Exp Neurobiol 2015; 24(1): 71-83
Published online March 31, 2015
© The Korean Society for Brain and Neural Sciences
Hyun-Bum Kim1, Byeong-Jae Kwon1, Hyun-Ji Cho2, Ji-Won Kim2, Jeong-Woo Chon2, Moon-Ho Do4, Sang-Yong Park5, Sun-Yeou Kim4, Sung-Ho Maeng3, Yoo-Kyoung Park2,6 and Ji-Ho Park3,6*
Departments of 1East-West Medical Science, 2Medical Nutrition, 3East-West Medicine, Graduate School of East-West Medical Science, Kyung Hee University, Yongin 446-701, 4College of Pharmacy, Gachon University, Incheon 406-799, 5Department of Oriental Medicinal Materials and Processing, College of Life Science, 6Research Institute of Medical Nutrition, Kyung Hee University, Yongin 446-701, Korea
Correspondence to: *To whom correspondence should be addressed.
TEL: 82-31-201-2180, FAX: 82-31-202-7619
Keywords: Artemisia princeps, Oriental medicine, ovariectomy, long-term depression (LTD), hippocampal synaptic plasticity
A large body of evidence suggests a relationship between ovarian hormones and a number of neuropsychological symptoms. A number of studies have linked hormones with the epidemiology of depressive syndromes, the base incidence of which is higher in females than males across the lifespan [1, 2, 3, 4, 5, 6, 7]. Depression and anxiety-like symptoms are expressed at greater rates in perimenopausal relative to post-  or premenopausal women [9, 10, 11], even in the absence of premenopausal depressive tendencies . Additionally, estrogen receptor gene polymorphisms have been linked with not only depressive symptomology in postpartum subjects  but also Alzheimer's risk in elderly women and men . Sudden loss of ovarian hormones inherent in oopherectomy may also be associated with higher risk of dementia in women . Conversely, increased serum estradiol, specifically, has been associated with improved mood in both perimenopausal  and postmenopausal  women and in postpartum depression patients , and oral progesterone analogue contraceptives have been shown to improve depressive mood in reproductive-age women . Moreover, levels of frontal cortical estradiol receptor α (ERα) correlated positively with cognitive function in both female and male Alzheimer's patients , and hormone replacement therapy has exhibited beneficial effects on both cognitive function and later dementia risk in postmenopausal women, though therapeutic effects are often contingent on the age of administration .
Despite the profusion of epidemiological evidence hinting interactions between ovarian hormones and the brain, the physiological effects of these chemicals on neural circuits, as well as the influences of these circuits on subsequent neural function and behaviors, have yet to be characterized in full detail. Perhaps the most widely studied of these brain regions is the hippocampus, in which estradiols or their receptors have been demonstrated to influence ACh release , monoamine levels , spine number and density of CA1 pyramidal neurons , and dentate gyrus granule cell proliferation  and survival . As abnormalities in hippocampal plasticity have been associated with disorders in which estradiols have also been implicated, as in the reduced hippocampal neurogenesis seen in major depression patients  and reduced hippocampal and serum brain-derived neurotrophic factor in Alzheimer's patients , it is reasonable to hypothesize that understanding the activity of estradiols in this region may be key to unlocking their possible roles in these and possibly other pathologies.
One of the less well studied routes by which ovarian function may affect hippocampal synaptic plasticity is by influencing long-term depression (LTD), the process by which a neuron exhibits reduced excitability to stimulation at one or more synapses over a prolonged (>15-20 minutes) time frame . Disruptions in LTD have been associated with abnormalities in working memory, episodic memory, reversal learning, and stress-induced inhibitions of memory retrieval in rodents; inversely, animal models of Fragile X syndrome as well as depressive and schizoprenic pathologies also exhibit disruptions in LTD . The few studies on the effects of estradiols on hippocampal LTD in female mammals suggest a complex relationship dependent on age and time course of treatment . LTD may be induced in rodent hippocampal slice cultures through a number of means, including low-frequency stimulation (LFS), stimulation synchronized with the negative phase of the theta rhythm , and application of N-methyl-D-aspartic acid (NMDA) . Consistent with these results, paired-pulse LFS of acute hippocampal slices from ovariectomized female adult rats exhibited LTD in CA1 that was attenuated by
In this study, we compared the effects of long-term treatment of AP ethanol extract with the those of commonly prescribed osteoporosis medication sodium alendronate (Fosamax) on LTD induced in CA1 following low-frequency stimulation to the CA2 stratum radiatum in hippocampal slice cultures of mature ovariectomized female rats. We hypothesized that the same single-pulse LFS-induced long-term depression found in the ovariectomized rats of Sharrow et al. . would be replicable in our own rat models of ovarian hormone loss and that AP would also exhibit significant LTD-related biological activities in the estrogen-poor environment, justifying further study on the effects of its extracts and components on central nervous system function.
The stalk and leaves of
High-pressure liquid chromatography (HPLC) analysis was carried out on a Waters system (Milford, MA, USA) consisting of a separation module (e2695) with integrated column heater, as well as an autosampler and photodiode array detector (2998). UV absorbance was monitored from 200 to 400 nm; peak areas were integrated at 370 nm. Injection volume was 10 µL. A 250×4.6 mm column (YMC-Triart C18; YMC Co. Ltd., Kyoto, Japan) with particle size 5 µm was installed in a column oven and maintained at 40℃. The mobile phase consisted of water containing 1% acetic acid (solvent A) and acetonitrile (solvent B). The gradient was 0.0 min, 20% B; 20.0 min, 40% B; 35.0 min, 45% B; flow rate was maintained at 1.0 mL/min. AP extract was dissolved in methanol at a concentration of 10 mg/mL prior to analysis.
All experimental protocols were approved by the Animal Care and Use Review Committee (KHUASP (SU) 13-01) of Kyung Hee University. Sixteen ovariectomized and four sham female Sprague-Dawley rats of 5 weeks old were purchased from SLC (Shizuoka, Japan). All rats had undergone anesthesia (3% isoflurane dissolved in oxygen), abdominal incision, and suturing, while only the ovariectomized animals received tubal ligation and ovary excision. Rats were individually caged in a temperature- (22±2℃) and humidity- (55±5%) controlled environment with a 12-h light/dark cycle. They had ad libitum access to water and pellet chow for the duration of the experiment. The body mass of all animals was measured twice a week throughout the experiment. Starting at week 14, ovariectomized animals were randomized into three groups (OVX, ALEN, and AP) in addition to sham. SHAM (n=4) and OVX (n=5) groups received daily administrations of 0.1 mL/kg distilled water by oral gavage. ALEN (n=5) and AP (n=6) rats received daily gavage administrations of 10 mg/kg sodium alendronate (commonly used osteoporosis medication positive control) and 300 mg/kg AP extract, respectively. All treatments continued for 14 weeks. One rat in the ALEN group died during pre-imaging anesthesia at the end of the experiment; its histomorphometric data were thus incomplete and omitted from all final analyses. At the beginning of week 28, following 12 hours of overnight fasting, the rats were anesthetized with intraperitoneally administered zolazepan/tiletamine (Zoletil 50, Virbac) (0.1 mL/100 g) and xylazine (Rompun, Bayer) (0.03 mL/100 g) as well as inhalational ethyl ether (99.5%) and sacrificed by fast decapitation (Fig. 1).
One day prior to sacrifice, the left tibia of all sham rats and three randomly selected animals per experimental group were scanned by micro-computed tomographic analysis (µCT). Rats were anesthetized with zolazepan/tiletamine (Zoletil 50, Virbac) (0.1 cc/100 g) and xylazine (Rompun, Bayer) (0.03 mL/100 g) administered intraperitoneally in saline at a volume of 0.1 mL/kg immediately before scanning. Cortical and trabecular microstructure were scanned at 50 kV, 200 µA, at a rotation step of 0.4°. NRecon cone-beam algorithm software (SkyScan 1076, Kontich, Belgium) was used for image preprocessing; processed data were imported into CTan software (SkyScan) for image generation and analysis. Bone volume (BV) as a fraction of total tissue volume and bone mineral density (BMD) of the cortical and trabecular bones were measured to confirm the pathological effect of ovariectomy on bone integrity. Additional measurements were taken for use in another experiment, as reported above.
Following sacrifice, the whole brain of each rat was quickly extracted using a rongeur (Fine Science Tools Inc., CA, USA) and immediately put into ice-cold oxygenated (95% O2, 5% CO2) artificial cerebrospinal fluid (114 mM NaCl, 26 mM NaHCO3, 10 mM glucose, 3 mM KCl, 2 mM CaCl2, 1 mM MgCl2, 20 mM HEPES, pH 7.4). NaOH was used for pH adjustment. Whole-brain slices (300 µm) were cut with a vibratome (MA752, Campden Instruments). The slices were stabilized at room temperature for at least 1 h in the aCSF.
A single stabilized hippocampal slice was carefully removed from a membrane insert with a needle and then placed on an 8x8 microelectrode array (MEA) of 10 µm-diameter electrodes spaced 100 µm apart (Multi Channel Systems, Reutlingen, Germany) precoated with 0.01% polyethylenimine and connected to a stimulator, amplifier, temperature control unit, and computer for data acquisition. The slice was stabilized in aCSF (in which 114 mM NaCl, 26 mM NaHCO3, 10 mM glucose, 3 mM KCl, 2 mM CaCl2, 1 mM MgCl2, 20 mM HEPES, pH 7.4) for 1 hr at 33℃ with 95% O2 and 5% CO2 gas aeration. Extraneous aCSF was then removed using a pipette. The MEA containing the hippocampal slice was transferred to an MEA1060 amplifier interface. The solution in the array was grounded using an Ag/AgCl pellet. Data were sampled from every channel at 25 kHz speed and recorded using Recorder-Rack software (MEA systems, MCS software). The stimulating channel was disconnected from the sampling device during stimulation.
Single slices from multiple animals (n=3~4) were used for each experimental group. Bipolar electrical stimulation was applied to the CA2 stratum radiatum region to stimulate the Schaffer collateral (SC) and commissural pathways. The intensity of bipolar test pulse (or baseline) stimulation was set at 100 mA; this value was optimized to provide 40~65% of the maximum tissue response and delivered once every 60 seconds. Baseline responses were evoked for at least 30 min, of which the last 10 minutes were recorded, before the low-frequency conditioning stimulation (1Hz for 15 minutes; 900 total pulses; Fig. 2A) was applied to induce LTD. After the conditioning stimulation, field excitatory postsynaptic potentials (fEPSPs) were recorded every 60 sec for another 75 min from 59 microelectrodes spanning the hippocampus. During experiments, the slices were continuously perfused with fresh aCSF solution (bubbled with 95% O2, 5% CO2) at the rate of 3 mL/min.
MC_Rack (v.188.8.131.52, Multi Channel Systems) and a custom program (Dr. Tae-Sung Kim, department of medical-engineering Kyung-hee university) written in MatLab (v.7.0.1, The Mathworks inc.) was used to analyze the data. This program integrated the field potential trajectory, minus artifact (Fig. 2B).
Results are expressed as means±standard error (S.E.). Between-group differences were calculated for two groups by independent student's t-test given that all independent variable groups showed no difference from normality as indicated by a nonsignificant Shapiro-Wilk test result, as well as equality of variances as indicated by Levene's test. Differences among three or more groups were calculated with univariate analysis of variance or repeated measures univariate analysis of variance using the Huynh-Feldt correction for deviations from sphericity  followed by Scheffe's S post-hoc analysis given that all independent variable groups demonstrated normality as indicated by a nonsignificant Shapiro-Wilk test result and homogeneity as demonstrated by Levene's test; it was decided ahead of time that normal non-homogeneous samples would be compared with Tumhane's T2 post-hoc analysis. Non-parametric Mann-Whitney and Kruskal-Wallis tests were used to evaluate group differences for two or more, respectively, distributions violating the assumption of normalcy as demonstrated by a significant Shapiro-Wilk result. Alpha was set at p=0.05. Parametric analyses were performed in SPSS (Version 20.0, SPSS Inc, Chicago, USA). Non-parametric analyses were performed in SPSS (Version 20.0, SPSS Inc, Chicago, USA) and non-parametric post-hoc tests in R (R Project for Statistical Computing, v. 3.0.2).
HPLC analysis confirmed that the AP contained eupatilin (0.0463±0.006 µg/mg), the retention time of which is shown in Supplemental.
While an equal variances independent samples t-test revealed no significant effect of ovariectomy (n=16) on pre-surgery body mass (152.75±0.94 g versus sham 152.75±1.44 g;
Mann-Whitney tests revealed significantly higher daily dietary intakes from Weeks 1-13 for as-yet untreated ovariectomized (n=6; 301.87±12.58 g/d) relative to sham (n=2; 230.52±5.43 g/d) rats (U=0.000, two-tailed p<0.05).
Sham and water-treated, ALEN -treated, and AP-treated ovariectomy groups showed no between-group differences in body mass before surgery (Levene's test
A similar pattern was seen after treatment at Week 28, as Kruskal-Wallis analysis showed a significant effect of treatment group on body weight (χ2(3)=9.183, p<0.05). Pairwise post-hoc analysis with a multiple comparisons Kruskal test with Bonferonni correction showed higher body weight than sham (286.93±9.21 g) for ovariectomized rats treated with water (375.28±9.44 g; mean rank difference 10.20, p<0.05), ALEN (371.44±12.15 g; mean rank difference 9.60, p<0.05), and AP (375.77±12.54 g; mean rank difference 10.17, p<0.05), but no evident differences among the three ovariectomized treatment groups. Kruskal-Wallis analysis on weight gain from weeks 14 to 28 did not show a significant effect of treatment group (p=0.243).
Univariate ANOVA did not show a significant effect of treatment group on dietary intakes from weeks 14 to 28 (
The mean values of body mass before surgery and at the beginning of weeks 2, 13, and 28, as well as changes in body weight and average dietary intakes during the pretreatment period (weeks 2 to 13) and treatment period (14 to 28) are shown in Table 1.
Univariate ANOVA on sham (n=4) and water-treated (n=3), ALEN-treated (n=3), and AP-treated (n=3) ovariectomy groups showed a significant effect of treatment on trabecular bone volume fraction (
Univariate ANOVA also showed a significant effect of treatment on cortical bone volume (
Univariate ANOVA did not show a significant effect of treatment on pre-stimulation EPSP total activation averages in acute hippocampal slices from ovariectomized rats treated with water (n=3), ALEN (n=4), or AP (n=3) (
Total activation values from each of the 75 minutes of fEPSP recording from CA1 were averaged across CA1 channels (n=2-4 per slice) and normalized to percent of baseline, which was defined as the average of the first ten minutes of pre-stimulation recording. A repeated measures ANOVA with fixed factor treatment and within-subjects repeated measure time (before, during, and following stimulation) on individual subject averages showed a significant within-subject effect of time (
The present study assessed the possible effect of
Calculations of body weight and food intake confirmed the presence of physiological abnormalities in the ovariectomized relative to sham group. Though pre-surgery body weights by group showed no significant differences, body weights had increased significantly in ovariectomized relative to sham rats by Week 14, a difference that was maintained to the end of the experiment even though food intake from Weeks 14~28 showed no significant differences among the groups. It is reasonable to attribute this difference at least in part to higher food intakes by ovariectomized relative to sham rats prior to treatment in the first thirteen weeks of analysis. This result mirrors previous observations of ovariectomized rats, in which ovariectomy is associated with not only obesity but also hyperphagic behaviors relative to control , a difference that can disappear with time .
Similarly, cortical and trabecular bone volume and mean density in the left tibia showed abnormalities in ovariectomized relative to sham rats. Both trabecular bone volume and mean density were shown to have decreased relative to sham in all three ovariectomized groups twenty-eight weeks following ovariectomy, while cortical bone abnormalities were not yet present, a result that also recapitulates previous findings of trabecular bone volume fraction and/or mineral density reductions without statistically significant changes in mineral density or area in ovariectomized relative to sham rats less than eight months following surgery [48, 49, 50], thus validating the establishment of pathology in our ovariectomized rats. Notably, some reversal in trabecular bone loss was apparent in the group treated with alendronate for fifteen weeks prior to measurement, as trabecular bone mineral density was higher in this group than water-treated ovariectomized controls, as well as the AP treatment group. This is a result that would be expected in a model of osteoporosis given that alendronate is a popular therapeutic of this condition.
Against this background of pathology, we found that long-term treatment with
Determining the extent to which the LTD observed in the ovariectomized rats of this study represents a pathological departure from the norm is vital to understanding the nature of its alteration in our treated groups. While the induction of LTD in the CA1 pyramidal neurons by the LFP in acute hippocampal slice cultures from adult, but not aged, rats like the ones we used is reportedly unusual [51, 52], it is not unprecedented. The first report of homosynaptic LTD in CA1 induced
Of the few studies done to date inducing homosynaptic LTD in ovariectomized rats [32, 33, 34, 56], only one, to our knowledge, has directly compared ovariectomized rat measures with sham controls . This study demonstrated LTD in CA1 from ovariectomized rats in response to paired-pulse stimulation to the Schaffer collaterals. LTD was, however, stronger rather than attenuated in both sham rats and ovariectomized rats treated with short-term injection of 17β estradiol, a result corroborated by previous research similarly showing enhanced LTD to paired-pulse stimulation in 17β estradiol-treated ovariectomized adult rats [34, 56]. This suggests that at least under some circumstances, LTD stimulation by LFS in adult rats, despite the difficulties inherent in its induction [51, 52], may be considered a feature of normal tissue rather than symptomatic behavior to be treated.
Two other experiments, however, show that the conditions under which LTD in adult ovariectomized rats may be considered normal features of brain tissue may be limited. One reported attenuated homosynaptic LTD in acute slices from 17β estradiol -treated ovariectomized rats relative to vehicle-treated controls  or in 17β estradiol-perfused acute hippocampal slices from ovariectomized rats relative to vehicle-perfused controls . Even though these studies did not have sham controls, their results link the estrogen deficiency of ovariectomy with enhanced rather than attenuated LTD, suggesting that their stimulation protocols would potentially result in attenuated LTD in sham relative to ovariectomized rats as well. The differing results of the first study have been attributed to the use of its lower-frequency single-pulse stimulation than in experiments demonstrating estrogenic enhancement in LTD , while those of the second by the use of acute estradiol application rather than a longer-term
While the etiology and significance of the LTD exhibited by ovariectomized controls in our study are thus admittedly ambiguous, that it was clearly attenuated in rats treated long-term with 300 mg/kg/d
The dearth of research on AP's molecular routes of action as well as the complexity of its multi-component makeup make it difficult to pinpoint the mechanisms by which it exhibited the modulatory effects we demonstrated here. Among the most well studied are its antioxidant , and anti-inflammatory [42, 43] properties, which present a viable route for LTD attenuation in environments marked not only by ovarian hormone deficiency, relevant here perhaps for its association with oxidative stress [57, 58] and inflammation  in rodents as well as a reduction in biomarkers for stress compensation in the primate midbrain , but any manipulation that increases cellular stress in the brain. Indeed, while research on the effects of oxidative stress on LTD is sparse, behavioral stress, as mentioned, has been shown to enhance LTD in CA1 ; in addition, inflammatory cytokines have also demonstrated supportive or enhancing effects on homosynaptic LTD in CA1. For example, treatment of acute hippocampal slices from adult rats with interferon alpha (IFNα) enhanced glutamate-induced reductions in EPSP amplitude ; similarly, application of interleukin-1beta (Il-1β) produced a depression that both blocked and was blocked by LFS, suggesting a shared mechanism of action . Tumor necrosis factor alpha (TNFα) has also been suggested to be necessary for LFS-induced LTD in CA1, as its induction was shown to be impaired in TNF-receptor knockout mice . It is thus possible that AP altered the plasticity patterns demonstrated in ovariectomized controls by reducing the levels of these and other inflammatory cytokines implicated in LTD, as it has been previously reported to do for Il-1β and TNFα in serum  and Il-4 and TNFα in epidermal tissue , thereby attenuating the influence of these factors on hippocampal plasticity. Eupatilin, one of the active ingredients confirmed by HPLC analysis to be present in the sample used in our study, has similarly demonstrated inhibitory effects on Il-1β, Il-6, and TNFα in lipopolysaccharide-stimulated macrophages  and Il-1β and TNFα in a mouse model of inflammatory edema  in addition to acutely enhancing CA1 neuron counts following ischemia-reperfusion injury in mice , suggesting a possible role of this compound in the attenuation of LTD by chronic AP treatment suggested by our findings.
Unfortunately, the current state of research on AP and its components can lead us only to such unsatisfyingly general explanations of its action as that attempted above, as to present little effort has been made to understand the molecular mechanisms of its putative bioactivities. On the other hand, an examination of alendronate, which has more well studied mechanisms of action and exerted an effect similar to that of AP in our analysis, might provide an alternative direction for an examination of the findings demonstrated by our study. Alendronate is a member of the bisphosphonate family, a group of structurally similar molecules whose most well known function is their therapeutic use in inhibiting excess bone resorption, a process thought to be effected through the chemicals' absorption into bone tissue and chelation with Ca2+ ion, thereby preventing mineral loss to serum . Even though a large body of research has described the various physiological effects of alendronate and other bisphosphonates, we have not seen any describing the influences on hippocampal plasticity that we demonstrated.
Alendronate is thought to be able to pass the blood-brain barrier , suggesting that it is at least theoretically capable of exerting direct effects on central nervous system activity. Indeed, daily oral administration of 3 mg/kg alendronate for one week was shown to reduce acetylcholinesterase activity in the prefrontal cortex of rats ; the same dosing schedule for nine days also yielded significant reductions in brain cholesterol synthesis rates in hippocampus, frontal lobe, and spinal cord . Acute and subchronic administrations of 10~80 mg/kg alendronate have also demonstrated antinociceptive effects in rat models of visceral (acetic acid) but not inflammatory (formalin) pain , though this finding is as parsimoniously explained by possible influences on peripheral tissues as that on the central nervous system. Given some evidence that at least one of the molecular targets of alendronate might be a subset of protein tyrosine phosphatases [71, 72], which as a group have been implicated in neural functions from the management of hippocampal neuron calcium stores  to behavioral habituation to new environments , its biological influences might be far more diverse than the inhibitory effects on bone resorption for which it is commonly exploited.
To our knowledge, neither AP nor alendronate has demonstrated direct effects on neuroplasticity in any experiments to date. As a result, our finding that long-term administration of both drugs appears to inhibit the induction of long-term depression at the CA3-CA1 synapse justifies the further exploration of their neurological bioactivities, either for their therapeutic benefits or for their possible adverse patient effects.
Long-term oral treatment with
High-pressure liquid chromatography analysis of Artemisia princeps Pampanini extract. HPLC chromatogram of eupatilin. (A) Standard reference compound eupatilin at 1 mg/mL MeOH (B) AP at 10 mg/mL MeOH. UV absorbance was monitored from 200 to 400 nm, and the relevant peak (denoted by the triangle and diamond) was integrated at 370 nm. Injection volume was 10 µL; the column (YMC Co. Ltd., Japan) was maintained at 40℃. The mobile phase consisted of 1% acetic acid (solvent A) and acetonitrile (solvent B) in water. The gradient was 0.0 min, 20% B; 20.0 min, 40% B; 35.0 min, 45% B at a flow rate of 1.0 mL/min.en-24-71-s001.pdf
Sham-operated rats treated with distilled water (SHAM) and ovariectomized rats treated with distilled water (OVX), 10 mg/kg/d sodium alendronate (ALEN), or 300 mg/kg/d Artemisia princeps ethanol extract (AP) daily by oral gavage (0.1 mL/kg) for 15 weeks starting at Week 14. Data expressed as group mean±SEM. aEqual variances independent samples t-test versus sham p<0.05. bMann-Whitney mean rank test versus sham p<0.05. 1Pre-Week-13 figures reported as untreated ovariectomized rat group (n=16). 2Figures calculated from a subset of sham (n=2), ovariectomy controls (n=2), alendronate (n=2), and AP rats (n=2)..