Abstract
Effect of swimming exercise on serotonin (5-hydroxytryptamine, 5-HT) expression and apoptosis in social isolation rats during old age was investigated. Rats in the old social isolation groups were housed alone per cage for 4 weeks. Rats in the swimming exercise groups were allowed to swim for 30 min once daily for 4 weeks. Morris water maze task determined spatial working memory and elevated plus maze test determined anxiety. Immunohistochemistry for tryptophan hydroxylase (TPH) and 5-HT in the dorsal raphe and for doublecortin (DCX) in the hippocampal dentate gyrus was conducted. Terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) staining in the hippocampal dentate gyrus was performed. Western blot analysis for Bax, Bcl-2, and cytochrome c in the hippocampus was conducted. Social isolation in rats of old age reduced spatial working memory and increased anxiety level. Swimming exercise enhanced spatial working memory and suppressed anxiety level. Social isolation in rats of old age inhibited TPH and 5-HT expression in dorsal rape. Swimming exercise increased TPH and 5-HT expression. Social isolation in rats of old age inhibited DCX-positive cells in the hippocampal dente gyrus. Swimming exercise increased DCX-positive cells. Social isolation in rats of old age increased TUNEL-positive cells, Bax and cytochrome c expression, and decreased Bcl-2 expression, which promoted apoptosis. Swimming exercise suppressed TUNEL-positive cells, Bax and cytochrome c expression, and increased Bcl-2 expression, which inhibited apoptosis. Swimming exercise improved 5-HT expression and suppressed apoptosis to alleviate anxiety and memory impairment during old age.
Keywords: Social isolation, Anxiety, Spatial working memory, Apoptosis, Swimming exercise
INTRODUCTION
Social isolation is associated with an increased risk for depressive symptoms, suicide attempts, and low self-esteem (Hall-Lande et al., 2007). Long-term social isolation can lead to serious morbidity, difficulty, dissatisfaction, and aggression. Social isolation leads to a decrease in memory, promotes the expression of depression-related factors, and inhibits neuronal production (Huang et al., 2011).
Serotonin (5-hydroxytryptamine, 5-HT) is a representative monoamine neurotransmitter and is synthesized from tryptophan, which is regulated by tryptophan hydroxylase (TPH) (Goridis and Rohrer, 2002). Various factors cause depression, but monoamine neurotransmitters such as dopamine and serotonin play an important role (Pittenger and Duman, 2008). 5-HT and TPH are involved in the mood regulation (Park et al., 2019). Stress causes neuronal cell death and neuroplastic disorders, which are closely related to cognitive decline and anxiety (Bannerman et al., 2014).
The hippocampus is an important area of the brain that is involved in the process of learning and memory formation, and hippocampal nerve production continues to occur after the development of the nervous system (López-Toledano and Shelanski, 2004). Doublecortin (DCX) is a marker of neuronal progenitor cells, and DCX is involved in neuronal migration and development (Lee et al., 2018; Park et al., 2019).
Apoptosis is a form of cell death that serves to remove dying cells, and therefore apoptosis plays an important role in normal development and tissue homeostasis. Nevertheless, inappropriate or excessive apoptosis is associated with various neurological disorders (Lee et al., 2003; Song et al., 2018). Bcl-2 family is classified according to its function as antiapoptotic proteins and pro- apoptotic proteins, and then determines the mitochondrial response to apoptotic stimuli (Upadhyay et al., 2003). Bcl-2 can inhibit apoptosis by preventing the release of cytochrome c from mitochondria. However, Bcl-2 and Bcl-xL form heterodimers with the major pro-apoptotic members Bax and lose their ability in their preventive function (Kuwana and Newmeyer, 2003; Song et al., 2018). Terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) analysis detects DNA fragmentation, one of the hallmarks of apoptotic cell death (Song et al., 2018).
Exercise is a leading factor in improving brain function, and facilitates the signaling of monoamine neurotransmitters (Daley, 2008). Exercise plays a role in regulating signaling pathways by various neurotransmitters in the hippocampus in relation to neuroplasticity (Staples et al., 2015). The aim of this study was to investigate the effect of swimming exercise on 5-HT expression and apoptosis in social isolation rats during old age.
MATERIALS AND METHODS
Experiment animals
Male Wistar rats (15 months old) were used for this experiment. This study was approved by the Kyung Hee University Institutional Animal Care and Use Committee in Seoul, Korea (KHUASP [SE]-16-154). The animals were randomly divided into four groups (n=10 per group): old control group, old control and swimming exercise group, old social isolation group, old social isolation and swimming exercise group.
Social isolation protocol
Social isolation was performed according to the Ren et al. (2015). At first, 15 months old rats were adapted to laboratory conditions for a week. The rats in the old social isolation groups were housed alone per cage (20 cm×26 cm×13 cm) for 4 weeks. The rats in the old control groups were housed three rats per cage for 4 weeks.
Swimming exercise protocol
The rats in the swimming exercise groups were allowed to swim for 30 min once daily, for 5 days per week, during 4 consecutive weeks. Swimming pool (120 cm×80 cm×50 cm) was filled with water at a temperature of 30°C±2°C. Swimming exercise was performed with weight of 5% of the body weight.
Morris water maze task
Spatial working memory was evaluated using the Morris water maze task, as the previous described method (Park et al., 2019). This Morris water task required rats to train their spatial location of hidden platform in circular pool (50-cm height and 180-cm diameter) filled with water (30°C±1°C). A hidden platform (40-cm height and 15-cm diameter) was placed 2 cm below the water surface in the middle of the north quadrant and disguised as a black background. The learning test consisted of three trials each day for 5 consecutive days.
During each trial, the rat was placed in the water facing the wall of the maze in one of the three quadrants that did not contain the platform. The time spent mounting the platform (escape latency, with a cutoff time of 20 sec) and the swim speed was recorded. The probe trial (60 sec), in which the platform was removed, was performed 24 hr after the end of the 6 day of training. The percentage of time spent in the target quadrant was considered an indicator of memory performance.
Elevated plus maze test
In order to evaluate anxiety, elevated plus maze test was performed, as the previous method (Park et al., 2019). The plus maze consisted of black acrylic with two open arms (50 cm×10 cm× 36 cm) and two closed arms (50 cm×10 cm×36 cm), where two arms met each other and connected to the central platform (10 cm× 10 cm). The entire plus maze was raised to a height of 60 cm from the bottom and illuminated with a 100-W light bulb fixed 2 m above the bottom of the maze. The rat was placed on the center platform facing a closed arm and allowed to explore the maze freely for 300 sec. Entering the arm was defined as putting all 4 feet in the arm. Entry and time in the open arms were measured.
Tissue preparation
The rats were sacrificed immediately after finishing last behavior test. To prepare the brain slices, the rats were fully anesthetized with Zoletil 50 (10 mg/kg, intraperitoneally; Vibac Laboratories, Carros, France). After that, the rats were transcardially perfused with 50 mM phosphate-buffered saline (PBS) and then fixed with freshly prepared 4% paraformaldehyde in 100 mM phosphate buffer (pH, 7.4). The brains were then removed, postfixed in the same fixative solution overnight, and transferred into a 30% sucrose solution for cryoprotection. Coronal sections with thicknesses of 40 μm were made using a freezing microtome (Leica, Nussloch, Germany).
Immunohistochemistry for TPH and 5-HT
As previously described method (Park et al., 2019), immunohistochemistry for TPH and 5-HT in the dorsal raphe was performed. The sections were incubated in PBS for 10 min, and then washed 3 times in the same buffer. The sections were then incubated in 1% H2O2 for 20 min. The sections were selected from each brain and incubated overnight with mouse anti-TPH antibody (Abcam, Cambridge, UK) and rabbit anti-5-HT antibody (Abcam) at a dilution of 1:200 for TPH and 5-HT expression. The sections were incubated for 1 hr with biotinylated anti-mouse secondary antibody or with biotinylated anti-rabbit secondary antibody (Vector Laboratories, Burlingame, CA, USA). They were subsequently incubated with avidin-biotin-peroxidase complex (Vector Laboratories) for 1 hr. Immunoreactivity was visualized by incubating the sections with a solution consisting of 0.05% 3,3′-diaminobenzidine and 0.01% H2O2 in 50 mM Tris-buffer (pH, 7.6) for approximately 3 min. The sections were finally mounted on gelatin-coated glass slides. The slides were air-dried overnight at room temperature, and the coverslips were mounted using Permount (Thermo Fisher Scientific Inc., Waltham, MA, USA).
Immunohistochemistry for DCX
As previously described method (Park et al., 2019), immunohistochemistry for DCX in the dorsal raphe were performed. The sections were incubated with PBS for 10 min, washed 3 times in PBS, and then incubated with 1% H2O2 for 30 min. The sections were incubated overnight with goat anti-DCX antibody (1:1,000; Abcam). They were then incubated with the appropriate biotinylated secondary antibody (1:500; Vector Laboratories) for another 1 hour, washed, and incubated in ABC complex kit (1:100; Vector Laboratories). Labeling was visualized using 0.03% diaminobenzidine, and the sections were mounted onto gelatin-coated slides. The slides were air-dried overnight at room temperature, and the coverslips were mounted using Permount (Thermo Fisher Scientific Inc.).
TUNEL staining
As previously described method (Song et al., 2018), we performed TUNEL staining using a Cell Death Detection Kit (Roche, Mannheim, Germany). The sections were postfixed in ethanol-acetic acid (2:1), rinsed, incubated with proteinase K (100 mg/mL), and rinsed again. They were then incubated in 3% hydrogen peroxide, permeabilized with 0.5% Triton X-100, rinsed again, and incubated in the TUNEL reaction mixture. The sections were rinsed and visualized using Converter-POD with 0.03% diaminobenzidine, counterstained with Nissl and mounted onto gelatin-coated slides. The slides were air-dried overnight at room temperature and the coverslips were mounted using Permount (Thermo Fisher Scientific Inc.).
Western blotting for Bax, Bcl-2, and cytochrome c
As previously described method (Song et al., 2018), western blot was conducted. The hippocampus tissues were homogenized on ice and lysed in a lysis buffer containing 50 mM Tris-HCl (pH, 7.5), 150 mM NaCl, 0.5% deoxycholic acid, 1% Nonidet P40, 0.1% sodium dodecyl sulfate (SDS), 1 mM phenylmethylsulfonyl fluoride, and 100-mg/mL leupeptin. Protein content was measured using a Bio-Rad colorimetric protein assay kit (Bio-Rad, Hercules, CA, USA). Protein of 40 μg was separated on SDS-polyacrylamide gels and transferred onto a nitrocellulose membrane, which was incubated with mouse β-actin antibody (1:3,000; Santa Cruz Biotechnology, Santa Cruz, CA, USA), mouse Bcl-2 antibody (1:1,000; Santa Cruz Biotechnology), rabbit Bax antibody (1:1,000; Santa Cruz Biotechnology), and rabbit cytochrome c antibody (1:1,000; Cell Signaling Technology, Beverly, MA, USA). Horseradish peroxidase-conjugated anti-mouse for β-actin and Bcl-2, anti-rabbit for Bax and cytochrome c were used as secondary antibodies.
Data analysis
For confirming expression of Bax, Bcl-2, and cytochrome c, the detected bands were calculated densitometrically using Molecular Analyst (version 1.4.1, Bio-Rad). The number of TPH-positive and 5-HT-positive cells in the dorsal raphe and the number of DCX-positive and TUNEL-positive cells in dentate gyrus were counted hemilaterally under a light microscope (Olympus, Tokyo, Japan). The data were analyzed with one-way analysis of variance and then Tukey post hoc test. All values are expressed as the mean±standard error of the mean, and P-value<0.05 was considered significant.
RESULTS
Spatial working memory and anxiety
The time of passing the probe quadrant was shortened in the rats of the social isolation group (P<0.05). However, swimming exercise lengthened the time of passing the probe quadrant in social isolation rats (P<0.05). The time and % of entry in the open arms were shortened in the rats of the social isolation group (P< 0.05). However, swimming exercise lengthened the time and % of entry in the open arms in the social isolation rats (P<0.05) (Fig. 1).
TPH and 5-HT expression in the dorsal raphe
The number of TPH-positive and 5-HT-positive cells in the dorsal raphe was decreased in the rats of the social isolation group (P<0.05). However, swimming exercise increased the number of TPH-positive and 5-HT-positive cells in the social isolation rats (P<0.05) (Fig. 2).
DCX-positive and TUNEL-positive cells in the dentate gyrus
The number of DCX-positive cells in the dentate gyrus was decreased (P<0.05) and the number of TUNEL-positive cells in the dentate gyrus was increased in the rats of the social isolation group (P<0.05). However, swimming exercise increased the number of DCX-positive cells (P<0.05) and suppressed the number of TUNEL- positive cells in the social isolation rats (P<0.05) (Fig. 3).
Bax, Bcl-2, and cytochrome c expression in the hippocampus
Bax and cytochrome c expression in the hippocampus was increased (P<0.05) and Bcl-2 expression in the hippocampus was decreased in the rats of the social isolation group (P<0.05). However, swimming exercise suppressed Bax and cytochrome c expression (P<0.05) and increased Bcl-2 expression in the social isolation rats (P<0.05) (Fig. 4).
DISCUSSION
Social isolation burdens a strain on the health and well-being of the old people (Hawton et al., 2011). In this study, Morris water maze task showed that social isolation reduced spatial working memory and elevated plus maze test showed that social isolation increased anxiety level. In contrast, swimming exercise enhanced spatial working memory in Morris water maze task and suppressed anxiety level in elevated plus maze test.
Activation of 5-HT neurons played an important role in behaviors related to depression and anxiety (Teissier et al., 2015). Social isolation reduced the excitability of 5-HT neurons in the dorsal rape (Sargin et al., 2016). In this study, social isolation in rats of old age suppressed TPH and 5-HT expression in dorsal rape. In contrast, swimming exercise increased TPH and 5-HT expression. Increases 5-HT synthesis and activity may be involved in the antidepressant effect of exercise in the old people (Melancon et al., 2012).
Chronic unpredictable stress for 15 days significantly decreased cell proliferation (Banasr et al., 2007). Both male and female rats are susceptible to the suppressive effect of social isolation on exercise-induced neurogenesis (Leasure et al., 2009). Social isolation inhibited neuronal production by promoting the expression of depression-related parameters (Huang et al., 2011). In addition, social isolation can inhibit hippocampal neurogenesis and impair adult spatial memory (McCormick et al., 2012). In this study, social isolation in rats of old age suppressed the number of DCX-positive cells in the hippocampal dente gyrus. In contrast, swimming exercise increased the number of DCX-positive cells.
Chronic social separation has led to the onset of synaptic signaling that may be etiologically related to impaired adaptive responses of the central nervous system (Djordjevic et al., 2010). Bcl-2 inhibits apoptosis by regulating the release of cytochrome c and other proteins from the mitochondria. Bcl-2 functions as an inhibitor of mitochondrial permeability by binding to the membrane-inserted Bax monomer and changing the morphology of the mitochondrial membrane to prevent productive oligomerization of Bax (Dlugosz et al., 2006). Social isolation increased the number of hippocampal TUNEL-positive cells and enhanced expression of cytochrome c, which activated apoptosis (Wang et al., 2019). In this study, the number of TUNEL-positive cells and expression of Bax and cytochrome c were increased, while expression of Bcl-2 was decreased in the old rats that underwent social isolation, which promoted apoptosis. In contrast, swimming exercise suppressed the number of TUNEL-positive cells and Bax and cytochrome c expression and increased Bcl-2 expression, which inhibited apoptosis.
Exercise increases hippocampal neurogenesis and then enhances learning ability (van Praag et al., 2005). Exercise is an important factor for inhibiting apoptosis (Leasure et al., 2009). In conclusion, social isolation reduced 5-HT expression and promoted apoptosis, leading to anxiety and impaired memory during old age. Swimming exercise improved 5-HT expression and suppressed apoptosis to alleviate anxiety and memory impairment during old age.
ACKNOWLEDGMENTS
This work was supported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea (NRF-2016S1A5A2A01027017).
Footnotes
CONFLICT OF INTEREST
No potential conflict of interest relevant to this article was reported.
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