Abstract
In humans, early-life adversity is associated with impairments in learning and memory that may emerge later in life. In rodent models, early-life adversity directly impacts hippocampal neuron structure and connectivity with progressive deficits in long-term potentiation and spatial memory function. Previous work has demonstrated that augmented release and actions of the stress-activated neuropeptide, CRH, contribute to the deleterious effects of early-life adversity on hippocampal dendritic arborization, synapse number and memory-function. Early-life adversity increases hippocampal CRH expression, and blocking hippocampal CRH receptor type-1 (CRHR1) immediately following early-life adversity prevented the consequent memory and LTP defects. Here, we tested if blocking CRHR1 in young adults ameliorates early-life adversity-provoked memory deficits later in life. A weeklong course of a CRHR1 antagonist in 2-month-old male rats prevented early-life adversity-induced deficits in object recognition memory that emerged by 12 months of age. Surprisingly, whereas the intervention did not mitigate early-life adversity-induced spatial memory losses at 4 and 8 months, it restored hippocampus-dependent location memory in 12-month-old rats that experienced early-life adversity. Neither early-life adversity nor CRHR1 blockade in the adult influenced anxiety- or depression-related behaviors. Altogether, these findings suggest that cognitive deficits attributable to adversity during early-life-sensitive periods are at least partially amenable to interventions later in life.
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Introduction
Age-related memory loss has a significant impact on an individual’s quality of life in addition to global economic burden [1, 2]. Predisposition to cognitive disorders throughout life is established through an interplay of inherited and environmental factors [3, 4]. Brain development during the early postnatal period is particularly susceptible to environmental influences [5,6,7,8,9,10] and in rodents the first 2 weeks of life represent a sensitive period for hippocampal maturation [11]. In humans, studies have found association with an impoverished environment during childhood and impaired cognition/dementia later in life [12, 13], however, it is difficult to account for genetic and societal factors in these analyses [14]. Mechanistic studies in rodents have found that stress early in life can lead to delayed, progressive impairments of hippocampal function [15, 16]. These enduring memory deficits are likely due to a cascade of cellular and molecular mechanisms that ultimately result in changes to learning and memory circuits [17,18,19,20].
The hippocampus is particularly vulnerable to adverse experiences early in life. There is evidence of reduced hippocampal volume in children raised in orphanages [21] and other types of adversity [22, 23], and in rodents exposed to early-life stress [15, 24, 25]. In rodents, the reduction in volume is likely a result of reduced dendritic arborization [25,26,27,28]. Reduction in hippocampal dendrites is a well described consequence of chronic stress, glucocorticoids acting via glucocorticoid receptors (GR) [29, 30] and corticotropin releasing hormone (CRH) [16, 28, 31] both impact dendritic arborization. This is thought to involve a process commencing with loss of synapses and dendritic spines and subsequent dendritic atrophy [32, 33]. During development, both glucocorticoids and CRH may directly inhibit dendritic arborization [28, 34]. CRH is expressed in the hippocampus within a subpopulation of interneurons [35,36,37,38,39,40]. Both tonically [41] and during stress, CRH is released locally and binds to corticotropin releasing hormone type-1 (CRHR1) receptors on pyramidal cells [42], resulting in neuronal activation [41,42,43]. Sustained increases in CRHR1 activation in the hippocampus results in destruction of dendritic spines and synapse integrity via actin remodeling [31, 44,45,46], promoting deficits in learning and memory [47,48,49].
A rodent model of simulated poverty accomplished by limiting bedding and nesting materials in pups cages during postnatal days 2–9 (LBN) leads to sustained elevations in CRH in the hippocampus [16, 24]. As adults, rodents who experienced the LBN paradigm (LBN rats or mice) have significant impairments in learning and memory [15, 17, 25, 50,51,52], and these worsen with age [15]. These impairments in learning and memory were replicated by infusing CRH directly into the brains of immature rats while controlling the levels of circulating glucocorticoids [53]. Conversely, when a CRHR1 antagonist is administered during the sensitive period of hippocampal development, deficits in learning and memory following LBN are prevented [24]. This suggests a vital contribution of CRH to the progressive deficits in learning and memory resulting from early-life adversity, and demonstrates that early mechanism-based interventions, immediately following the adversity period, are effective.
The goal of the present study was to identify if interventions later in life, and specifically during young adulthood, can alleviate adversity-induced memory loss and its progression.
Methods
Animals
Subjects were male rats born to timed-pregnant Sprague-Dawley rat dams maintained on 12 h light/ dark cycles with ad libitum access to chow and water. On P2, litters were cross-fostered for all groups to obviate potential genetic and litter size confounders. For experiment 1 (Fig. 1b, c), male and female pups from a total of seven litters were distributed across six dams (three control and three LBN dams) to a maximum of 12 pups per dam. After weaning, males were then randomly assigned to an experimental group (control; untreated (4), vehicle (3), antagonist (5), or LBN; untreated (4), vehicle (3) or antagonist (6)). For experiment 2 (Figs. 2 and 3), male and female pups from four litters were gathered, and assigned at random to three dams (one control and two LBN dams), to a maximum of 12 pups per dam. After weaning, males were randomly assigned to experimental group (control; vehicle (3), antagonist (3) and LBN; vehicle (6), antagonist (6)). Weaned males were housed with littermates of the same treatment group, three per cage. Female animals will be the focus of future studies [54]. The results from experiment 1 (Fig. 1) were used to inform the study design of experiment 2 (Figs. 2 and 3) and the numbers were determined accordingly. All experiments were performed in accordance with National Institutes of Health guidelines and were approved by the University of California-Irvine, Animal Care and Use Committee.
The early-life adversity paradigm
The simulated poverty limited bedding and nesting paradigm (LBN) consisted of limiting nesting and bedding materials in cages between P2–P9 as described previously [55, 56]. Control and experimental cages were undisturbed during P2–P9. One animal in the LBN + CRHR1 antagonist group died prior to testing on the elevated plus maze at 12 months of age and therefore is not included in these analyses (see supplementary methods).
Intracerebroventricular (ICV) administration of CRHR1 blocker
The selective CRHR1 blocker, NBI30775 (3-[6-(dimethylamino)-4-methyl-pyrid-3-yl]-2,5-dimethyl-N,N-dipropyl-pyrazolo[2,3-a]pyrimidin-7-amine) (0.5 µL/hour, ~4 mg/kg/day) or vehicle were chronically infused into the cerebral ventricles via osmotic minipumps (model 2001, Alzet Corp., Cupertino, CA), to both control and LBN male rats for 1 week, commencing at 2 months of age [24] (see Supplementary methods).
Memory tests: novel object recognition memory (ORM) and object location memory (OLM) tests
Tests of object recognition and of spatial memory were conducted at 4, 8 and 12 months of age (Fig. 1a) as described previously [25]. Training consisted of rats exploring two identical objects for 10 min. For recognition memory (ORM) (Fig. 2a), rats were tested 24 h later: they were presented with a duplicate of a previously encountered object from the training session and a novel object. For OLM testing (Fig. 2d), one of the two objects was moved to the center of the cage, and the other object remained in the previous location. Testing sessions lasted for 5 min. The ratio of time spent with novel object or one located in a novel place over the familiar object/location was calculated. In addition, the discrimination index (DI) was calculated as ((novel – familiar)/(novel + familiar)) × 100 as an index of memory in both ORM and OLM tests (see Supplementary methods).
Elevated plus maze (EPM)
To examine the potential influence of early-life adversity on “‘anxiety-like” behaviors, rats were tested on the elevated plus maze for a 5-min trial as described previously [15] and percentage time spent in the open arm was calculated (see Supplementary methods).
Porsolt’s forced swim test (FST)
The swim test consisted of two sessions separated by 24 h in a dimly lit room as described previously [57]. The durations of floating (immobility), climbing, and swimming were scored and served as indicators of depressive-like vs. coping-like behaviors [58] (see Supplementary methods).
Statistical considerations and analyses
The longitudinal assessment of memory (ORM and OLM) over the lifespan of an individual rat was conducted using three-way repeated measures analysis of variances with a Greenhouse-Geisser correction. To account for the missing animal in the 12-month time point, a mixed-effects model (REML) was used to analyze EPM and FST data; significance was set at p ≤ 0.05. T-tests with Benjamini–Hochberg correction wer used for post-hoc tests to determine specific effects of antagonist. Statistical analyses were performed using GraphPad prism 8.0 (GraphPad software, Inc., LA Jolla, CA). All graphs show the mean ± standard error of the mean (SEM).
Results
A CRHR1 blocker administered during early adulthood rescues memory deficits provoked by early-life adversity
The intervention surgery itself does not influence memory throughout adulthood
We first examined for potential effects of the minipump implantation surgery on memory. A separate cohort of animals were reared in LBN cages (n = 16) or in control lab cages (n = 12). As adults, half of each group received osmotic minipumps. Of the surgery animals, six rats received vehicle (three control, three LBN) and 13 received CRHR1 antagonist (seven control, six LBN). The rats were tested for ORM at 10 months of age. Both measures of this memory, the novel:familiar ratio (Fig. 1b) and the discrimination index (Fig. 1c) yielded similar results. Planned testing for an overall effect of pump found none (ratio; (F(1,13) = 0.24, p = 0.63), DI; (F(1,13) = 0.25, p = 0.62). A decrease in memory following LBN was apparent (ratio; (F(1,13) = 12.84, p = 0.003), DI; (F(1,13) = 17.66, p = 0.001) with no significant interaction (ratio; (F(1,13) = 0.03, p = 0.88), DI; (F(1,13) = 0.57, p = 0.46). This preparatory experiment indicated that the potential stress of surgery and of carrying a minipump in the adult did not impact memory assessed months later, during middle age. Therefore, subsequent experiments included the minipump/vehicle group as controls.
Then, to determine the effects of blocking CRHR1 in adulthood on the LBN-associated deficits in learning and memory, the CRHR1 blocker was infused to young LBN and control adults, and they were tested for ORM and OLM at 4, 8, and 12 months of age.
Object recognition memory (ORM)
Training parameters
In the training sessions, no animal had a discrimination index score indicating object preference (above 21), and all rats were included in the analysis. Similarly, during training, there were no overall effects of age (F(1.79, 25.02) = 1.15, p = 0.33), LBN (F(1, 14) = 1.56, p = 0.23), or antagonist (F(1, 14) = 1.34, p = 0.27) on the DI. In addition, early adversity did not alter ORM training across age (F(2, 28) = 0.37, p = 0.69) or with the CRHR1 blocker (F(1, 14) = 0.10, p = 0.76), and the effect of the blocker was not altered over time (F(2, 28) = 1.10, p = 0.35). Finally, interaction of age x LBN x antagonist was not observed (F(2, 28) = 1.81, p = 0.18). Altogether, these data excluded effects of either LBN or the CRHR1 antagonist on training in the ORM test.
Early-life adversity and CRHR1 blocker effects on object recognition memory
LBN affected ORM significantly, consistent with our prior work, and this effect increased with age (F(2, 28) = 3.51, p = 0.04). There were no overall effects of age (F(1.65, 23.17) = 0.75, p = 0.46), of the early-life adversity (F(1, 14) = 2.19, p = 0.16) or of the CRHR1 antagonist (F(1, 14) = 2.06, p = 0.17) (Fig. 2b, c)), Notably, neither age (F(2, 28) = 0.87, p = 0.43), nor LBN (F(1, 14) = 2.58, p = 0.13) influenced the effect of the antagonist (Fig. 2b, c). Additionally, there was no significant interaction between age x LBN x antagonist (F(2, 28) = 0.47, p = 0.63) (Fig. 2b, c). Given that the effect of the adverse early-life rearing was age dependent, we conducted post-hoc testing to inquire about potential overall age-related effects of the antagonist. We found no effect of the blocker on controls at 4 (p = 0.98), 8 (p = 0.98) or 12 (p = 0.98) months (Fig. 2b, c). In LBN-experiencing rats, adult administration of CRHR1 antagonist had no significant effects on object recognition at age 4 months (p = 0.98) or 8 months (p = 0.08). Surprisingly, the blocker significantly improved in object discrimination at 12 months of age (p = 0.05) (Fig. 2b, c). Thus, the CRHR1 blocker mitigated the age-related vulnerability of recognition memory engendered by early-life adversity [15, 24].
Total time investigating the objects was analyzed to exclude potential confounding by age or LBN (Supplementary Fig. 1a). There was an overall effect of age on the time investigating the objects during the testing phase (F(1.96, 27.42) = 20.45, p < 0.0001) with exploration times decreasing with age (Supplementary Fig. 1a). However, there were no effects of LBN (F(1, 14) = 0.10, p = 0.14) or the CRHR1 antagonist (F(1, 14) = 0.95, p = 0.34) (Supplementary Fig. 1a). No age x LBN (F(2, 28) = 0.15, p = 0.86) or time x antagonist (F(2, 28) = 0.65, p = 0.53) LBN x antagonist (F(1, 14) = 0.36, p = 0.56) or age x LBN x antagonist (F(2, 28) = 0.02, p = 0.98) interactions were identified, indicating that age effected total investigation time equally between groups (Supplementary Fig 1a).
Object location memory (OLM)
Training parameters
In the training sessions, no animal exhibited a significant object preference and all animals were included in the analyses. There were no main effects of age (F(1.92, 26.93) = 0.61, p = 0.55), LBN (F(1, 14) = 1.40, p = 0.26) or the CRHR1 antagonist (F(1, 14) = 1.75, p = 0.21) on DI during training. Neither early adversity (F(2, 28) = 0.27, p = 0.77) nor the CRHR1 antagonist (F(2, 28) = 0.92, p = 0.41) altered exploration time with age. The CRHR1 antagonist did not change object exploration differently across rearing conditions (F(1, 14) = 1.39, p = 0.26), nor did this change with age (F(2, 28) = 0.62, p = 0.55), Thus, age, LBN or the administration of a CRHR1 blocker did not affect training on the OLM task.
Early-life adversity and CRHR1 blocker effects on object location memory
LBN impaired location memory (F(1, 14) = 24.38, p = 0.0002), indicating a significant impairment of spatial memory, at all age groups following LBN (Fig. 2e, f), in line with our prior reports [24, 25]. There were no overall effects of age (F(1.59, 22.27) = 0.92, p = 0.39) or the CRHR1 blocker (F(1, 14) = 3.06, p = 0.10) (Fig. 2e, f). In addition, we did not identify interactions of age with LBN (F(2, 28) = 0.19, p = 0.83) or with the CRHR1 antagonist (F(2, 28) = 0.96, p = 0.39), nor was there an age x LBN x antagonist interaction (F(2, 28) = 0.35, p = 0.71) (Fig. 2e, f). Notably, the effect of the CRHR1 blocker depended on early-life adversity (F(1, 14) = 9.543, p = 0.008) (Fig. 2e, f). Planned post-hoc tests to determine antagonist effects found no differences in controls at 4 (p = 0.49), 8 (p = 0.49) or 12 (p = 0.49) months, nor significant differences at 4 (p = 0.30) or 8 (p = 0.49) months in the LBN group. Remarkably, the CRHR1 blocker rescued spatial memory at 12 months of age (p = 0.05) (Fig. 2e, f).
Age influenced total exploration time during testing (F(1.84, 25.82) = 20.84, p < 0.0001), as identified for the ORM task; however, there were no main effects of LBN (F(1, 14) = 0.43, p = 0.52) nor the CRHR1 antagonist (F(1, 14) = 1.03, p = 0.33) on this parameter (Supplementary Fig. 1b). Similarly, we did not observe significant age x LBN (F(2, 28) = 0.64, p = 0.53), age x CRHR1 antagonist (F(2, 28) = 0.57, p = 0.57), LBN x CRHR1 antagonist (F(1, 14) = 0.36, p = 0.55) or age x LBN x CRHR1 antagonist (F(2, 28) = 0.37, p = 0.70) interactions (Supplementary Fig. 1b)
Altogether, the findings indicate that hippocampus-dependent spatial memory is enduringly impaired by early-life adversity already at 4 months. Surprisingly, whereas prior CRHR1 blocker administration (at 2 months) does not prevent the deficits at 4 and 8 months, it mitigates these memory defects by middle age (12 months).
Early-life adversity and CRHR1 antagonist administered in early adulthood have no effects on anxiety- and depression-like behaviors in male rats
To define the scope of early-life adversity consequences and in view of the important contribution of CRH to stress-related behaviors, including anxiety and depression, we tested the rats in tasks that aim to measure anxiety and depression-like behaviors in rodents.
During the test for anxiety-like phenotypes on the elevated plus maze, there was an overall effect of age on the proportion (%) of time spent in the open arm (F(1.28, 17.33) = 4.75, p = 0.04) (Fig. 3a, b). There were no main effects of rearing in the LBN cages (F(1, 14) = 0.00, p = 0.94), consistent with prior work [59]. The CRHR1 blocker did not significantly influence the results (F(1, 14) = 3.96, p = 0.07) (Fig. 3a, b). We found no significant interactions of age x LBN (F(2, 27) = 2.41, p = 0.11), age x CRHR1 antagonist (F(2, 27) = 0.18, p = 0.83), LBN x CRHR1 antagonist (F(1, 14) = 0.12, p = 0.74), or age x LBN x CRHR1 antagonist (F(2, 27) = 0.72, 0.50) (Fig. 3a, b).
Similarly, there was an overall effect of age on the number of entries into the open arm of the maze (F(1.36, 27.94) = 4.239, p = 0.04) with no main effects of LBN (F(1, 41) = 3.41, p = 0.07), or the CRHR1 antagonist (F(1, 41) = 1.21, p = 0.28) (Supplementary Fig. 1c). Interactions of age x LBN (F(2, 41) = 0.28, p = 0.75), age x CRHR1 antagonist (F(2, 41) = 0.31, p = 0.73), LBN x antagonist (F(1, 41) = 0.07, p = 0.80), or age x LBN x antagonist (F(2, 41) = 2.54, p = 0.09) were also insignificant (Supplementary Fig. 1c). Thus, whereas age or the repeating of the tests several months apart seemed to decrease open arm entries and durations, the effect was consistent between the groups. In summary, neither the early-life adversity nor blocking of the CRH receptor within the brain influenced anxiety-like behaviors in this cohort of male rats.
Testing for depression-like behaviors in the Porsolt forced swim test identified no differences among the groups. Specifically, there were no main effects of age (F(1.28, 17.28) = 1.82, p = 0.19), LBN (F(1, 14) = 0.05, p = 0.83) or the CRHR1 blocker (F(1, 14) = 0.84, p = 0.38) on total time immobile in the forced swim test (Fig. 3c, d). Additionally, there were no age x LBN (F(2, 27) = 1.90, p = 0.17), age x antagonist (F(2, 27) = 1.65, p = 0.21), LBN x CRHR1 antagonist (F(1, 14) = 0.06, p = 0.82) or age x LBN x CRHR1 antagonist (F(2, 27) = 1.79, p = 0.19) interactions (Fig. 3c, d). Altogether the data support a lack of effect of early-life adversity or CRH receptor block on depression-related phenotypes.
Discussion
The principal findings of the experiments presented here are: (1) Early-life adversity provokes progressive deficits in both spatial and object memories, with earlier onset of the hippocampus-dependent memory deficits. (2) Mechanism-based interventions, even when administered in the adult, may ameliorate these memory problems in a modality and age-dependent manner. (3) CRH, acting within the brain, contributes to early-life adversity-induced memory problems and can be used to ameliorate them.
Early-life adversity provokes memory vulnerability that is more prominent for spatial memory and progresses to frank deficits with age
A broad literature now supports the emergence of deficits in learning and memory following early-life adversity [15, 17, 25, 50, 51]. Previous work has indicated that LBN impacts differentially spatial and non-spatial memory [25]. The ability to discriminate new objects in the testing phase of the ORM task utilizes multiple brain regions, including the hippocampus and the perirhinal cortex [60], whereas discrimination in OLM task is considered largely hippocampus dependent [61, 62]. We have previously discovered that spatial memory on the OLM task was impaired following early-life adversity as early as 2 months, while the ability to perform the ORM task was intact until 12 months of age [24, 25]. However, the apparently intact object memory masked incipient vulnerabilities: LBN-experiencing rats (but not those reared in control conditions) failed to recognize objects when exposed to a second stress during early adult life [25]. This vulnerability to both spatial and object memories was also unmasked with ageing [15]: 12-month-old LBN rats performed more poorly than controls in both prior studies [15] and in the current work. Indeed, early adversity may accelerate the impact of age on memory [15, 63].
Even in adulthood, a transient block of CRH receptors in hippocampus ameliorates memory problems provoked by early-life adversity
We have previously demonstrated that both systemic and intracerebral administration of a CRHR1 blocker immediately following a period of early-life adversity, significantly mitigated the spatial memory deficits provoked by early-life adversity. In that study, both the early-life adversity and the CRHR1 block were carried out during the first weeks of life, an apparent sensitive period for hippocampal dendritic arborization, synaptic maturation, and memory formation [11, 28, 64, 65].
Indeed, the developing hippocampus is more sensitive to stress, and specifically to molecules unleashed by stress/adversity. Direct effects of glucocorticoids, arriving from the adrenal during early-life stress, on dendritic arborization in hippocampal neurons have been demonstrated [34]. Similarly, stress levels of CRH lead to loss of synapses and dendritic spines [31, 44]. Chronic exposure to CRH stunts dendritic arborization of developing neurons [28] in rodents, and potentially in humans [66]. Thus, a putative mechanism for the enduring memory problems provoked by early-life adversity is an irreversible loss of synapses and of synapse-carrying dendrites [16, 24], via concerted actions of glucocorticoids and CRH [67]. The excitotoxic actions of glucocorticoids on dendrites are well documented [29, 68]. Notably, CRH at stress levels, excites neurons [41, 69] and can destroy dendritic spines and synapses via an NMDA-receptor-mediated process [46]. The progressive nature of the memory problems provoked by early-life adversity may derive from the cumulative effects of additional chronic or recurrent spine- and dendritic damage sustained by already compromised neurons when recurrent minor stresses occur during life and promote release of glucocorticoids and local hippocampal CRH.
Administration of a CRH receptor blocker during the vulnerable developmental period should prevent the initial neuronal injury that predisposes to further loss of synapses and dendrites. Therefore, it is unsurprising that blocking CRHR1 at P10 can rescue memory quite completely [24].
In the present study, the blocking of CRHR1 was performed in the adult brain. As many of the morbidities associated with early-life adversity do not emerge until adulthood, it is difficult to determine whether interventions will be required. Therefore, it is vital to know if interventions given around the onset of symptoms may still be effective. Surprisingly, deficits on ORM that occur in LBN animals at 12 months of age were rescued by administration of the CRHR1 antagonist (Fig. 2b), and a similarly age-dependent effect was found at 12 months in the OLM task (Fig. 2e). These striking findings suggest that interventions later in life can ameliorate progressive memory loss and raise two crucial questions: First, how might CRH blockade for a transient period in the adult work, and second, why is the memory rescue more prominent during middle age?
How might transient block of hippocampal CRHR1 in the adult rescue memory from the impact of early-life adversity?
As mentioned above, acute increases in hippocampal CRH release in the adult hippocampus occur during stress [70]. These stress levels of CRH by themselves as well as in concert with corticosterone, destroy dendritic spines and synapses [44, 67], by disrupting the actin cytoskeleton of spines [31]. Hippocampi of LBN-experiencing adult rats have increases in CRH-positive interneurons and increased CRH mRNA expression (Fig. 4) [24, 71]. This is accompanied by a decrease in dendritic branching [15, 25]. The LBN adult hippocampus is both rich in CRH, which is released upon stress during adult life, and consists of compromised neurons with stunted dendritic arborization. We propose that a transient (1-week) block of CRHR1 allows neurons to recover, potentially providing them with resilience for the subsequent impact of life-long stresses. This notion is consistent with the finding that the effect of the CRHR1 blocker was most pronounced at 12 months, when cumulative age-dependent injuries to hippocampal neurons would be maximal.
There is evidence for an interplay between the levels of CRH and CRHR1, with elevated hippocampal CRH levels being associated with increases in CRH receptor mRNA [72] (Fig. 4). We can then speculate that blocking CRHR1 for a week in the adult brain may cause a decrease in CRH binding, which in turn is sufficient to decrease receptor expression at the synapse (Fig. 4). By reducing the number of CRH receptors, spines may be less sensitive to increases in CRH thereby making them less prone to collapse and maintaining memory processing over time (Fig. 4).
The transient blockade of CRHR1 during adulthood may also persistently repress CRH expression levels, as shown previously for the same intervention early in life [24]. This might take place by counteracting the corrupted epigenetic/transcriptomic regulatory processes in the hippocampus of the adversity-experiencing rats, which lead to persistent upregulation of hippocampal CRH. CRH expression is potentially regulated by the transcription factors GR and the repressor neuron-restrictive silencer factor (NRSF) [18, 73]. Both GR and NRSF are dysregulated in hippocampi of adversity-experiencing rats [18]. Specifically, gene set enrichment analyses demonstrate that gene targets of NRSF and GR, including those involved in dendritic growth and synaptic maturation are repressed, potentially accounting for altered cellular properties and maturation of hippocampal neurons and circuits. Our transient interference with CRHR1-CRH regulatory loops may reset upstream transcriptional processes regulating CRH expression itself. Future studies will aim to examine these potential mechanisms via transcriptomic neuroanatomic and physiological approaches.
Limitations and caveats
While the studies presented here provide convincing evidence that interventions given in adulthood mitigate memory deficits following early-life adversity, there are additional considerations. In the present study, we administered the antagonist via ICV rather than directly into the hippocampus. While this administration might have elicited effects from structures outside of the hippocampus, this administration mode prevents the need for infusions into the hippocampus, requiring bilateral surgeries for both anterior and posterior hippocampus and increasing the chances of damage to the hippocampus itself. In addition, translational studies would likely involve systemic administration of the CRHR1 blocker.
In addition, it is possible that the ICV infusion of the CRHR1 blocker influenced CRH receptors in the pituitary and attenuated the overall stress responses for a week. This is unlikely, as we have previously infused similar and higher doses of the antagonist and demonstrated that they do not leave the brain, and do not influence stress-induced spikes of plasma corticosterone [74].
The longitudinal approach adopted here allows for analysis of effects within subjects, across the lifespan, however, this requires repeat testing on tasks. This approach has been previously validated for the learning and memory tasks by ensuring long intervals (longer than 2 months) between tests. In addition, modifications such as using different objects minimize potential confounders [62]. Notably, any confounding factors, such as those noted for repeated anxiety tests, would be consistent between all testing groups. In addition, we recognize that group sizes in this study are modest. The observed effect sizes of the CRHR1 blocker on memory improvement were robust and conclusive. However, the current group sizes may not enable excluding subtle effects of the antagonist on control animals or on anxiety-related behaviors.
Does early-life adversity provoke aberrant emotional-like behaviors in rodents?
The effects of early-life adversity on measures of emotional function in rodents are diverse, and highly species and sex-dependent [52, 75, 76]. In male rats in the present study (Fig. 3) and our prior work [15, 59], we have found no effect on EPM or FST [15, 50, 59, 77]. However, increased anxiety-like phenotypes [76, 78, 79] and increased immobility time during FST [80] have been described by others following the LBN paradigm. Notably, we have identified serious defects in the emotional reward circuit after early-life adversity the emergence of severe anhedonia-like behavior [59, 77, 81]. This was not tested in the current work, so that future studies will explore if blocking CRHR1 within the brain or within targeted nodes of the reward circuitry might ameliorate the anhedonia, a trans-diagnostic entity with implication for risk taking, drug use, and depression in humans.
Conclusion
In summary, we show here that early adversity causes distinct types of memory deficits, which worsen with age. Post-hoc mechanism-based interventions in the adult significantly mitigate these problems in an age and task-specific manner, offering hope for the development of therapies to the large proportion of individuals who grow up in adverse circumstances around the world.
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The authors declare no competing interests. Work was supported by NIH grants NS28912, MH73136, and MH096889.
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Short, A.K., Maras, P.M., Pham, A.L. et al. Blocking CRH receptors in adults mitigates age-related memory impairments provoked by early-life adversity. Neuropsychopharmacol. 45, 515–523 (2020). https://doi.org/10.1038/s41386-019-0562-x
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DOI: https://doi.org/10.1038/s41386-019-0562-x
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