18]. Interestingly, we observed reduced PSD-95 and spinophilin protein levels in the CA1 and not the CA3, suggesting that subregional alterations in hippocampal plasticity may be sex-dependent. Since N-methyl-D-aspartate (NMDA) receptor activation is necessary for estrogen-mediated effects on CA1 spines [42], and astrocytes regulate NMDA receptor activation [41], the reduction in glia observed in the CA1 of our previous study might result in reduced astrocyte-mediated NMDA receptor activation, and thus decreased expression of synaptic proteins as observed in the present study.
Decreased spinophilin and PSD-95 protein in the CA1 were not accompanied by parallel changes in expression of the genes that encode these proteins, likely due to post-transcriptional mechanisms. Protein levels of PSD-95 are regulated by activity [9], and translation of PSD-95 is under local control at the level of the synapse [16]. In addition, estrogen stimulates protein synthesis of PSD-95 [2]. Whereas stress results in deficits in synaptic plasticity [18], estrogen has the opposite effect, and the interaction between these processes may be related to reduced synthesis of PSD-95 protein in depressed female monkeys. Similar mechanisms may affect the translation of spinophilin, since it also takes place within the dendrite [43].
A major strength of this study is the careful documentation of depressive behavior over several years, which limits spurious short term observations. Despite the relatively small sample size, differences between groups were large enough to detect, thus indicating variables that represent major molecular perturbations in the hippocampus of depressed female primates. This model also reflects spontaneously occurring depression, not the experimental manipulation of stress as in rodent models, or the pharmacologically treated brains of depressed patients. As such, this model provides the unique opportunity to study the effects of depressive behavior objectively documented over a long period of time without the confounds of pharmacotherapy or induced stress.
Additional research is warranted to further characterize the mechanisms contributing to altered anterior hippocampal structure and function in female depression. The present study supports a relationship between depressive behavior and compromised postsynaptic integrity in depressed female monkeys. Furthermore, increased GFAP expression in the CA1 may be detrimental to the structure of the anterior hippocampus, as evidenced by association with decreased synaptic proteins, thus suggesting astrocyte-mediated synaptic plasticity impairments. On the other hand, increased CA1 GFAP in depressed monkeys could be a response to atrophy in additional brain regions initiated through other mechanisms. Additional studies examining the complex relationship between estrogen and these mechanisms are necessary to better understand the neurobiology of female depression. Likewise, the hippocampus is one node in a network of neural areas implicated in depression; these relationships should be studied in other nodes as well.
Highlights.
Behaviorally depressed female primates have increased GFAP protein in the CA1
Depressed female primates have decreased spinophilin and PSD-95 protein in the CA1
Estrogen may modulate astrocyte-mediated impairments in synaptic plasticity
Behavioral depressed female cynomolgus monkeys are a useful model of depression
ACKNOWLEDGEMENTS
The authors would like to thank M. Elizabeth Forbes, Elizabeth J. Burnett, and Lindsey P. Pattison for their technical assistance, and Dr. Bruce McEwen for his advice.
Footnotes
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