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The Journal of Neuroscience, April 15, 2001, 21(8):2912-2918
Deficiency of Growth Hormone-Releasing Hormone Signaling Is
Associated with Sleep Alterations in the Dwarf Rat
Ferenc
Obál Jr1, 2,
Jidong
Fang2,
Ping
Taishi2,
Balint
Kacsóh3,
Janos
Gardi2, and
James M.
Krueger2
1 Department of Physiology, University of Szeged,
Albert Szent-Györgyi Medical Center, 6720 Szeged, Hungary,
2 Department of Veterinary and Comparative Anatomy,
Pharmacology and Physiology, Washington State University, Pullman,
Washington 99164-6520, and 3 Division of Basic Medical
Sciences and Department of Pediatrics, Mercer University School of
Medicine, Macon, Georgia 31207
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ABSTRACT |
The somatotropic axis, and particularly growth hormone-releasing
hormone (GHRH), is implicated in the regulation of sleep-wake activity. To evaluate sleep in chronic somatotropic deficiency, sleep-wake activity was studied in dwarf (dw/dw) rats
that are known to have a defective GHRH signaling mechanism in the
pituitary and in normal Lewis rats, the parental strain of the
dw/dw rats. In addition, expression of GHRH receptor
(GHRH-R) mRNA in the hypothalamus/preoptic region and in the pituitary
was also determined by means of reverse transcription-PCR, and
GHRH content of the hypothalamus was measured. Hypothalamic/preoptic
and pituitary GHRH-R mRNA levels were decreased in the
dw/dw rats, indicating deficits in the central GHRHergic
transmission. Hypothalamic GHRH content in dw/dw rats
was also less than that found in Lewis rats. The dw/dw
rats had less spontaneous nonrapid eye movement sleep (NREMS) (light
and dark period) and rapid eye movement sleep (REMS) (light period)
than did the control Lewis rats. After 4 hr of sleep deprivation,
rebound increases in NREMS and REMS were normal in the
dw/dw rat. As determined by fast Fourier analysis of the electroencephalogram (EEG), the sleep deprivation-induced enhancements in EEG slow-wave activity in the dw/dw rats were only
one-half of the response in the Lewis rats. The results are compared
with sleep findings previously obtained in GHRH-deficient
transgenic mice. The alterations in NREMS are attributed to the
defect in GHRH signaling, whereas the decreases in REMS might result
from the growth hormone deficiency in the dw/dw rat.
Key words:
sleep; GHRH receptor; dwarf; sleep deprivation; somatotropic axis; rats
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INTRODUCTION |
Pituitary growth hormone (GH)
stimulates protein anabolism and tissue growth. GH deficiency causes
dwarfism in growing individuals. The effects of GH are mediated in part
via insulin-like growth factor-1 (IGF-1). The synthesis and release of
GH are mainly controlled by two hypothalamic neurohormones,
GH-releasing hormone (GHRH) and somatostatin; the latter inhibits
secretion of GH. GH and IGF-1 feedback to inhibit secretory activities
of GHRH and GH and to stimulate somatostatin (for review, see
Müller et al., 1999 ). Sleep and the activity of the somatotropic
axis are intimately related. A major burst of GH secretion occurs
during deep nonrapid eye movement sleep (NREMS) in humans, and NREMS
and GH secretion also correlate in various animal species (for review,
see van Cauter and Plat, 1998 ). Hormones of the somatotropic axis are capable of modulating sleep. GHRH displays the best-documented sleep-promoting activity. NREMS increases after GHRH is injected into
the cerebral ventricles (Ehlers et al., 1986 ; Nistico et al., 1987 ;
Obál et al., 1988 ), into the medial preoptic area in rats (Zhang
et al., 1999b ), or systemically (Steiger et al., 1992 ; Kerkhofs et al.,
1993 ; Marshall et al., 1999 ; Obál et al., 1996 ), and in response
to GHRH-containing nasal spray (Perras et al., 1999 ). NREMS decreases
when GHRH is inhibited by means of a competitive receptor antagonist
(Obál et al., 1991 ) or by the activation of the negative feedback
in the somatotropic axis, e.g., after high doses of GH (Mendelson et
al., 1980 ), IGF-1 (Obál et al., 1999 ), or after somatostatinergic
stimulation (Frieboes et al., 1997 ; Beranek et al., 1999 ). Hypothalamic
GHRH contents (Gardi et al., 1999a ) and GHRH mRNA levels (Zhang
et al., 1999a ) display sleep-related variations. Collectively, these
findings suggest that GHRH simultaneously promotes NREMS and GH secretion.
Little is known, however, about how sleep is altered in chronic GHRH
deficiency. An autosomal recessive mutation in the Lewis rats is
associated with selective GH deficiency and consequent dwarfism
(Charlton et al., 1988 ). In adult dwarf (dw/dw) rats, plasma
concentration of GH, GH content of the pituitary, and GH and cAMP
responses to GHRH are greatly decreased (Charlton et al., 1988 ;
Carmignac and Robinson, 1990 ; Downs and Frohman, 1991 ). GHRH receptor
(GHRH-R) mRNA levels are reduced in the pituitary of dw/dw
rats (Carmignac et al., 1996 ; Zeitler et al., 1998 ). The signal
transduction pathway might also be affected distal to the receptor
protein (Brain et al., 1991 ; Downs and Frohman, 1991 ). Secretions of
pituitary hormones other than GH are normal in the dw/dw
rat, albeit prolactin secretion might be enhanced (Kineman et al.,
1989 ). Hypothalamic production of GHRH is not impaired in the
dw/dw rats; in fact, GHRH release might be enhanced because
of the lack of GH- and/or IGF-1-induced negative feedback (Mizobuchi et al., 1991 ; Pellegrini et al., 1997 ).
The aim of our experiments was to characterize hypothalamic GHRH-R mRNA
levels, spontaneous sleep, and the sleep response to sleep deprivation
in the dw/dw rats. Preliminary observations indicated that
NREMS and GHRH-R mRNA are in fact altered in these rats (Krueger et
al., 1999 ).
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MATERIALS AND METHODS |
Animals. Male, age-matched (~4-month-old) normal
Lewis (n = 9) and dw/dw (n = 14) rats were used. The body weight of the dw/dw rats
(216 ± 3.4 gm) was 40% less than that of the Lewis rats
(360 ± 2.5 gm). For surgery, the rats were anesthetized with
ketamine-xylazine (87 and 13 mg/kg, respectively), and stainless-steel
screws for electroencephalogram (EEG) recording were implanted over the
frontal and parietal cortices and over the cerebellum. Electromyogram (EMG) electrodes were inserted into the dorsal neck muscles. A thermistor placed over the parietal cortex served to measure brain cortical temperature (Tcrt).
Recording. The rats were housed in individual Plexiglas
cages placed in environmental chambers, with a 12 hr light/dark
cycle. The ambient temperature was 26 ± 1°C. Food and
water were available ad libitum. After surgery, the rats
were connected to the recording tether and habituated to the
experimental conditions for 8-10 d. The tethers were attached to
commutators, and cables from the commutators were connected to
amplifiers. The signals were digitized (128 Hz sampling rate) and
collected by a computer and stored on compact discs. For scoring, the
EEG, EMG, and Tcrt were restored on the computer screen. In addition,
power density values were calculated by fast Fourier transformation for
consecutive 10 sec epochs in the frequency range of 0.25-40.0 Hz for
0.5 Hz bands. The power density spectra were also displayed on the
computer screen. The states of vigilance were determined over 10 sec
epochs by the usual criteria as NREMS (high-amplitude EEG slow waves, low-tone muscle activity, and declining Tcrt upon entry), rapid eye
movement sleep (REMS) (highly regular theta EEG activity, loss of
muscle tone with occasional twitches, and a rapid rise in Tcrt at
onset), and wakefulness (EEG activities similar to but often less
regular and with lower amplitude than those in REMS, high EMG activity,
and a gradual increase in Tcrt after arousal). The percentage of the
time spent in each state of vigilance over 1 hr periods was determined.
The 10 sec Tcrt values were averaged for 1 hr periods. Mean power
density spectra were calculated for 10 sec uninterrupted periods of
artifact-free NREMS in each hour. The power density values for the
0.5-4 Hz (delta) frequency range were integrated and used as an index
of EEG slow-wave activity (SWA) during NREMS to characterize sleep
intensity in each recording hour.
Experimental schedule. After habituation, the sleep-wake
activity of rats was recorded for 3 consecutive days starting at light
onset. Each day, the recorded data were backed up on compact discs in
the last hour of the dark period, and therefore, data from this hour
was discarded. The rats were sleep-deprived on day 4 during the first 4 hr of the light period. The rats were also recorded from during and
after sleep deprivation for the rest of the light period (hours 5-12)
and during the subsequent dark period. Sleep deprivation was performed
by gentle handling while the rats stayed in their home cage; whenever
behavioral or EEG signs of sleep were observed, the rats were aroused
by knocking on the cage or touching them.
Determination of GHRH-R mRNA. After the termination of the
sleep recording, the rats were killed by guillotine between
hours 3 and 6 after light onset. The pituitary was harvested, and
hypothalamus/preoptic region (landmarks of frontal edge of the optic
chiasma, lateral sulci, mammillary bodies, and a depth of 2 mm) was
dissected within 1 min of death, and the RNA was extracted and stored
at 70°C until use. GHRH-R mRNA levels were determined in the
pituitaries obtained from eight Lewis and seven dw/dw rats,
and in the hypothalami collected from nine Lewis and eight
dw/dw rats.
Reverse transcription (RT)-PCR was used to measure GHRH-R mRNA. For
extraction, the tissue samples were homogenized in 1 ml of RNA STAT-60
(TelTest "B," Friendwood, TX). The amounts of RNA were determined
by measuring the optical densities of the samples measured at = 260. The integrity of the RNA was monitored by running aliquots in
formaldehyde-agarose gels. First-strand cDNA was synthesized with
oligo-dT priming and Superscript II (Life Technologies, Gaithersburg,
MD) from each hypothalamus sample using 5 µg of total RNA, and from
each pituitary using 2 µg of total RNA. The cDNA was stored at
20°C until used.
The linear region for the cycles of PCR signal amplification was
determined. For this, amplifications for GHRH-R mRNA and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) mRNA (see below) were
calculated from densitometric measurements of the ethidium bromide-stained agarose gels and plotted on a logarithmic scale against
the cycle number. The cDNA (4 µl for the hypothalamus and 1 µl for
the pituitary) was amplified by PCR (27 cycles of 94°C for 1 min,
58°C for 1 min, and 72°C for 2 min; last cycle, 72°C for 7 min;
and 32 and 19 cycles for GHRH-R and GAPDH, respectively) in a
volume of 25 µl using 0.25 µl/tube (1.25 U/tube) Taq
polymerase. The concentrations of the primers, the dNTP, and
MgCl2 were 0.4 µM, 0.2 mM, and 1.5 mM,
respectively. The GHRH-R mRNA levels were expressed with respect to
GAPDH mRNA as a standard. The number of cycles chosen was in the linear
range for both GHRH-R cDNA and GAPDH cDNA under these conditions.
The sequences of the primers used were as follows: GHRH-R sense,
5'-ccaaaccagctttctggtggc-3'; GHRH-R antisense,
5'-ggcctagcactcagagg-tgag-3' (position, 13O2-1282); GAPDH sense,
5'-gatgctggtgctgagtatgtcg-3'; and GAPDH antisense, 5'-gtggtgcaggatgcattgctga-3'. The primers for GHRH-R mRNA correspond to
those reported by Takahashi et al. (1995) and potentially amplify both
the short and the long isoforms of GHRH-R mRNA described by Mayo (1992)
in the rat pituitary. The resulting PCR products (10 µl of GHRH-R and
5 µl of GAPDH) were loaded onto 2% agarose gels containing ethidium
bromide (0.5 µg/ml). Densitometric analysis was performed by NIH
Image 1.54 for one-dimensional gels (Fig. 1). The band
containing the GHRH-R PCR product in the pituitary of a Lewis rat was
extracted from the gel and sequenced by the Department of Biochemistry
from Washington State University (Pullman, WA).
Measurement of hypothalamic GHRH content. The frozen samples
from groups of rats not included in the sleep studies
(n = 8 for dw/dw and n = 6 for Lewis
rats) were weighed and then boiled for 5 min in 0.5 ml of 2 M acetic acid (Katakami et al., 1986 ). The
tissues were individually homogenized with ultrasound. The homogenates
were centrifuged at 15,000 × g for 20 min at 4°C, aliquots were taken for protein measurement (Bradford, 1976 ), and the
rest of each supernatant was lyophilized for radioimmunoassay. The
recovery of the GHRH from extracts was 70-75%. The GHRH kit was
purchased from Peninsula Laboratories (Belmont, CA) (standard, rat GHRH-43). According to the supplier, the antiserum to rat GHRH
exhibited 100% cross-reactivity with human GHRH, whereas it did not
recognize the following peptides: His1,
Nle27 GHRH 1-32, porcine GHRH, human
parathyroid hormone 1-34, rat peptide histidine isoleucine, and human,
rat, porcine vasoactive intestinal peptide. The peptide was
measured in triplicate. The lower limit of assay detection was 8 pg/tube, and the intra-assay and interassay coefficients of variation
were 4.5 and 5.0, respectively.
Statistics. Data (hourly values of the states of vigilance,
SWA during NREMS, and Tcrt) obtained on the 3 d of undisturbed recording were averaged to characterize spontaneous sleep-wake activity in the normal Lewis rats and dw/dw rats. These
variables during the light and dark periods were compared by means of
two-way ANOVA between the two groups. The group effects
(independent samples) and the time effects (repeated measures) were the
two factors of the ANOVA. ANOVA was also used to evaluate the effects
of sleep deprivation on the sleep parameters and Tcrt within each group and to compare the sleep deprivation-induced changes in these variables
between groups. Because diurnal variations in sleep and Tcrt are well
known, only the group effects are discussed herein, and F
statistics for variations in time are not presented. There are hours
within which sleep does not appear at night in the rat; therefore, the
mean values of SWA during NREMS were calculated for the 11 hr recording
period in the dark and were used for statistical analysis performed by
t tests (paired for intragroup and unpaired for intergroup
comparisons). Mean relative optical densities of the GHRH-R PCR
products and the GHRH peptide contents of the hypothalamus were
compared by means of Student's t test between the Lewis and the dw/dw rats. An level of p < 0.05 was considered to be significant in all tests.
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RESULTS |
GHRH-R mRNA and GHRH content
Amplification of GHRH-R mRNA by PCR resulted in a single product
in both the hypothalamus and the pituitary in Lewis and
dw/dw rats (Fig. 1). The
electrophoretic mobility of the transcripts did not differ between the
groups. Sequencing of the amplified product from the pituitary of a
Lewis rat indicated that it corresponded to the short form of the
GHRH-R. The expression level of GHRH-R transcript (determined as the
GHRH-R/GAPDH ratio) in the dw/dw rats was ~20-65% lower
than in normal Lewis rats (Fig. 2). The difference between groups was statistically significant in both samples
(pituitary, t = 4.89; hypothalamus, t = 2.27; p < 0.05 for both). The GHRH peptide content in
the hypothalamus of the dw/dw rats (1825.8 ± 172.5 pg/mg protein) was only one-half of that found in normal Lewis rats
(3708.1 ± 312.6). This difference between the dw/dw
and the Lewis rats was also statistically significant (t = 5.63; p < 0.05).

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Figure 1.
Gel electrophoresis and the ethidium bromide
staining of RT-PCR amplified GHRH-R (564 bp) and GAPDH (197 bp) mRNA in
the hypothalamus/preoptic area (bottom) and the
pituitary (top) in Lewis (left) and
dw/dw (right) rats. The expression of
GHRH-R mRNA relative to GAPDH mRNA in dw/dw rats is less
than that observed in Lewis rats. Figure 2 provides the quantitative
analysis of these results.
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Figure 2.
Mean ± SE levels of GHRH-R mRNA levels in
the pituitary (top; Lewis, n = 8;
dw/dw, n = 8) and in the
hypothalamus/preoptic region (bottom; Lewis,
n = 8; dw/dw, n = 8). The levels of GHRH-R mRNA are expressed with respect to the
intensity of GAPDH mRNA determined in the same assay for each rat.
Asterisks denote significant differences (Student's
t test, two-tailed).
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Spontaneous sleep
The dw/dw rats did not display any motor abnormalities;
their behavior seemed to be normal. Sleep-wake activity in Lewis rats and the dwarfs exhibited diurnal rhythms, with sleep and wakefulness occurring predominantly during the light and the dark periods of the
day, respectively (Fig. 3). The amounts
of NREMS were highest in the first portion of the light period, whereas
REMS peaked in the afternoon. EEG SWA during NREMS was intense in the
morning, and then it declined progressively throughout the light period and increased at night. Tcrt was relatively low during the day and
increased at night.

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Figure 3.
Hourly values (mean ± SE) of NREMS,
REMS, Tcrt, and EEG slow-wave activity during NREMS (SWA, integrated
power densities in the delta range) in Lewis (open
symbols; n = 9) and dw/dw
(filled symbols; n = 14)
rats. Significant differences were obtained in the amounts of NREMS
(light and dark periods) and REMS (light period) between the
dw/dw and Lewis rats (ANOVA; see Table 1 and
Results), whereas SWA and Tcrt did not differ.
Horizontal bars indicate dark period.
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The dw/dw rats spent less time in NREMS during both the
light period (F(1,21) = 21.59) and the
dark period (F(1,21) = 18.6) than the
normal Lewis rats (Fig. 3, Table 1). The
differences in the amounts of NREMS between the groups varied with time
(light, F(11,231) = 2.12; dark,
F(10,210) = 4.58). NREMS was normal
during the first 3 hr of the light period in the dw/dw rats
and decreased thereafter. Compared with Lewis rats, the
dw/dw rats exhibited significantly less NREMS bouts lasting
longer than 4 min (dw/dw, 16.3 ± 0.97 vs Lewis,
28.8 ± 1.20; t = 8.15; p < 0.05)
and more short NREMS bouts (dw/dw, 138.7 ± 3.56 vs
Lewis, 104.2 ± 4.62; t = 5.97; p < 0.05). At night, two periods of increased NREMS occurred when the
amounts of NREMS in Lewis rats greatly exceeded NREMS in the
dw/dw rats. The number of long NREMS bouts decreased significantly in the dw/dw rats (dw/dw, 3.4 ± 0.83 vs Lewis, 7.5 ± 1.09; t = 3.03;
p < 0.05), whereas the number of short NREMS bouts did
not differ between the groups at night. Absolute values of EEG SWA
during NREMS revealed high interindividual variations in both groups,
but they were in the same range (Fig. 3).
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Table 1.
Amounts (mean ± SE) of spontaneous NREMS and REMS and
the effects of sleep deprivation on NREMS, REMS, and EEG SWA during
NREMS in Lewis and dw/dw rats
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The dw/dw rats spent significantly less time in REMS than
the Lewis rats during the light period
(F(1,21) = 32.94). This difference occurred between hours 5 and 12 of the light period when normal Lewis
rats exhibited the highest amounts of REMS (Fig. 3). The dw/dw rats had significantly fewer REMS bouts longer than 2 min than the Lewis rats (dw/dw, 17.7 ± 1.57 vs Lewis,
24.1 ± 1.35; t = 2.83; p < 0.05), but the number of short REMS bouts did not differ. At night,
REMS was low in both groups without significant differences between
them. Also in the dark period, the number of REMS bouts longer than 2 min was slightly, albeit significantly, less in the dw/dw
rats than in the Lewis rats (dw/dw, 6.9 ± 0.50 vs
Lewis, 9.5 ± 0.78; t = 2.94; p < 0.05), but this loss in time spent in REMS was compensated by a strong
tendency to a higher number of short REMS bouts (dw/dw,
20.1 ± 1.97 vs Lewis, 15.7 ± 0.94; not significant).
There were no differences in Tcrt between the control Lewis rats and
the dwarf rats.
Responses to sleep deprivation
The time spent in NREMS increased greatly after sleep deprivation
in both groups of rats (Fig. 4).
Increases in NREMS were significant during both the light period
(Lewis, F(1,8) = 282.41; dw/dw, F(1,13) = 100.34)
and the dark period (Lewis, F(1,8) = 11.53; dw/dw, F(1,13) = 17.40). EEG SWA during NREMS was enhanced during the light period after
sleep deprivation in Lewis rats (Lewis,
F(8,1) = 53.6) and dw/dw
rats (F(13,1) = 20.0). These EEG SWA
responses peaked in hour 1 after deprivation and declined progressively
thereafter in both groups (Fig. 4). EEG SWA tended to drop below
baseline during the night after deprivation. Calculated for the entire
dark period after deprivation, suppression of EEG SWA was significant
in the dw/dw rats (t = 4.51), but it did not reach the level of statistical significance in the Lewis rats.

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Figure 4.
Responses (mean ± SE) to 4 hr of sleep
deprivation in Lewis (left; n = 9)
and dw/dw (right; n = 14) rats. Sleep deprivation occurred during the first 4 hr of the light
period. For both groups, baseline values of NREMS, REMS, and Tcrt are
indicated by open symbols, whereas values during and
after sleep deprivation are shown by filled symbols. EEG
SWA during NREMS is shown as percent deviation from baseline values
recorded during spontaneous NREMS. Significant differences between the
Lewis and dw/dw rats were observed in the SWA responses
to sleep deprivation during both the light and the dark periods (ANOVA;
see Table 1 and Results). Horizontal bars
indicate dark period.
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Increases in REMS after sleep deprivation were delayed until the last
hour of the light period and the subsequent dark period in both groups
(Fig. 4). Calculated for hours 5-12 of the light period, the changes
were not significant (Table 1). REMS increased significantly during the
first postdeprivation night in the control Lewis and the dwarf groups
(Lewis, F(1,8) = 20.84;
dw/dw, F(1,13) = 24.83).
Tcrt increased significantly during the 4 hr period of sleep
deprivation in both groups (Lewis,
F(1,8) = 429.58; dw/dw, F(1,13) = 159.46). Tcrt tended to
decrease slightly after deprivation, but these changes did not reach
the level of statistical significance.
The absolute values of NREMS during recovery were significantly higher
in the Lewis rats than in the dwarfs during recovery (hours 5-12 in
light, F(1,21) = 23.55; dark,
F(1,21) = 10.29). These differences,
however, followed the differences between the two groups in the amounts
of spontaneous NREMS on the baseline day, and the deprivation-induced
changes in NREMS were not different between the two groups during
either the light or the dark period (Table 1). Similarly, Lewis rats
exhibited more REMS than the dw/dw rats after sleep
deprivation (hours 5-12 in light,
F(1,21) = 51.88; dark,
F(1,21) = 6.44), but the increments in
REMS with respect to baseline were the same in both groups (Table 1).
The EEG SWA response to sleep deprivation was the sleep parameter that
made the distinction between the groups (Table 1). The sleep deprivation-induced enhancements in EEG SWA in the dw/dw
rats were only one-half of those observed in the Lewis rats
(F(1,21) = 12.51), and at night, EEG
SWA diminished significantly more in the dw/dw rats than in
normal Lewis rats (F(1,21) = 7.81).
Although Lewis rats tended to exhibit higher Tcrt than the
dw/dw rats during sleep deprivation, the increments in Tcrt
did not differ significantly between the two groups.
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DISCUSSION |
A short and a long GHRH-R mRNA species have been described in the
pituitary of the rat (Lin et al., 1992 ; Mayo, 1992 ). The short
isoform is the predominant transcript, and recombinant receptors of
only the short transcript mediate cAMP responses to GHRH (Miller et
al., 1999 ). A shorter ( ) and a longer ( ) subtype of the short isoform have been distinguished; both are functional when expressed in
host cells (Zeitler et al., 1998 ). Significant decreases in the levels
of GHRH-R mRNA were reported previously in the pituitary of
dw/dw rats (Carmignac et al., 1996 ; Zeitler et al., 1998 ), and the current results confirmed these observations. Findings in our
laboratory suggest that GHRH binding is almost abolished in the
pituitary of the dw/dw rat (Gardi et al., 1999b ).
Takahashi et al. (1995) reported that GHRH-R mRNA is constitutively
expressed in the rat hypothalamus. Our results support this finding. In addition, it seems that the short GHRH-R mRNA species is also the
dominant isoform in the hypothalamus/preoptic region because the
conditions used in our studies resulted in only one signal, which
corresponded to the subtype of the short transcript. (The primers
used cannot amplify the subtype of the short GHRH-R mRNA isoform.)
The significantly decreased GHRH-R mRNA levels reported here are the
first indication that the GHRH signaling mechanism has the same defect
in the hypothalamus/preoptic region as the previously described deficit
in the pituitary of the dw/dw rats.
In vitro observations suggest that the release of GHRH is
enhanced in the dw/dw rats (Bilezikjian et al., 1990 ). This
phenomenon is attributed to the low GH concentration because
GH/IGF-1 normally mediates negative feedback, inhibiting GHRH
production and release. Chronically enhanced release results in low
GHRH content of the hypothalamus. Depletion of GHRH is observed in rats
and mice with various GH deficiencies (Frohman et al., 1989 ; Kamegai et
al., 1998 ) and in rats after hypophysectomy (Chomczynski et al.,
1988 ; De Gennaro Colonna et al., 1988 ). Current findings demonstrate that the decrease in GHRH content also occurs in the hypothalamus of
the dw/dw rat.
Previously, we studied sleep in transgenic, GHRH-deficient, dwarf mice
(Zhang et al., 1996 ). These mice bear a transgene composed of the
promoter region of tyrosine hydroxylase and the coding region of the
human GH gene (TH-hGH mice); thus, in these mice, tyrosine
hydroxylase-positive neurons produce human GH (Banerjee et al., 1994 ).
The high concentration of resulting intracerebral hGH acts as a
negative feedback signal for the somatotropic axis by stimulating
somatostatin and suppressing GHRH production (Szabo et al., 1995 ).
Consequently, pituitary GH secretion is diminished and there is also a
systemic IGF-1 deficiency. Only NREMS decreases in the TH-hGH mice
(Zhang et al., 1996 ). In contrast, the dw/dw rats displayed
decreases in both spontaneous NREMS and REMS.
GHRH appears to have a selective NREMS-promoting activity, which is
mediated by the preoptic region. This proposal is based on the
observations that hypophysectomy (i.e., removal of GH), fails to block
GHRH-induced increases in NREMS (Obál et al., 1996 ) and that GHRH
microinjected into the medial preoptic region selectively enhances
NREMS (Zhang et al., 1999b ). Decreases in central GHRHergic
transmission may therefore explain the permanent NREMS loss in both the
dw/dw rat with GHRH-R deficiency and the TH-hGH transgenic
dwarf mouse with suppressed production of GHRH. Nevertheless, in terms
of sleep regulation, chronic decreases in GHRHergic activity might be
in part compensated. An acute inhibition of GHRH blocks increases in
both the duration and the intensity (EEG SWA) of NREMS during recovery
sleep (Obál et al., 1992 ). In contrast, the deprivation-induced
increases in the amounts of NREMS were normal, and only the
enhancements in EEG SWA were attenuated during recovery in the
dw/dw rats. EEG SWA is an important marker of the activity
of homeostatic sleep regulation (Borbély and Achermann,
1999 ). The current findings, therefore, suggest that normal
functioning of the somatotropic axis is involved in this process. The
absolute values and the diurnal variations of EEG SWA during
spontaneous NREMS did not differ between the Lewis and the
dw/dw rats. Hence, only strong stimuli, such as sleep deprivation, may reveal the impairment of homeostatic sleep regulation. Alternatively, the GH deficiency may cause developmental alterations in
the thalamocortical networks that are involved in the generation of SWA
during NREMS. GH has been implicated in maturation of glia and neurons
(Noguchi, 1996 ; Sekiguchi et al., 1998 ), but the morphological abnormalities occur predominantly in the cerebellum in GH-deficient animals, and we are not aware of alterations that can clearly be linked
to the genesis of EEG waves. IGF-2 is the major IGF required for
intrauterine growth and development, and unlike IGF-1, IGF-2 is not
GH-dependent. Furthermore, the GH deficiency in newborn rats is not as
severe as in adults because maternal milk contains GH-releasing factors
different from GHRH, such as thyrotropin-releasing hormone, and
thus the newborn dw/dw rats respond with GH secretion to
nursing (Kacsoh et al., 1999 ). It is noted that the NREMS responses and, in particular, the EEG SWA responses to sleep deprivation were
unusually large in the Lewis rats. Lewis rats are characterized by a decreased stress responsiveness of
the hypothalamic-pituitary-adrenal (HPA) axis (Sterberg et al.,
1992 ; Baumann et al., 2000 ). This hormonal system mediates sleep
suppression (for review, see Steiger and Holsboer, 1997 ). The amount of
spontaneous NREMS is significantly higher in normal Lewis rats than in
Sprague Dawley or Fisher rats (Opp, 1998 ). We are not aware of similar
interstrain comparisons of recovery sleep, but the current findings
suggest that the low HPA activity might be associated with an enhanced
NREMS response to sleep deprivation in the Lewis rats.
Although the suppressed GHRHergic activity is the suggested major
common candidate as the cause of the decreases in NREMS in both the
dw/dw rats and the TH-hGH mice, it is possible that the
deficiencies in GH and IGF-1 also contribute. The effects of GH on
NREMS are controversial, but some observations indicate that both GH
and IGF-1 promote NREMS independently from GHRH (Aström and
Lindholm, 1990 ; Obál et al., 1998 ). Theoretically, therefore, withdrawal of these hormones might be associated with reductions in
NREMS. The TH-hGH mice, however, produce GH in the brain. The intracerebral GH is significant, as shown by the finding that hGH
expressed exclusively in the cerebral cortex in another type of dwarf
transgenic mice reaches the hypothalamus and inhibits GHRH
(Hollingshead et al., 1989 ). Hence, we assume that deficiencies of GH
or IGF-1 cannot provide a common clue for the decreases in NREMS in the
dw/dw rat and in the TH-hGH dwarf mouse.
In contrast to NREMS, REMS in the dw/dw rats and the TH-hGH
transgenic mice clearly differed; REMS decreased only in the
dw/dw rat. Although acute systemic or
intracerebroventricular administration of GHRH may promote REMS,
this response is not consistent and is likely to be an indirect action
of GHRH (Obál et al., 1988 ). The effects of GHRH on NREMS and
REMS can be separated, as shown by the preoptic GHRH microinjection
that enhances NREMS without changes in REMS (Zhang et al., 1999b ).
Hypophysectomy, which does not alter GHRH-induced promotion of NREMS,
abolishes increases in REMS in response to systemic GHRH injection
(Obál et al., 1996 ). This finding may suggest that the presence
of GH is necessary for stimulation of REMS by GHRH. GH is, in fact,
capable of promoting REMS; increases in REMS are reported after acute
administration of GH in rats (Drucker-Colin et al., 1975 ), cats (Stern
et al., 1975 ), and humans (Mendelson et al., 1980 ), whereas
immunoneutralization of GH is followed by decreases in REMS in rats
(Obál et al., 1997 ). GH deficiency is often associated with
decreases in REMS in children, but REMS might be normal in GH-deficient
young adults (Orr et al., 1977 ; Hayashi et al., 1992 ). We suggest that
the decreases in REMS result from the GH deficiency in the
dw/dw rat, whereas the intracerebral hGH compensates for the
loss of pituitary GH and maintains normal REMS in the TH-hGH transgenic
mouse. The mechanisms for GH effects on REMS remain unknown. Although
GH may stimulate intracerebral production of IGF-1 (Sato and Frohman, 1993 ), IGF-1 is not involved in the REMS-promoting action because IGF-1 has no clear effects on REMS (Obál et al., 1998 ).
Drucker-Colin et al. (1975) report that increases in REMS by systemic
GH are closely associated with enhancements in protein synthesis in the CNS. GH is transported into the brain, in which it can modulate metabolism and neurotransmission (for review, see Nyberg and Burman, 1996 ).
In conclusion, after previous findings in GHRH-deficient TH-hGH
transgenic mice (Zhang et al., 1996 ), the current results provide
additional support for the importance of the somatotropic axis in sleep
regulation. Chronic somatotropic deficiency is associated with
permanent alterations in sleep in the rat.
 |
FOOTNOTES |
Received Dec. 4, 2000; revised Jan. 22, 2001; accepted Feb. 1, 2001.
This work was supported in part by National Institutes of Health Grants
NS27250 and HD36520 to J.M.K., the Hungarian Ministry of Health and
Science Foundation Grants ETT 04/033/2000 and OTKA-030456 to
F.O., and a grant by the Medcen Foundation of the Medical
Center of Central Georgia to B.K.
Correspondence should be addressed to Dr. James M. Krueger, Washington
State University, College of Veterinary Medicine, Department of
Veterinary and Comparative Anatomy, Pharmacology and Physiology, P.O.
Box 646520, Pullman, WA 99164-6520. E-mail:
krueger{at}vetmed.wsu.edu.
Dr. Gardi's present address: Endocrine Unit, University of Szeged,
Albert Szent-Györgyi Medical Center, 6720 Szeged, Hungary.
 |
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