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Exp Neurobiol 2019; 28(3): 337-351
Published online June 26, 2019
© The Korean Society for Brain and Neural Sciences
Yunjin Lee1, and Pyung-Lim Han1,2*
1Department of Brain and Cognitive Sciences, Ewha Womans University, Seoul 03760, Korea.
2Department of Chemistry and Nano Science, Ewha Womans University, Seoul 03760, Korea.
Correspondence to: *To whom correspondence should be addressed.
TEL: +82-2-3277-4130, FAX: +82-2-3277-3419
A number of specific genetic variants including gene mutations and single nucleotide variations have been identified in genomewide association studies of autism spectrum disorder (ASD). ASD phenotypes in individuals carrying specific genetic variations are manifest mostly in a heterozygous state. Furthermore, individuals with most genetic variants show incomplete penetrance and phenotypic variability, suggesting that non-genetic factors are also involved in developing ASD. However, the mechanisms of how genetic and environmental factors interactively promote ASD are not clearly understood. In the present study, we investigated whether early-life stress (ELS) in D2 dopamine receptor heterozygous knockout (D2+/−) mice induces ASD-like symptoms. To address that, we exposed D2 heterozygous pups to maternal separation stress for 3 h daily for 13 days beginning on postnatal day 2. D2+/− adult mice that had experienced ELS exhibited impaired sociability in the three-chamber test and home-cage social interaction test and increased grooming behavior, whereas wildtype littermates exposed to ELS did not show those phenotypes. ELS-exposed D2+/− mice had decreased levels of BDNF, TrkB, phospho-ERK1/2 and phospho-CREB in the dorsal striatum. Administration of the TrkB agonist 7,8-dihydroxyflavone (7,8-DHF) to ELS-exposed D2+/− mice rescued the sociability deficits and repetitive behavior. In contrast, behavioral rescue by 7,8-DHF in ELS-exposed D2+/− mice was blocked when TrkB expression in the dorsal striatum was locally inhibited by the injection of TrkB-siRNA. Together, our results suggest that the interaction between ELS and defective D2 gene function promotes autistic-like behaviors by downregulating the BDNF-TrkB pathway in the dorsal striatum.
Keywords: Autism spectrum disorder, early-life stress, dorsal striatum, dopamine receptors, TrkB receptor
Autism spectrum disorder (ASD) is a group of neurodevelopmental disorders characterized by social communication defects and stereotyped repetitive behaviors . ASD is usually diagnosed before the age of three . Recent genome-wide studies have identified a number of specific gene mutations in individuals with ASD, including deletion, duplication and point mutations, and genetic variants such as single nucleotide variants and copy number variants. However, phenotypic penetrance of those genetic variants is incomplete . For example, ASD symptoms are expressed in 84% of cases carrying 22q13.33 deletion or
Early-life stress (ELS) is believed to be one of that environmental factors affect ASD development [12,13]. The development of the brain network is sensitive to early-life adversity, depending on the intensity of the stress, timing of exposure, and genetic factors . Specifically, a stressful migration after birth increased the risk of ASD along with stress-induced epigenetic changes . Mothers with aberrant serotonin function (short allele variants of
The dopamine system is closely related to ASD [19,20]. Polymorphisms in D2 dopamine receptors (A1 allele of Taq I; , rs1800498TT; ) and D1 dopamine receptors (rs265981-C and rs4532-A, rs686-T alleles) , and a
In this study, we investigated whether ELS can cause autistic-like behaviors in D2 heterozygous mice. We found that ELS in D2 heterozygous mice but not in wildtype mice produced autistic-like behaviors through the downregulation of BDNF-TrkB signaling in the dorsal striatum.
C57BL/6 mice were purchased from Daehan BioLink (Eumsung, Chungbuk, Republic of Korea). D2 dopamine receptor knockout (KO) mice were described previously [20,27]. D2 KO mice were backcrossed to C57BL/6 mice for more than 10 generations. D2 KO mice and their wildtype (WT) littermates used in all experiments were from heterozygote crosses. For genotyping, the following primer sets were used: 5′-TGTGACTGCAACATCCCA CC-3′ and 5′-GCGGAACTCAATGTTGAAGG-3′ for D2 WT (105 bp); 5′-CTTG GGTGGAGAGGCTATTC-3′ and 5′-AGGTGAGATGACAGGA GATC-3′ for D2 KO (neo; 280 bp). The animal room was maintained at a temperature of 22~23℃ with 50~60% humidity and a normal light-dark cycle (light on at 7:00 a.m.) in a specific-pathogen-free environment. All animals were handled in accordance with the Guidelines of Animal Care at Ewha Womans University through the permission granted by EWU-IACUC (No. 16-020).
ELS treatment was carried out as described previously . Male D2 heterozygous KO mice were crossed with female C57BL/6 mice. Pregnant females were randomly assigned to one of maternal separation groups and control groups. Two to three days before giving birth, pregnant females were habituated to a signal cage filled with wood particles 30% less than before. The number of pups for each mother was adjusted to have six to eight. The pups were separated from their mother from 9:00 A.M. and placed together in a clean plastic cage maintained at 32~33℃ with 50~60% humidity, and then returned to their mother in the original cage after 3 hours of separation. Maternal separation began on postnatal day 2 and was repeated until postnatal day 14. For the control group, pregnant female were habituated to a single cage with normal wood particles two to three days before giving birth, and the control pups were reared without maternal separation in parallel with the ELS-exposed group. Control and ELS-exposed pups were weaned 4 weeks after birth. After genotyping, they were housed 2~3 mice with the same sex in a regular plastic cage. This housing condition was maintained until the behavioral tests, which was conducted between 8 and 10 weeks after birth.
Mice were restrained as described previously . In brief, mice were individually placed in a 50-ml polypropylene conical tube that have many holes for ventilation and were restrained within this tube for 1 h.
Corticosterone measurements were carried out as described previously . For these experiments, all animals were sacrificed between 12 p.m. and 1 p.m. ELS-exposed pups were sacrificed after the last treatment of maternal separation stress on postnatal day 14. Blood was collected from the hearts of the sacrificed mice. It was centrifuged at 1,500 g for 15 min to obtain serum, which was then stored at −80℃ until use. Plasma corticosterone levels were assessed using a commercial enzyme immunoassay kit (ADI-900-045, Enzo Life Science, NY, USA) and following the manufacturer's instructions. In brief, 1:40 diluted samples were loaded in each well in duplicate and probed with corticosterone ELISA antibody for 2 hours. Then, the wells were emptied, rinsed three times with wash buffer, and probed with pNPP-substrate for 1 hour at room temperature. Optical density was detected at 405nm using a spectrofluorometer (SpectraMax M5, Molecular Devices).
Stereotaxic injection of siRNA was carried out as described previously [20,30,31]. Mice were anesthetized with a mixture of ketamine hydrochloride (50 mg/mL) and xylazine hydrochloride (23.3 mg/ml) at a dose of 2.5 µl per body weight (g). While the mouse head was held in the stereotaxic device (Stoelting Company, Wood Dale, IL, USA), 1.5 µl (18 ng of siRNA) of siRNA mixture per each side of the dorsal striatum (AP, +1.0; ML, ±1.5; DV, −3.6 mm) was injected at the rate of 0.2 µl/min using a 30 G needle. The siRNA mixture was prepared 20 min before injection by mixing 1 µl of control-siRNA or TrkB-siRNA with siGLO Green (1/19 of target gene-siRNA), 0.5 µl of 50% sucrose and 2.5 µl of Neuro-FECT transfection reagent (T800075; Genlantis, San Diego, CA, USA).
Behavioral tests were conducted at the indicated time points. After the behavioral tests, the injection sites were confirmed by a histological analysis, and the mice with the wrong injection site were excluded from the final data as described [20,30,31]. The following siRNAs were used: control-siRNA (SN-1012) and Trk-BsiRNA (1393919, NM_001025074.2) were purchased from Bioneer Co. (Deajun, Korea), and FAM-labeled RISK-independent siRNA transfection control siGLO Green (D-001630-01-05) was purchased from Dharmacon Inc. (Chicago, IL, USA).
7,8-Dihydroxyflavone (7,8-DHF) was intraperitoneally administered once a day for three consecutive days at a dose of 10 mg/kg. The dose was chosen on the basis of a dose test in this study and a previous study . 7,8-DHF was purchased from Sigma Aldrich (St. Louis, MO, USA).
The real-time PCR analysis was performed as described previously [20,30]. Total RNA was extracted from the brain tissues of 3~4 animals from each group using TRI reagent (Sigma-Aldrich, St. Louis, MO, USA) with DNAase I to prevent genomic DNA contamination. Real-time PCR was conducted with iQTM SYBR Green Supermix (Bio-Rad Laboratories, Foster City, CA, USA) using a CFX 96 Real-Time PCR System Detector (Bio-Rad Laboratories; Foster City, CA, USA). The following primer sets were used: 5′-AAGGACTTTCATCGGGAAGCTG-3′ and 5′-TCGCCCTCCACACAGACAC-3′ for
Western blot analyses were performed as described previously [20,30]. Brain tissues were homogenized in lysis buffer (50 mM Tris-HCl with pH 7.5, 150 mM NaCl, 0.5% Nonidet P-40, 0.5% Triton X-100, 0.25% sodium deoxycholate, 0.25% SDS, and 1 mM EDTA) with protease inhibitors (Complete Mini; Roche Applied Science). Protein concentrations were determined using the Bradford method. Proteins, 20 µg per lane, were loaded on SDS-PAGE, and transferred onto a PVDF membrane (Bio Rad., Hercules, CA, USA). Blots were blocked with 3% BSA in 0.1% TBS-T buffer and then probed with a primary antibody for p-ERK1/2 (4370, Cell Signaling Technology, Beverly, MA, USA), ERK1/2 (sc-135900, Santa Cruz Inc., Santa Cruz, CA, USA), p-CREB (06-519, Upstate Biotechnology Inc., Lake Placid, NY, USA), CREB (sc-186, Santa Cruz), MeCP2 (3456, Cell Signaling), TrkB (sc-136990, Santa Cruz), AKT (9272, Cell Signaling), S473-pAKT (9271, Cell Signaling), BDNF (ab108319, abcam), or β-actin (sc-47778, Santa Cruz). The following secondary antibodies were used; goat anti-rabbit IgG (sc-2004, Santa Cruz), goat anti-mouse IgG (sc-2005, Santa Cruz), and donkey anti-goat IgG (sc-2020, Santa Cruz). Specific signals were visualized using an enhanced chemiluminescence system (EBP-10073; Elpis Biotech. Inc., Daejon, Korea), and quantified using ImageJ (NIH, USA).
Behavioral assessments were carried out using a computerized video tracking system (SMART, Panlab, Spain) as described previously [20,30]. The behavior testing room was lit by indirect illumination to 20 lux for the U-field assay, three-chamber test, reciprocal social interaction test, open field test, and repetitive behavior test. White noise (65 dB) was used in the behavior testing room. Behavior test equipment was cleaned frequently using 70% ethanol.
The three-chamber test was carried out as described previously [20,30]. The three-chamber apparatus consisted of an open-topped rectangular three-compartmented box (22×32 cm2 per compartment) made of clear polycarbonate, with two transparent dividing walls containing a retractable pass way in the middle of each wall (10-cm wide) to give the animal access to each chamber. A subject mouse was allowed to freely explore the three chambers, starting from the middle chamber, and the time spent and trajectory in the chambers were recorded for 10 min; this procedure was regarded as habituation. While a habituated subject mouse was in the middle chamber with the pass ways closed, a circular wire cage (12 cm in diameter) containing a social target (a naïve C57BL/6 mouse of the same sex and age as the subject) was placed in one side chamber, and an empty wire cage was placed in the other side chamber. By opening the pass ways, the subject mouse was allowed to freely explore both chambers, and the time spent and trajectory in the chambers, and the time spent sniffing the target mouse were recorded for 10 min.
The reciprocal social interaction test, also called home-cage social interaction test, was performed as described previously [20,30] with a minor modification. In brief, subject mice were individually placed in a home cage with new bedding for 20 min as habituation. After habituation, a target mouse (the same age and sex as the subject) that had not been seen before by the subject mouse was placed in the same cage for 10 min, during which the time spent in contact, such as facial and anogenital sniffing or mounting behavior, was recorded and regarded as social behavior.
Grooming behavior assessment was carried out as described previously [20,30] with a minor modification. Mice were placed individually in an open field (45×45 cm) and allowed to move freely for 30 min. Grooming behavior was recorded for 15 min in the second half of the open field test. Grooming behavior was defined as rubbing the face, body, or head with the two forelimbs.
The open field test was performed as described previously [30,33]. Mice were placed individually in the open field (45×45 cm) and allowed to move freely for 30 min. The distance and trajectory of locomotion in the open field was recorded.
Two-sample comparisons were performed using the Student's t-test, and multiple comparisons were performed using one-way and two-way ANOVA or two-way repeated measures ANOVA followed by a post hoc test. Statistical analyses were carried out using GraphPad Prism 6 (San Diego, CA, USA). All data are presented as mean±SEM or box plot diagrams, and statistical significance was accepted at the 5% level.
Maternal separation was chosen as the ELS with pups separated from their mothers for 3 hours per day from postnatal day 2 to postnatal day 14. (Fig. 1A and 1B). Wild-type (WT) mice exposed to ELS showed social interaction levels comparable to those of the normally raised WT mice in the three-chamber test (Fig. 1C and 1D). Normally raised D2+/− mice exhibited WT-like social interaction, whereas ELS-exposed D2+/− mice showed decreased social interaction in the three-chamber test (Fig. 1C and 1E). Sniffing time with a social target during the three-chamber test was also decreased in ELS-exposed D2+/− mice (Fig. 1F). In the home-cage social interaction test, ELS-exposed D2+/− mice, but not other groups, showed less social interaction time than WT control mice with a newly introduced social target (Fig. 1G). ELS-exposed D2+/− mice also exhibited increased grooming in the open field without changes in locomotion (Fig. 1H and 1I). These results suggest that ELS causes autistic-like behaviors in D2 heterozygous mice but not in WT mice.
We examined whether the behavioral abnormalities of ELS-exposed D2+/− mice were associated with HPA axis dysfunction. At the end of their last 3-h maternal separation at postnatal day 14, WT pups exhibited corticosterone levels that were insignificantly increased compared with normally raised WT pups. In contrast, ELS-exposed D2 heterozygous pups exhibited significantly increased corticosterone levels at the end of their last 3-h maternal separation (Fig. 2A and 2B).
Adult D2+/− mice raised normally had basal corticosterone levels similar to those of adult WT mice raised normally. ELS-exposed adult WT mice and D2+/− mice also showed similar levels of basal corticosterone. When exposed to 60-min restraint, ELS-exposed adult WT mice had markedly increased corticosterone levels, and ELS-exposed adult D2+/− mice also had increased corticosterone levels, but the increase caused by acute stress was slightly lower in the ELS-exposed adult D2+/− mice than in ELS-exposed adult WT mice (Fig. 2C). These results suggest that D2 heterozygous pups had higher activation of the HPA axis in response to maternal separation stress than wildtype littermate, and when ELS-exposed D2 heterozygous mice grew up, they had reduced HPA axis activation to restraint challenge compared to wildtype mice.
Brain-derived neurotrophic factor (BDNF) is associated with childhood maltreatment , autism [35,36,37] and ELS induced molecular changes . Early-life adversity induces gene transcription alterations that last throughout the lifetime via epigenetic factors . Therefore, we examined whether ELS exposure changed the expression levels of neurotrophic factors, TrkB, and key epigenetic factors known to regulate neurotrophic factors. Recent studies suggest that the dorsal striatum was the neural substrate whose dysfunction produced sociability deficits and grooming behaviors, the two core domains of ASD symptoms [19,20,30]. Furthermore, siRNA-mediated knockdown of D2 receptor in the dorsal striatum was sufficient to produce autistic-like behaviors . Therefore, we focused on the molecular changes in the dorsal striatum in following experiments (Fig. 3A).
Real-time PCR analysis indicated that
The transcript levels of
Western blot analysis indicated that the protein levels of TrkB, BDNF, and MeCP2 were decreased in the dorsal striatum of ELS-exposed adult D2+/− mice but not in ELS-exposed adult WT mice (Fig. 3F and 3G). Furthermore, the protein levels of p-AKT, p-ERK1/2, and p-CREB, the downstream factors of TrkB receptors, tended to decrease in ELS-exposed D2+/− mice (Fig. 3H and 3I). These results suggest that early-life stress in D2 heterozygous pups resulted in the altered expression of factors in the BDNF-TrkB signaling system in the dorsal striatum of adult animals.
The therapeutic effects of TrkB receptor activation have been studied for the treatment of cognitive defects in a mouse model of Alzheimer's disease , Rett syndrome , and ASD . 7,8-dihydroxyflavone (7,8-DHF) is a naturally occurring flavone that has a neurotrophic activity specific to TrkB . ELS-exposed D2+/− mice and their WT controls were intraperitoneally injected with 7,8-DHF for 3 days, and their behavioral performance was examined 24 hours after the last drug injection (Fig. 4A). 7,8-DHF treatment in WT mice produced no significant change in social interaction in the three-chamber test. In contrast, 7,8-DHF treatment in ELS-exposed D2+/− mice increased social interaction in the three-chamber test (Fig. 4B and 4C) and tended to improve defective sociability in the home-cage social interaction test (Fig. 4D). 7,8-DHF treatment in ELS-exposed D2+/− mice also suppressed increased grooming to the level seen in WT controls (Fig. 4E).
Next, we examined whether the TrkB agonist also produced molecular restoration in the dorsal striatum. Real-time PCR analysis indicated that the decreased expression of
Next, we examined whether the behavioral effects of 7,8-DHF treatment were produced through the activation of TrkB in the dorsal striatum. To address that, we stereotaxically injected TrkB-siRNA or control-siRNA into the dorsal striatum on both sides, followed by 7,8-DHF injection for 3 days. The behavioral tests were performed on the day after the last 7,8-DHF injection (Fig. 5A). These experiments were verified that the siRNA-mediated knockdown of TrkB in the dorsal striatum reduced the expression levels of TrkB, p-AKT and p-ERK1/2 for more than 3 days (Fig. 5B and 5C), which is consistent with previous reports [42,43].
Normally raised WT mice injected with TrkB-siRNA did not show behavioral changes compared with WT mice injected with control-siRNA. ELS-exposed D2+/− mice injected with control-siRNA and treated with 7,8-DHF showed increased sociability in the three-chamber test and the home-cage social interaction test. In contrast, ELS-exposed D2+/− mice injected with TrkB-siRNA and treated with 7,8-DHF exhibited social deficits in the three-chamber test (Fig. 5D). TrkB-siRNA injection in ELS-exposed D2+/− mice also partially blocked the effects of 7,8-DHF on sociability in the home-cage social interaction test (Fig. 5E). Regarding grooming behavior, TrkB-siRNA injection did not clearly block the effects of 7,8-DHF in ELS-exposed D2+/− mice (Fig. 5F). Together, these results suggest that TrkB-related changes in the dorsal striatum are critical to the behavioral effects of 7,8-DHF treatment in ELS-exposed D2+/− mice.
This study demonstrates that ELS produced sociability deficits and increased grooming behavior, the behavioral phenotypes relevant to the two core domains of ASD symptoms, in D2+/− mice but not WT mice (Fig. 1). D2 homozygous KO mice exhibited typical autistic-like behaviors , and when exposed to chronic stress, they showed severe depressive-like behaviors . In contrast, D2 heterozygous KO mice did not show autistic-like behaviors (Fig. 1). Therefore, the autistic-like phenotypes displayed by ELS-exposed D2+/− adult mice likely resulted from the gene×stress interaction imposed during the early developing period. We have provided evidence that D2+/− pups had much higher activation of the HPA axis in response to ELS compared with WT pups exposed to ELS (Fig. 2). The increased stress response in D2+/− pups was correlated with the reduced expression of TrkB and BDNF in the dorsal striatum (Fig. 3B). Furthermore, expression levels of
In developing pups, the HPA axis functionally reacts to stressors starting from the second postnatal week. During the first postnatal week, pups have low basal levels of corticosterone, and the levels of corticosterone and ACTH start to increase in response to stressors from postnatal day 12 but not at postnatal day 9 [45,46]. Therefore, it is possible that the ELS given to the pups from the middle of the second postnatal week might have induced corticosterone release. It will be necessary to investigate whether the promotion of ASD-like phenotypes in D2+/− mice exposed to ELS is caused primarily by increased corticosterone release or some other mechanism.
Recently, our lab and others' have reported that the dorsal striatum is the neuroanatomical correlate for ASD core symptoms [20,30,47]. Excessive activation of D1 receptors in the dorsal striatum promoted social deficits and repetitive behaviors . AC5−/− and D2−/− mice show typical autistic-like behaviors, and siRNA-mediated knockdown of AC5 or D2 receptors within the dorsal striatum was sufficient to replicate autistic-like phenotypes [20,30]. Striatal dysfunction of SHANK3 , TSC1 , MeCP2 , FOXP1 , CNTNAP2 , and DGLα  also produced autistic-like behaviors. A polymorphism of D3 dopamine receptors (rs167771) was correlated with greater caudate nucleus volume and stereo-typed behavior . Furthermore, specific knockout of MeCP2 or TSC1 in the dorsal striatum produced social deficits and repetitive behavior . As demonstrated in the present study, repeated ELS in D2 heterozygous pups caused autistic-like behaviors through changes in the BDNF-TrkB signaling pathway in the dorsal striatum (Fig. 3, 4 and 5). Thus, specific mutations in the genes that function in the dorsal striatum or stress-induced TrkB-dependent changes in the dorsal stratum apparently promote autistic-like behaviors.
The increase of total
BDNF expression is regulated by multiple factors, including CREB, MeCP2, and HDACs [64,66]. Furthermore, genetic deficits of