Abstract
The endocannabinoid (eCB) system regulates mood, emotion, and stress coping, and dysregulation of the eCB system is critically involved in pathophysiology of depression. The eCB ligand 2-arachidonoylglycerol (2-AG) is inactivated by monoacylglycerol lipase (MAGL). Using chronic unpredictable mild stress (CUS) as a mouse model of depression, we examined how 2-AG signaling in the hippocampus was altered in depressive-like states and how this alteration contributed to depressive-like behavior. We report that CUS led to impairment of depolarization-induced suppression of inhibition (DSI) in mouse hippocampal CA1 pyramidal neurons, and this deficiency in 2-AG-mediated retrograde synaptic depression was rescued by MAGL inhibitor JZL184. CUS induced depressive-like behaviors and decreased mammalian target of rapamycin (mTOR) activation in the hippocampus, and these biochemical and behavioral abnormalities were ameliorated by chronic JZL184 treatments. The effects of JZL184 were mediated by cannabinoid CB1 receptors. Genetic deletion of mTOR with adeno-associated viral (AAV) vector carrying the Cre recombinase in the hippocampus of mTORf/f mice recapitulated depressive-like behaviors induced by CUS and abrogated the antidepressant-like effects of chronic JZL184 treatments. Our results suggest that CUS decreases eCB-mTOR signaling in the hippocampus, leading to depressive-like behaviors, whereas MAGL inhibitor JZL184 produces antidepressant-like effects through enhancement of eCB-mTOR signaling.
Keywords: endocannabinoid, monoacylglycerol lipase, depression, hippocampus, DSI, mTOR
INTRODUCTION
The endocannabinoid (eCB) system regulates mood, emotion, memory, cognition, and stress responses via activation of the cannabinoid receptor (CB1; Hill et al, 2009; Litvin et al, 2013; Lutz, 2009; Varvel et al, 2007). The CB1 antagonist rimonabant increases the incidence of anxiety and depression in clinical trials for the treatment of obesity (Samat et al, 2008), whereas cannabis improves mood in humans (Denson and Earleywine, 2006) and synthetic CB1 agonists produce anxiolytic- and antidepressant-like effects in animal models (Berrendero and Maldonado, 2002; Jiang et al, 2005; Patel and Hillard, 2006; Valjent et al, 2002). Thus, the eCB system represents a promising target for antidepressant medications (Hill et al, 2009). However, direct CB1 agonists may cause unwanted psychotropic effects owing to their indiscriminant activation of CB1 receptors. Inhibitors of eCB degradation hold great promise as therapeutic agents, because they preserve the normal spatial and temporal pattern of CB1 receptor activation.
Anandamide (AEA) and 2-arachidonoylglycerol (2-AG) are two known endogenous ligands for CB1 receptors. AEA is hydrolyzed by fatty acid amide hydrolase (FAAH), while 2-AG is hydrolyzed primarily by monoacylglycerol lipase (MAGL) (Blankman et al, 2007; Cravatt et al, 1996). FAAH and AEA transport inhibitors produce antidepressant and anxiolytic effects in rodents (Bortolato et al, 2007; Busquets-Garcia et al, 2011; Gobbi et al, 2005; Patel and Hillard, 2006), providing proof of concept that inhibition of eCB degradation produces antidepressant-like effects. MAGL and FAAH are distributed on different neuronal types and subcellular compartments (presynaptic and postsynaptic, respectively) (Cravatt et al, 2001; Tsou et al, 1998). Dysregulation of 2-AG signaling is specifically implicated in human and animal models of depression (Eisenstein et al, 2010; Hill et al, 2008). Studies of the role of 2-AG in mood disorders have only recently became possible with the development of highly selective and potent MAGL inhibitor JZL184 (Long et al, 2009a). Inhibition of 2-AG degradation with MAGL inhibitor JZL184 induces anxiolytic-like effects in marble burying (Kinsey et al, 2011), novelty-suppressed feeding (Sumislawski et al, 2011), and elevated zero/plus maze assays (Busquets-Garcia et al, 2011; Sciolino et al, 2011). However, the consequences of MAGL inhibition on depressive-like behaviors, to our knowledge, have not been examined in any animal models of depression. Chronic unpredictable mild stress (CUS) (Willner et al, 1987) is an animal model that captures core symptoms of depression (Duman, 2007). We sought to understand (1) whether CUS altered eCB-mediated responses in the hippocampus, a brain structure that is critically involved in the pathophysiology of depression (Warner-Schmidt and Duman, 2006); and (2) whether blocking 2-AG inactivation with MAGL inhibitor JZL184 affected CUS-induced alterations of eCB signaling and depressive-like behaviors.
The activation of mammalian target of rapamycin (mTOR) signaling is required for rapid antidepressant action of NMDA receptor antagonist ketamine (Li et al, 2010) and group II/III mGluR antagonist LY341495 (Dwyer et al, 2012). CB1 receptor agonists activate mTOR in the hippocampus and other brain regions, and this signaling pair has been recently implicated in learning, memory, anxiety, and fragile X syndrome (Busquets-Garcia et al, 2013; Busquets-Garcia et al, 2011; Puighermanal et al, 2009). We hypothesized that CB1 receptor-mediated activation of mTOR mediates the antidepressant action of JZL184. To test this hypothesis, we examined whether JZL184 activated mTOR signaling pathway in the hippocampus and whether genetic deletion of mTOR in the hippocampus affected the behavioral effects of JZL184. The present study provided a potential mechanism that mediates antidepressant-like actions of MAGL inhibitor JZL184.
MATERIALS AND METHODS
CUS Paradigm and Drug Treatments
Male C57BL/6J mice (8–10 weeks of age, Jackson Laboratory) were habituated for 1 week. CUS mice were exposed to various stressors for 5 weeks, and time-matched control mice did not receive any stressors. The stressors included restraint, inversion of day/night light cycle, cold room, tilted cage, cage rotation, rat bedding (odor), wet bedding, no bedding, strobe, food and water deprivation, and overcrowding, following published CUS paradigms (Koo and Duman, 2008; Willner et al, 1987). On average, two stressors were administered per day. The stressors and timeline of CUS have been detailed in Supplementary Information and Supplementary Table S1. Animal maintenance and use were in accordance with protocols approved by the Institutional Animal Care and Use Committee of Medical College of Wisconsin.
Slice Preparation and Electrophysiology
The following day after the last overnight stressor (tilted cage), CUS and time-matched control mice were killed, hippocampal slices were prepared for electrophysiology, and hippocampal tissue samples were collected for measuring 2-AG tissue content and western blotting (see below). Mice were anesthetized by isoflurane inhalation and decapitated. Hippocampal slices (250 μm) and whole-cell recordings were made as described previously (Pan et al, 2009). Slices were stored in artificial cerebrospinal fluid (ACSF) containing (in mM): 119 NaCl, 2.5 KCl, 2.5 CaCl2, 1 MgCl2, 1.25 NaH2PO4, 26 NaHCO3, and 10 glucose at room temperature. All solutions were saturated with 95% O2 and 5% CO2. Evoked inhibitory postsynaptic currents (IPSCs) were recorded from hippocampal CA1 pyramidal neurons, while electrical stimulation was delivered by a bipolar tungsten stimulation electrode (WPI) that was placed in the striatum radiatum of the CA1 region, using square pulses (duration, 100 μs; intensity, ∼50 μA; interval, 4–10 s). Glutamate receptor antagonists CNQX (20 μM) and D-AP-5 (50 μM) were present in the ACSF. The internal solution in patch pipettes contained (in mM): 80 Cs-methanesulfonate, 60 CsCl, 2 QX-314, 10 HEPES, 0.2 EGTA, 2 MgCl2, 4 MgATP, 0.3 Na2GTP, and 10 Na2-phosphocreatine (pH 7.2 with CsOH). To induce DSI (depolarization-induced suppression of inhibition), cells were depolarized from −60 to 0 mV for 5 s, and IPSCs were evoked at 4-s intervals. All recordings were performed at 32±1 °C by using an automatic temperature controller (Warner Instrument, Hamden, CT). Series resistance (15–30 MΩ) was monitored throughout the recordings, and data were discarded if the resistance changed by >20%.
Biochemical Detection of 2-AG
Control and CUS mice were anesthetized by isoflurane inhalation and decapitated. The brain was immediately removed, and the hippocampi were dissected out and rapidly frozen on dry ice. 2-AG was extracted from the hippocampus as previously described (Wang et al, 2010). Samples were weighed and placed into borosilicate glass culture tubes containing 2 ml of acetonitrile with 186 pmol [2H8]2-AG. They were homogenized with a round-bottomed rod and sonicated in an ice-cold water bath for 30 min. Samples were incubated overnight at −20 °C to precipitate proteins and subsequently centrifuged at 1500 g for 3 min. The supernatants were transferred to a new glass tube and evaporated to dryness under N2 gas. The samples were re-suspended in 300 ml of methanol to recapture any lipids adhering to the glass tube and dried again under N2 gas. Dried lipid extracts were suspended in 20 ml of methanol and stored at −80 °C until analysis. The content of 2-AG was determined using isotope-dilution liquid chromatography–electrospray ionization tandem mass spectrometry (LC-MS/MS) (Patel et al, 2003).
Western Blotting
Control and CUS mice were anesthetized with isoflurane and rapidly decapitated. The hippocampi were dissected out and then homogenized in 0.2 ml lysis buffer (pH 7.6), and western blots were carried out as described previously (Yu et al, 2013) and in Supplementary Information.
Behavior
Open field test (OPT)
Mice were placed individually in one corner of the open field (50 cm length × 45 cm wide × 30 cm deep box) and allowed to freely explore the arena during a 20-min test session. Time in center is defined as the amount of time that was spent in the central 25 × 22.5 cm2 area of the open field.
Sucrose-preference test (SPT)
Mice were individually housed and were trained two times (at the start and completion of the CUS) to drink from two bottles that contained 1% sucrose solution and tap water, respectively, for 24 h. During the SPT, mice were deprived of food and water for 8 h, and the consumption of sucrose solution and water over the next 16 h was measured. The sucrose preference (%) was calculated as sucrose solution consumed divided by the total amount of solution consumed.
Novelty-suppressed feeding (NSF)
The NSF was carried out similar to a published protocol (Santarelli et al, 2003). Mice were deprived of food for 24 h before being placed in a novel environment (a plastic box 45 cm long × 35 cm wide × 20 cm deep) where five food pellets (regular chow) were placed on a piece of white filter paper (11 cm in diameter) in the center of the box. A mouse was placed in one corner of the box and the latency to feed was measured. Feeding was defined as biting not simply sniffing or touching the food. Immediately after the test, the animal was transferred to the home cage, and the latency to feed in the home cage was measured to serve as controls.
Forced swim test (FST)
Mice were placed individually into glass cylinders (13 cm diameter, 25 cm tall) filled to a depth of 18 cm with water (25±1 °C). The mice were placed in the cylinders for 6 min. The time spent immobile during the last 4 min was scored by an observer blind to treatment conditions. Immobility was defined as the cessation of all movements (eg, climbing, swimming) except those necessary for the mouse to keep its head above water (ie, floating).
Intra-Hippocampus Microinjection of Adeno-Associated Virus (AAV)
ROSA26 mice (Jax stock no.: 003474), mTORf/f mice (Jax stock no.: 011009), and C57BL/6J mice were anesthetized with ketamine (90 mg/kg, i.p.) and xylazine (10 mg/kg, i.p.) and placed in a stereotaxic device (David Kopf Instruments, Tujunga, CA) for surgery. AAV2-Cre-GFP or AAV2-GFP (Penn Vector Core, Philadelphia, PA) was bilaterally microinjected into the hippocampus (0.5 μl per side) at four injection sites with the following coordinates (Paxinos and Franklin, 2001; site1: AP, −2.0 mm; ML, ±1.8; DV, −1.8; site 2: AP, −3.0, ML, ±1.8; DV, −2.8). The animals were allowed to recover for at least 3 weeks before histological and behavioral experiments.
X-Gal Staining
Three weeks after the AAV microinjection, ROSA26 mice were deeply anesthetized by pentobarbital sodium (100 mg/kg, i.p.) and transcardially perfused with 0.1 M sodium phosphate-buffered saline (PBS) followed by 4% paraformaldehyde in 4% sucrose-PBS (pH 7.4). After perfusion, the brain was removed and fixed in the same fixative for 1/2 h at 4 °C and was then dehydrated in increasing concentrations of sucrose (20 and 30%) in 0.1 M PBS at 4 °C and frozen on dry ice. Coronal hippocampal sections were made at 30-μm thickness with a cryostat. X-gal staining was done by overnight incubation at 37 °C in PBS solution containing 2 mM MgCl2, 5 mM K3Fe(CN)6, 5 mM K4Fe(CN)6 3H2O, and 1 mg/ml X-Gal. The sections were visualized by using a Nikon Eclipse 80i microscope.
Immunofluorescence Staining
mTORf/f and control mice were transcardially perfused with the fixative as described above, except that brains were post-fixed for 4 h at 4 °C. Coronal hippocampal sections (20 μm) were incubated with primary antibodies against Neuronal Nuclei (NeuN; 1 : 500, Millipore, Billerica, MA) at 4 °C for 48 h. After washing, sections were incubated with goat anti-rabbit IgG-Texas Red (1 : 200, Santa Cruz, Dallas, TX) for 4 h at room temperature. The sections were analyzed by using a Nikon Eclipse TE-2000U confocal microscope. NeuN-immunoreactive or AAV-expressing neurons in the CA1 region of hippocampus from both hemispheres (approximately between 2.0 and 3.0 mm posterior to bregma) were manually counted in two sections from each animal. The coordinates were determined by comparing the brain structures in hippocampal sections with those in mouse stereotaxic atlas (Paxinos and Franklin, 2001).
Chemicals
JZL184 was synthesized in the laboratory of Benjamin Cravatt (Long et al, 2009a). CNQX-Na2, D-AP-5, and all other common chemicals were purchased from Sigma-Aldrich (St Louis, MO). Rimonabant (SR141716A) was obtained from Sanofi-Aventis (Bridgewater, NJ), and WIN55 212-2 was obtained from Tocris Bioscience (Ellisville, MO).
Data Analysis and Statistics
All results are expressed as mean±SEM. The decay time constant (τ) and magnitude of DSI and the depression (%) of IPSCs by CB1 agonists WIN55 212-2 were measured as we have described (Pan et al, 2009). Results for electrophysiology and biochemical assay were analyzed by Student's t-test. Behavioral test results were analyzed by Student's t-test, one-way, or two-way ANOVA followed by Tukey post hoc analysis. The F values and group and experimental degrees of freedom are included in the Results section. Results were considered to be significant at p<0.05.
RESULTS
CUS Decreased eCB-mTOR Signaling in the Hippocampus
Mice were exposed to CUS for 5 weeks (see Supplementary Table S1). The following day after the last overnight stressor (tilted cage), CUS and time-matched control mice were killed, hippocampal slices were prepared for electrophysiology, and hippocampal tissue samples were collected for measuring 2-AG tissue content and western blotting (see below). DSI is mediated by 2-AG-induced activation of CB1 receptors (Gao et al, 2010; Pan et al, 2009; Tanimura et al, 2010). Measuring DSI provides a good indication of functional status of eCB signaling in the brain. We examined whether DSI in the hippocampus was altered in CUS mice. Whole-cell recordings were made from CA1 pyramidal neurons and DSI was induced by a brief depolarization (5 s) from −60 to 0 mV. We found that the decay time constant (τ) (control, 14.1±1.8 s, n=10; CUS, 7.5±1.4 s, n=11; t19=2.92, p<0.01) and magnitude (control, 27.9±4.0%, n=10; CUS, 9.9±2.1%, n=11; t19=4.09, p<0.001) of DSI were significantly decreased in CUS-exposed mice compared with those in unstressed control mice (Figure 1a).
The CUS-induced impairment in DSI could be explained by a decrease in CB1 receptor responsiveness and/or 2-AG availability. To distinguish between the two possibilities, we first examined the effect of application of a saturating concentration of CB1 agonist WIN55212-2 (5 μM) on evoked IPSCs in CA1 pyramidal neurons in control and CUS-exposed mice. A change of the CB1 receptor agonist-induced depression of IPSCs would suggest a change in CB1 receptor responsiveness. However, we found that WIN55212-2 induced similar depression of IPSCs in control and CUS mice (n=9–9, t16=0.25, p>0.05; Figure 1b). Next, we measured CB1 receptor protein expression using western blotting. There was no significant difference of CB1 receptor protein levels between the control and CUS groups (t8=0.41, p>0.05; Figure 1c). Finally, we used LC-MS/MS to measure tissue contents of 2-AG in the hippocampus dissected from these two groups of mice. 2-AG contents were significantly decreased in CUS-exposed mice compared with those of control mice (t10=2.81, p<0.05; Figure 1d). Together, these results suggest that 2-AG availability, but not CB1 receptor density/sensitivity, was decreased in CUS-exposed mice.
2-AG is hydrolyzed primarily by MAGL (Blankman et al, 2007; Cravatt et al, 1996), while JZL184 is a selective and potent MAGL inhibitor that increases 2-AG levels in the brain (Long et al, 2009a; Pan et al, 2009). We determined whether JZL184 could restore DSI in CUS mice. Bath application of JZL184 (1 μM) prolonged the decay time constant and enhanced the magnitude of DSI in CA1 pyramidal neurons in both control and CUS-exposed mice (Figure 1e), and DSI was not significantly different between these two groups of mice in the presence of JZL184 (τ: control, 28.6±3.7 s, n=7; CUS, 27.8±4.5 s, n=8; t13=0.14, p>0.05; magnitude: control, 39.8±5.1%, n=7; CUS, 30.2±4.2%, n=8; t13=1.47, p>0.05; Figure 1e). Thus, JZL184 rescued CUS-induced deficit in DSI in CA1 pyramidal neurons.
CB1 receptor agonists activate mTOR in the hippocampus (Puighermanal et al, 2009). To determine whether CUS-induced deficiency in 2-AG signaling was associated with alterations of mTOR activation in the hippocampus, we performed western blotting to detect phosphorylated (active) mTOR and its downstream effectors. mTOR phosphorylates its downstream target, the 70-kDa ribosomal protein S6 kinase (p70S6K), at T389 site (Jefferies et al, 1997). The activated p70S6K phosphorylates its target substrate ribosomal protein S6 (rpS6) at S235/236 site, which initiates mRNA translation (Proud, 2007). Western blotting was performed using antibodies against p-mTOR (S2448), p-p70S6K (T389) and p-rpS6 (S235/236). We found that CUS significantly decreased protein levels of p-mTOR (S2448) (t8=4.29, p<0.01), p-p70S6K (T389) (t8=6.254, p<0.001), and p-rpS6 (S235/236) (t8=5.26, p<0.001) compared with those of control group (Figure 2). Thus, the CUS-induced decrease in 2-AG signaling was accompanied by a decrease in mTOR activation in the hippocampus.
Chronic JZL184 Treatments Produced Antidepressant-Like Behavioral Effects in CUS Model of Depression
Having shown that CUS decreased 2-AG levels and 2-AG-mediated synaptic depression in the hippocampus, we next examined whether enhancing 2-AG signaling with MAGL inhibitor JZL184 affected depressive-like behavior in a CUS model of depression. Mice were exposed to CUS for a total of 5 weeks. At the beginning of the third week, CUS-exposed mice and time-matched control mice were given i.p. injections of one of the followings every 2 days for 4 weeks: (1) vehicle; (2) JZL184 (8 mg/kg); (3) rimonabant (2 mg/kg); and (4) JZL184+rimonabant. Behavioral tests were carried out in the last week with vehicle or JZL184/rimonabant treatments. The time course of stress exposure, drug treatment, and behavioral tests is shown in Figure 3a. The dose and treatment time of JZL184 were chosen based on previous studies showing that JZL184 irreversibly inhibits MAGL and produces at least two-fold increase in 2-AG levels in the brain at a dose of 8 mg/kg when dissolved in the vehicle used in this study (Kinsey et al, 2013; Long et al, 2009a; Long et al, 2009b; Sumislawski et al, 2011). Repeated administration of JZL184 at this low dose does not induce apparent CB1 receptor desensitization and functional tolerance (Kinsey et al, 2013).
OPT was used to determine whether CUS induced abnormalities in locomotor activity and anxiety-related behavior. Mice tend to avoid open spaces when exposed to an open field arena. Reduced activity in the center of an open field has been correlated with anxiety- and depression-like behaviors in rodents (El Yacoubi et al, 2003). However, we found that neither CUS nor chronic JZL184/rimonabant treatment altered the total distance traveled (CUS: F1,84=3.30, p>0.05; drug treatment: F3,84=0.46, p>0.05; CUS × drug treatment: F3,84=0.92, p>0.05) and time in center (CUS: F1,84=1.29, p>0.05; drug treatment: F3,84=0.15, p>0.05; CUS × drug treatment: F3,84=0.11, p>0.05) during the first 5-min test session in the OPT (Figure 3b).
Anhedonia is a core symptom of depression (Duman, 2007), which can be assessed with the SPT. Two-way ANOVA showed that CUS (F1,84=50.26, p<0.001) and drug treatment (F3,84=3.18, p<0.05) had significant effects on the sucrose preference, and there was a significant CUS by drug treatment interaction (F3,84=4.26, p<0.01; Figure 3c). Tukey's post hoc tests showed that CUS decreased the sucrose preference (p<0.001), JZL184 treatment restored the sucrose preference in CUS-exposed mice (p<0.001), and the effect of JZL184 was blocked by the CB1 antagonist rimonabant (p<0.01).
The NSF test has been used to measure depression and anxiety (Santarelli et al, 2003). In the NSF test, food pellets are placed in an open field, and a fasting mouse faces the choice between eating and avoiding the novel environment. The increase in the latency to feed indicates reduced interest in novel environment, a common feature of depression. CUS and drug treatment significantly changed the latency to feed in the novel environment in the NSF test (CUS: F1,84=25.56, p<0.001; drug treatment: F3,84=3.35, p<0.05; CUS × drug treatment: F3,84=2.74, p<0.05; Figure 3d). Tukey's post hoc tests showed that chronic JZL184 treatment reversed CUS-induced increase in the latency to feed (p<0.05) but did not affect the latency to feed in control mice (p>0.05), and the effect of JZL184 was blocked by rimonabant (p<0.01). In contrast, neither CUS nor JZL184 treatment affected the latency to feed in the home cage (CUS: F1,84=1.30, p>0.05; drug treatment: F3,84=0.06, p>0.05; CUS × drug treatment: F3,84=1.27, p>0.05; Supplementary Figure S1). Thus, the effects of JZL184 on the latency to feed in the novel environment cannot be explained by possible changes in appetite.
Finally, we used FST to detect depression-like behavior (Porsolt et al, 1977). CUS and drug treatment significantly altered the immobility time in the FST (CUS: F1,84=37.84, p<0.001; drug treatment: F3,84=5.07, p<0.01; CUS × drug treatment: F3,84=3.14, p<0.05; Figure 3e). Tukey's post hoc tests showed that JZL184 reversed CUS-induced increase in the immobility time in the FST (p<0.001), and this effect of JZL184 was blocked by rimonabant (p<0.01).
CUS and Chronic JZL184 Treatments Altered mTOR and Extracellular Signal-Regulated Protein Kinase (ERK) Signaling and Protein Translation Machinery
NMDA receptor antagonist ketamine produces rapid antidepressant-like effects via mTOR (Li et al, 2010). We investigated whether CUS and chronic JZL184 treatment altered mTOR signaling in the hippocampus. After the completion of behavioral tests, the mice showed in Figure 3 were euthanized, and the hippocampi were rapidly dissected out. Western blotting was performed using antibodies against p-mTOR (S2448). Two-way ANOVA revealed that CUS and JZL184 treatments had significant effects on p-mTOR (S2448) levels (CUS: F1,40=45.39, p<0.001; drug treatment: F3,40=16.75, p<0.001; CUS × drug treatment: F3,40=16.46, p<0.001). Tukey's post hoc tests showed that CUS decreased p-mTOR (p<0.01) levels in the hippocampus, which were reversed by JZL184 treatments (p<0.001). The effects of JZL184 were blocked by rimonabant (p<0.001; Figure 4a and b).
As mentioned earlier, p70S6K and rpS6 are two downstream effectors of mTOR (Jefferies et al, 1997; Proud, 2007). CUS and JZL184 treatments had significant effects on p-p70S6K (T389) (CUS: F1,40=36.56, p<0.001; drug treatment: F3,40=3.94, p<0.05; CUS × drug treatment: F3,40=5.62, p<0.01) and p-rpS6 (S235/236) levels (CUS: F1,40=52.86, p<0.001; drug treatment: F3,40=7.16, p<0.001; CUS × drug treatment: F3,40=6.89, p<0.001). Tukey's post hoc test showed that the levels of p-p70S6K and p-rpS6 were significantly decreased in CUS-exposed mice compared with those of control mice (p<0.001 for both p-p70S6K and p-rpS6), and these decreases were reversed by JZL184 treatments (p<0.001 for both p-p70S6K and p-rpS6). Rimonabant blocked the effects of JZL184 (p<0.05 for p-p70S6K, p<0.001 for p-rpS6; Figure 4a, c and d).
ERK1/2 activation is decreased in the hippocampus of postmortem brain from patients with major depressive disorder (MDD; Duric et al, 2010). We examined whether CUS and JZL184 treatments affected phosphorylated ERK1/2 levels at T202/204 site (p-ERK1/2) in the hippocampus. Two-way ANOVA indicated that CUS and JZL184 treatments had significant effects on p-ERK (T202/204) (CUS: F1,40=68.98, p<0.001; drug treatment: F3,40=8.88, p<0.001), and there was a significant interaction between CUS exposure and JZL184 treatments (F3,40=5.10, p<0.01). Tukey's post hoc test showed that CUS decreased p-ERK (p<0.001) in the hippocampus, which was reversed by JZL184 treatments (p<0.001). The effect of JZL184 treatments on p-ERK was blocked by rimonabant (p<0.001; Figure 4a and e). These results indicate that CUS exposure caused abnormalities in mTOR/ERK signaling in the hippocampus, while JZL184 treatments corrected the CUS-induced deficits.
Subchronic JZL184 Treatment did not Affect CUS-Induced Depressive-Like Behavior
We also examined the effects of subchronic JZL184 treatment on CUS-induced depressive-like behavior. Mice were exposed to CUS for a total of 5 weeks. One day before the behavioral tests, CUS-exposed mice and time-matched control mice were given i.p. injections of vehicle or JZL184 (8 mg/kg). The injections were made once every 2 days during the period of behavioral tests (Figure 5a). We found that neither CUS nor subchronic JZL184 treatment altered total distance traveled (CUS: F1,28=2.50, p>0.05; JZL184 treatment: F1,28=0.33, p>0.05) and time in center of the OPT (CUS: F1,28=0.46, p>0.05; drug treatment: F1,28=0.01, p>0.05; Figure 5b). Subchronic JZL184 treatment did not significantly alter CUS-induced anxiety- and depressive-like behaviors, SPT (CUS: F1,28=14.58, p<0.001; JZL184 treatment: F1,28=0.01, p>0.05; Figure 5c), NSF (novelty: CUS: F1,28=13.07, p<0.01; JZL184 treatment: F1,28=0.003, p>0.05; Figure 5d), and FST (CUS: F1,28=23.56, p<0.001; JZL184 treatment: F1,28=0.89, p>0.05; Figure 5e).
Hippocampus-Specific Deletion of mTOR Produced Depressive-Like Behaviors and Abrogated the Antidepressant-Like Effects of JZL184 Treatments
We have shown that CUS decreased mTOR activation in the hippocampus (Figures 2 and 4). To determine whether the impairments of hippocampal mTOR signaling contribute to CUS-induced depressive-like behavior, we used Cre recombinase-expressing AAV type 2 (AAV2-Cre-GFP) to selectively delete mTOR in the hippocampus and examine its effects on depressive-like behavior. To evaluate the effectiveness of the Cre recombinase in the AAVs, we first injected AAV2-Cre-GFP bilaterally into the hippocampi of LacZ reporter mice carrying the reporter cassette in the ROSA 26 locus. Each mouse received four injections that targeted rostral and caudal hippocampus bilaterally (see Materials and Methods). After recovery for 3 weeks, immunofluorescence staining and X-gal staining of brain sections revealed the presence of β-galactosidase in entire hippocampi, including CA1, CA3, and dentate gyrus (Figure 6a), indicating that the AAVs are expressed in all subfields of the hippocampus and Cre recombinase in the viral vector is very effective. We then injected AAV2-Cre-GFP into the hippocampus bilaterally in homozygous mTOR-floxed mice (mTORf/f) and control mice (C57BL/6J), using the same injection procedure. Immunofluorescence staining for NeuN (neuronal marker) indicated that ∼80% of hippocampal CA1 pyramidal neurons expressed AAV2-Cre-GFP in both mTORf/f and control mice 3 weeks after the AAV injection (Figure 6b and c). Western blotting analysis of hippocampal tissues showed that injection of AAV2-Cre-GFP significantly decreased protein level of mTOR in mTORf/f mice (p<0.001; Figure 6d and e). In addition, p-p70S6K (T389) and p-rpS6 (S235/236) levels were significantly decreased in mTORf/f mice (p<0.001; Figure 6d and e). These results further confirmed the effectiveness of AAV2-Cre-GFP in deleting mTOR in the hippocampus.
To examine whether mTOR deletion in the hippocampus affects eCB signaling, we compared DSI in CA1 pyramidal neurons in hippocampal slices prepared from control and mTORf/f mice that received intra-hippocampus injection of AAV2-Cre-GFP. We found that DSI in AAV2-Cre-GFP-expressing neurons was not significantly different between the control and mTORf/f groups (Supplementary Figure S2). These results suggest that mTOR deletion does not affect DSI in the hippocampus.
We examined the effect of hippocampus-specific deletion of mTOR on depression-related behavior. AAV2-Cre-GFP was bilaterally injected into the hippocampi of control and mTORf/f mice as described above. In an additional control experiment, AAV2-GFP was bilaterally injected into the hippocampi of mTORf/f mice. The time course of the AAV injection and behavioral tests is shown in Figure 7a. The mice in which mTOR was deleted in the hippocampus appeared grossly normal. A one-way ANOVA revealed that hippocampus-specific deletion of mTOR did not significantly affect locomotor activity (F2,27=0.58, p>0.05) and time in center in the OPT (F2,27=0.16, p>0.05; Figure 7b) but caused a significant decrease in the sucrose preference (F2,27=5.82, p<0.01; Figure 7c) and significant increases in the latency to feed in the novel environment in the NSF test (F2,27=4.54, p<0.05; Figure 7d) and the immobility time in the FST (F2,27=5.36, p<0.05; Figure 7e). However, mTOR deletion did not affect the latency to feed in the home cage in the NSF test (F2,27=0.70, p>0.05; Figure 7d). These results suggest that mTOR deletion induced depressive-like behavior and recapitulated CUS-induced behavioral changes.
We next determined whether the antidepressant-like action of JZL184 was altered by hippocampus-specific deletion of mTOR. A new group of control or mTORf/f mice received bilateral intra-hippocampal AAV2-Cre-GFP injections. Two weeks after the AAV injections, mice received i.p. injections of vehicle or JZL184 (8 mg/kg) every 2 days for 4 weeks. The time course of the AAV injection, drug treatment, and behavioral tests is shown in Figure 8a. We found that chronic JZL184 treatments did not significantly affect mTOR deletion-induced anxiety- and depressive-like behaviors as shown by SPT (mTOR deletion: F1,33=16.64, p<0.001; JZL184 treatment: F1,33=0.13, p>0.05; Figure 8b), NSF (novelty: mTOR deletion: F1,33=10.65, p<0.01; JZL184 treatment: F1,33=0.29, p>0.05; Figure 8c), and FST (mTOR deletion: F1,33=7.93, p<0.01; JZL184 treatment: F1,33=0.54, p>0.05; Figure 8d). These results suggest that hippocampus-specific deletion of mTOR abrogated the antidepressant-like effects of chronic JZL184 treatments.
DISCUSSION
CUS exhibits high predictive, face, and construct validity as an animal model for depression (Willner, 2005). We showed that CUS impaired eCB-mediated retrograde synaptic depression in the hippocampus, and this deficit was rescued by MAGL inhibitor JZL184. Furthermore, CUS induced depressive-like behavior and decreased the activation of mTOR signaling in the hippocampus, whereas chronic JZL184 treatments reversed CUS-induced biochemical and behavioral abnormalities. These results suggest that the impairment of eCB-mTOR signaling contributes to the pathophysiology of depression, while chronic JZL184 treatment produces antidepressant-like effects via activation of eCB-mTOR signaling.
DSI is a form of synaptic plasticity mediated by 2-AG-induced activation of CB1 receptors (Gao et al, 2010; Pan et al, 2009; Tanimura et al, 2010). Consistent with previous finding that chronic restraint stress decreases DSI in the hippocampus (Hu et al, 2011), the present study showed that CUS decreased the magnitude and decay time constant of DSI in hippocampal CA1 pyramidal neurons. In contrast, acute restraint stress enhances DSI and other eCB responses in the hippocampus via glucocorticoid-mediated recruiting of the eCB system (Wang et al, 2012). However, repeated recruiting of eCBs by chronic stress likely overwhelms the eCB system and impairs eCB signaling in the brain, which might explain why DSI was impaired in the hippocampus in mice exposed to chronic stress. CUS decreased 2-AG tissue content in rat hippocampus (Hill et al, 2005). Similarly, we found that the tissue contents of 2-AG were decreased in the hippocampus after CUS exposure, whereas CB1 agonist WIN52212-2-induced depression of IPSCs was not altered by CUS. These results suggest that CUS decreases 2-AG availability without significantly altering the responses of CB1 receptors to CB1 ligands. We have shown that CUS also altered eCB and CB1 receptor-mediated responses in the nucleus accumbens (Wang et al, 2010). The effects of CUS are quite global (Willner, 2005) and many brain regions are likely impacted, though they may be distinctly affected.
The present study showed that CB1 receptor protein expression in the hippocampus was not altered in CUS mice. In contrast, CUS decreased CB1 receptor protein expression in the hippocampus in male rats (Hill et al, 2005; Reich et al, 2009) but increased CB1 receptor protein expression in the hippocampus in female rats (Reich et al, 2009). Thus, species and gender differences may explain the different changes in CB1 receptor protein expression in the hippocampus induced by CUS.
The present study showed that chronic JZL184 treatment reversed CUS-induced depressive-like behaviors in a battery of behavioral tests, and the effects of JZL184 were mediated by the CB1 receptor. Chronic JZL184 treatment did not affect depression-related behaviors in unstressed control mice. Our results are consistent with recent studies showing that acute JZL184 had little effect on anxiety-related behaviors in NSF and elevated plus maze tests, while chronic JZL184 treatment did not significantly affect the latency to feed in unstressed control mice in the NSF test, but decreased the latency to feed in mice that received chronic restraint stress (Sumislawski et al, 2011). The eCBs could act as a stress buffer that dampens the hormonal and behavioral responses to stress and restores emotional homeostasis (Hill et al, 2009). The eCB system remains intact in control mice but is compromised in CUS mice, which might explain why enhancing eCB signaling with JZL184 has relatively little impact on depression-related behavior in unstressed control mice but produces antidepressant-like effects in chronically stressed mice.
Pharmacological blockade or genetic knockout of FAAH produces anxiolytic- and antidepressant-like effects primarily via CB1 receptors (Bambico et al, 2009; Bambico et al, 2007; Bortolato et al, 2007; Gobbi et al, 2005; Kathuria et al, 2003; Patel and Hillard, 2006). Interestingly, a recent study has shown that acute treatments with JZL184 and FAAH inhibitor URB597 induce anxiolytic-like effects in elevated zero and plus maze assays through CB2 and CB1 receptors, respectively (Busquets-Garcia et al, 2011). Thus, both FAAH and MAGL inhibition produce antidepressant- and anxiolytic-like effects. Despite this common behavioral phenotype, FAAH and MAGL inhibitors may exhibit subtle differences in their antidepressant-like action. While 2-AG is a full CB1 agonist, AEA acts as a partial CB1 agonist (Hill et al, 2009). Brain levels of 2-AG are much higher than AEA (Stella et al, 1997). MAGL and CB1 receptors are expressed on presynaptic axonal terminals and are located in close proximity, whereas FAAH is located inside postsynaptic neurons (Cravatt et al, 2001; Gulyas et al, 2004; Tsou et al, 1998). MAGL inhibition may produce greater activation of CB1 receptors than FAAH inhibition. However, whether MAGL inhibition results in more effective antidepressant action remains to be determined.
As mentioned above, acute treatment with JZL184 induces anxiolytic-like effects in elevated zero and plus maze assays, and these effects are mediated by CB2 receptors (Busquets-Garcia et al, 2011). In contrast, we found that subchronic JZL184 treatments did not affect anxiety- and depressive-like behaviors as assessed by OPT, SPT, NSF test, and FST, while chronic JZL184 treatments produced antidepressant-like effects via activation of CB1 receptors. The reason for these discrepancies is not yet clear. We suspect that different behavioral assays and treatment paradigms may be responsible for the different effects observed.
We found that acute JZL184 application normalized CUS-induced deficit in DSI in the hippocampus, while chronic JZL184 treatment is required to produce antidepressant-like effects. These results suggest that normalization of 2-AG signaling is necessary, but not sufficient, to reverse behavioral deficits induced by CUS. Clinically antidepressants have delayed onset in their antidepressant actions, suggesting that slow neurochemical and other changes are required for their clinical effects (Wong and Licinio, 2001). We have shown that chronic JZL184 treatment, but not subchronic JZL184 treatment, produced antidepressant-like effects in CUS model of depression. It is likely that subsequent neuroadaptations following CB1 receptor activation are also required for the manifestation of the antidepressant-like effects of JZL184.
As mentioned earlier, the CB1 antagonist rimonabant increases the incidence of anxiety and depression in clinical trials for the treatment of obesity (Samat et al, 2008). Overall, rimonabant caused anxiety or depression in 1–3% of patients, while placebo caused anxiety or depression in <1% of patients (Moreira and Crippa, 2009). The difference is highly significant in humans. It is surprising that chronic treatment with CB1 antagonist rimonabant (i.p., 2 mg/kg) alone did not affect depression-related behavior in the present study. In contrast, chronic treatment with rimonabant (i.p.,10 mg/kg) increased the immobility time in the FST and decreased sucrose preference in rats, while chronic rimonabant at a lower dose (i.p., 3 mg/kg) had no significant effects on these two behaviors (Beyer et al, 2010). Rats are more vulnerable to CUS than mice (Willner, 2005). Species and dose differences may explain the different behavioral responses to chronic rimonabant treatment. It is worth noting that rimonabant (i.p., 2 mg/kg) is sufficient to block behavioral effects of JZL184. It is unclear whether rimonabant at the high dose (i.p.,10 mg/kg) may affect targets other than CB1 receptors.
A concern of cannabinoid-mimic drugs is their psychoactive effects and abuse potential. However, dual FAAH/MAGL blockade, but not disruption of either FAAH or MAGL alone, produced THC-like drug discrimination responses (Long et al, 2009c). It is thus likely that FAAH or MAGL inhibitors do not share the psychoactive or adverse effects of THC. The following observations suggest that partial blockade of FAAH or MAGL may produce better antidepressant action while minimizing adverse effects. First, low doses of CB1 agonists produce anxiolytic and antidepressant effects (Berrendero and Maldonado, 2002; Jiang et al, 2005; Patel and Hillard, 2006; Valjent et al, 2002), while moderate-to-high doses are generally anxiogenic (Mangieri and Piomelli, 2007; Moreira et al, 2009; Patel and Hillard, 2006). Second, high doses of FAAH inhibitors can increase anxiety levels (Rubino et al, 2008; Scherma et al, 2008). Third, chronic JZL184 at high dose (40 mg/kg), but not low lose (8 mg/kg), causes behavioral tolerance and CB1 receptor desensitization (Busquets-Garcia et al, 2011; Long et al, 2009a). We chose to use low dose of JZL184 (8 mg/kg), which is estimated to produce half-maximal increase in 2-AG levels in the brain (Kinsey et al, 2013; Long et al, 2009b; Sumislawski et al, 2011). Thus, low doses of MAGL or FAAH inhibitors are required for their antidepressant-like behavioral effects. [35S]GTPγS and CB1 receptor binding studies indicate that CB1 receptor expression and function are maintained following repeated administration of low-dose JZL184 (⩽8 mg/kg) (Kinsey et al, 2013). Chronic JZL184 at this low-dose produces antinociceptive and anti-inflammatory effects without inducing apparent CB1 receptor desensitization and functional tolerance (Kinsey et al, 2013).
mTOR and ERK1/2 are serine/threonine protein kinases that are involved in cellular survival, growth, and differentiation (Hoeffer and Klann, 2010). Postmortem studies have showed deficits in mTOR signaling in the prefrontal cortex and ERK1/2 signaling in the hippocampus of subjects diagnosed with MDD (Duric et al, 2010; Jernigan et al, 2011). CB1 receptor agonists activate mTOR (Busquets-Garcia et al, 2013; Busquets-Garcia et al, 2011; Puighermanal et al, 2009) and ERK in the hippocampus and other brain regions (Derkinderen et al, 2003; Pan et al, 2011). mTOR deletion did not significantly affect DSI in hippocampal CA1 pyramidal neurons (Supplementary Figure S2), suggesting that CB1 receptors are upstream of mTOR activation in the hippocampus. CUS decreased DSI and 2-AG tissue contents in the hippocampus (Figure 1). The CUS-induced deficiency in 2-AG signaling and CB1 receptor activation may lead to decreases in mTOR and ERK activation in the hippocampus. In support of this idea, we found that CUS led to decreases in the activation of mTOR and ERK1/2, their downstream effectors p70S6K, rpS6 (Jefferies et al, 1997; Proud, 2007), while these decreases were reversed by chronic JZL184 treatment. Moreover, we showed that genetic deletion of mTOR in the hippocampus with AAV2-Cre-GFP recapitulated the depressive-like behaviors induced by CUS and abrogated the antidepressant-like action of chronic JZL184. The mice in which mTOR was deleted in the hippocampus appeared grossly normal and displayed normal locomotor activity in an OPT. Further, there was no apparent change in the number of hippocampal neurons as shown by NeuN staining. Thus, the depressive-like behaviors in these mice cannot be attributed to deterioration of health conditions. Taken together, these data appear to support a model in which CUS-induced deficits in eCB signaling lead to a decrease in CB1 receptor-mediated mTOR and ERK activation and depressive-like behavior, whereas activation of mTOR and ERK1/2 signaling may constitute a mechanism for the antidepressant-like effects of chronic JZL184 treatments. Nevertheless, our studies do not rule out other mechanisms that may contribute to antidepressant-like effects of JZL84. For example, proinflammatory cytokines such as IL-1beta have been implicated in stress and depression (Koo and Duman, 2008). Chronic JZL184 exhibits neuroprotective effects against Alzheimer's disease and Parkinson's disease via inhibition of prostaglandin-induced neuroinflammation (Chen et al, 2012; Nomura et al, 2011; Piro et al, 2012). The anti-neuroinflammation effects of JZL184 may also contribute to its antidepressant action.
The activation of mTOR and associated increase in the synthesis of synaptic proteins contribute to rapid antidepressant action of NMDA receptor antagonist ketamine (Li et al, 2010) and group II/III mGluR antagonist LY341495 (Dwyer et al, 2012). We show here the CB1-dependent antidepressant-like effects induced by JZL184 treatments are also dependent on mTOR signaling. Thus, activation of mTOR appears to be a final common pathway that multiple signaling molecules can converge to produce antidepressant-like effects. In summary, our studies indicate that chronic JZL184 treatment produces antidepressant-like effects in a CUS model of depression, and these effects are likely mediated by reversing CUS-induced downregulation of mTOR and ERK signaling. Our data suggest that MAGL inhibition represents a useful strategy for the development of antidepressant medications.
FUNDING AND DISCLOSURE
The authors declare no conflict of interest.
Acknowledgments
This work was supported by NIH Grants R21 MH095921 and R01 DA024741 and Extendicare Foundation. It was also partially funded through the Research and Education Initiative Fund, a component of the Advancing a Healthier Wisconsin endowment at the Medical College of Wisconsin and the National Institutes of Health Grant UL1RR031973 from the Clinical and Translational Science Award (CTSA) program of the National Center for Research Resources and the National Center for Advancing Translational Sciences. We thank Dr Cecilia J Hillard for her critical comments on the manuscript.
Footnotes
Supplementary Information accompanies the paper on the Neuropsychopharmacology website (http://www.nature.com/npp)
Author contributions
All authors designed the experiments. PZ, WW, BP, XL, and ZZ performed the experiments, collected, and analyzed the data. JZL and BFC contributed reagents. PZ and QSL drafted the manuscript.
Supplementary Material
References
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