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Volume 16, Number 17,
Issue of September 1, 1996
pp. 5555-5565
Copyright ©1996 Society for Neuroscience
A Diurnal Rhythm of Stimulatory Input to the
Hypothalamo-Pituitary-Adrenal System as Revealed by Timed
Intrahypothalamic Administration of the Vasopressin V1
Antagonist
Andries Kalsbeek,
Joop J. van
Heerikhuize,
Joke Wortel, and
Ruud
M. Buijs
Netherlands Institute for Brain Research, 1105 AZ Amsterdam, The
Netherlands
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
FOOTNOTES
REFERENCES
ABSTRACT
The mammalian suprachiasmatic nuclei (SCN) contain an endogenous
pacemaker that generates daily rhythms in behavior and secretion of
hormones. We hypothesized that the SCN imposes its circadian rhythm on
the rest of the brain via a rhythmic release of its transmitters in its
target areas. Previously, we demonstrated a pronounced inhibitory
effect of vasopressin (VP), released from SCN terminals in the
dorsomedial hypothalamus, on the release of the adrenal hormone
corticosterone. In the present study, microdialysis-mediated
intracerebral administration of the VP V1-receptor
antagonist was used to pursue the study of the mechanisms underlying
the circadian control of basal corticosterone release. Using timed
administrations of the VP antagonist divided equally over the day/night
cycle, we were able to uncover the existence of an additional
stimulatory input from the SCN to the hypothalamo-pituitary-adrenal
(HPA) axis. Peak activity of this stimulatory SCN input takes place
during the second half of the light period, after the daily peak of VP
secretion, with a delay of ~4-6 hr. In all likelihood, the
inhibitory and stimulatory circadian input via separate mechanisms
affects corticosterone release. Together, these two opposing circadian
control mechanisms of the HPA axis enable a precise timing of the
circadian peak in corticosterone release.
Key words:
circadian rhythms;
vasopressin;
glucocorticoids;
microdialysis;
paraventricular/dorsomedial hypothalamus;
suprachiasmatic nuclei
INTRODUCTION
The prominent diurnal peak in circulating levels
of adrenal steroids before the onset of the daily period of increased
activity has been described in numerous species, including rats
(Guillemin et al., 1959 ; McCarthy et al., 1960 ), monkeys (Perlow et
al., 1981 ; Carnes et al., 1988 ), domestic animals (Lincoln et al.,
1982 ; Klemcke et al., 1989 ; Lefcourt et al., 1993 ; Irvine and
Alexander, 1994 ), and humans (Van Cauter, 1990 ; Linkowski et al.,
1993 ). In diurnal species such as the human and the pig, plasma
glucocorticoid levels are high in the early morning and then decline,
reaching a nadir in the evening. In nocturnal animals, including the
laboratory rat, an inverse pattern is observed with a nadir in the
morning and a peak near the onset of darkness. The endogenous nature of
this rhythm in adrenocortical activity appeared from the fact that it
persisted in constant darkness with an almost 24 hr (i.e., circadian)
rhythm (Takahashi et al., 1977 ; Perlow et al., 1981 ; Fischman et al.,
1988 ). In rats, the major adrenal steroid that is secreted is
corticosterone, and this secretion is directly stimulated by
adrenocorticotropic hormone (ACTH) secretion from corticotrophs in the
anterior pituitary gland. In its turn, ACTH is driven by the release of
corticotrophin-releasing hormone (CRH) in the portal system of the
median eminence. The CRH-containing cell bodies reside in the
parvocellular part of the paraventricular nucleus of the hypothalamus
(PVN).
The hypothalamo-pituitary-adrenal (HPA) axis is of critical
importance for homeostasis, because it minimizes deviations from the
homeostatic state and helps the return to equilibrium after
stress-induced disturbances, so that harmful effects of overactivity
are avoided (Munck et al., 1984 ). Glucocorticoids also play an
important, although not fully defined, role in several metabolic and
behavioral systems, having an impact on body weight and food intake
control. The diurnal peak in corticosterone release at the end of a
period of inactivity and fasting may serve to prepare the animal for
the coming period of increased activity by mobilizing stored energy
(Devenport et al., 1993 ; Hamelink et al., 1994 ; Challet et al., 1995 ).
In addition, the diurnal corticosterone rise stimulates carbohydrate
and fat intake (Tempel and Leibowitz, 1994 ), and it may initiate
food-searching behavior (Hamelink et al., 1994 ; Challet et al.,
1995 ).
The main force driving the endogenous circadian rhythm of basal HPA
activity is the suprachiasmatic nucleus (SCN) in the anterior
hypothalamus (Moore and Eichler, 1972 ; Abe et al., 1979 ; Szafarczyk et
al., 1979 ; Cascio et al., 1987 ). In a number of previous studies, we
provided evidence for an important inhibitory role of SCN-derived
vasopressin (VP) with respect to the basal release of corticosterone.
However, it became clear that an additional (stimulatory) input was
needed to explain the complete daily profile of circulating plasma
corticosterone levels (Kalsbeek et al., 1996 ). To uncover the diurnal
pattern of this stimulatory input to the HPA axis, we blocked the
inhibitory input of the SCN by infusions of the VP
V1-antagonist at five different time points of the
day/night cycle. Because changes in plasma ACTH were assumed to much
more closely reflect changes in the central regulation of the HPA axis,
both plasma corticosterone and ACTH levels were measured.
MATERIALS AND METHODS
Animals. Male Wistar rats were obtained from a
commercial supplier (TNO, Zeist, The Netherlands) and housed in
macrolon cages with four animals per cage in a room with a 12:12 hr
light/dark schedule (lights on at 07:00). One week before the start of
experiments, animals were moved to individual cages (38 × 26 × 16 cm3). Food and water were available ad libitum.
Animals weighed between 300 and 350 gm at the time of the
experiments.
Microdialysis probes. Dialysis probes were constructed
according to procedures described previously in detail and routinely
used in this laboratory (Kalsbeek et al., 1995 , 1996 ). Thin platinum
wire ( 0.05 mm) was inserted into a piece of microdialysis tubing
(molecular weight cutoff, 6000 kDa), bent, and each end was inserted
into one of two pieces of 25 gauge hypodermic tubing that had been
soldered together. The dialysis tubing was then secured with epoxy. The
U-shaped tip of the dialysis probe was 1.5 mm long, 0.7 mm wide, and
0.2 mm thick.
Surgical procedures. Experimental animals destined to
undergo infusion and blood sampling studies were fitted with a
unilateral microdialysis probe and a silicone catheter in the right
atrium when their body weight was >300 gm. The microdialysis probe was
stereotaxically implanted lateral to the dorsomedial nucleus of the
hypothalamus (DMH) (coordinates with flat skull: 2.8 mm caudal to
bregma; 1.6 mm lateral to the midline; 8.0 mm below the brain surface;
10° angled to the sagittal plane). The loop of the probe was
positioned in the rostrocaudal direction along the DMH. Jugular
venectomy was performed according to the method of Steffens (Steffens,
1969 ). We used dental cement to secure the probe and atrial outlet to
two stainless steel screws inserted in the skull.
General protocol. After implantation of the microdialysis
probe and the jugular catheter, the animals were allowed at least 1 week of postoperative recovery before the experiments began. During
this period, the animals became accustomed to the experimental
conditions in Plexiglas cages, designed to allow blood sampling and
long-term infusions under unrestrained conditions. All experiments were
performed in the animals' own home cage. The input port of the
dialysis probe was connected to a remote syringe via a fluid swivel
(Instech 375/22) interconnected with polyethylene tubings. Tubings to
and from the probe were threaded through a stainless steel support
spring that was attached to the dental cement. The entire assembly was
suspended from a counter-balanced beam and did not influence the
animals' posture or motion. The syringe contained Ringer's fluid with
or without the vasopressin V1 antagonist (50 ng/µl).
Ringer's perfusion (3 µl/min) was started 4 hr before the 1 hr
V1 antagonist infusion period and lasted for 3 more hr
after the change back to Ringer's (Fig. 1). Dialysates
were changed by connecting the polyethylene tubing from the appropriate
syringe to the fluid swivel. The dead space between the fluid swivel
and dialysis membrane was 45 µl. Therefore, dialysate containing the
V1 antagonist reached the membrane 15 min after the change
of syringes. One hour infusion periods of V1 antagonist
were initiated at circadian times 2, 6, 10, 14, and 21 (CT; CT12 being
defined as the onset of darkness). Blood samples (0.3 ml) were taken 30 and 1 min before the start of the V1 antagonist infusion,
and 15, 30, 60, and 120 min after onset of this infusion (Fig. 1). To
prevent any stimulation of ACTH and corticosterone release because of
blood replacement, the total blood volume sampled was returned as
saline only after the final blood sample was taken. Previous reports
have shown that this amount of blood can be removed with no risk of
stimulating the HPA axis (Carnes et al., 1990 ). After the operation, a
7 d recovery period was included to allow complete reinstatement
of circadian rhythms in activity, body temperature, and plasma
corticosterone (Drijfhout et al., 1995 ). Our previous studies have
shown that despite the prolonged implantation of the dialysis cannula,
VP antagonist can still be administered effectively to the brain
(recovery between 0.5 and 0.1%), provided that the dialysis probe is
not perfused during the recovery period (Kalsbeek et al., 1996 ).
Because the efficacy of drug delivery will decrease after the first use
of the dialysis probe (Kalsbeek and Buijs, 1996 ), only VP antagonist
data obtained during a first infusion were used. Most animals took part
in two experiments, namely, no dialysis or dialysis of Ringer's and a
VP antagonist infusion, on subsequent days. To control for blood loss
and other possible effects of experimentation, control data were
obtained by either no perfusion on day 1 followed by VP antagonist on
day 2, or VP antagonist administration on day 1 followed by Ringer's
perfusion on day 2.
Fig. 1.
Schematic outline of the experimental design used
in the present study. Dark period is indicated by the solid
horizontal bar. The stippled boxes indicate the
1 hr infusion periods of VP antagonist. Triangles
indicate time points of blood sampling.
[View Larger Version of this Image (17K GIF file)]
Two additional control experiments were performed. In one group of
animals (n = 6), microdialysis probes were implanted in
the ventromedial hypothalamus (VMH) (coordinates with flat skull: 3.1 mm caudal to bregma; 3.5 mm lateral to the midline; 9.2 mm below the
brain surface; with a 10° angle from the sagittal plane) to get an
impression about the extent of VP antagonist distribution away from the
site of dialysis. Animals were treated in the same way as CT6 animals.
Another group of animals (n = 7) was subjected to an
arousing stimulus to compare stress-induced and V1
antagonist-induced activation of the HPA axis. One week after having
been engaged in the dialysis experiments, animals were put in a new
cage without sawdust bedding for 1 hr, starting at CT6. The blood
sampling protocol was similar to that used for the dialysis
experiments.
Histology. When the experimental protocol was completed, the
animals were anesthetized with pentobarbital (Nembutal; 60 mg/kg,
i.v.), and their brains were removed after decapitation. Brains were
subsequently blocked, frozen, sectioned (40 µm) through the region of
the PVN and DMH, and stained with cresyl violet. Examples of the probe
track have been provided previously (Kalsbeek et al., 1996 ).
Chemicals. Plasma samples were assayed for corticosterone by
radioimmunoassay (RIA; ICN Biomedicals, Costa Mesa, CA). From the
samples, 10 µl was taken and diluted in 4 ml of assay buffer. The
inter- and intra-assay coefficients of variance (CV) were 7 and 4%,
respectively, with a detection limit of 1 ng/ml.
ACTH immunoreactivity was measured in duplicates of 25 µl unextracted
plasma using a commercially available kit from ICN (ICN Biomedicals).
The ED50 of the assay was 56.7 ± 2.5 pg/ml
(n = 16), with a detection limit of 10 pg/ml. The
intra-assay CV ranged from 4.1 to 6.0%, and the interassay CV was
between 4.0 and 10.7%. If all samples from one CT could not be run in
one assay, the Ringer's and V1 antagonist-treated groups
were equally divided among assays.
The vasopressin V1 antagonist used was
d(CH2)5Tyr(Me)AVP (Manning and Sawyer, 1984 ;
Manning et al., 1993 ).
Statistics. All quantitative results are expressed as
mean ± SEM. The significance of infusion-induced variation in
plasma corticosterone and ACTH values (time dependency) was assessed
using a one-way ANOVA with repeated measures (Tables 1 and 3). If
significant, ANOVA was followed by a Student's t test
(paired) to establish the significance of the difference between
``time 1'' and ``time 30'' values (Fig. 5). Multivariate analysis
of variance (MANOVA) with factors Drug and Sampling (repeated measures)
was used to determine whether the effects of Ringer's and VP
antagonist on plasma corticosterone and ACTH concentrations differed
significantly. Post hoc analysis was performed using the
Student-Newman-Keuls test (SNK). The results were considered
significant if the probability of error was <5%.
Fig. 5.
Plasma corticosterone (A) and ACTH
(B) responses at different CT times, 30 min after onset
of Ringer's (dark bars) or VP antagonist (light
bars) administration. For absolute corticosterone and ACTH
values at t = 1, see Table 2.
Circle, Ringer's versus VP antagonist,
p < 0.05. Asterisks,
t = 30 versus t = 1; *, **,
and *** indicate p < 0.05, p < 0.01, and p < 0.001, respectively.
[View Larger Version of this Image (23K GIF file)]
RESULTS
No differences were found between plasma corticosterone
curves of animals having experienced a Ringer's dialysis and
nondialyzed animals. Data of these two groups were therefore combined
and treated as one control group (i.e., Ringer's group). The five
plasma corticosterone profiles, collected during the control
experiments at different times of the light/dark cycle, together
revealed a clear diurnal release (Fig. 2).
Notwithstanding the intracerebral infusion via the microdialysis probe,
basal levels of corticosterone were very similar to the previously
established rhythm in intact control animals without brain cannulae
(Kalsbeek et al., 1996 ). The lowest levels of plasma corticosterone
(10-25 ng/ml) were observed in the early light period during the CT2
experiments. In the course of the light period, circulating levels of
plasma corticosterone increased, with intermediate values at the CT6
infusion period, to reach peak levels (147 ± 20 ng/ml) shortly
before onset of darkness, during the CT10 infusion period. In the
course of the dark period, circulating corticosterone levels leveled
off again, to reach minimal values before onset of the light period by
the end of the CT21 infusion period. ANOVA did not yield a significant
effect of Sampling in any of the control groups
(p > 0.05), although during the CT10 infusion,
the Sampling effect approached significance (p = 0.061; Table 1). However, the
pronounced diurnal fluctuation of circulating corticosterone levels was
clearly reflected in the significant differences between basal
corticosterone values at the onset of the 1 hr infusion periods (Table
2) and between the different
corticosterone profiles collected during the subsequent CT times
(F(43,4) = 21.24; p < 0.001).
Post hoc analysis (SNK) revealed that all CT10 sampling points differed
from the corresponding sampling points at CT2, CT6, and CT21.
Fig. 2.
Plasma corticosterone values (mean ± SEM)
during Ringer's dialysis at different CT times (i.e., Plasma
'95, ) compared with a previously established plasma
corticosterone curve (i.e., Plasma '92, ;
n = 10) in control animals without an intracerebral
probe. The plasma '92 data are redrawn from Kalsbeek et al.
(1996) .
[View Larger Version of this Image (19K GIF file)]
Table 1.
Statistical analysis of the plasma corticosterone response
patterns during microdialysis-mediated hypothalamic administration of
Ringer's or the vasopressin V1
antagonist
|
CT2 |
CT6 |
CT10 |
CT14 |
CT21 |
VMH |
|
| One-way
ANOVA |
| Ringer's |
0.683 |
0.331 |
0.061 |
0.167 |
0.189 |
0.144 |
|
11 |
11 |
11 |
7 |
8 |
6 |
| Anta |
0.000 |
0.000 |
0.000 |
0.025 |
0.146 |
0.394 |
|
11 |
10 |
13 |
6 |
8 |
6 |
| Two-way
ANOVA |
| Drug |
0.030 |
0.001 |
0.088 |
0.410 |
0.003 |
0.748 |
| Sampling |
0.000 |
0.000 |
0.000 |
0.650 |
0.114 |
0.451 |
| D × S |
0.000 |
0.000 |
0.001 |
0.002 |
0.186 |
0.153 |
|
|
One-way ANOVA shows the p values for the
Sampling effects of either Ringer's or V1 antagonist
(Anta) application on plasma corticosterone levels at the different CT.
Two-way ANOVA indicates the significance of differences between
Ringer's and VP antagonist administration (Fig. 3). Number of animals
is indicated in italics.
|
|
The disinhibiting effect of a 1 hr hypothalamic infusion of the
vasopressin V1 antagonist on corticosterone and ACTH
release is shown in Figures 3 and 4 and
Tables 1 and 3. ANOVA on the separate infusion periods indicated
pronounced Sampling effects of the VP antagonist infusions on plasma
corticosterone at CT2, CT6, and CT10 (p < 0.001) (Table 1). On the other hand, effects at the other time points
were less pronounced (CT14) or nonsignificant (CT21). Differences
between the effect of Ringer's and administration of V1
antagonist were most clearly expressed at CT6 and CT2, with MANOVA
showing highly significant effects (p < 0.005)
of Drug, Sampling, and Drug × Sampling. Although the Drug effect
just escaped significance at CT10 (p = 0.088),
there were clear effects of both Sampling and Drug × Sampling
(p < 0.001). At CT21, there was also a
significant Drug effect (p = 0.001), but no
Sampling or Interaction effect (p > 0.05). At
CT14, MANOVA revealed only a significant Interaction effect
(p = 0.002), but no significant effects of Drug
or Sampling (p > 0.1). Taking into account the
diurnal changes in basal corticosterone secretion, Figure
5A displays the above results in a different
setting. Control and VP antagonist-induced changes in plasma
corticosterone levels are now displayed as the difference between the
t = 1 and t = 30 min time points,
instead of the absolute plasma corticosterone values. This
representation makes it even clearer that only during the daytime
infusions of the V1 antagonist a pronounced rise in plasma
corticosterone was found.
Fig. 3.
Plasma corticosterone values (mean ± SEM)
during Ringer's ( ) or VP antagonist ( ) administration in the
PVN/DMH area. Hatched boxes indicate the timing of the 1 hr period of VP antagonist administration.
[View Larger Version of this Image (19K GIF file)]
Fig. 4.
Plasma ACTH responses (mean ± SEM) during
Ringer's ( ) and VP antagonist ( ) administration in the PVN/DMH
area. ACTH values are expressed as the difference compared with
t = 1 (i.e., just before VP antagonist enters the
brain). For ACTH values at t = 1, see Table 2.
Hatched boxes indicate the timing of the 1 hr period of
VP antagonist administration.
[View Larger Version of this Image (21K GIF file)]
In the present study, the unilateral application of VP antagonist at
CT6 by microdialysis was equally effective in eliciting a rise of
plasma corticosterone as our earlier bilateral microinjections
(Kalsbeek et al., 1992 ). On the other hand, more recently we were not
able to block completely the circadian rise in plasma corticosterone
with a unilateral application of VP (Kalsbeek et al., 1996 ). Therefore,
a partial blockade of the inhibitory input to the HPA axis by
unilateral blockade of the VP receptors is sufficient to reveal the
excitatory input to the HPA axis, but, for a complete inhibition of the
excitatory activity in the HPA-system, it seems that a bilateral
blockade of all stimulatory inputs is necessary.
The effect of a 1 hr administration of VP antagonist into the VMH on
plasma corticosterone values is illustrated in Figure 6.
ANOVA on the VMH data separately revealed no significant effect of
either the Ringer's or V1 antagonist administration
(effects of Drug, Sampling, and Interaction all p > 0.1). Comparing the administration of VP antagonist into the VMH with
that into the PVN/DMH area at the same CT time showed significantly
higher plasma corticosterone values 30 min after the antagonist entered
the PVN/DMH area. However, at t = 120, plasma
corticosterone values in the VMH group were significantly elevated
compared with PVM/DMH administration (SNK, p < 0.05).
Fig. 6.
Plasma corticosterone values (mean ± SEM) as
a result of Ringer's (open symbols) and VP antagonist
(solid symbols) administration into either the DMH
(circles) or VMH (triangles).
a, Significantly different from all three other groups;
b, significantly different from Ringer's-infused
groups.
[View Larger Version of this Image (20K GIF file)]
Basal ACTH release during control experiments at different time points
of the light/dark cycle revealed no clear diurnal variation, and mean
values varied between 35 and 45 pg/ml (Table 2). In accordance with
this outcome, no significant differences between ACTH plasma profiles
during the five diurnal infusion periods were observed
(F(4,43) = 0.32; p > 0.5). In
addition, none of the three Ringer's infusions administered during the
light period yielded significant Sampling effects with ANOVA (Table
3). However, during the CT21 Ringer's
infusion, a significant decline of circulating plasma ACTH levels
occurred.
Table 3.
Statistical analysis of the plasma ACTH response patterns
during microdialysis-mediated hypothalamic administration of Ringer's
or the vasopressin V1
antagonist
|
CT2 |
CT6 |
CT10 |
CT14 |
CT21 |
|
| One-way
ANOVA |
| Ringer's |
0.814 |
0.578 |
0.620 |
0.120 |
0.011 |
|
11 |
11 |
11 |
7 |
8 |
| Anta |
0.000 |
0.000 |
0.000 |
0.545 |
0.111 |
|
11 |
10 |
13 |
6 |
8 |
| Two-way
ANOVA |
| Drug |
0.661 |
0.286 |
0.937 |
0.725 |
0.660 |
| Sampling |
0.004 |
0.001 |
0.103 |
0.070 |
0.009 |
| D × S |
0.042 |
0.000 |
0.005 |
0.831 |
0.203 |
|
|
One-way ANOVA shows the p values for the Sampling
effects of either Ringer's or V1 antagonist (Anta)
application on plasma ACTH values at the different CT. Two-way ANOVA
indicates the significance of differences between absolute plasma ACTH
values on Ringer's and VP antagonist administration (Fig. 4). Number
of animals is indicated in italics.
|
|
Effects of Ringer's and VP antagonist application on plasma ACTH
levels are displayed in Figure 4. All three daytime infusions of the
V1 antagonist evoked significant time-dependent effects
(p < 0.001; Table 3). The increased release at
CT21 did not reach the level of significance. The ACTH excursions were
small, which is evidenced by the lack of a significant main effect of
Drug at any time (Table 3). However, the significant Interaction
effects during the daytime infusion periods indicate the different
reaction of plasma ACTH to either a Ringer's or a VP antagonist
infusion (Table 3). The mean values of plasma ACTH 30 min after onset
of a V1 antagonist application also differed most
significantly from preinfusion or Ringer's infusion values during
daytime experiments (Fig. 5B).
The arousing stimulus of a new cage clearly activated the HPA axis, as
evidenced by the profound increases in both plasma ACTH and
corticosterone (Fig. 7). Stress-induced corticosterone
excursions, however, were significantly smaller and shorter-lasting
than those induced by PVN/DMH administration of the V1
antagonist (Fig. 7A; F(2,25) = 7.75;
p = 0.002). On the other hand, plasma ACTH increases
were more pronounced during exposure to the new cage compared with the
VP antagonist, especially during the first 15 min (Fig. 7B;
F(2,25) = 6.65; p = 0.005).
Unfortunately, basal ACTH values significantly differed between the
dialysis and the experiments with a new cage (Table 2), most likely
because of interassay variation. When the data were expressed as a
percent increase of basal t = 1 values, however, the
significant differences remained (F(2,25) = 4.76; p = 0.018). The relation between plasma ACTH and
the concurrent plasma corticosterone values is displayed in Figure
8. Also, this scatter plot illustrates the different
regulation of HPA activity during either novelty stress or infusion of
a VP antagonist.
Fig. 7.
Changes in circulating levels of plasma
corticosterone (A) and ACTH (B) induced
by microdialysis-mediated administration of VP antagonist in the
PVN/DMH area at CT6 (Ringer's, , n = 11; VP
antagonist, , n = 10) or exposure to a new
environment (New cage, , n = 7).
Letters indicate significant differences compared with
Ringer's (a) and VP antagonist (b)
according to Student-Newman-Keuls (p < 0.05).
[View Larger Version of this Image (17K GIF file)]
Fig. 8.
Plasma corticosterone concentration as a function
of plasma ACTH during Ringer's (A) or VP antagonist
(B) infusions at different times of the light/dark
cycle. For the ``novelty'' experiment, values from
t = 15, 30, and 60 min samples were used. From the VP
antagonist infusions, only the t = 30 values are
displayed. Data from the Ringer's infusions are derived also from the
t = 30 samples, except the infusion at CT10, from which
data from the t = 60 samples are also displayed.
CT2 = ; CT6 = (A) or (B);
CT10 = ; CT14 = ; CT22 = ;
novelty = .
[View Larger Version of this Image (12K GIF file)]
DISCUSSION
The present study, using microdialysis-mediated administration of
VP antagonist, demonstrated that blockade of VP receptors in the
dorsomedial hypothalamus evokes a disinhibition of the HPA axis.
However, this stimulating effect of the VP antagonist application
depended heavily on the time of day. Previously, we showed a strong
inhibitory effect of exogenous VP on elevated corticosterone levels in
SCN-lesioned animals (Kalsbeek et al., 1992 ). More recently, we also
described an inhibitory effect of endogenous VP on corticosterone
release in intact animals during the middle of the light period
(Kalsbeek et al., 1996 ). In addition, we found that application of
exogenous VP to the DMH at the end of the light period prevents the
circadian rise in plasma corticosterone (Kalsbeek et al., 1996 ). Taken
together, these results illustrated that a fluctuating inhibitory
signal emanating from the SCN via the release of VP is crucially
involved in the shaping of the corticosterone rhythm. Indeed, the high
release of VP from SCN terminals during the light period (Reppert et
al., 1981 ; Kalsbeek et al., 1995 ) coincides precisely with the low
levels of circulating corticosterone at this time of the day.
However, it is also clear that the circadian release pattern of VP
alone cannot completely explain the daily corticosterone rhythm. Most
importantly, the relation between VP release and basal corticosterone
shows a mismatch during the second half of the dark phase;
i.e., despite the absence of the inhibitory VP signal, basal
corticosterone release is low. Also, blockade of the vasopressinergic
inhibition produces corticosterone levels that greatly exceed those of
the basal diurnal peak. Finally, the fact that in the absence of the
inhibitory SCN signal (i.e., in SCN-lesioned animals) plasma
corticosterone levels are not continuously at peak concentrations
indicates that SCN lesions remove another (stimulatory) input to the
HPA system as well (Cascio et al., 1987 ; Kalsbeek et al., 1992 ).
Indeed, the existence of an additional stimulatory factor involved in
the circadian control of basal corticosterone release would explain the
above-mentioned VP corticosterone mismatches. In fact, the
existence of a facilitatory SCN input into the HPA axis was already
proposed several times (Cascio et al., 1987 ; Dallman et al., 1992 ;
Kalsbeek et al., 1992 ), but real evidence has been lacking until now.
Blockade of the inhibitory VP input to the HPA axis at different times
during the day/night cycle enabled us to reveal that this stimulatory
input does indeed exist and has a circadian release pattern, too. The
diurnal fluctuation of the stimulatory input is most clearly displayed
by the VP antagonist-induced changes in corticosterone and ACTH release
(Fig. 5). As is evident from Figure 5, the stimulatory input to the HPA
axis is strongest during the second half of the daytime, i.e., CT6 and
CT10, but its expression may already begin during the final hour of the
dark period.
Together, the postulated rhythmic inhibitory and stimulatory inputs
from the SCN in the presently proposed phase relationship (Fig.
9) fully explain the well known rhythm in resting plasma
corticosterone levels. In addition, they are consistent with the
day/night rhythmicity of SCN neuronal activity, showing peak activity
during (subjective) daytime (Inouye and Kawamura, 1979 ; Gillette and
Reppert, 1987 ; Bos and Mirmiran, 1990 ). During the first half of the
light period, there is a strong inhibition of corticosterone release
attributable to the increased release of SCN-derived VP, and hardly any
stimulatory input, which results in the lowest basal levels. In the
course of the light period, the stimulatory input from the SCN
increases but is not yet apparent, attributable to the ongoing high
release of endogenous VP. At the end of the light period, the decrease
in VP release from SCN terminals then makes full expression of the
stimulatory SCN input possible. The apparent relationship between both
factors induces a profound circadian peak of corticosterone. The
importance of the decline in VP secretion is evidenced by our previous
experiment, which showed that infusion of exogenous VP at this time of
the light/dark cycle (i.e., CT8-CT12) prevents the diurnal peak in
corticosterone release (Kalsbeek et al., 1996 ). With the onset of
darkness, both the inhibitory and stimulatory input from the SCN
abates, and the circulating levels of corticosterone consequently
slowly decrease as a result of catabolism in the peripheral
circulation. The fact that the endogenous, diurnal peak in plasma
corticosterone is only half as high as the V1
antagonist-induced alterations at CT6 and CT10 is attributable to the
fact that, during the diurnal peak, the inhibitory effect of VP
diminishes but is not yet completely absent. The normal basal
corticosterone peak thus is still partly inhibited by VP.
Fig. 9.
Schematic presentation of the diurnal release
pattern of SCN transmitters involved in the circadian control of
corticosterone release. Vasopressin (i.e., inhibitory SCN signal) and
corticosterone data are redrawn from previously published data
(Kalsbeek et al., 1995 , 1996 ), whereas the release pattern of the SCN
transmitter stimulating the HPA axis is extrapolated from the data
presented in Figure 5.
[View Larger Version of this Image (19K GIF file)]
The control of the circadian rhythm in corticosterone release might be
effected either via changes in its central drive (i.e., secretion of
CRH and ACTH) or by changes in the adrenal sensitivity to ACTH
(Wilkinson et al., 1979 ; Kaneko et al., 1981 ; Charlton, 1990 ). To
investigate further the neural mechanisms underlying the circadian
control of corticosterone release, we also measured plasma ACTH levels.
Contrary to the corticosterone data, ACTH levels showed no diurnal
variation during the different Ringer's infusions
(p > 0.5), although variability during the CT10
experiment was considerably higher than at any other time of the day
(16.8 ± 2.8 vs 6.8 ± 1.9, 7.6 ± 2.3, 10.6 ± 1.1, and 11.0 ± 2.4 pg/ml). A number of previous studies have
reported diurnal variations in plasma ACTH levels (Graf et al., 1988 ;
Carnes et al., 1989 ; Bagdy et al., 1991 ; Kwak et al., 1992 ; Ixart et
al., 1993 ), but quite a few others failed to detect significant diurnal
variations (Wilkinson et al., 1979 ; Akana et al., 1986 ; Carnes et al.,
1986 ; Cascio et al., 1987 ; Kwak et al., 1993 ; Suemaru et al., 1995 ).
Important factors that may contribute to the difficulty of finding a
circadian ACTH rhythm are the low amplitude of the rhythm, the episodic
secretion of ACTH, the sampling protocol used (Carnes et al., 1986 ;
Turek and Van Cauter, 1988 ; Carnes et al., 1989 ), and the assay
variability (e.g., CT times in different assays).
The observation that the vasopressin V1 antagonist caused a
significant increase of plasma ACTH levels during every daytime
administration, but not during the dark period (Figs. 4, 5, Table 3),
suggests that VP from the SCN inhibits corticosterone release during
the daytime via an inhibitory effect on the release of ACTH. However,
contrary to the increased release of corticosterone, the ACTH responses
were not very pronounced. Indeed, during the stress paradigm the lower
corticosterone excursions were accompanied by higher ACTH levels (Fig.
7), which is why we think that the main control by the SCN does,
perhaps, not occur via a direct effect on the release of ACTH, but via
changes in the adrenal sensitivity to ACTH. The scatter plot in Figure
8 illustrates this point very clearly. Stress-induced increases of
plasma corticosterone are accompanied by increased levels of plasma
ACTH. On the other hand, the VP antagonist-induced increments in plasma
corticosterone, and possibly also the circadian peak, seem to be
completely independent of changes in ACTH release. A similar trend for
an ACTH-independent increase of corticosterone levels during the
circadian peak was previously noted by Dallman et al. (1987) . Jasper
and Engeland (1994) showed that denervation of the adrenal gland by
removal of its sympathetic innervation resulted in increased secretory
activity of the adrenal cortex during the daytime, thus supporting our
suggestion for an important daytime inhibition of corticosterone
release via the neural input to the adrenal gland. Recently,
Dijkstra et al. (1996) also showed that the sympathetic
innervation of the adrenal gland contributes to the diurnal variation
in resting plasma corticosterone levels. However, evidence also was
provided that this is not attributable to a change in the adrenal
responsiveness to ACTH. Therefore, the main effect of VP released from
SCN terminals in the PVN/DMH area might be to decrease splanchnic
neural activity by affecting PVN/DMH neurons with descending
projections to brainstem and spinal cord. Indeed, Nagai et al. (1995)
recently showed a strong inhibitory effect of centrally (i.e.,
intracerebroventricular) administered VP on sympathetic nerve activity.
Other data, however, support a stimulation (Holt and York, 1989 ). We
are currently pursuing this line of research by investigating the
effect of VP antagonist administration on corticosterone levels after
central denervation of the adrenal.
Contrary to stress-induced corticosterone elevations, the
magnitudes of ACTH responses to stress are largest in the early light
period and smallest during the period of light-dark transition
(Bradbury et al., 1991 ). Buijs et al. (1993a) noted previously that the
dichotomous effect of stress on corticosterone and ACTH excursions
indicates the existence of separate hypothalamic control systems for
corticosterone and ACTH release, both influenced by the SCN. As
discussed above, the inhibitory (i.e., VPergic) control of the SCN may
be exerted via the sympathetic innervation of the adrenal gland. Based
on the existence of separate control systems for ACTH and
corticosterone release, it is tempting to speculate that the
facilitatory influence of the SCN may be the result of stimulation of
the synthesis and release of CRH, and subsequently of ACTH. In this
respect, it is remarkable that both GRP and VIP (i.e., two peptidergic
transmitters contained in SCN neurons) exhibit ACTH and corticosterone
release stimulating properties (Gunion et al., 1989 ; Olsen et al.,
1992 ; Alexander and Sander, 1994 ). The early onset of the stimulatory
SCN input (i.e., between CT2 and CT6), as revealed by our timed VP
antagonist infusions, would agree with the often-reported
phase-advanced rhythms of CRH and ACTH compared with that of
corticosterone (Szafarczyk et al., 1980 ; Graf et al., 1988 ; Carnes et
al., 1989 ; Owens et al., 1990 ; Kwak et al., 1992 ; Cai and Wise, 1996 )
and the elevated daytime levels of GRP mRNA in the SCN (Zoeller et al.,
1992 ; Inouye et al., 1993 ; Inouye and Shibata, 1994 ). Because VP-,
VIP-, and GRP-containing SCN fibers display clearly separated
innervation patterns of the PVN/DMH subdivisions (Buijs et al., 1993b ;
Kalsbeek et al., 1993 ), a differentiated control of ACTH and
corticosterone release by SCN efferences is certainly possible.
However, as yet no conclusive anatomical data are available to back up
the dual control pattern of ACTH and corticosterone release as proposed
in the foregoing.
Our control experiment (Fig. 6) shows that diffusion of VP antagonist
away from the infusion site is limited, and confirms that the DMH is a
critical site of action for VP. The evidence for the SCN being the
major source of this rhythmic VPergic input to the DMH is threefold.
(1) Anatomically, the only extrinsic VP-containing input to the DMH
known is the SCN, an input that completely disappears after SCN lesions
(Hoorneman and Buijs, 1982 ; Kalsbeek et al., 1993 ). (2) In SCN-lesioned
animals, VP antagonist infusions are noneffective (Kalsbeek et al.,
1992 ). (3) VP release from SCN, and not PVN or SON terminals, shows a
daily rhythm (Kalsbeek et al., 1995 ). The only other possible source of
VP fibers in the DMH is an intrinsic one, i.e., the magno- and/or
parvocellular VP-containing neurons. Numerous reports, however, have
shown that VP from parvocellular and perhaps magnocellular PVN neurons
has an excitatory instead of an inhibitory influence on HPA axis
activity (Gillies et al., 1982 ; Rivier and Vale, 1983 ; De Goeij et al.,
1992 ; Bernardini et al., 1994 ). Therefore, we suggest that in the
control of corticosterone secretion, the CNS uses VP in two apparently
opposite ways. VP synthesized in SCN neurons and released in the
PVN/DMH area as a neurotransmitter serves to inhibit corticosterone
release, whereas the (parvocellular) neurons in the PVN that produce VP
act to promote the release of ACTH via its release in the median
eminence.
In conclusion, the present results show that two rhythmic inputs from
the SCN explain the well known daily pattern of basal corticosterone
release. In addition to this endogenous circadian factor, environmental
factors such as light, food, development, and stress also may affect
the daily activity of the HPA axis profoundly. Light effects are mainly
exerted via the SCN, but the other factors probably use different
pathways, such as the noradrenergic input from the brainstem and the
neuropeptide Y-containing input from the arcuate nucleus (De Kloet et
al., 1988 ; Dallman et al., 1993 ; Ericsson et al., 1994 ; Hanson and
Dallman, 1995 ; Shintani et al., 1995 ).
FOOTNOTES
Received Jan. 31, 1996; revised June 10, 1996; accepted June 13, 1996.
We thank Wilma Verweij for correcting the English and Henk Stoffels for
preparing the illustrations.
Correspondence should be addressed to Andries Kalsbeek, Netherlands
Institute for Brain Research, Meibergdreef 33, 1105 AZ Amsterdam, The
Netherlands.
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