Abstract
Psychogenic hyperthermia is a stress-related condition reported mostly in women. Neuroendocrine responses to stress in females differ from those in males, and these differences cannot be explained solely based on hypothalamic-pituitary-adrenal (HPA) axis activity. Here, we used infrared (IR) thermographic imaging to record changes in cutaneous temperature following two types of stressful experiences in female and male mice. Mice were exposed to either single-session restraint stress or vertical exploration (rearing) deprivation and were monitored for exploratory activity and IR surface thermal changes. Females displayed higher rearing activity than males during the dark phase of the light cycle. Both sexes showed similar plasma corticosterone (CORT) responses after a challenge with restraint and rearing deprivation. However, only females responded to rearing deprivation with increased cutaneous temperature in the head and back, and a reduced thermal response in the tail. Circulating CORT levels were not correlated with the thermal variations. These findings, for the first time, provide evidence for sex-specific cutaneous thermal responses to short-term stress in mice following transient vertical-activity deprivation that may mimic clinical psychogenic hyperthermia.
Keywords: sex differences, infrared thermography, restraint stress, HPA axis, vertical activity deprivation, stress response, psychogenic fever, psychogenic hyperthermia
Introduction
Intrinsic factors, as well as type, duration, and intensity of stress, determine the variation in physiological and behavioral stress responses. Sex is a key biological factor that influences vulnerability to psychological stress (Wang et al., 2007; Goldstein et al., 2010; Bale and Epperson, 2015). Thus, sex-dependent variation in stress response is a critical determinant of vulnerability to stress-related psychiatric disorders (Bangasser and Wiersielis, 2018). Nevertheless, preclinical studies mainly used males in the study of neurobiological and mental health correlates of stress vulnerability (Beery and Zucker, 2011). Moreover, studies using both sexes in rodents revealed robust sexual dimorphisms in psychoneurological responses to stressful challenges (Lin et al., 2009; Yamaura et al., 2013; Goodwill et al., 2019). For instance, in response to stressful experiences, hypothalamic signals activate the medullary raphe sympathetic premotor neurons to develop psychological stress-induced hyperthermia (PSH; Kataoka et al., 2014; Nakamura, 2015), a major psychosomatic symptom especially observed in young women (Petersdorf and Beeson, 1961; Weinstein, 1985; Oka, 2015).
Emotions experienced during transient or persistent stress, tension, anxiety, and fear may change body temperature in humans (Vinkers et al., 2013; Engert et al., 2014) and animals (Vianna and Carrive, 2005; Gjendal et al., 2018), thus proposing body temperature variations as a putative physiological marker of stress vulnerability and resilience (Lecorps et al., 2016). The neuroendocrine responses to stress by the hypothalamic-pituitary-adrenal (HPA) axis differs between females and males (McCarthy et al., 2012; Goel et al., 2014; Oyola and Handa, 2017), however, mere HPA axis activity does not fully explain the complex physiological phenotype of thermal responses to stress. Although mostly for males, preclinical findings portray a complex picture of stress-induced hyperthermia in fish (Rey et al., 2015), birds (Nord and Folkow, 2019), mice (Groenink et al., 1994; Olivier et al., 2003; Veening et al., 2004), and rats (Dallmann et al., 2006; McGivern et al., 2009). In humans, the influential impact of social status and higher cognitive processes further complicate the sex-dependent responses to stress (Handa and McGivern, 2009; Bale and Epperson, 2015). Due to local vasoconstriction and changes in cardiovascular activity, acute stress may reduce body temperature in the periphery without effects on the proximal core temperature (Vinkers et al., 2013). Facial temperature distribution shows a particularly sex-specific temporospatial pattern (Vinkers et al., 2013).
As a non-invasive imaging technique, infrared (IR) thermography (Tattersall, 2016) provides a robust assessment of surface thermal changes in living organisms. Although this technique has particular translational value for stress studies, it has not yet been extensively used in laboratory rodents. The present experiment was designed to examine sex differences in the cutaneous temperature during two types of short-term stress in mice along with biological and behavioral markers of HPA axis activation. The stress paradigms were based on the restriction of multi-dimensional restraint stress and restriction of vertical exploration only (rearing deprivation). Recent findings showed that rearing deprivation challenges HPA axis activity and emotional status (Faraji et al., 2016). Here, the results showed elevated plasma corticosterone (CORT) levels in response to both types of stress in both females and males. However, females experienced greater thermal changes than males only when deprived of their rearing behavior. The findings, for the first time, provide evidence for sex-specific cutaneous thermal response in mice following transient rearing deprivation that may mimic clinical psychogenic hyperthermia.
Materials and Methods
Animals
Adult male and female mice (C57BL/6NJ; B6), 3–4 months old, were used in this study. The animals were housed in pairs under a 12:12 h light/dark cycle with the light starting at 07:30 h. Animals were provided with water and food ad libitum. The room temperature was set at 22°C, and experimental procedures were conducted during the light phase of the cycle at the same time of day. All animals were handled for approximately 5 min daily for three consecutive days before any experimental manipulations. All procedures were approved by the University of Lethbridge Animal Care Committee in compliance with the standards set out by the Canadian Council for Animal Care (CCAC).
Experimental Design
Figure 1A illustrates the time course of experimental manipulations. Pre-stress (baseline) number of rears was calculated in two groups of male and female mice (N = 11/group) for 5 min each during light (day) and dark (night) phase. Also, pre-stress assessment (day 1) of thermal changes was performed before stress using a square transparent Plexiglas box (25 × 25 × 30 cm). Mice (males, N = 8; females, N = 6) were individually placed in the box for 2 min, and their free movement was recorded with an IR camera. On day 2, animals underwent blood sampling for CORT measurements as the main physiological indicator of the HPA axis activation. Animals were then allowed to recover for 7 days.
On day 10, individual animals were subjected to a single session of restraint stress for 20 min immediately followed by IR thermal recording and blood sampling 3–4 min later. Animals were then given a second seven-day recovery period. On day 19 animals were given a single session of rearing deprivation for 60 min again immediately followed by IR thermal recording and blood sampling. The same procedures for IR recording and blood sampling were used for both post-stress sessions. All animals received equal amounts of handling daily throughout the experiments, and the data collection, thermal, and CORT assays were performed by two experimenters blind to the group identities.
Assessment of Vertical Exploratory Activity
Two groups of randomly-selected male and female mice (N = 11/group) were monitored for rearing activity before any experimental manipulations. The number of rears during free exploration was recorded after placing animals into the middle of a square, black Plexiglas open-field arena (70 × 70 × 35 cm). The number of rears was counted for 10 min segregated into two 5-min for the day and nighttime (8:30–9:30 am and 9:00–10:30 pm), both under dim illumination. Vertical exploration (rearing) was scored when mice reared on their hind limbs regardless of whether rears occurred on or off the walls (supported and unsupported rearing; Sturman et al., 2018). Animals typically appear stationary with slow or absent whisker movement in rears (Faraji et al., 2013, 2016). The movements of the animals were recorded and analyzed by an HVS tracking system (HVS Image, UK), and rears and stops were analyzed and illustrated by a motion graph software (SINA Motiongraph, V.II, Iran).
Infrared (IR) Imaging
A FLIR IR thermographic camera (FLIR T450sc, Sweden; fixed emissivity = 0.98 specified for skin in the manufacturer’s emissivity table) mounted on top of a transparent Plexiglas box (20 × 20 cm) recorded temperature in freely moving mice for 2 min per test session. IR imaging occurred in a windowless room with a steady temperature set at 22°C and relative humidity of ~50%. Animals were protected from direct ventilation. The post-stress thermal imaging was performed immediately (~1 min) after removing animals from the restraint tube or rearing a deprivation tunnel.
Briefly, animals were placed individually in the center of the Plexiglas box with the dorsal side up, and the IR thermographic recording was performed above the box without a lid because IR radiations are blocked by Plexiglas or stainless steel. The camera was placed 80 cm above the animal and was able to follow changes in the animal’s surface temperature and its immediate surrounding with a thermal resolution of 320 × 240 pixels per image, thermal sensitivity of <30 mK at 30°C, and 60 Hz acquisition rate (Figure 1B).
IR thermal profiles were then saved and analyzed using the FLIR image processing software (FLIR ResearchIR Max software 4.40.6.24). For the thermal analysis, three regions of interest (ROIs) were chosen. (1) Head (including eyes), covering a major portion of the frontal and parietal surfaces. An approximate measure of the sagittal suture allowed the elliptic ROI to split the top of the head up into the left and right sides. Also, a small segment of interparietal bone was included in either right or left ROIs. To control the effect of the position of each animal on the emitted thermal irradiations, the best postural condition for the head was chosen when mice were moving with their head oriented straight ahead without deviation to sides. (2) Back, an oval-shape ROI included lower thoracic and upper and lower lumbar levels extended to the abdominal parts at equidistance from approximately 1.5 cm off the midline. (3) Tail (base), where the base of the tail joins the rump. In total, four ROIs [head (left and right), back and tail] were considered for analysis of changes in surface temperature (Figure 1C).
For sampling, six frames representing six time-bins (20–30, 35–45, 50–60, 65–75, 80–90, 95–105 s) adjusted to the corresponding ROIs from the head and back, and two frames (30–60, 90–120 s) from the tail base were chosen for each animal. ROI sizes were identical for all frames and mice. The best-fit area to the ROIs in each frame/time bin was determined based on the animal’s dorsal posture when approximately all relevant regions were bounded by the radius of the ellipses and/or when the animal was found in a prone position with all four limbs on the ground.
Stress Procedures
Multi-dimensional Restraint
A single-session of classic restraint stress was performed for 20 min (Zucchi et al., 2014; Ambeskovic et al., 2017; Jafari et al., 2017). Male and female mice (N = 6–8/group) were individually placed into custom-made transparent Plexiglas tubes (3 cm inner diameter) of adjustable length. The tubes maintained the mouse in a standing position without compression of the body. Restraint occurred in a designated quiet, semi-dark room maintained at 22°C.
Rearing Deprivation (Vertical Restraint)
A single session of vertical activity deprivation was performed for 60 min. Each animal was placed in a white PVC pipe (5 cm inner diameter; 40 cm length) mimicking a natural burrow habitat of a mouse. The tunnel allowed animals to freely move and turn around but prevented rearing on their hind limbs. Windows inserted in the wall of the apparatus supported air ventilation [(Faraji et al., 2016) with modification]. The stress occurred in a designated quiet, semi-dark room maintained at 22°C.
The duration of the restraint stress and rearing deprivation protocols (Faraji et al., 2016; Jafari et al., 2017) in the present experiment were determined based on previous pilot observations in mice indicating that the stress response after 20-min restraint stress (RS) is similar to 60-min rearing deprivation (RD).
Blood Sample Collection and Corticosterone Measurements
Blood samples were taken a week before and 3–4 min after stress procedures to assess circulating CORT levels. Mice were restrained by grasping the loose skin over the shoulder and behind the ears where the skin was taut over the mandible. A small puncture was made on the sub-mandibular vein using a lancet. Approximately 0.1 ml of blood was collected with a micro-tube. All samples were collected in the morning hours between 9:00 and 11:00 AM. Animals were returned to their home cage and allowed for recovery for 1 week. Plasma was obtained by centrifugation at 5,000 rpm for 10 min. The plasma samples were stored at −80°C and analyzed for CORT concentration using commercial ELISA kits (Abcam, Toronto, ON, Canada).
Statistical Analysis
All data were analyzed with an SPSS 16.0 package (SPSS Inc., USA). Effects of main factors [Group—two levels; Sex—two levels; Time—two levels (night and day); Time bin—six levels; Session—three levels; Regions—three levels] were analyzed as independent variables for the number of rears, the surface temperature in different ROIs and plasma CORT as dependent variables by repeated measure, one- and two-way ANOVA. Statistical differences were determined with Tukey’s HSD multiple comparisons post hoc test (adjusted p-values are shown where appropriate). To test for correlations between the level of circulating CORT and surface temperature Pearson product-moment correlation coefficient was applied. Separate means comparison between groups was also performed using dependent and independent samples t-tests for within-subject comparison where applicable. The Familywise error was considered before the multiple post hoc analyses if necessary. To evaluate the magnitudes of the effects of experimental manipulation (here, restraint, and rearing deprivation) on the body surface temperature, effect sizes (η2 for ANOVA) were calculated. Values of η2 = 0.14, 0.06, and 0.01 were considered for large, medium, and small effects, respectively. A p-value of less than 0.05 was considered statistically significant. Data are presented as the mean ± SEM.
Results
Number of Rears
Figures 2A–C show the number of pre-stress rears as assessed in male and female mice during the day- and night-time. There was a main effect of Group (F(1,20) = 9.77, p = 0.005, η2 = 0.32; repeated measure ANOVA) and Group × Time interaction (p = 0.041). Time (p = 0.13) and Time Bin (p = 0.072), as well as Group × Time Bin (p = 0.055) in terms of the number of rears at night, indicated that over a 5-min period of assessment, females made more rears than males (63.09 ± 5.33 vs. 48.36 ± 5.33). Furthermore, females displayed a higher rate of rears than males in each time bin (all p < 0.05, one-way ANOVA; Figure 2B), excluding the fourth minute.
However, the main effect of Group for the rears in the daytime was not significant (p = 0.059), although the significant effect of Time bin indicated that females and males showed the same progressive rate of rears as the exploration proceeded in the daytime (64.36 ± 4.76 vs. 55.72 ± 4.76). No Group × Time Bin interaction was observed (p = 0.55). Also, there were no significant differences between the number of rears in the day- and nighttime in each group (both p > 0.05; repeated measure ANOVA) whereas one-way ANOVA revealed significant differences between rears only in the first and last minutes of exploration in females and only the first minute of exploration in males (all p < 0.05; Figure 2C). In summary, no group differences were observed between day and night, even though females displayed more rears than males at night during the dark phase.
Circulating Plasma CORT Levels
One male mouse was excluded from the CORT analysis in the pre-stress session due to technical issues. Figures 3A,B illustrate CORT levels in females and males across sessions. No significant effect of Group (females vs. males; p = 0.764, repeated measure ANOVA) but a significant effect of Session (pre-stress vs. post-stress restraint vs. post-stress rearing deprivation; F(2,24) = 13.75, p = 0.000, η2 = 0.534; repeated measure ANOVA) was observed. The Group × Session interaction was not significant. Within-group comparison for the main effect of Session by one-way ANOVA showed a significant effect of Session (F(2,17) = 4.29, p = 0.033) only in females where they displayed higher levels of CORT in response to both restraints (100.98 ± 6.70 ng/ml) and rearing deprivation (86.68 ± 4.42 ng/ml) compared to pre-stress (54.53 ± 18.14 ng/ml; all p < 0.05; post hoc Tukey). Furthermore, a similar CORT response to restraint and rearing deprivation was observed in males (F(2,23) = 10.62, p = 0.001; pre-stress: 58.74 ± 7.75 ng/ml, post-stress restraint: 94.28 ± 10.99 ng/ml, post-stress rearing deprivation: 82.48 ± 4.15 ng/ml). Post hoc Tukey only showed a significant difference between pre-stress CORT and post-stress restraint (p < 0.001). Overall, changes in circulating CORT indicated that the HPA axis responded similarly to stress in female and male mice. Also, females showed more exaggerated HPA axis responses than males although this was not significant.
IR Surface Temperature
Pre-stress Session
Figure 4A shows the mean surface temperature of the head (left and right), back, and tail for each group in the pre-stress session before any experimental manipulation. Both groups (N = 6–8) displayed a similar pattern in cutaneous temperatures across all six-time bins. Repeated-measure ANOVA for head did not show significant effects of Group (female vs. male), Side (left vs. right), and Time Bin (all p > 0.05). However, a significant effect of Region (F(2,15) = 9.02, p = 0.03, repeated-measure ANOVA) indicated that the heat change pattern in the ROIs appeared to follow an order of head > back > tail where the head in both groups emitted significantly more heat (female, 32.96 ± 0.07°C vs, male, 32.90 ± 0.06°C) than back (female, 31.80 ± 0.16°C; male, 31.85 ± 0.13°C) and tail (female, 28.14 ± 0.17°C; male, 28.10 ± 0.15°C; all p < 0.05, post hoc Tukey).
Post-stress Restraint
Thermal changes influenced by a 20-min single session of restraint stress are illustrated in Figure 4B. Restraint stress increased the surface temperature of the head and back in both groups (N = 6–8). Repeated-measure ANOVA did not reveal significant effects of Group and Side (all p > 0.05) indicating that females and males responded similarly in the left and right sides of the head (female, 33.60 ± 0.07°C vs. male, 33.60 ± 0.06°C) and back (female, 33.09 ± 0.16°C vs. male, 33.23 ± 0.13°C). Furthermore, the average tail temperature in females for both time bins was slightly lower than males (female, 27.68 ± 0.17°C vs. male, 27.81 ± 0.15°C) even though this was not significant (p > 0.05).
Post-stress Rearing Deprivation
Results showing the thermal changes affected by a 60-min rearing deprivation in male (N = 8) and female (N = 6) mice are shown in Figure 4C. The heat emitted from all ROIs presented a robust effect of Sex (Group). Similarly to the HPA-axis response, the cutaneous thermal changes in females after rearing deprivation revealed significantly higher temperatures than males in the head (female, 33.75 ± 0.07°C vs. male, 33.40 ± 0.06°C; F(1,12) = 7.09, p = 0.02; η2 = 0.37, repeated-measure ANOVA) and back (female, 33.33 ± 0.12°C vs. male, 32.97 ± 0.10°C; F(1,12) = 4.82, p = 0.04; η2 = 0.28, repeated-measure ANOVA). No effects of Side (left vs. right), Side × Sex, and Side × Time Bin were found.
The profile of thermal changes in the tail of females was significantly different from males (female, 27.21 ± 0.08°C vs. male, 27.91 ± 0.07°C; F(1,12) = 39.28, p = 0.000; η2 = 0.76, repeated-measure ANOVA) indicating that females displayed reduced thermal responses than males. There was no effect of Time Bin nor a Time Bin × Sex interaction. Furthermore a significant effect of Session (pre-stress vs. post-stress RS vs. post-stress RD) followed by post hoc Tukey analysis indicated that females displayed an exacerbated thermal response to the rearing deprivation in all ROIs relative to males (all p < 0.05) when compared with pre-stress and post-stress restraint sessions (all p < 0.05; Figure 4D). The effect of Region (head vs. back vs. tail) was significant for all sessions (all p < 0.05, repeated-measure ANOVA). Figure 5 compares thermal changes in the head and back of one female animal across experimental sessions.
In summary, even though both sexes experienced similar degrees of cutaneous thermal change in all three ROIs in response to restraint stress, the additional comparative investigation revealed that females are more vulnerable to the rearing-deprivation stress than males as shown by increased surface temperature in the head and back (Supplementary Movies S1, S2), and a decreased thermal response in the tail.
Correlational Analysis
Because there were no differences in the thermal response between the left and right sides of the head, and no effect of Time Bin, the average of cutaneous temperatures for the left and right head were used for correlational analysis. Correlational analysis revealed no significant relationship between plasma CORT and changes in surface temperature in the corresponding ROIs in either of the groups [Pre-Stress (males): Head p = 0.661, Back p = 0.864, Tail p = 0.023; (females): Head p = 0.189, Back p = 0.156, Tail p = 0.609; Post-RS (males): Head p = 0.595, Back p = 0.787, Tail p = 0.342; (females): Head p = 0.542, Back p = 0.763, Tail p = 0.53; Post-RD (males): Head p = 0.999, Back p = 0.637, Tail p = 0.985; (females): Head p = 0.687, Back p = 0.230, Tail p = 0.380].
Discussion
The present study provides the first description of sex-dependent thermal responses to acute experimental stress in a mouse model. Using two single-session stress paradigms, we examined sex differences in surface temperature variations in response to multi-dimensional restraint or rearing deprivation. Both sexes showed similar levels of HPA-axis activity in response to restraint stress and rearing deprivation. However, females experienced greater surface thermal changes than males after being temporarily deprived of their rearing behavior. Thus, results may contribute to uncovering the multifaceted nature of stress responses in mice along with sex-dependent thermoregulatory function in response to acute stress, arguably addressing a preclinical model for PSH.
Rearing, during which rodents intermittently discontinue their horizontal activity and rear up by lifting one or both forelimbs from the ground, usually involves emotional and processing components during spontaneous motor behavior (Gironi Carnevale et al., 1990; Lever et al., 2006). Two types of rearing behaviors, supported vs. unsupported, can be distinguished, each representing characteristic ethological features of exploration (Sturman et al., 2018). Structural correlates of rearing behavior also indicate that vertical exploration is closely linked, for instance, to hippocampal morphology (Roullet and Lassalle, 1990; Hausheer-Zarmakupi et al., 1996; Thiel et al., 1999; Boulle et al., 2014; Faraji et al., 2016; Barth et al., 2018). These functional and structural findings predominantly emphasize the dynamic role of rearing in normal motor behaviors.
Following previous reports (Podhorna and Brown, 2002; Easton et al., 2003; Augustsson et al., 2005), females in the present experiment tended to rear more than males, particularly during nighttime. Greater rearing activity in females may not strictly reflect emotional salience but may also be attributable to higher levels of anxiety and higher risk assessment (Lever et al., 2006). Thus, rearing movements lack predictive value for emotional status. The deprived male rats also emitted a greater number of distress calls (22-kHz ultrasonic vocalizations) and spent significantly more time vocalizing than their non-deprived counterparts (Faraji et al., 2016). If this is the case, it seems justified to hypothesize that rearing deprivation is associated with emotional disturbances in mice. Accordingly, in the present experiment, we sought sex differences in response to single-session rearing deprivation in mice using plasma CORT levels and IR thermography.
HPA axis hyperactivity is a characteristic aspect of responses to either transient or repeated stressful experiences in rodents, which is typically accompanied by increased circulating CORT concentration (Markham et al., 2006; Gourley et al., 2013; Browne et al., 2014; Faraji et al., 2014, 2017). Higher hormonal output in the female stress response particularly during short-term stress (Goel and Bale, 2008; Sterrenburg et al., 2012) not only indicates that their HPA axis function initiates more rapidly than that of males (Iwasaki-Sekino et al., 2009) and remains elevated for longer (Jadavji and Metz, 2008), but also shows that females are endowed with a natural hormonal capacity to regulate stress responses that differs from males (Rhodes et al., 2001; Goldstein et al., 2010). Nevertheless, the elevated CORT levels indicated that the temporary lack of horizontal activity equally activated the HPA axis in both sexes, however, the slightly higher response in females relative to males is in parallel with previous reports (Iwasaki-Sekino et al., 2009).
Rearing deprivation may also differentially regulate HPA axis activity depending on stress duration. While presently the mice failed to display a significant impact of acute rearing deprivation on CORT levels, our previous findings in rats showed elevated CORT level only in response to chronic but not acute rearing deprivation (Faraji et al., 2016). Accordingly, stressor duration and intensity determine the behavioral response (see Sandi and Pinelo-Nava, 2007 for review), and so the effects of single-session acute rearing deprivation differ from the repeated prolonged deprivation used in our previous work with rats. Further discrepancies to the previous literature might derive from the potential interference of the estrus cycle with the females’ HPA-axis responsivity, which was not systematically investigated in the present experiment. The present strategy for randomization of sample selection and group assignment might diminish confounding effects of the estrous cycle, however, conclusions about HPA-axis activity during both stress paradigms in the absence of estrous cycle monitoring should be drawn with caution and warrant further consideration. Although supported by experimental evidence (Herman et al., 2016), the use of different stress durations (60-min RS vs. 20-min RD) challenges the comparability of HPA axis activation and CORT responses and may confound conclusions about the two stressors. This caveat should be carefully addressed in future investigations.
In contrast to CORT levels, the cutaneous temperature was more responsive to stress, particularly in females. We also compared all thermal outcomes with CORT concentration in search of sex differences in thermal responses to stress. Like the HPA-axis response, both groups displayed identical patterns of thermal variations during the pre-stress and post-stress restraint sessions. There was a similar increase in head temperature in both sexes after exposure to restraint when compared to the pre-stress phase, although the thermal response in the back and tail was slightly higher in males. When exposed to rearing deprivation, however, females showed higher surface thermal variations in most ROIs (except for the tail) than did males. Interestingly, this sex-dependent thermal response to the rearing deprivation was not correlated with circulating CORT concentration indicating a distinct neuroregulatory system in thermal response to emotionally threatening stimuli.
The peripheral autonomic nervous system, which underlies heart rate and breathing, tissue metabolism, respiration, and surface blood perfusion, also determines biological heat emission (Ioannou et al., 2014) during short-term aversive experiences. Hence, IR thermal imaging of cutaneous temperature (Vianna and Carrive, 2005; Lecorps et al., 2016; Tattersall, 2016; Fiebig et al., 2018; Gjendal et al., 2018) may provide a sensitive measure of an organism’s agitation and emotional response, regardless of their HPA axis response. Concerning the noticeable decrease in tail temperature along with a significant increase in the head (including eyes) and back temperatures, it appears that mainly females display the classic symptoms of thermal activity in response to stressful events (Vianna and Carrive, 2005; Lecorps et al., 2016). The contradictory aspects of thermal maps in females (i.e., the marked drop in tail temperature vs. the noticeable increase in head and back temperature) may reflect a sex-specific cutaneous vascular change of local shifts in vasoconstriction and dilation following rearing deprivation.
The emotional display is associated with the complementary patterns of vascular responses of vasoconstriction and vasodilation. Previously, it was suggested that the tail is the main part of the body for dissipating internal heat accumulated during an aversive emotional experience (Vianna and Carrive, 2005). The present findings show that female thermal maps are rather generalized across all body parts as opposed to males, which were not affected by rearing deprivation. Whether the enhanced temperature in these regions represents a low-magnitude sympathetic vasoconstrictor signal to skin arteries (Blessing, 2003; thus facilitating blood flow in the skin) or greater central processing (inducing a passive thermal change via blood circulation; Lim et al., 2008; Charkoudian and Stachenfeld, 2014) is beyond the scope of the present study. However, they reveal the sex-specific nature of thermoregulatory activity in mice in response to rearing deprivation. From an alternative viewpoint, sex-dependent thermal differences in response to rearing deprivation may also be attributable to the failure of adaptive physiological responses to acute stress in males. Considering the sex-biased significance of the vertical activity, however, sex differences in cutaneous thermal responses may rather reflect females’ vulnerability to the transient vertical-activity deprivation.
It may also be speculated that vertical activity in rodents contributes to core and skin temperature regulation particularly in females, as suggested by the impact of postural changes on surface temperature (Tikuisis and Ducharme, 1996; Van Someren, 2006). It is widely accepted that hormonal, such as estrogenic, influences are also involved in regulating core and skin temperature (Charkoudian, 2001; Charkoudian and Stachenfeld, 2014; Charkoudian et al., 2017). Accordingly, mainly females thermally responded to acute distress by regional cutaneous hyperthermia in the head and back along with hypothermia at the base of the tail. A similar contrasting pattern of topographical thermal changes was also reported for humans (Vinkers et al., 2013). A confound in these measures may be also caused by body weight and size differences. In rodents, it is difficult to minimize the effects of body size when investigating sexual dimorphisms in cutaneous thermal responses, especially considering the digressing trajectories with increasing age.
PSH is a major psychosomatic symptom which is also called functional hyperthermia (Oka, 2015) or psychogenic hyperthermia (Olivier, 2015) that occurs most frequently in young women (Weinstein, 1985; Oka, 2015). While hormonal impacts on thermal regulation in females are unequivocal, the underlying neurohormonal mechanism in stress-induced hyperthermia or hypothermia remains less clear. Here, we demonstrate a sex-specific topographical thermal response to acute stress in IR thermal imaging in mice. The contrasting profile of HPA axis activation and IR thermal variations in response to acute stress not only presents a dynamic indicator of sex-dependent patterns in rearing behavior but also suggests that CORT-independent mechanisms account for stress-induced hyper- and hypothermic responses. Thus, although they contradict the previous report (Groenink et al., 1994), the findings support the earlier notion that stress-induced emotionality in rodents is not merely based upon HPA axis hyperactivity and/or elevated plasma CORT (Faraji et al., 2011), as it may also occur through non-adrenocorticotropin-mediated mechanisms (De Souza and Van Loon, 1982; Duric and McCarson, 2005). The present observations emphasize the importance of using an array of multiple assessments to appreciate the complex physiological impact of stress on the phenotype. Thus, IR thermal imaging provides a feasible and non-invasive real-time measurement of psychophysiological functions following stress.
Data Availability Statement
The datasets generated for this study are available on request to the corresponding author.
Ethics Statement
The animal study and procedures were reviewed and approved by the University of Lethbridge Animal Care Committee in compliance with the standards set out by the Canadian Council for Animal Care (CCAC).
Author Contributions
JF and GM designed the study. JF performed the experiments and analyzed the data. JF and GM wrote the article and approved the final version.
Conflict of Interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Acknowledgments
We are grateful to Nasrin Soltanpour for assistance with behavioral testing.
Footnotes
Funding. The authors acknowledge support by the Natural Sciences and Engineering Research Council of Canada DG #05519 (GM) and the Canadian Institutes of Health Research #363195 (GM).
Supplementary Material
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fnbeh.2020.00079/full#supplementary-material.
References
- Ambeskovic M., Soltanpour N., Falkenberg E. A., Zucchi F. C. R., Kolb B., Metz G. A. S. (2017). Ancestral exposure to stress generates new behavioral traits and a functional hemispheric dominance shift. Cereb. Cortex 27, 2126–2138. 10.1093/cercor/bhw063 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Augustsson H., Dahlborn K., Meyerson B. J. (2005). Exploration and risk assessment in female wild house mice (Mus musculus musculus) and two laboratory strains. Physiol. Behav. 84, 265–277. 10.1016/j.physbeh.2004.12.002 [DOI] [PubMed] [Google Scholar]
- Bale T. L., Epperson C. N. (2015). Sex differences and stress across the lifespan. Nat. Neurosci. 18, 1413–1420. 10.1038/nn.4112 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bangasser D. A., Wiersielis K. R. (2018). Sex differences in stress responses: a critical role for corticotropin-releasing factor. Hormones 17, 5–13. 10.1007/s42000-018-0002-z [DOI] [PubMed] [Google Scholar]
- Barth A. M., Domonkos A., Fernandez-Ruiz A., Freund T. F., Varga V. (2018). Hippocampal network dynamics during rearing episodes. Cell Rep. 23, 1706–1715. 10.1016/j.celrep.2018.04.021 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Beery A. K., Zucker I. (2011). Sex bias in neuroscience and biomedical research. Neurosci. Biobehav. Rev. 35, 565–572. 10.1016/j.neubiorev.2010.07.002 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Blessing W. W. (2003). Lower brainstem pathways regulating sympathetically mediated changes in cutaneous blood flow. Cell. Mol. Neurobiol. 23, 527–538. 10.1023/a:1025020029037 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Boulle F., Massart R., Stragier E., Paizanis E., Zaidan L., Marday S., et al. (2014). Hippocampal and behavioral dysfunctions in a mouse model of environmental stress: normalization by agomelatine. Transl. Psychiatry 4:e485. 10.1038/tp.2014.125 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Browne C. A., Hanke J., Rose C., Walsh I., Foley T., Clarke G., et al. (2014). Effect of acute swim stress on plasma corticosterone and brain monoamine levels in bidirectionally selected DxH recombinant inbred mouse strains differing in fear recall and extinction. Stress 17, 471–483. 10.3109/10253890.2014.954104 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Charkoudian N. (2001). Influences of female reproductive hormones on sympathetic control of the circulation in humans. Clin. Auton Res. 11, 295–301. 10.1007/bf02332974 [DOI] [PubMed] [Google Scholar]
- Charkoudian N., Hart E. C. J., Barnes J. N., Joyner M. J. (2017). Autonomic control of body temperature and blood pressure: influences of female sex hormones. Clin. Auton Res. 27, 149–155. 10.1007/s10286-017-0420-z [DOI] [PubMed] [Google Scholar]
- Charkoudian N., Stachenfeld N. S. (2014). Reproductive hormone influences on thermoregulation in women. Compr. Physiol. 4, 793–804. 10.1002/cphy.c130029 [DOI] [PubMed] [Google Scholar]
- Dallmann R., Steinlechner S., von Horsten S., Karl T. (2006). Stress-induced hyperthermia in the rat: comparison of classical and novel recording methods. Lab. Anim. 40, 186–193. 10.1258/002367706776319015 [DOI] [PubMed] [Google Scholar]
- De Souza E. B., Van Loon G. R. (1982). Stress-induced inhibition of the plasma corticosterone response to a subsequent stress in rats: a nonadrenocorticotropin-mediated mechanism. Endocrinology 110, 23–33. 10.1210/endo-110-1-23 [DOI] [PubMed] [Google Scholar]
- Duric V., McCarson K. E. (2005). Hippocampal neurokinin-1 receptor and brain-derived neurotrophic factor gene expression is decreased in rat models of pain and stress. Neuroscience 133, 999–1006. 10.1016/j.neuroscience.2005.04.002 [DOI] [PubMed] [Google Scholar]
- Easton A., Arbuzova J., Turek F. W. (2003). The circadian Clock mutation increases exploratory activity and escape-seeking behavior. Genes Brain Behav. 2, 11–19. 10.1034/j.1601-183x.2003.00002.x [DOI] [PubMed] [Google Scholar]
- Engert V., Merla A., Grant J. A., Cardone D., Tusche A., Singer T. (2014). Exploring the use of thermal infrared imaging in human stress research. PLoS One 9:e90782. 10.1371/journal.pone.0090782 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Faraji J., Ejaredar M., Metz G. A., Sutherland R. J. (2011). Chronic stress prior to hippocampal stroke enhances post-stroke spatial deficits in the ziggurat task. Neurobiol. Learn. Mem. 95, 335–345. 10.1016/j.nlm.2011.01.006 [DOI] [PubMed] [Google Scholar]
- Faraji J., Jafari S. Y., Soltanpour N., Arjang K., Soltanpour N., Moeeini R. (2013). Stress enhances return-based behaviors in Wistar rats during spatial navigation without altering spatial performance: improvement or deficit? Physiol. Behav. 122, 163–171. 10.1016/j.physbeh.2013.08.021 [DOI] [PubMed] [Google Scholar]
- Faraji J., Soltanpour N., Jafari S. Y., Moeeini R., Pakdel S., Moharreri A., et al. (2014). Stress inhibits psychomotor performance differently in simple and complex open field environments. Horm. Behav. 65, 66–75. 10.1016/j.yhbeh.2013.11.007 [DOI] [PubMed] [Google Scholar]
- Faraji J., Soltanpour N., Lotfi H., Moeeini R., Moharreri A. R., Roudaki S., et al. (2017). Lack of social support raises stress vulnerability in rats with a history of ancestral stress. Sci. Rep. 7:5277. 10.1038/s41598-017-05440-8 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Faraji J., Soltanpour N., Moeeini R., Hosseini S. A., Pakdel S., Moharrerie A., et al. (2016). Regional vulnerability of the hippocampus to repeated motor activity deprivation. Behav. Brain Res. 301, 178–189. 10.1016/j.bbr.2015.12.032 [DOI] [PubMed] [Google Scholar]
- Fiebig K., Jourdan T., Kock M. H., Merle R., Thone-Reineke C. (2018). Evaluation of infrared thermography for temperature measurement in adult male NMRI Nude Mice. J. Am. Assoc. Lab. Anim. Sci. [Epub ahead of print]. 10.30802/aalas-jaalas-17-000137 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gironi Carnevale U. A., Vitullo E., Sadile A. G. (1990). Post-trial NMDA receptor allosteric blockade differentially influences habituation of behavioral responses to novelty in the rat. Behav. Brain Res. 39, 187–195. 10.1016/0166-4328(90)90104-m [DOI] [PubMed] [Google Scholar]
- Gjendal K., Franco N. H., Ottesen J. L., Sorensen D. B., Olsson I. A. S. (2018). Eye, body or tail? Thermography as a measure of stress in mice. Physiol. Behav. 196, 135–143. 10.1016/j.physbeh.2018.08.022 [DOI] [PubMed] [Google Scholar]
- Goel N., Bale T. L. (2008). Organizational and activational effects of testosterone on masculinization of female physiological and behavioral stress responses. Endocrinology 149, 6399–6405. 10.1210/en.2008-0433 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Goel N., Workman J. L., Lee T. T., Innala L., Viau V. (2014). Sex differences in the HPA axis. Compr. Physiol. 4, 1121–1155. 10.1002/cphy.c130054 [DOI] [PubMed] [Google Scholar]
- Goldstein J. M., Jerram M., Abbs B., Whitfield-Gabrieli S., Makris N. (2010). Sex differences in stress response circuitry activation dependent on female hormonal cycle. J. Neurosci. 30, 431–438. 10.1523/jneurosci.3021-09.2010 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Goodwill H. L., Manzano-Nieves G., Gallo M., Lee H. I., Oyerinde E., Serre T., et al. (2019). Early life stress leads to sex differences in development of depressive-like outcomes in a mouse model. Neuropsychopharmacology 44, 711–720. 10.1038/s41386-018-0195-5 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gourley S. L., Swanson A. M., Koleske A. J. (2013). Corticosteroid-induced neural remodeling predicts behavioral vulnerability and resilience. J. Neurosci. 33, 3107–3112. 10.1523/jneurosci.2138-12.2013 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Groenink L., van der Gugten J., Zethof T., van der Heyden J., Olivier B. (1994). Stress-induced hyperthermia in mice: hormonal correlates. Physiol. Behav. 56, 747–749. 10.1016/0031-9384(94)90237-2 [DOI] [PubMed] [Google Scholar]
- Handa R. J., McGivern R. F. (2009). Stress response: sex differences. Encycl. Neurosci. 511–517. 10.1016/B978-008045046-9.00100-5 [DOI] [Google Scholar]
- Hausheer-Zarmakupi Z., Wolfer D. P., Leisinger-Trigona M. C., Lipp H. P. (1996). Selective breeding for extremes in open-field activity of mice entails a differentiation of hippocampal mossy fibers. Behav. Genet. 26, 167–176. 10.1007/bf02359894 [DOI] [PubMed] [Google Scholar]
- Herman J. P., McKlveen J. M., Ghosal S., Kopp B., Wulsin A., Makinson R., et al. (2016). Regulation of the hypothalamic-pituitary-adrenocortical stress response. Compr. Physiol. 6, 603–621. 10.1002/cphy.c150015 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ioannou S., Gallese V., Merla A. (2014). Thermal infrared imaging in psychophysiology: potentialities and limits. Psychophysiology 51, 951–963. 10.1111/psyp.12243 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Iwasaki-Sekino A., Mano-Otagiri A., Ohata H., Yamauchi N., Shibasaki T. (2009). Gender differences in corticotropin and corticosterone secretion and corticotropin-releasing factor mRNA expression in the paraventricular nucleus of the hypothalamus and the central nucleus of the amygdala in response to footshock stress or psychological stress in rats. Psychoneuroendocrinology 34, 226–237. 10.1016/j.psyneuen.2008.09.003 [DOI] [PubMed] [Google Scholar]
- Jadavji N., Metz G. A. S. (2008). Sex differences in skilled movement in response to restraint stress and recovery from stress. Behav. Brain Res. 195, 251–259. 10.1016/j.bbr.2008.09.011 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jafari Z., Mehla J., Afrashteh N., Kolb B. E., Mohajerani M. H. (2017). Corticosterone response to gestational stress and postpartum memory function in mice. PLoS One 12:e0180306. 10.1371/journal.pone.0180306 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kataoka N., Hioki H., Kaneko T., Nakamura K. (2014). Psychological stress activates a dorsomedial hypothalamus-medullary raphe circuit driving brown adipose tissue thermogenesis and hyperthermia. Cell Metab. 20, 346–358. 10.1016/j.cmet.2014.05.018 [DOI] [PubMed] [Google Scholar]
- Lecorps B., Rödel H. G., Feron C. (2016). Assessment of anxiety in open field and elevated plus maze using infrared thermography. Physiol. Behav. 157, 209–216. 10.1016/j.physbeh.2016.02.014 [DOI] [PubMed] [Google Scholar]
- Lever C., Burton S., O’Keefe J. (2006). Rearing on hind legs, environmental novelty, and the hippocampal formation. Rev. Neurosci. 17, 111–133. 10.1515/revneuro.2006.17.1-2.111 [DOI] [PubMed] [Google Scholar]
- Lim C. L., Byrne C., Lee J. K. (2008). Human thermoregulation and measurement of body temperature in exercise and clinical settings. Ann. Acad. Med. 37, 347–353. [PubMed] [Google Scholar]
- Lin Y., Ter Horst G. J., Wichmann R., Bakker P., Liu A., Li X., et al. (2009). Sex differences in the effects of acute and chronic stress and recovery after long-term stress on stress-related brain regions of rats. Cereb. Cortex 19, 1978–1989. 10.1093/cercor/bhn225 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Markham J. A., Beckel-Mitchener A. C., Estrada C. M., Greenough W. T. (2006). Corticosterone response to acute stress in a mouse model of Fragile X syndrome. Psychoneuroendocrinology 31, 781–785. 10.1016/j.psyneuen.2006.02.008 [DOI] [PubMed] [Google Scholar]
- McCarthy M. M., Arnold A. P., Ball G. F., Blaustein J. D., De Vries G. J. (2012). Sex differences in the brain: the not so inconvenient truth. J. Neurosci. 32, 2241–2247. 10.1523/JNEUROSCI.5372-11.2012 [DOI] [PMC free article] [PubMed] [Google Scholar]
- McGivern R. F., Zuloaga D. G., Handa R. J. (2009). Sex differences in stress-induced hyperthermia in rats: restraint versus confinement. Physiol. Behav. 98, 416–420. 10.1016/j.physbeh.2009.07.004 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nakamura K. (2015). Neural circuit for psychological stress-induced hyperthermia. Temperature 2, 352–361. 10.1080/23328940.2015.1070944 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nord A., Folkow L. P. (2019). Ambient temperature effects on stress-induced hyperthermia in Svalbard ptarmigan. Biol. Open 8:bio043497. 10.1242/bio.043497 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Oka T. (2015). Psychogenic fever: how psychological stress affects body temperature in the clinical population. Temperature 2, 368–378. 10.1080/23328940.2015.1056907 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Olivier B. (2015). Psychogenic fever, functional fever, or psychogenic hyperthermia. Fukushima J. Med. Sci. 2, 324–325. 10.1080/23328940.2015.1071701 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Olivier B., Zethof T., Pattij T., van Boogaert M., van Oorschot R., Leahy C., et al. (2003). Stress-induced hyperthermia and anxiety: pharmacological validation. Eur. J. Pharmacol. 463, 117–132. 10.1016/s0014-2999(03)01326-8 [DOI] [PubMed] [Google Scholar]
- Oyola M. G., Handa R. J. (2017). Hypothalamic-pituitary-adrenal and hypothalamic-pituitary-gonadal axes: sex differences in regulation of stress responsivity. Stress 20, 476–494. 10.1080/10253890.2017.1369523 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Petersdorf R. G., Beeson P. B. (1961). Fever of unexplained origin: report on 100 cases. Medicine 40, 1–30. 10.1097/00005792-196102000-00001 [DOI] [PubMed] [Google Scholar]
- Podhorna J., Brown R. E. (2002). Strain differences in activity and emotionality do not account for differences in learning and memory performance between C57BL/6 and DBA/2 mice. Genes Brain Behav. 1, 96–110. 10.1034/j.1601-183x.2002.10205.x [DOI] [PubMed] [Google Scholar]
- Rey S., Huntingford F. A., Boltana S., Vargas R., Knowles T. G., Mackenzie S. (2015). Fish can show emotional fever: stress-induced hyperthermia in zebrafish. Proc. Biol. Sci. 282:20152266. 10.1098/rspb.2015.2266 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rhodes M. E., O’Toole S. M., Czambel R. K., Rubin R. T. (2001). Male-female differences in rat hypothalamic-pituitary-adrenal axis responses to nicotine stimulation. Brain Res. Bull. 54, 681–688. 10.1016/s0361-9230(01)00488-9 [DOI] [PubMed] [Google Scholar]
- Roullet P., Lassalle J. M. (1990). Genetic variation, hippocampal mossy fibres distribution, novelty reactions and spatial representation in mice. Behav. Brain Res. 41, 61–70. 10.1016/0166-4328(90)90054-i [DOI] [PubMed] [Google Scholar]
- Sandi C., Pinelo-Nava M. T. (2007). Stress and memory: behavioral effects and neurobiological mechanisms. Neural Plast. 2007:78970. 10.1155/2007/78970 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sterrenburg L., Gaszner B., Boerrigter J., Santbergen L., Bramini M., Roubos E. W., et al. (2012). Sex-dependent and differential responses to acute restraint stress of corticotropin-releasing factor-producing neurons in the rat paraventricular nucleus, central amygdala and bed nucleus of the stria terminalis. J. Neurosci. Res. 90, 179–192. 10.1002/jnr.22737 [DOI] [PubMed] [Google Scholar]
- Sturman O., Germain P. L., Bohacek J. (2018). Exploratory rearing: a context- and stress-sensitive behavior recorded in the open-field test. Stress 21, 443–452. 10.1080/10253890.2018.1438405 [DOI] [PubMed] [Google Scholar]
- Tattersall G. J. (2016). Infrared thermography: a non-invasive window into thermal physiology. Comp. Biochem. Physiol. Part A Mol. Integr. Physiol. 202, 78–98. 10.1016/j.cbpa.2016.02.022 [DOI] [PubMed] [Google Scholar]
- Thiel C. M., Muller C. P., Huston J. P., Schwarting R. K. (1999). High versus low reactivity to a novel environment: behavioural, pharmacological and neurochemical assessments. Neuroscience 93, 243–251. 10.1016/s0306-4522(99)00158-x [DOI] [PubMed] [Google Scholar]
- Tikuisis P., Ducharme M. B. (1996). The effect of postural changes on body temperatures and heat balance. Eur. J. Appl. Physiol. Occup. Physiol. 72, 451–459. 10.1007/bf00242275 [DOI] [PubMed] [Google Scholar]
- Van Someren E. J. (2006). Mechanisms and functions of coupling between sleep and temperature rhythms. Prog. Brain Res. 153, 309–324. 10.1016/s0079-6123(06)53018-3 [DOI] [PubMed] [Google Scholar]
- Veening J. G., Bouwknecht J. A., Joosten H. J., Dederen P. J., Zethof T. J., Groenink L., et al. (2004). Stress-induced hyperthermia in the mouse: c-fos expression, corticosterone and temperature changes. Prog. Neuropsychopharmacol. Biol. Psychiatry 28, 699–707. 10.1016/j.pnpbp.2004.05.007 [DOI] [PubMed] [Google Scholar]
- Vianna D. M., Carrive P. (2005). Changes in cutaneous and body temperature during and after conditioned fear to context in the rat. Eur. J. Neurosci. 21, 2505–2512. 10.1111/j.1460-9568.2005.04073.x [DOI] [PubMed] [Google Scholar]
- Vinkers C. H., Penning R., Hellhammer J., Verster J. C., Klaessens J. H., Olivier B., et al. (2013). The effect of stress on core and peripheral body temperature in humans. Stress 16, 520–530. 10.3109/10253890.2013.807243 [DOI] [PubMed] [Google Scholar]
- Wang J., Korczykowski M., Rao H., Fan Y., Pluta J., Gur R. C., et al. (2007). Gender difference in neural response to psychological stress. Soc. Cogn. Affect. Neurosci. 2, 227–239. 10.1093/scan/nsm018 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Weinstein L. (1985). Clinically benign fever of unknown origin: a personal retrospective. Rev. Infect. Dis. 7, 692–699. 10.1093/clinids/7.5.692 [DOI] [PubMed] [Google Scholar]
- Yamaura K., Bi Y., Ishiwatari M., Oishi N., Fukata H., Ueno K. (2013). Sex differences in stress reactivity of hippocampal BDNF in mice are associated with the female preponderance of decreased locomotor activity in response to restraint stress. Zoolog. Sci. 30, 1019–1024. 10.2108/zsj.30.1019 [DOI] [PubMed] [Google Scholar]
- Zucchi F. C., Yao Y., Ilnytskyy Y., Robbins J. C., Soltanpour N., Kovalchuk I., et al. (2014). Lifetime stress cumulatively programs brain transcriptome and impedes stroke recovery: benefit of sensory stimulation. PLoS One 9:e92130. 10.1371/journal.pone.0092130 [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
The datasets generated for this study are available on request to the corresponding author.