Brain Mineralocorticoid receptors As Resilience factor Under Adverse life conditions Sofia Kanatsou Author: Sofia Kanatsou Cover design: Thorolf Horn Tonjum Printing: Gildeprint Print support: UMC Utrecht Brain Center Rudolf Magnus Institute ISBN: 978-90-393-6502-1 © S. Kanatsou, 2016 All rights reserved. No part of this publication may be reproduced or transmitted in any form by any means, without permission of the author. Brain Mineralocorticoid receptors As Resilience factor Under Adverse life conditions Mineralocorticoid receptoren in de hersenen als beschermende factor voor negatieve gebeurtenissen? (met een samenvatting in het Nederlands) Proefschrift ter verkrijging van de graad van doctor aan de Universiteit Utrecht op gezag van de rector magnificus, prof. dr. G.J. van der Zwaan, ingevolge het besluit van het college voor promoties in het openbaar te verdedigen op woensdag 20 april 2016 des ochtends te 10:30 uur door SOFIA KANATSOU geboren op 17 mei 1982 te Ioannina, Griekenland Promotor: Prof. dr. M. Joëls Copromotor: Dr. H. Krugers The research in this thesis was financially supported by NWO (The Netherlands Organization for Scientific Research) grant 821-02-007. Τούτ᾽ εστί το ζην, μη σεαυτώ ζην μόνον. Μένανδρος, 4ος αιών π.Χ., Αρχαίος Έλληνας ποιητής This is life , not just live for yourself Menander , 4th Century BC , Ancient Greek poet Contents Chapter 1...............................................................................................9 General Introduction Chapter 2.............................................................................................55 Transgenic overexpression of mineralocorticoid receptors prevents chronic stress-induced hippocampal-dependent memory deficits Chapter 3.............................................................................................77 Effects of mineralocorticoid receptor overexpression on behavior in female mice Chapter 4.............................................................................................93 Mineralocorticoid receptor overexpression as a genetic resilience factor in adulthood after exposure to early-life stress in male mice Chapter 5...........................................................................................113 Effects of mineralocorticoid receptor overexpression on behavior in adulthood after exposure to early-life stress in female mice Chapter 6...........................................................................................131 General Discussion Nederlandse samenvatting...................................................................167 About the author.................................................................................169 Publications.........................................................................................171 Acknowledgements..............................................................................173 Chapter 1: General Introduction I.1 The stress system in health............................................................................10 I.1.1 Main stress pathways I.1.2 Stress response: general features and the involvement of corticosteroid receptors I.1.3 Corticosteroid receptors: properties and signalling pathways I.1.4 MR/GR balance hypothesis I.1.5 Stress hormones and learning and memory I.2 Disrupted HPA-axis function as risk-factor for brain disease.........................17 I.2.1 Psychopathology involving a disturbed HPA axis I.2.2 Effects of chronic stress on structural plasticity and behavior I.2.3 Effects of early-life stress on structural plasticity and behavior I.3 Adult neurogenesis as a substrate...................................................................21 I.4 Resilience to effects of stress due to MR genetic background.........................24 I.4.1 Effects of MR blockade on cognition I.4.2 The effects of MR overexpression on HPA-axis function and behaviour in experimental animals I.5 Methods used in this thesis...........................................................................29 I.5.1 BrdU, Ki-67 and DCX as markers for neurogenesis I.5.2 Golgi-cox staining I.5.3 Electrophysiology I.5.4 Object in context task I.5.5 Open field paradigm I.5.6 Elevated plus maze I.5.7 Contextual fear conditioning and extinction I.6 Outline of this thesis.....................................................................................34 9 I.1 The stress system in health In our everyday life we all experience “stress”. Stress is here defined as an organism’s sub- jective perception of a threat (real or anticipated), which elicits physiological and behav- ioural responses (Selye 1973; McEwen et al., 2000). When animals (including humans) experience stress in either a psychological or physiological form, the body will exert a stress response. This refers to a cascade of internal reactions in order to overcome these threatening challenges by activating a wide range of responses through neural, autonomic, immune and metabolic systems. As part of the overall stress response, the brain processes not only external environmental stimuli but also internal inputs from the body. This ena- bles the brain to control and coordinate behavior and physiological adjustments. Under normal conditions this stress response will lead to an appropriate behavioural response to the specific kind of experienced stress and promotes (behavioural) adaptation and survival (de Kloet et al., 2005). Stress responses to extreme or chronic challenges may fall short to achieve adaptation and as such can be a critical risk factor for the development of brain diseases and psychopathologies such as depression and post-traumatic stress-disorder. I.1.1 Main stress pathways In response to a stressful situation two physiological systems are activated (Figure 1); the auto- nomic nervous system and the hypothalamic-pituitary adrenal (HPA) axis (de Kloet et al., 2005): 1) The autonomic nervous system triggers a fast activation of the sympatho-adre- nomedullar nervous system in anticipation of a “fight or flight” reaction, which leads to the release of the neurotransmitter noradrenaline (NA) from synapses and (nor) adrenaline from the adrenal medulla, while it suppresses the activation of the para- sympathetic nervous system (thereby reducing e.g. digestion and sexual arousal). Dur- ing this stage, basal metabolic rates are elevated and blood-flow to vital organs, i.e. brain, heart and (other) muscles, and attention are increased via the actions of NA. 2) The hypothalamic-pituitary-adrenal (HPA) axis is activated by the release of vasopressin and corticotrophin releasing hormone (CRH) from the paraventricular nucleus of the hy- pothalamus (PVN). This in turn stimulates the secretion of adrenocorticotrophic hormone (ACTH) from the pituitary gland, which travels via the blood stream to the adrenal cortices and promotes the release of corticosteroid hormones (in humans cortisol, in rodents corticos- terone) into the blood. Cortisol in humans or corticosterone in rodents act via two kinds of receptors, the mineralocorticoid receptor (MR) and glucocorticoid receptor (GR) (figure 1). Via a negative feedback loop, corticosteroids exert a suppressing signal on the hypothalamus and the pituitary to restrain the release of CRH and ACTH (Swaab et al., 2005). This negative feedback loop is crucial to reduce plasma corticosterone / cortisol levels, after exposure to a stressor. 10
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