draft...draft canadian journal of physiology and pharmacology april 2019 effect of chronic...
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Effect of chronic corticosterone treatment on expression and distribution of serotonin 5-HT7 receptors in rat adrenal
glands
Journal: Canadian Journal of Physiology and Pharmacology
Manuscript ID cjpp-2019-0080.R1
Manuscript Type: Article
Date Submitted by the Author: 25-Apr-2019
Complete List of Authors: Saroj, Neeshu; CINVESTAV IPN, PharmacologyShanker, Shiv; Instituto Politécnico Nacional Escuela Superior de Medicina, Sección de Estudios de Posgrado e InvestigaciónFernández-Parrilla, Manuel; CINVESTAV IPN, Fisiología, Biofísica y NeurocienciasLopez-Sanchez, Pedro; Instituto Politécnico Nacional Escuela Superior de Medicina, Sección de Estudios de Posgrado e InvestigaciónTerrón, José; CINVESTAV IPN, Pharmacology
Is the invited manuscript for consideration in a Special
Issue:Not applicable (regular submission)
Keyword: ACTH, adrenal cortex, chronic corticosterone treatment, chronic stress, 5-HT7 receptors
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Canadian Journal of Physiology and Pharmacology April 2019
Effect of chronic corticosterone treatment on expression and distribution of serotonin 5-HT7
receptors in rat adrenal glands
Neeshu Saroj*,1 Shiv Shanker*,2 Manuel A. Fernández-Parilla,3 Pedro López-Sánchez 2
and José A. Terrón.1
1 Departamento de Farmacología, CINVESTAV-IPN, Av. Instituto Politécnico Nacional 2508,
col. La Laguna Ticomán, CP 07360, CDMX, MEXICO.
2 Sección de Estudios de Posgrado e Investigación, Escuela Superior de Medicina-IPN, Plan de
San Luis y Díaz Mirón s/n, Casco de Sto Tomás, Ciudad de México, Mexico.
3 Departamento de Fisiología, Biofísica y Neurociencias, CINVESTAV-IPN, Av. Instituto
Politécnico Nacional 2508, col. La Laguna Ticomán, CP 07360, CDMX, MEXICO.
* These authors equally contributed to this work
Author for correspondence:
José A. Terrón, Ph.D., at the above address.
Telephone: (52) (55) 5747-3800 ext. 5437
Fax: (52) (55) 5747-3394
e-mail: [email protected]; [email protected]
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Abstract
Sensitized stress-induced corticosterone (CORT) secretion in chronically stressed rats involves 5-
HT7 receptor activation. The effect of 14-day chronic CORT and vehicle (VEH) administration
on 5-HT7 receptor expression in adrenal glands, adrenal 5-HT content, and ACTH and CORT
secretion was analysed. On day 15, VEH- and CORT-treated animals were perfused or
decapitated without stress exposure (0 min) or after 10 and 30 min of restraint for collection of
trunk blood and tissues. 5-HT7 receptor-like immunoreactivity (5-HT7R-LI), 5-HT7 receptor
protein and mRNA levels were determined by immunohistochemistry, Western blot and reverse
transcription polymerase chain reaction assays, respectively; 5-HT levels and hormones were
quantified using HPLC and Elisa kits, respectively. An undisturbed control (CTRL) group was
included for most experimental comparisons. Chronic CORT strongly increased 5-HT7R-LI in
the outer adrenal cortex, as well as 5-HT7 receptor protein and mRNA in whole adrenal glands;
adrenal 5-HT content also increased in these animals. Decreased ACTH and CORT secretion at
30 min of restraint occurred in CORT-treated rats. Results support the notion that chronic stress-
induced increase of adrenocortical 5-HT7 receptors and adrenal 5-HT content is a glucocorticoid-
dependent phenomenon; the development of magnified stress-induced 5-HT7 receptor-mediated
CORT responses in chronically stressed animals nevertheless likely involves additional
mechanisms.
Key words: ACTH; adrenal cortex; chronic corticosterone treatment; chronic stress; 5-HT7
receptors
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Introduction
Chronic stress-induced dysregulation of the hypothalamic-pituitary-adrenocortical (HPA) axis
leading to increased secretion of glucocorticoid hormones (cortisol in humans and corticosterone
[CORT] in rodents) is believed to play a key role in the pathogenesis of a number of stress-
related diseases, including mood disorders such as major depression and anxiety, and a number of
systemic and metabolic pathologies, including arterial hypertension, metabolic syndrome and
type 2 diabetes, among others (Charmandari et al. 2005; Chrousos 2000; Chrousos and Gold
1992; Chrousos 2009). The fundamental mechanisms involved in chronic stress-induced
dysfunction of the HPA axis however have not been elucidated thus far.
Accumulating evidence suggests that ACTH-independent corticosteroid-producing pathways
may be ectopically expressed in the adrenal cortex under conditions of high circulating levels of
glucocorticoids. In this regard, our group recently reported that 14-day chronic exposure to
restraint stress in rats increases restraint-induced CORT secretion through a 5-HT7 receptor-
mediated mechanism, which seems to be ACTH-independent and involves remarkable expression
of 5-HT7 receptors in the adrenal cortex as well as increased adrenal levels of serotonin (5-
hydroxytryptamine; 5-HT) (García-Iglesias et al. 2013). These observations are in line with
clinical pathophysiological studies showing a relationship between states of high circulating
levels of glucocorticoids (e.g. ACTH-independent macronodular adrenal hyperplasias [AIMAHs]
causing Cushing syndrome) and abnormal (i.e. ectopic) expression of adrenocortical 5-HT7
receptors (Louiset et al. 2008; Louiset et al. 2006). To further explore the possible relationship
between increased glucocorticoid levels and expression of adrenocortical 5-HT7 receptors as a
potential pathophysiological mechanism underlying magnified stress-induced corticosteroid
secretion, the present study analysed the effect of a 14-day chronic CORT treatment on
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expression and distribution of 5-HT7 receptors in the adrenal glands, adrenal 5-HT content and
baseline and acute restraint-induced ACTH and CORT secretion in rats.
Material and methods
Animals
Male Wistar rats (200-220 g of body weight; n=90) from our own Institutional inbred facilities
were used. Animals (five per cage) were kept at constant temperature (22±1ºC) and humidity (50-
55%) under a 12:12 h: light/dark cycle (lights on 06:00-18:00 h) with food and water available ad
libitum. All the procedures and protocols complied with Federal regulations and were performed
in accordance with the Guide for the Care and Use of Laboratory Animals (8th edition, National
Academies Press) and approved by the CINVESTAV-IPN ethics committee (Comité Interno para
el Cuidado y Uso de los Animales de Laboratorio; CICUAL). Efforts were made to minimize
unnecessary suffering of the animals and their number.
Animal groups and chronic corticosterone treatment
A 14-day chronic treatment with CORT (20 mg/kg, s.c. per day) or its vehicle (VEH; 20% 2-
-Hydroxypropyl-β-cyclodextrin; 1 mL/kg, s.c. per day) was given to the animals (between 8:00
and 12:00 h). In order to reduce stress, both VEH and CORT were administered subcutaneously
at the nape of the neck with the animals being slightly restrained. A control (CTRL) home cage
animal group was included for most experimental comparisons.
Determination of body, adrenal gland and thymus weight
Body weight was recorded before and after VEH and CORT treatments. One day after
completion of the treatments (i.e. on day 15), animals were euthanized and adrenal glands from
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both sides and thymus were removed and weighed. To exclude possible differences in the weight
of adrenal glands and thymus derived from normal changes in body weight, particularly in
animals receiving CORT treatment in which these parameters are reportedly altered (Coburn-
Litvak et al. 2003; Kaplowitz et al. 2016) organ weights were expressed in milligrams per 100 g
of the final body weight. These somatometric parameters were also recorded in a CTRL animal
group.
Immunohistochemistry assays
One day after VEH and CORT treatments (i.e. on day 15) animals of each group (n=6) were
anesthetized with sodium pentobarbital (60-70 mg/kg, i.p.) and perfused via the ascending aorta
with 0.1 M phosphate-buffered saline (PBS; pH 7.4) followed by 0.1 M phosphate-buffered 4%
paraformaldehyde (pH 7.4). A CTRL animal group (n=6) was included for most comparisons.
The adrenal glands were removed, post-fixed for 24 h at 4ºC, and stored in PBS containing
30% sucrose at 4ºC until use; only the left adrenals were used for the assays. Adrenal sections (35
μm-thick) were obtained using a freezing microtome and collected in culture wells containing
PBS and stored at 4ºC overnight. On the day of the assay, sections were incubated in PBS for 10
min, and then washed four times with PBS containing 0.3% Triton X-100. For antigen retrieval,
sections were incubated in citrate buffer for 10 sec in microwave, washed three times with PBS
containing 0.3% Triton X-100 and then incubated in PBS containing 3% hydrogen peroxide for
30 min. After three more washes with PBS, sections were incubated with 0.3% bovine serum
albumin (BSA) in PBS containing 0.1% Triton X-100 for 2 h at room temperature. Next, sections
were incubated with a primary antibody raised in goat against 5-HT7 receptors (1:200; Santa
Cruz Biotechnology Inc., cat. SC-19160, Santa Cruz, CA, USA) for 70 h at 4ºC in PBS
containing 0.1% Triton X- 100. After three washes with PBS, sections were incubated with a
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HRP-conjugated rabbit anti-goat secondary antibody (1:1000; ZyMax, Invitrogen, cat. 81-1620,
Camarillo, CA, USA) for 2 h at room temperature in PBS. After three washes in PBS, sections
were revealed with 3,3′-diaminobenzidine (DAB substrate Kit; Vector Laboratories, Burlingame,
CA, USA) in PBS. Sections were washed with distilled water, mounted on gelatin-coated slides,
cover-slipped, allowed to dry overnight and photographed with a digital camera.
Western blot analysis
One day after completion of CORT and VEH treatments, animals of each group (n=4) were
euthanized by decapitation, and adrenal glands were removed and frozen with liquid nitrogen; a
CTRL animal group (n=4) was included for comparison. Left adrenals were then homogenized in
0.1 M Tris buffer (pH 7.4) and 25X complete protease-free inhibitor cocktail (complete mini
EDTA-free; Roche Applied Science, Penzberg, Germany), and 0.2 M sodium orthovanadate (pH
10; Sigma-Aldrich Inc., St. Louis, MO, USA) using a Polytron (Kinematica AG, Luzern,
Switzerland). Adrenal gland samples from each group were pulled together and the assays were
performed in quadruplicate. The adrenal gland homogenates were sonicated and centrifuged at
13,000 rpm for 15 min at 4°C and the supernatants were collected. Samples of the frontal cortex
were employed as a positive control expressing the 5-HT7 receptor (García-Osta et al. 2000).
Protein determinations were carried out using the Lowry method (Lowry et al. 1951). Identical
amounts of protein (50 μg per lane) of adrenal gland samples were separated by 10% sodium
dodecyl sulphate–polyacrylamide gel electrophoresis (SDS–PAGE). Next, the gels were
transferred on to polyvinylidene difluoride membranes (PVDF; Immobilon transfer membranes,
Millipore Corporation, Billerica, USA). PVDF membranes were then blocked with 5% non-fat
milk in Tris buffered saline-0.1% Tween-20 (TBST buffer, pH 7.4) and then incubated with a
primary antibody raised in goat against the 5-HT7 receptor (1:200; Santa Cruz Biotechnology
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Inc., cat. SC-19160, Santa Cruz, CA, USA), or with a primary antibody raised in rabbit against
the control protein, GAPDH (1: 25,000; GeneTex, cat. GTX100118, Alton Pkwy Irvine, CA,
USA), in 5% non-fat milk with TBST for overnight at 4°C. Next, membranes were rinsed three
times with TBST and then incubated with a rabbit anti-goat HRP-conjugated secondary antibody
(1:1000; ZyMax, Invitrogen, cat. 81-1620, Camarillo, CA, USA) or with a goat anti-rabbit HRP-
conjugated secondary antibody (1:5000; Santa Cruz Biotechnology Inc. cat. Sc 2004, Heidelberg
Germany) in 5% non-fat milk with TBST for 2 h, respectively. Membranes were then rinsed three
times with TBST and developed afterwards by incubation with chemiluminescent reagent
(SuperSignal West Femto Maximum Sensitivity Substrate, Thermo scientific, Rockford, USA).
To estimate the amount of 5-HT7 receptor protein relative to GAPDH for each sample, a
densitometric analysis was performed using the Quantity One® Software (Bio-Rad).
Reverse transcription-polymerase chain reaction
The adrenal glands from VEH- and CORT-treated animals (n=4 each) were excised and those of
the left side were used for the assays; a home cage CTRL group (n=4) was also included for
comparison. Expression of the mRNA encoding for the 5-HT7 receptor was measured by reverse
transcription-polymerase chain reaction (RT-PCR). Total RNA was extracted using the TRIzol
reagent (Invitrogen, Carlsbad, CA, USA). Reverse transcription was conducted in a reaction
volume of 50 µL using 5 µg of total RNA and Super Script II One-Step RT-PCR system
(Invitrogen, Carlsbad, CA, USA), following the manufacturer´s protocol in an end-point thermal
cycler (Gene Cycler; Bio-Rad). For amplification of 5-HT7 receptor cDNA, primers for rat 5-
HT7 receptor sequences were: sense 5’-AGG ATT TTG GCT ACA CGA TC-3’, and antisense,
5’-GAG GAA AAA CGG CAG CCA GCA-3’. These primer sequences have been used in
previous studies reporting expression of the 5-HT7 receptor in rat and porcine tissues (Turner et
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al. 2003; Ullmer et al. 1995; Urbina et al. 2014). Negative controls were made with total RNA to
ensure avoidance of genomic contamination. Positive and negative controls for 5-HT7 receptor
expression were carried out with total RNA from rat frontal cortex (García-Osta et al. 2000) and
liver (Shen et al. 1993), respectively. The constitutive GAPDH gene was used as housekeeping
gene with the primers: sense 5’-ACC ACA GTC CAT GCC ATC AG-3’, and antisense 5’-TCC
ACC ACC CTG TTG CTG TA-3’. The amplification profile involved a cDNA synthesis cycle at
60oC for 30 min, a denaturation cycle at 94ºC for 2 min, and 35 cycles involving denaturation at
92ºC for 1 min, annealing at 60ºC for 1 min, and extension at 74ºC for 2 min. After amplification,
PCR products were electrophoresed on a 1.5 % agarose gel for 1 h at 94 volts. Subsequent to
agarose gel electrophoresis bands were visualized with ethidium bromide under a UV light lamp
and digitalized; then, their intensities were measured by densitometry using the Quantity One 1-D
Image Analysis Software (Bio-Rad Laboratories Inc.). Since GAPDH mRNA expression did not
vary among treatment groups, all samples were normalized against this.
High Performance Liquid Chromatography
In order to verify whether chronic CORT treatment would also increase the adrenal content of 5-
HT, as reported in animal with chronic restraint stress (García-Iglesias et al. 2013), baseline
levels of 5-HT in adrenal glands from CTRL, VEH- and CORT-treated animals (n=4 each) were
determined by reverse-phase HPLC with electrochemical detection, as previously described for
dopamine (Gonzalez-Barrios et al. 2006). Briefly, one day after treatments (i.e. on day 15), left
adrenal glands were obtained from decapitated animals and thoroughly washed in isotonic saline
to remove remaining blood. The adrenals were then individually homogenized in cold 0.1 M
perchloric acid and ultracentrifuged at 10 psi for 10 min; supernatants were collected and filtered
(0.22 mm nylon filters; Millipore). Samples were then separated with an ODS Velosep RP C18
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column (3 µm, 100 x 3.2 mm, PerkinElmer, Waltham, MA, USA) at 30.5 °C, and detected by a
LC-4C electrochemical detector at +0.75 V with respect to the Ag/AgCl reference electrode
(Bioanalytical Systems, West Lafayette, IN, USA). Next, samples were eluted with a mobile
phase containing 0.01 M sodium dihydrogen phosphate, 0.01 M citric acid, 2 mM sodium EDTA,
1 mM octanesulfonic acid/sodium salt and 10% methanol at pH 3.22; the mobile phase was
delivered by a BAS HPLC PM-80- Pump (Bioanalytical Systems Inc., West Lafayette, IN, USA)
in isocratic elution mode at 0.5 mL/min. Quantification of 5-HT was performed with the Chrom
Graph 2.34.00 REPORT 2.30 software (Bioanalytical Systems, Inc., West Lafayette, IN, USA)
and protein concentrations were determined by the Bradford method (Bradford 1976).
Concentrations of 5-HT were calculated from the area of the chromatographic peaks based on an
internal standard and expressed as ρg/µg of protein.
Neuroendocrine studies
One day after the end of VEH and CORT treatments (i.e. on day 15), animals from each group
were subdivided into three subgroups, which were either left undisturbed (0 min; n=6) or
submitted to an acute restraint session for 10 (n=6) and 30 min (n=6), respectively. After the
acute stress periods, animals were killed by decapitation and trunk blood samples collected and
centrifuged; animals with no acute stress (i.e. 0 min) were decapitated before the beginning of
restraint sessions. Plasma was stored at -80ºC until used. Commercially available Elisa kits for
ACTH (cat. EK-001-21, Phoenix Pharmaceuticals Inc., Burlingame, CA, USA) and CORT (cat.
ADI-900-097, Enzo, Farmingdale, NY, USA) were employed for hormone level measurements.
The minimum detection concentration for each assay was 0.1 ng/mL and 27 pg/mL, respectively,
with an intra-assay precision of
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Data presentation and statistical evaluation
All data in the text, table and figures are presented as the mean ± SEM of at least four
determinations. The differences in body weight gain and relative organ weight, relative tissue
content of 5-HT7 receptor protein and mRNA as well as adrenal 5-HT content between CTRL,
VEH- and CORT-treated animals were all compared by one-way ANOVA. The effects of chronic
VEH and CORT treatments on acute restraint-induced ACTH and CORT secretion were
compared by a two-way ANOVA, with time of restraint and chronic treatment as between-
subject independent factors. The ANOVA tests were followed by Bonferroni post-hoc tests to
determine differences. In all cases, the level of significance was set at P < 0.05. Statistical
analyses were performed using GraphPad Prism version 6.00 (GraphPad Software, La Jolla,
California, USA).
Results
Effect of treatments on somatometric parameters
The physiological parameters reportedly altered subsequent to chronic stress exposure were
determined. Animals that received chronic CORT treatment exhibited significantly lower total
body weight numbers, which was reflected as a 15.4% and 22.7% loss of body weight gain as
compared to VEH-treated and CTRL animals, respectively (Table 1). In contrast to previous
observations showing adrenal gland enlargement in chronically-stressed animals (García-Iglesias
et al. 2013; Ulrich-Lai et al. 2006), relative adrenal gland weight was significantly lower in
CORT- as compared to VEH-treated and CTRL animals (Table 1). In the case of relative thymus
weight a decrease was observed in animals that received CORT relative to CTRL and VEH
treatments (Table 1).
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Effect of chronic corticosterone treatment on 5-HT7 receptor expression in adrenal glands
The impact of chronic corticosteroid treatment on 5-HT7 receptor expression in the adrenal
glands was evaluated by immunohistochemistry, Western blot and RT-PCR assays. Thus, in
resemblance to previously reported changes in the amount of 5-HT7 receptors in the adrenal
glands from animals with a history of 14-day chronic restraint stress (García-Iglesias et al. 2013),
chronic administration of CORT induced, relative to CTRL conditions (Fig. 1A, 1D) and VEH
treatment (Fig. 1B, 1E), a remarkable increase of 5-HT7 receptor-like immunoreactivity (5-
HT7R-LI) in the adrenal cortex, with the highest density of immunostaining in the zona
glomerulosa and the outer zona fasciculata cell layers (Fig. 1C, 1F). In addition, higher 5-HT7R-
LI was detected in the cortex of adrenal glands from VEH-treated (Fig. 1B, 1E) as compared to
CTRL animals (Fig. 1A, 1D) most likely as a result of stress induced by daily manipulation and
injection in the former group.
Consistent with the above observations, Western blot analyses revealed a 56.9% and 57.4%
higher relative 5-HT7 receptor protein content in adrenal glands from CORT-treated rats as
compared to the corresponding values in adrenals from VEH-treated and CTRL animals (Fig.
2A). That the above changes in protein content may be accounted for by increased expression of
5-HT7 receptors is supported by the observation that the corresponding mRNA levels also
increased in the adrenal glands from CORT-treated relative to CTRL and VEH-treated animals as
shown by the RT-PCR experiments (Fig. 2B). Interestingly, these experiments revealed the
presence of two distinct bands (i.e. adrenals from CORT-treated animals and frontal cortex; Fig.
2B) likely suggesting the expression of two 5-HT7 receptor isoforms in these tissues.
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Effect of chronic corticosterone treatment on adrenal 5-HT content
As shown in Fig. 3, chronic CORT administration induced a significant increase in the adrenal
content of 5-HT as compared to that in adrenals from CTRL and VEH-treated animals. As one
could expect from the stressful effects of manipulation in animals that received chronic VEH
administration, a higher adrenal content of 5-HT was detected in this group as compared to that in
CTRL animals (Fig. 3).
Effect of treatments on acute restraint-induced ACTH and corticosterone secretion
As depicted in Fig. 4, acute restraint induced a time of stress-dependent increase of ACTH and
CORT secretion in VEH-treated rats with the highest secretion of both hormones occurring at the
30 min restraint period. In contrast to previous observations in animals with a history of chronic
restraint stress exhibiting markedly blunted restraint-induced ACTH secretion along with
magnified restraint-induced CORT secretory responses (García-Iglesias et al. 2013), chronic
CORT administration produced a modest non-significant blunting of both baseline (0 min) levels
and stress-induced ACTH and CORT responses at 10 min of restraint, along with a significant
decrease of stress-induced responses of both hormones at 30 min of restraint (Fig. 4).
Discussion
The major finding of the present study is that raising the circulating levels of CORT through a
14-day chronic administration protocol did increase expression of 5-HT7 receptors in the adrenal
cortex relative to corresponding tissue samples from CTRL and VEH-treated animals. This effect
was visualized as a remarkable increase of 5-HT7R-LI in adrenocortical cells of the zona
glomerulosa and the outer and inner zona fasciculata, along with increased 5-HT7 receptor
protein and mRNA levels in whole adrenal glands from animals that received CORT as compared
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to those that received VEH or no treatment at all (CTRL group). In support of a role of
glucocorticoids in the development of a stimulatory serotonergic loop in the adrenal glands as a
result of chronic stress exposure (García-Iglesias et al. 2013), chronic CORT treatment also
increased the adrenal content of 5-HT as compared to CTRL and VEH treatments. Apart from the
implications discussed below, the present results support the notion that ectopic expression of
adrenocortical 5-HT7 receptors (likely involved in stress-induced corticosteroid secretion) may
be an ACTH-dissociated glucocorticoid-dependent phenomenon. This CORT-induced change
however did not correlate with sensitized restraint-induced CORT secretory responses.
The typical morphometric changes induced by chronic stress include decrease of body
weight gain, thymus involution and adrenal enlargement (Blanchard et al. 1998; Gamallo et al.
1986; Hu et al. 2000; Kuipers et al. 2003; Moraska et al. 2000). In the present study, chronic
corticosteroid treatment also decreased body weight gain and relative thymus weight but it
produced however a decrease of relative adrenal weight. This later finding, which parallels
previous observations showing a decrease of adrenal mass in rats with chronically elevated
CORT levels (D’souza et al. 2012), suggests that it is the chronic stimulation of the stress
response but not the sole increase of glucocorticoid levels what may actually induce enlargement
of the adrenal glands. It is well known in fact that during prolonged ACTH treatment an initial
increase in adrenal weight, RNA and protein, which is later followed by an increase in adrenal
DNA takes place (Alario et al. 1987; Dallman et al. 1980; Imrie et al. 1965), consistent with the
notion that stress-induced surges of ACTH play a critical role in chronic stress-induced adrenal
enlargement through mechanisms that involve hyperplasia and hypertrophy of the outer and inner
zona fasciculata cell layers, respectively (Ulrich-Lai et al. 2006). Accordingly, chronic ACTH
treatment reportedly increases the volume of zona fasciculata cells (Nussdorfer and Mazzocchi
1983), which in turn correlates with increased corticosteroid output in response to exogenous
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ACTH without detectable changes in adrenal ACTH sensitivity (Ulrich-Lai et al. 2006). Then,
the decrease of relative adrenal weight in CORT- as compared to CTRL and VEH-treated
animals (present study) was most likely due to the absence of ACTH secretory responses.
Accumulating evidence suggests that adrenocortical 5-HT7 receptors may play an important
pathophysiological role in states of hypercortisolemia (Brooks et al. 1988; García-Iglesias et al.
2013; Louiset et al. 2006; Louiset et al. 2008) and that selective 5-HT7 receptor antagonists
might in fact represent a new therapeutic approach for the treatment of stress-related disorders
including major depression (Hedlund et al. 2005; Wesołowska et al. 2006a; Wesołowska et al.
2006b; Wesołowska et al. 2007). A role of 5-HT7 receptors in chronic stress-induced endocrine
dysregulation and excessive stress-induced corticosteroid secretion has been proposed on the
basis of: a) the effectiveness of a selective 5-HT7 receptor antagonist to restore sensitized
restraint-induced CORT responses to control values in animals with a previous experience of
chronic stress (García-Iglesias et al. 2013); b) ectopic expression of adrenocortical 5-HT7
receptors under conditions of high circulating levels of glucocorticoids, as reported in chronically
stressed animals (García-Iglesias et al. 2013) as well as in AIMAH (Louiset et al. 2006) and
carcinoma cells ( Louiset et al. 2008); interestingly, 5-HT has been found to produce more potent
and efficacious corticosteroid secretory responses in adrenocortical adenoma cells in vitro (as
compared to normal tissue cells) through a methiothepin-sensitive mechanism (Contesse et al.
2005); and c) increased 5-HT-like immunoreactivity in the adrenal cortex and 5-HT content in
adrenals from animals previously submitted to chronic stress (García-Iglesias et al. 2013). In the
present study we found that raising the circulating levels of corticosteroids through a 14-day
chronic CORT treatment did induce expression of 5-HT7 receptors as shown by the increase of
adrenal 5-HT7 receptor protein and mRNA levels. These observations are in resemblance with
earlier reports showing that acute stress increases 5-HT7 receptor mRNA in the rat hippocampus
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(Yau et al. 2001), and that chronic unpredictable mild stress enhances it both in the hippocampus
and the hypothalamus (Li et al. 2009). In contrast to these observations however, blunting of
glucocorticoid levels by adrenalectomy was shown to induce 5-HT7 receptor upregulation in the
rat hippocampus (Yau et al. 1997) whereas chronic restraint stress decreased 5-HT7 receptor
levels in the paraventricular nucleus of the hypothalamus in rats (García-Iglesias et al. 2013).
Together, the above observations reveal complex and contrasting effects of glucocorticoids on
regulation of 5-HT7 receptor expression, the nature of which remains to be elucidated. Finally,
regarding the present RT-PCR results, this is the first study showing a potential expression of 5-
HT7 receptor isoforms in rat adrenal glands. Interestingly, a previous study using the same
primer sequences employed here (Ullmer et al. 1995) reported a closely similar pattern of 5-HT7
receptor mRNA expression in porcine conjunctival cells (i.e. two distinct bands; Turner et al.
2003). Further studies are required to explore the possible expression of 5-HT7 receptor isoforms
in rat adrenal glands and whether this might be affected by chronic exposure to glucocorticoids.
In addition to increasing 5-HT7 receptor expression, chronic CORT administration also
produced an increase in the adrenal content of 5-HT. This finding supports the notion that the
increased adrenal levels of 5-HT in animals with a history of chronic restraint stress (García-
Iglesias et al. 2013) is also a glucocorticoid-dependent phenomenon; thus, 5-HT would represent
a stimulatory signal capable of activating corticosteroid secretion via activation of adrenocortical
5-HT7 receptors. It remains to be determined nevertheless whether the above effect of
glucocorticoids on adrenal 5-HT levels may involve synthesis of this monoamine, as previously
observed in primary pigmented nodular adrenocortical disease (i.e. a clinical pathological
condition of ACTH-independent hypercortisolemia; Bram et al. 2016).
The dose of CORT employed in the present study (20 mg/kg, s.c. per day) was selected on
the basis of previous studies showing that a chronic 7-day CORT treatment given in a total dose
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of 20 mg/kg per day (10 mg/kg, s.c. given twice a day) induced both functional desensitization of
5-HT1A receptors in the CA1 area of the hippocampus (Czyrak et al. 2002) and regulation of
function and expression of 5-HT1A receptors involved in disruption of prepulse inhibition of
acute startle response in rats (Czyrak et al. 2003). Further, it should be highlighted that, while
preparing this manuscript, an interesting study appeared published on the ability of a 14-day
chronic CORT treatment (10 mg/kg, s.c. given twice a day) to reduce the reactivity of 5-HT7
receptors that modulate GABAergic transmission in the dorsal raphe nucleus, thus supporting the
ability of our chronic CORT treatment protocol to induce significant alterations of the 5-HT
system and receptors (Sowa et al. 2018).
From the results of the immunohistochemistry assays, it seems clear that 5-HT7 receptor
expression in CORT-treated rats occurred primarily in the adrenal cortex but not in the medulla;
such adrenocortical changes were observed in the zona glomerulosa and the outer and inner zona
fasciculata cell layers thereby resembling the expression pattern reported in animals with chronic
restraint stress (García-Iglesias et al. 2013). Indeed, previous PCR and Western blot experiments
have revealed expression of 5-HT7 receptor mRNA and protein in the zona fasciculata/reticulata
of the rat adrenal cortex (Contesse et al. 1999), which is in line with the present
immunohistochemistry and Western blot results. It should be highlighted nevertheless that
expression of 5-HT7 receptors in adrenocortical corticosteroid-producing cells did not translate
into augmented restraint-induced CORT responses, as reported previously in rats with a history
of a 14-day chronic stress paradigm (García-Iglesias et al. 2013). This implies that more complex
mechanisms must be set in motion (e.g. by stress) for the development and manifestation of
corticosteroid hypersecretion. A likely explanation for the contrasting effects between chronic
stress and chronic CORT treatment regarding acute stress-induced corticosteroid secretion may
rely on the absence of repeated ACTH secretory responses in the latter (present study). In
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accordance with this possibility, previous in vitro studies using dispersed zona fasciculata cells
have demonstrated that ACTH evokes grater maximal cAMP, pregnenolone and CORT
production in cells taken from rats with a previous experience of chronic restraint stress (2 h/day
for 14 days) with no change in sensitivity; interestingly, these alterations were mimicked by
repeated ACTH administration thus implicating an ACTH-dependent mechanism (Aguilera et al.
1996). Similar findings were reported in dexamethasone-blocked rats in which a 14-day chronic
variable stress paradigm produced increased CORT responses to exogenous ACTH
administration with no change in sensitivity (Ulrich-Lai et al. 2006). Together, these observations
suggest that, upon exposure to chronic stress, ACTH responses may promote increased ACTH
receptor expression and/or activity leading in turn to magnified activity of corticosteroid-
producing pathways. This notion is consistent with the well-documented effects of ACTH in
adrenal steroidogenesis, which comprise important regulatory effects on gene transcription of
steroidogenic enzymes in the adrenal cortex (Davis and Garren 1968; Pon and Orme-Johnson
1984). Accordingly, repeated ACTH administration reportedly increases the levels of
steroidogenic acute regulatory protein (StAR) mRNA and protein in the zona fasciculata-
reticularis (Lehoux et al. 1998), whereas a 3-fold increase of ACTH plasma levels through
metyrapone administration in rats was found to increase zona fasciculata cells containing the
glucocorticoid synthesizing enzyme, cytochrome P45011β (Mitani et al. 1996). On the basis of
the above, the sensitizing effects of chronic stress on acute stress-induced corticosteroid secretion
may require, at least in part, ACTH-dependent sensitization of the signalling pathways involved
in corticosteroid production. Nevertheless, in the light of the remarkable blunting of stress-
induced ACTH responses in animals with a history of chronic restraint stress (García-Iglesias et
al. 2013), a key issue to be clarified is whether additional sensitizing mechanisms of
corticosteroid production may come into play during the course of chronic stress once
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desensitization of the ACTH output to the persistent stimulus has taken place, as reported in
studies with other physical/psychological stress paradigms (see Aguilera 1994 for review).
Finally, regarding the molecular mechanisms potentially involved in chronic stress-induced
5-HT7 receptor overexpression and 5-HT-producing pathways in adrenocortical cells (García-
Iglesias et al. 2013), previous studies in human adrenocortical cells have shown that activation of
protein kinase A (PKA) by genetic mutations affecting the PKA regulatory subunit R1A, triggers
upregulation of the 5-HT synthesizing enzyme, tryptophan hydroxylase, and several types of 5-
HT receptors including the 5-HT7 receptor, leading to enhancement of glucocorticoid production
(Bram et al. 2016). Since ACTH is well known to trigger glucocorticoid secretion through
activation of the cAMP/PKA pathway after binding to its specific receptor (i.e. the MC2
receptor), it seems likely that ACTH may initiate 5-HT7 receptor overexpression and 5-HT
synthesis in the adrenal glands during chronic stress, the synthesis of both being then amplified
by CORT produced under ACTH stimulation. On this basis, 5-HT7 receptor expression and
probably also 5-HT synthesis could thus result from a dual mechanism that would synergistically
or sequentially involve both ACTH and CORT. Further investigation aimed at elucidating
detailed molecular mechanisms involved in chronic stress-induced hypercortisolemia is
warranted.
Conclusion
The results of the present study are consistent with the notion that ectopic expression of 5-HT7
receptors and 5-HT levels in adrenocortical steroidogenic cells is a glucocorticoid-dependent
phenomenon. Relative to previous observations in rats with a history of chronic restraint stress
however, the absence of sensitized restraint-induced corticosteroid responses in CORT-treated
animals implies that, further to adrenocortical 5-HT7 receptors, other mediators/mechanisms
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must be involved in chronic stress-induced endocrine dysregulation and increased corticosteroid
secretion. Further investigation is required to elucidate the molecular mechanisms underlying
abnormal ACTH-independent secretion of glucocorticoids in which adrenocortical 5-HT7
receptors seem to play a role. It also remains to be determined whether blockade of
adrenocortical 5-HT7 receptors involved in hypercortisolemia might account for the
antidepressant-like effects of 5-HT7 receptor antagonist drugs (Hedlund et al. 2005; Wesołowska
et al. 2006a; Wesołowska et al. 2006b; Wesołowska et al. 2007).
Conflicts of interest
The authors declare no conflicts of interest.
Acknowledgements
Authors are grateful to Dr. Daniel Martínez-Fong (Department of Physiology, Biophysics and
Neurosciences, CINVESTAV-IPN, Mexico City), for providing us with guidance and technical
facilities for HPLC measurements. This study was supported by the National Research Council of
Science and Technology of Mexico (CONACYT; Grant 256882).
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Legends to Figures
Fig. 1. The effect of 14-day chronic administration of corticosterone (CORT; 20 mg/kg, s.c. per
day) as compared to vehicle (VEH; 1 ml/kg, s.c. per day) and home cage control (CTRL)
conditions on 5-HT7 receptor-like immunoreactivity (5-HT7-RLI) in rat adrenal glands. Whereas
5-HT7-RLI was scarcely observed in the cortex of CTRL tissues (A and D), strong 5-HT7
receptor immunostaining was observed in the outer cortical areas of adrenal glands from CORT-
treated animals (C and F). Consistent with the effect of stress induced by daily manipulation and
s.c. administration, increased 5-HT7-RLI was observed in the cortex of adrenals taken from
VEH-treated animals as compared to CTRL tissues (B and E). Bars in A, B and C = 500 µm; bars
in D, E and F = 100 µm
Fig. 2. The effect of 14-day chronic administration of corticosterone (CORT; 20 mg/kg, s.c. per
day) as compared to vehicle (VEH; 1 ml/kg, s.c. per day) and home cage control (CTRL)
conditions on the content of 5-HT7 receptor protein (panel A) and mRNA (panel B) levels with
respect to GAPDH, as determined by Western blot analysis and RT-PCR, respectively. Chronic
CORT treatment significantly increased both relative 5-HT7 receptor protein and mRNA levels
with respect to CTRL conditions and chronic VEH administration. Samples of the frontal cortex
(FC) and liver (LIV) were taken from CTRL animals and assayed as positive and negative
controls, respectively, of 5-HT7 receptor expression. ** P < 0.01 vs CTRL; *** P < 0.001 vs
CTRL.
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Fig. 3. The effect of 14-day chronic administration of corticosterone (CORT; 20 mg/kg, s.c. per
day) as compared to vehicle (VEH; 1 ml/kg, s.c. per day) and home cage control (CTRL)
conditions on the adrenal content of 5-HT as measured by HPLC. Chronic CORT treatment
significantly increased adrenal 5-HT levels as compared to CTRL and VEH treatments; in
addition, a higher content of 5-HT was detected in VEH-treated animals as compared to CTRL
tissue samples. ** P < 0.01 vs VEH; *** P < 0.001 vs CTRL.
Fig. 4. The secretion of ACTH (panel A) and corticosterone (CORT; panel B) in rats previously
submitted to chronic treatment with vehicle (VEH; 1 ml/kg, s.c. per day) or corticosterone
(CORT; 20 mg/kg, s.c. per day) for 14 days. On day 15, animals were decapitated without any
stress exposure (0 min) or after an acute restraint stress session for 10 and 30 min. Bars represent
the mean and vertical lines denote the standard error of the mean of 6 observations. *** P <
0.001 vs 30 min VEH.
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Table 1. Effect of chronic corticosterone (CORT) treatment as compared to that of VEH and home cage control conditions (CTRL) on total body weight, body weight gain, and relative adrenal gland and thymus weights expressed as mg of tissue per 100 g of body weight. One day after the end of treatments the adrenal glands from both sides and thymus were removed, cleaned of adherent tissue and weighed immediately afterwards.
Body weight (g)Relative organ weight
(mg/100 g body weight)Initial Final Gain LAG RAG Thymus
CTRL 174.3±2.1 274.6±3.2 57.7±1.4 9.08±0.20 8.46±0.25g 321±7.5VEH 174.4±1.7 266.4±3.6a 52.7±1.1c 9.77±0.26 9.44±0.25 287±12.6h
CORT 166.8±2.1 241.1±3.4b 44.6±1.3d 7.08±0.15e 6.58±0.20f 208±8.5ia P < 0.01 vs CTRL Final; b P < 0.0001 vs CTRL Final; c P < 0.001 vs CTRL; d P < 0.0001 vs CTRL;e P < 0.0001 vs CTRL and VEH; f P < 0.0001 vs CTRL and VEH; g P < 0.01 vs CTRL LAG; h P < 0.01 vs VEH; i P < 0.0001 vs CTRL
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