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Exp Neurobiol 2023; 32(4): 302-312
Published online August 31, 2023
https://doi.org/10.5607/en23017
© The Korean Society for Brain and Neural Sciences
Dong Cheol Jang1, Seunghwan Choi2, Geehoon Chung1 and Sun Kwang Kim1,2*
1Department of Physiology, College of Korean Medicine, Kyung Hee University, Seoul 02447, 2Department of East-West Medicine, Graduate School, Kyung Hee University, Seoul 02447, Korea
Correspondence to: *To whom correspondence should be addressed.
TEL: 82-2-961-0323, FAX: 82-2-961-0333
e-mail: skkim77@khu.ac.kr
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cerebral ischemia can lead to a range of sequelae, including depression. The pathogenesis of depression involves neuronal change of the medial prefrontal cortex (mPFC). However, how cerebral ischemia-induced changes manifest across subregions and layers of the mPFC is not well understood. In this study, we induced cerebral ischemia in mice via transient bilateral common carotid artery occlusion (tBCCAO) and observed depressive-like behavior. Using whole-cell patch clamp recording, we identified changes in the excitability of pyramidal neurons in the prelimbic cortex (PL) and infralimbic cortex (IL), the subregions of mPFC. Compared to sham control mice, tBCCAO mice showed significantly reduced neuronal excitability in IL layer 2/3 but not layer 5 pyramidal neurons, accompanied by increased rheobase current and decreased input resistance. In contrast, no changes were observed in the excitability of PL layer 2/3 and layer 5 pyramidal neurons. Our results provide a new direction for studying the pathogenesis of depression following ischemic damage by showing that cerebral ischemia induces subregion- and layer-specific changes in the mPFC pyramidal neurons.
Keywords: Cerebral ischemia, Depression, Medial prefrontral cortex, Prelimbic cortex, Infralimbic cortex, Excitability
Cerebral ischemia is a condition in which insufficient blood flow to the brain results in a lack of oxygen and nutrients needed for normal brain function [1]. Being a major cause of stroke and other cerebrovascular diseases [2], cerebral ischemia results in brain damage that can induce various neurological symptoms including mood disorders. Patients often report depression following the experience of cerebral ischemia. For example, post-stroke depression (PSD) is one of the most prevalent sequelae in stroke patients [3-7]. Growing evidence also indicates that vascular depression (VD) [8, 9] is critically involved in the condition of cerebrovascular disease [10, 11]. Although the brain changes that directly cause PSD and VD are not fully elucidated, the affected brain circuitry appears to be similar to that of major depressive disorder (MDD) [12].
A representative brain region is the medial prefrontal cortex (mPFC) [13]. Structural changes in the mPFC region have been reported in depressed patients [14, 15], as well as animal models of depression [15-17]. Studies found that the dendritic development in the mPFC neuron is affected in mouse models of depression induced by chronic stress exposure, and altering the excitability of mPFC pyramidal neurons affects depressive-like behavior [18, 19].
In rodents, the mPFC comprises subregions: the prelimbic cortex (PL), and the infralimbic cortex (IL). Each mPFC subregion innervates different brain regions and plays distinct roles in aversion [20-24], and PL and IL are mainly involved in depression. Studies have reported the subregion-specific effect on depression, as the activation of PL pyramidal neurons has anti-depressive effects [25], whereas the activation of IL pyramidal neurons has pro-depressive effects [19, 26]. Other studies have focused on the layer-specific effects against depression. The pyramidal neurons in layers 2/3 and 5 of the mPFC innervate distinct brain regions and exhibit differential changes in response to chronic social stress [27]. Manipulation of layer 2/3 pyramidal neurons in the mPFC results in a pro-depressive effect [28], while activation of layer 5 pyramidal neurons produces antidepressive effects [25]. These subregion-specific and layer-specific differences against depression suggest that the neuronal changes in depressive condition might differ among the subregion and layer.
In the context of depression after cerebral ischemia, there also might be subregional- and layer-specific differences. We hypothesized that the changes in the excitability of mPFC neurons accompanying the ischemia-induced depression would manifest differently in the subregion- and layer-specific manner. To investigate the changes in the mPFC, we used the transient bilateral common carotid artery occlusion (tBCCAO) model to induce global cerebral ischemia (GCI) in mice. We then investigated changes in neuronal excitability in layer 2/3 and layer 5 pyramidal neurons in the mPFC subregions PL and IL. We found that only layer 2/3 pyramidal neurons in the IL showed significant alterations in firing frequency, rheobase current, and input resistance. The IL layer 5 pyramidal neurons did not show significant changes. In the PL, neither layer 2/3 nor 5 pyramidal neurons showed significant changes in firing frequency and intrinsic properties. Our findings suggest that neural circuits containing layer 2/3 pyramidal neurons in the IL are specifically affected after cerebral ischemia, implying the distinct role of this region in the pathogenesis of sequelae.
All animal experiments were performed in accordance with the protocols approved by the Animal Care and Use Committee of Kyung Hee University (KHSASP-22-302). Eight-week-old male C57BL/6 mice were purchased from Daehan Bio Link (DBL, Korea). The mice were housed in cages with food and water ad libitum. The room was maintained under a 12-h light/dark cycle and kept at 21±1°C.
The tBCCAO surgery was performed using previously described techniques [29]. Mice were anesthetized under isoflurane inhalation. An incision was made on the ventral neck to expose the major arteries in the anterior cervical area. The common carotid arteries (CCA) were dissected from the surrounding tissues. Aneurysmal clips were placed to occlude the bilateral CCA and were maintained for 25 min. After the clips were removed, we checked the reperfusion and absence of hemorrhage. Sham procedures were performed with the same anesthesia and surgical protocols but kept the CCAs intact. After the procedure, the animals were returned to a warming box for recovery.
The testing procedure was based on a previous study [30]. Behavioral tests were conducted in a separate dimly lit room with white noise. The home cage was transferred to the testing room 1 hour prior to the test. Mice were placed in a transparent plastic cylinder (height: 30 cm, diameter: 20 cm) filled with water for 6 minutes. Plastic walls were placed around the cylinder to prevent visual cues. Water temperature was maintained at 24±1°C and replaced before each session. Mice could swim or float without touching the bottom. Behavior was recorded using a video camera (HDR-CX405, Sony, Tokyo, Japan) and analyzed later. Immobility time was defined as the duration without movements other than those necessary to maintain balance and keep the head above water.
The assessments were based on previous studies [31, 32]. Mice were housed alone with two water bottles: one with normal water and another with 1% sucrose solution. Both solutions were warmed to room temperature for 1 hour before placing. To eliminate any preference for the location of the water bottle, the bottles were randomly positioned. Bottle weights were measured before and after the 24-hour experiment to determine liquid consumption. Sucrose preference (%) was calculated as a ratio of sucrose intake to total intake.
Coronal slices of the medial prefrontal cortex (300 μm) were obtained by cutting with a vibratome slicer (Leica, VT1200). The brain was cut in ice-cold NMDG cutting solution containing the following (in mM): 92 NMDG, 92 HCl, 2.5 KCl, 1.2 NaH2PO4•H2O, 20 HEPES, 5 sodium ascorbate, 2 Thiourea, 3 Sodium pyruvate, 10 MgSO4•7H2O, 0.5 CaCl2•2H2O, 30 NaHCO3, 25 Glucose (pH 7.3). Slices were transferred to a recovery chamber containing NMDG-cutting solution kept at 32°C for 10 minutes and then incubated for a further 1 h at room temperature in low-sodium holding solution containing the following (in mM): 75 NaCl, 2.5 KCl, 1.2 NaH2PO4•H2O, 20 HEPES, 5 sodium ascorbate, 2 Thiourea, 3 Sodium pyruvate, 2 MgSO4•7H2O, 2 CaCl2•2H2O, 30 NaHCO3, 25 Glucose (pH 7.3).
Brain slices were placed in a recording chamber on an Olympus microscope (BX50WI) stage and perfused with standard artificial cerebrospinal fluid containing the following (in mM): 125 NaCl, 2.5 KCl, 1.25 NaH2PO4 1 MgCl2•6H2O, 2 CaCl2•2H2O, 26 NaHCO3, 10 glucose. EPC10 amplifier with PatchMaster software (HEKA Elektronik) were used to amplify signals. Signals were collected with 20 kHz sampling frequency and filtered at 2 kHz. Patch pipettes (4~6 MΩ) were pulled from borosilicate glass and filled with internal solution containing the following: 120 KMeSO3, 3 KCl, 4 NaCl, 9 HEPES, 0.18 EGTA, 4 Mg-ATP, 0.3 Na-GTP, 10 Na-Phosphocreatine (pH 7.25 adjusted with KOH, ~290 mOsm). During the recording, we did not apply any synaptic blockers to record their natural state of neuronal excitability. All recordings were performed at 32°C. The whole-cell was made after the bridge balance was compensated and membrane potentials were not corrected for the liquid junction potential (10.6 mV at 32°C). The excitability of the pyramidal neuron was measured by applying depolarizing current injection from 0 pA to +300 pA with increments of +50 pA for 500 ms. The voltage sag and input resistance (Rin) were measured by applying hyperpolarizing current injection from 0 pA to -300 pA with increments of -50 pA for 800 ms. The experimenter was blind to the surgery condition during the whole experiment.
The analysis of action potential (AP) has been done with the +300 pA current injection data. The AP onset time was measured by calculating the time delay from the acquisition of the current injection to the first spike. The AP threshold was determined by measuring the membrane potential where its velocity entered the range of 30~60 mV/ms [33, 34]. AP amplitude was calculated as a difference between the threshold and positive peak. The full width at half maximum (FWHM) of AP was measured by calculating the time duration at the half maximum voltage of AP. The medium afterhyperpolarization (mAHP) was calculated as the voltage difference between the negative peak after the spike train and -70 mV baseline. The fast afterhyperpolarization (fAHP) was measured by subtracting the negative peak of AP from the AP threshold. The amount of voltage sag was determined as the difference between the lowest peak and steady-state voltage during the hyperpolarizing current injection, and the Rin was calculated from the steady-state voltage and injected hyperpolarizing current. All data were imported and analyzed by custom-built Python analysis code.
All statistical analyses were performed using Graphpad Prism 9. Two sample t-test and the two-way ANOVA test were used. All graphs are shown as mean±SEM. The asterisks *, **, and *** indicate p<0.05, p<0.01, and p<0.001, respectively. Detailed statistical methods and sample numbers for each experiment are written in the figure legends.
The tBCCAO surgery was performed on experimental animals to induce cerebral ischemia (Fig. 1A). The tBCCAO is a well-established experimental approach for inducing ischemic damage to the brain and causes vascular cognitive impairment [29, 35] or depressive-like behavior [36, 37]. We first tested the successful induction of depressive-like behavior in tBCCAO mice. Animals were randomly assigned to tBCCAO group or sham control group, and behavioral tests were performed 3 days after the surgery (Fig. 1B). As in previous reports, depressive-like behavior appeared in tBCCAO animals in the forced swimming test (FST) and the sucrose preference test (SPT), shown by significantly higher immobility time in FST (Fig. 1C, p=0.007) and lower sucrose preference in SPT compared to sham controls (Fig. 1D, p=0.012).
We then recorded the excitability of PL pyramidal neurons in a layer-specific manner to compare the tBCCAO group and sham control group. For PL pyramidal neurons, both layer 2/3 and layer 5 showed no significant alterations in firing frequency (Fig. 2C, I), rheobase current (Fig. 2D, J), sag voltage (Fig. 2E, K), and input resistance (Fig. 2F, L). Nevertheless, several intrinsic properties showed significant differences (Table 1). PL layer 2/3 pyramidal neurons of the tBCCAO group had a significantly shorter FWHM (p=0.015) and faster AP downstroke speed (p=0.036) compared to sham control. In PL layer 5 pyramidal neurons of the tBCCAO group, the AP upstroke speed was significantly faster (p=0.046) and mAHP was significantly higher (p=0.044) than sham control. The FWHM (p=0.106) and AP downstroke speed (p=0.109) showed slight differences, although they were not statistically significant. Taken together, these data suggest that layer-specific changes of the intrinsic properties occurred in the pyramidal neurons in the PL of mice that had experienced cerebral ischemia.
Next, we recorded the excitability of IL pyramidal neurons. We found that, unlike PL pyramidal neurons, the firing frequency of layer 2/3 pyramidal neurons in the IL was significantly lower in the tBCCAO group than sham control (Fig. 3C, p<0.001). This decrease in firing frequency was accompanied by a significant increase in the rheobase current (Fig. 3D, p=0.017) and a reduction in input resistance (Fig. 3F, p=0.006), whereas the sag voltage remained unchanged (Fig. 3E, p=0.428). Changes were also observed in the other intrinsic properties (Table 2). IL layer 2/3 pyramidal neurons of the tBCCAO group had a significantly longer FWHM (p=0.040) and slower AP downstroke speed (p=0.047) compared to sham control. In contrast, IL layer 5 pyramidal neurons of the tBCCAO group showed no significant difference in the firing frequency compared to sham control (Fig. 3I, p=0.090). Similarly, the rheobase current was not statistically significantly different between groups (Fig. 3J, p=0.209). No differences were observed in sag voltage and input resistance (Fig. 3K, L) and in the other intrinsic properties (Table 2). These data demonstrate that tBCCAO-induced ischemic damage specifically affects IL layer 2/3 pyramidal neurons, while layer 5 pyramidal neurons remain unaffected. Consistent with the data from PL, this again suggests that changes in the intrinsic properties in the mPFC pyramidal neurons following cerebral ischemia occurred in a layer-specific manner.
Clinical studies have found that more than a third of ischemic stroke patients have experienced depression [6]. Preclinical studies have developed several rodent models of cerebral ischemia using surgical approaches, including middle cerebral artery occlusion (MCAO), bilateral CCA stenosis (BCAS), and BCCAO [38, 39]. With ischemic damage, the affected experimental animals exhibit depressive-like behaviors [40, 41] and the pro-depressive effects are even greater when combined with chronic stress [42]. However, not all the methods are suitable for depression study, as the animals subjected to the surgery show low survival rates and often accompany motor deficits [42, 43]. We adopted the tBCCAO model in this study, as this method has a higher survival rate than other methods such as MCAO and does not induce motor deficits [29]. Using this model, we successfully observed the depressive symptoms in the experimental animals and measured changes in neuronal excitability in the relevant brain region.
The ischemic damage in the brain regions is involved in the development of abnormal moods such as depression. As with major depressive disorder, the manifestation of depression in cerebrovascular diseases is associated with the mPFC. Generally, the mPFC region plays a crucial role in emotional processing and is strongly associated with mood disorders including depression [13]. Functional and structural abnormalities in this region are known to increase vulnerability to depression [24], and modulating mPFC activity can alter depressive behavior. For example, mice subjected to chronic social defeat stress exhibit a reduction in social interaction and immediate early gene expression in the mPFC, and optogenetic activation of the mPFC restores both social behavior and gene expression [44]. Interestingly, other studies have reported that optogenetic activation of mPFC pyramidal neurons leads to pro-depressive behaviors such as decreased social interaction and sucrose preference [15, 18, 19]. This opposite direction of the reports might stem from the different effects of mPFC subregions, layers and cell types on depression.
We investigated the changes in neuronal excitability following global cerebral ischemia in a layer-specific manner within the IL and PL, the subregions of the mPFC. We found that layer 2/3 pyramidal neurons in the IL showed a significant decrease in firing frequency in tBCCAO animals, with changes in rheobase current and input resistance (Fig. 3). However, no changes were observed in IL layer 5 pyramidal neurons (Fig. 3). In the PL, neither layer 2/3 nor layer 5 pyramidal neurons showed significant alterations in firing frequency (Fig. 2), although we observed some minor changes in intrinsic properties such as AP width (Table 1).
Our results primarily suggest that the ischemic condition induced by tBCCAO led to a differential effect on the intrinsic properties of pyramidal neurons in different mPFC subregions, the PL and IL. Previous studies have reported that the PL and IL play distinct roles in behaviors such as pain and active avoidance [22, 45], as well as in mood disorders [46-48]. For instance, activation of the PL induces anxiety-like behavior, while activation of the IL does not change anxiety-like behavior [48]. Additionally, fear conditioning increases the activity of the PL [46] while decreasing the excitability of the IL neurons [47]. In terms of depression, studies have demonstrated that activating the PL pyramidal neurons exerts an anti-depressive effect [25]. The effect of activation of the IL pyramidal neurons is controversial, as both the anti-depressive [49] and the pro-depressive effect have been reported [19, 26]. Thus, more detailed studies beyond subregions would be required for a better understanding of the relationship between IL and PL activity and depression.
The implication of our results is that cerebral ischemia-induced changes in the excitability of pyramidal neurons vary across different layers within the mPFC subregions. Specifically, we observed a reduction in firing frequency only in IL layer 2/3 pyramidal neurons of the tBCCAO group. Previous studies have found that even in the same area, the neuronal responses to the same stimuli can differ depending on the cortical layer. For example, the PL pyramidal neurons show different levels of changes depending on the layer in the condition of chronic stress-induced depression [27] or learned helplessness [50]. Functions and roles of the pyramidal neurons in each layer for depression may also vary. Activation of the mPFC layer 5 neurons produces an anti-depressive effect [25], whereas modulation of layer 2/3 pyramidal neurons increases a vulnerability to stress-induced depression [28]. These might stem from differences in projection to other brain regions [27] or differences in the expression levels of the receptors that lead to distinct responsiveness to synaptic inputs [51].
We note that we are not claiming that changes in the mPFC subregion selectively affect depression alone. Generally, cerebral ischemia can be accompanied by multiple sequelae beyond depression, such as cognitive impairment or anxiety [29, 52], which are also directly or indirectly related to the mPFC dysfunction. Nevertheless, our observation that only IL layer 2/3 pyramidal neurons show changes in excitability has interesting implications for depression. According to a previous study, selective modulation of layer 2/3 pyramidal neurons in the mPFC caused depressive-like behavior without changes in cognitive function or anxiety [28]. Although the study showed that changes in the activity of mPFC layer 2/3 pyramidal neurons were causally related to depressive-like symptoms, it was not clear which subregion is responsible for depression because the study did not distinguish between subregions of IL and PL. Our observations showed selective changes in IL layer 2/3 pyramidal neurons, suggesting the importance of this region.
In the same vein, we are not claiming that the changes we observed in the mPFC are the only factors responsible for depressive-like symptoms after cerebral ischemia. Previous studies have shown that BCCAO leads to neuronal cell death in the hippocampal CA1 and CA3 regions [53, 54]. It also affected the other regions in the frontal cortex such as the anterior cingulate cortex (ACC) and orbitofrontal cortex, without affecting the mPFC subregions of IL and PL [55]. Changes in these areas other than IL also could contribute to various sequelae of cerebral ischemia, including depression. In this regard, multiple brain regions are involved in depressive-like symptoms, and the mPFC are connected with many relevant regions, including the hippocampus, thalamus, and amygdala [28, 56]. For example, changes in the IL might be attributable to abnormal hippocampal input, given that IL receives more input from the CA1 compared to the PL [57].
Another factor to note is the influence of excitatory and inhibitory inputs to layer 2/3 neurons. In this study, only changes in excitability were measured in the pyramidal neurons. We did not use any synaptic blockers as we intended to measure the excitability of the pyramidal neurons with intact synaptic inputs. Changes in excitatory and inhibitory influences from surrounding neurons might affect the excitability, but we analyzed only the integrated outputs (i.e., APs) of the neurons being recorded. The mPFC pyramidal neurons are persistently influenced by complex local inhibitory circuitry [58], making it difficult to define a specific mechanism regarding the changes in excitability. Previous reports have shown that inhibitory transmission increases after cerebral ischemia [59], and GABAergic inhibition increases in cortical layer 2/3 pyramidal neurons after stroke [60]. This is consistent with our findings of a selective decrease in the excitability of layer 2/3 pyramidal neurons. Future studies should investigate detailed changes in excitatory and inhibitory synaptic transmission depending on the subregions. Given that changes in inhibitory interneurons have been reported in mouse models of depression [61-63] as well as cerebral ischemia [59, 60, 64], investigating the role of inhibitory interneurons depending on the subregions would be a valuable direction for future research.
This research was supported by the National Research Foundation of Korea (NRF) grant funded by the Korean government (MSIT) (NRF-2021R1C1C1013840 to D.C.J.; NRF-2020R1C1C1009162 to G.C.; NRF-2019R1A2C2086052 to S.K.K).
Intrinsic properties of layer 2/3 and layer 5 pyramidal neurons in the prelimbic cortex
Intrinsic property | Prelimbic cortex | ||||||
---|---|---|---|---|---|---|---|
Layer 2/3 pyramidal neuron | Layer 5 pyramidal neuron | ||||||
sham | tBCCAO | p value | sham | tBCCAO | p value | ||
AP threshold (mV) | -27.73±1.48 | -25.63±1.86 | 0.368 | -30.34±0.95 | -29.04±0.96 | 0.340 | |
AP amplitude (mV) | 86.04±0.98 | 84.20±1.46 | 0.301 | 84.77±1.14 | 86.13±1.25 | 0.426 | |
FWHM (ms) | 0.97±0.04 | 0.83±0.03 | 0.015* | 0.900±0.04 | 0.83±0.02 | 0.106 | |
AP upstroke (V/s) | 459.31±25.62 | 507.43±32.14 | 0.249 | 420.16±14.71 | 465.38±16.39 | 0.046* | |
AP downstroke (V/s) | -79.96±3.63 | -92.89±4.62 | 0.036* | -86.12±4.16 | -107.75±12.56 | 0.109 | |
fAHP (mV) | 11.06±0.99 | 11.34±0.67 | 0.822 | 9.35±0.65 | 10.04±0.56 | 0.426 | |
mAHP (mV) | 0.93±0.32 | 0.87±0.24 | 0.890 | 3.18±0.25 | 4.05±0.34 | 0.044* | |
RMP (mV) | -66.52±2.22 | -66.64±2.16 | 0.973 | -62.63±1.37 | -61.91±1.23 | 0.725 |
Layer 2/3 pyramidal neurons (sham=14, tBCCAO=13), layer 5 pyramidal neurons (sham=23, tBCCAO=23). *p<0.05.
Intrinsic properties of layer 2/3 and layer 5 pyramidal neurons in the infralimbic cortex
Intrinsic property | Infralimbic cortex | ||||||
---|---|---|---|---|---|---|---|
Layer 2/3 pyramidal neuron | Layer 5 pyramidal neuron | ||||||
sham | tBCCAO | p value | sham | tBCCAO | p value | ||
AP threshold (mV) | -22.54±1.64 | -21.17±2.36 | 0.634 | -26.60±2.22 | -26.74±1.12 | 0.952 | |
AP amplitude (mV) | 85.41±1.54 | 82.32±1.77 | 0.195 | 89.71±2.12 | 86.04±1.75 | 0.194 | |
FWHM (ms) | 0.84±0.02 | 0.90±0.02 | 0.040* | 0.79±0.02 | 0.80±0.02 | 0.776 | |
AP upstroke (V/s) | 496.80±23.45 | 449.92±27.35 | 0.208 | 515.32±25.80 | 511.16±23.92 | 0.909 | |
AP downstroke (V/s) | -130.84±17.29 | -88.17±10.92 | 0.047* | -140.59±24.71 | -116.85±13.08 | 0.361 | |
fAHP (mV) | 12.57±0.96 | 13.17±1.06 | 0.676 | 10.54±1.18 | 11.63±0.69 | 0.403 | |
mAHP (mV) | 0.02±0.41 | 0.55±0.57 | 0.458 | 3.30±0.60 | 3.49±0.51 | 0.811 | |
RMP (mV) | -65.13±4.62 | -63.12±2.67 | 0.690 | -62.93±1.23 | -64.12±1.34 | 0.549 |
Layer 2/3 pyramidal neurons (sham=18, tBCCAO=17), layer 5 pyramidal neurons (sham=13, tBCCAO=20). *p<0.05.