Endocrinology Vol. 144, No. 4 1357-1367
Copyright © 2003 by The Endocrine Society
Immunotoxin Lesion of Hypothalamically Projecting Norepinephrine and Epinephrine Neurons Differentially Affects Circadian and Stressor-Stimulated Corticosterone Secretion
Sue Ritter,
Alan G. Watts,
Thu T. Dinh,
Graciela Sanchez-Watts and
Christi Pedrow
Programs in Neuroscience (S.R., T.T.D., C.P.), Washington State University, Pullman, Washington 99164-6520; and Neuroscience Program (A.G.W., G.S.-W.), University of Southern California, Los Angeles, California 90089-2520
Address all correspondence and requests for reprints to: Sue Ritter, Department of Veterinary and Comparative Anatomy, Pharmacology, and Physiology, Washington State University, Pullman, Washington 99164-6520. E-mail: sjr{at}vetmed.wsu.edu.
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Abstract
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Hindbrain norepinephrine (NE) and epinephrine (E) neurons play a pivotal role in the central distribution of sensory signals derived from the internal environment. Their projections influence the various secretory patterns of the hypothalamo-pituitary-adrenal axis and are essential for feeding and adrenal medullary responses to glucoprivation. NE and E terminals in the paraventricular nucleus of the hypothalamus (PVH) and associated hindbrain cell bodies can be virtually eliminated by PVH microinjection of a retrogradely transported conjugate of saporin (SAP, a ribosomal toxin) and a monoclonal antibody against dopamine ß-hydroxylase (dßh), i.e. dßh mouse monoclonal antibody conjugated to SAP (DSAP). To examine the effects of selective elimination of NE/E afferents on hypothalamo-pituitary-adrenal activation, we injected DSAP into the PVH and measured corticosterone secretion under basal circadian conditions and in response to two distinct challenges: glucoprivation and forced swim. DSAP lesions profoundly impaired glucoprivation-induced corticosterone secretion and induction of CRH heteronuclear RNA and Fos mRNA in the PVH, without impairing basal CRH mRNA expression, circadian corticosterone release, or the corticosterone response to swim stress. Thus, NE/E projections influence corticosterone secretion only in certain circumstances. They are required for the response to glucoprivation, but are dispensable for circadian activation and for the response to swim stress.
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Introduction
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CRH NEURONS IN the medial parvicellular (mp) part of the hypothalamic paraventricular nucleus (PVH) are innervated by a variety of afferents that control the different activation patterns of the hypothalamo-pituitary-adrenal (HPA) axis. A prominent afferent input originates from hindbrain catecholaminergic neurons (1, 2, 3, 4, 5). A variety of evidence indicates that both pre- and post-synaptic adrenergic receptors control CRH neuronal function and thus shape HPA activation patterns (3, 6).
Despite the recognized importance of hindbrain catecholamines for HPA function, major questions still exist regarding the precise nature of their involvement in the reactions to stress (7, 8). For example, it is not clear whether NE and E neurons encode only specific modalities of stress-related sensory information or whether they are broadly activated by many and diverse stress-related stimuli, allowing them to contribute in a more general way to many or all forms of HPA activation. The functional complexity of the hindbrain cell groups and the physiological complexity of many stressors have impeded the resolution of these questions. However, a major obstacle has been the lack of sufficiently selective tools for lesioning these neurons, which has made it difficult to attribute disruption of HPA function specifically to loss of PVH catecholamine terminals.
We have approached this problem using a novel immunolesioning technique that selectively destroys norepinephrine (NE) and epinephrine (E) neurons. The lesioning agent is a conjugate of saporin (SAP, a ribosomal toxin), and a monoclonal antibody against dopamine ß-hydroxylase (dßh, a biosynthetic enzyme present exclusively in NE/E neurons). This conjugate, referred to here as DSAP, is internalized by targeted neurons (9, 10, 11, 12) and transported retrogradely to their cell bodies (13, 14, 15), which are then destroyed (16). Previously, we demonstrated that injection of DSAP into the PVH selectively destroys hypothalamically directed NE/E neurons, producing a nearly complete loss of dßh-immunoreactive (ir) terminals in the medial hypothalamus without significant nonspecific damage at the injection site or to spinally projecting NE/E neurons (14).
Using this technique, we here examined the contribution of catecholaminergic afferents to the PVH on corticosterone secretion under basal circadian conditions and in response to two distinct challenges: metabolic perturbation (glucoprivation) and external aversive stress (forced swim). Additionally, we have determined the effects of DSAP lesions on CRH and c-fos gene transcriptional activity in the PVH after 2-deoxy-D-glucose (2DG) injections. 2DG interferes specifically with glucose use (17) and is thus a selective metabolic stimulus. Our previous work with DSAP demonstrated that feeding and adrenal medullary responses to glucoprivation are completely dependent on NE or E neurons (14). Corticosterone secretion is also potently stimulated by glucoprivation (18, 19), but the degree to which this response depends on catecholamine afferents is not known. Forced swim is a complex aversive stress that may involve some degree of telencephalic processing (19, 20) and, therefore, may activate the HPA axis by a completely different afferent pathway(s). Whether catecholamine afferents are an essential component of this pathway is unclear. The highly selective DSAP lesioning technique provides the opportunity to clearly establish the contribution of NE/E neurons to stimulation of the HPA axis by qualitatively distinct stressors.
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Materials and Methods
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Preparation of animals
Adult male Sprague-Dawley rats weighing 320340 g at the start of the experiment were obtained from Simonsen Laboratories, Inc. (Gilroy, CA). Rats were housed individually in suspended wire mesh cages under standard Association for Assessment and Accreditation of Laboratory Animal Care-approved conditions in a temperature-controlled room (21 ± 1 C) illuminated between 0600 and 1800 h. Rats had ad libitum access to pelleted rat food and tap water, except as noted. Tests were conducted between 0900 and 1300 h. All experimental animal protocols were approved by the Washington State University Institutional Animal Care and Use Committee, which conforms to National Institutes of Health guidelines.
For intracranial injections, the rats were anesthetized using chloropent anesthesia (3 ml/kg ip). Chloropent anesthesia was made by combining 21.25 g chloral hydrate, 10.6 g magnesium sulfate, 4.43 g pentobarbital sodium, 75.26 ml ethyl alcohol, and 169.00 ml propylene glycol, brought to 500 ml with sterile double-distilled H2O and filtered. Injections of dßh mouse monoclonal antibody conjugated to SAP [DSAP; Chemicon, Temecula, CA; 42 ng/200 nl in phosphate buffer (pH 7.4), n = 7] or unconjugated SAP control solution [Advanced Targeting Systems, San Diego, CA; 8.82 ng/200 nl in phosphate buffer (pH 7.4), n = 7] were directed bilaterally into the PVH, using the following stereotaxic coordinates: 7.3 mm ventral to dura mater, 1.8 mm caudal to bregma, ±0.4 mm lateral from midline. The amount of unconjugated SAP in the control solution approximated the amount of SAP present in the DSAP conjugate (21%), as indicated in the manufacturers product information. Injections were made through a stereotaxically positioned drawn glass capillary micropipette (tip diameter, 30 µm) connected to a microinjector (Picospritzer, General Valve Corp., Fairfield, NJ) with polyethylene tubing. The delivery of solution was monitored microscopically. The dose and volume of DSAP and SAP injected at each site were determined from previous experiments using similar protocols (14). Previous immunohistochemical studies indicate that 2 wk is adequate for transport of the immunotoxin and degeneration of the affected neurons (12, 15). Therefore, responses to glucoprivation were assessed beginning approximately 3 wk after DSAP injections.
Glucoprivic feeding
Injections of DSAP into the PVH have been shown previously to abolish 2DG-induced feeding (14). Therefore, glucoprivic feeding tests were conducted in all SAP- and DSAP-injected rats before blood collection experiments to obtain an independent in vivo assessment of the effectiveness of the DSAP injections. Feeding in response to both insulin-induced hypoglycemia and 2DG were tested, because both methods of producing glucoprivation were used to assess the effect of DSAP lesions on corticosterone responses, and the effect of DSAP on feeding induced by hypoglycemia has not been examined previously. For these tests, rats were given a weighed quantity of pelleted rat chow in their home cages and injected sc with a hypoglycemic dose of regular insulin (Humulin R, Eli Lilly and Co., Indianapolis, IN; 1.5 U/kg) or 2DG (Sigma-Aldrich Corp., St. Louis, MO; 250 mg/kg, 1 ml/kg), a nonmetabolizable glucose analog that competitively reduces glucose use (17). Baseline intakes were measured after injection of sterile saline (0.9%, 1 ml/kg). Remaining pellets and spillage were measured over the 4-h period immediately following the injection. Rats were tested with each drug and saline. Tests for 2DG- and hypoglycemia-induced feeding were separated by at least a 1-wk interval. Saline tests were conducted on the days before drug tests. DSAP rats that ate more than 1 g above their own saline baseline intake in response to 2DG or insulin were considered to have incomplete lesions and were excluded from further testing.
Corticosterone responses to insulin-induced hypoglycemia and 2DG
For these studies, rats were extensively habituated to opaque 4 x 12-inch Plexiglass testing chambers designed for remote blood sampling. One week before the first experiment, catheters constructed from Silastic tubing (inside diameter, 0.64 mm; outside diameter, 1.19 mm; Dow Corning Corp., Midland, MI) were implanted intraatrially through the right jugular vein. When not in use, catheters were filled with polyvinylpyrrolidone solution (40,000 molecular weight, Sigma-Aldrich Corp.), 11 g polyvinylpyrrolidone in 20 ml 0.9% saline containing 1000 U/ml heparin (Elkins-Sinn, Inc., Cherry Hill, NJ), and 2 mg/ml Gentamicin (Schering-Plough Animal Health Corp., Kenilworth, NJ). On test days, which were at least 1 wk apart, rats were placed in the chambers without food 1 h before collection of the first (time 0) blood sample, which was followed immediately by injection of 2DG (250 mg/kg, 1 ml/kg), insulin (1.5 U/kg), or saline (0.9%, 1 ml/kg). Additional blood samples (800 µl) were collected remotely 30, 60, 90, 120, 180, and 240 min after the 2DG or saline injection. Plasma was separated by centrifugation. After removing an aliquot for determination of glucose concentration, the samples were stored at -80 C for later assay of corticosterone. Glucose was analyzed using the glucose oxidase method (21). Corticosterone concentrations were determined in duplicate aliquots using RIA kits obtained from Diagnostic Products Corp. (Los Angeles, CA; catalog no. TKRC-1). The lower limit of sensitivity for corticosterone was 20 ng/ml. At each sampling time, blood volume withdrawn was replaced with an equal volume of resuspended erythrocytes, which were obtained from heparinized donor blood, washed, and centrifuged three times and resuspended in a volume of Nutricil (Medsep Corp., Covina, CA) equal to the original plasma volume. Donor blood was prepared the afternoon before the experiment and refrigerated overnight.
Corticosterone responses to 5-min forced swim
The corticosterone and glucose responses to a 5-min swim were examined in the same rats used for 2DG and insulin tests. On the test day, rats were attached to the blood collection lines and placed in the test chambers for 1 h before collection of the preswim baseline sample. Rats were placed individually for 5 min in a bucket of water maintained at 37 C. They were then removed from the water, towel-dried, and returned to the test chambers for the remainder of the test. Blood samples were collected at 30, 60, 90, 120, and 240 min after the start of the swim.
Basal circadian rhythm of corticosterone secretion
Seven DSAP-injected and six SAP-injected rats were used in this experiment. At 0800 h, they were given fresh food and water, and their jugular catheters were connected to the blood sampling lines, which remained connected for the duration of the experiment. Blood (800 µl) was collected remotely at 4-h intervals for 24 h, beginning at 0900 h, and replaced with an equal volume of donor blood, as described above. An aliquot of blood was removed for blood glucose determination. The remaining blood was centrifuged, and plasma was stored for RIA of corticosterone.
Immunohistochemistry
At the conclusion of testing, rats were killed rapidly by injection of a lethal dose of pentobarbital sodium (Abbott Laboratories, Irving, TX; 300 mg/kg) through the jugular catheter. They were perfused using a pH shift procedure to optimize visualization of CRH-ir without use of colchicine (22). Successive transcardial perfusion of 0.1 M potassium PBS, 4% paraformaldehyde in 0.1 M acetate buffer (pH 6.5), and 0.4% paraformaldehyde plus 0.05% glutaraldehyde in 0.1 M borate buffer (pH 9.5) was followed by 57 h post fixation and 0.4% paraformaldehyde in 0.1 M borate buffer (pH 9.5). Brains were then cryoprotected overnight in 0.1 M potassium PBS in 25% sucrose and sectioned on a cryostat. Coronal sections of the brain stem (40 µm) and hypothalamus (14 µm) were cut in multiple sets. Hindbrain sections were processed for immunocytochemical detection of dßh-ir. Hypothalamic sections were processed for dßh-ir and CRH-ir. The dßh-ir was used to verify the DSAP-induced lesion, and CRH-ir was used to evaluate the effect of the PVH DSAP injection on CRH neurons controlling ACTH secretion.
Immunohistochemical staining was performed using standard avidin-biotin-peroxidase techniques described previously (23, 24). Briefly, sections were treated with 50% ethanol for 30 min, then washed (3 x 5 min) in 0.1 M phosphate buffer, and incubated for 45 min in 10% normal horse serum made in Tris sodium phosphate buffer [TPBS (pH 7.4)] with 0.05% thimerosol. The blocking solution was removed from the tissue, and the sections were coincubated for 48 h in mouse monoclonal anti-dßh (Chemicon, 1:100,000) or rabbit anti-CRH (a gift from Dr. Wylie Vale, The Salk Institute, La Jolla, CA; 1:50,000) made in 10% normal horse serum-TPBS. The primary antibody was removed, and the sections were washed and incubated in biotintillated donkey antimouse or antirabbit IgG (both 1:500 in 1% normal horse serum-TPBS; Jackson Immuno-Research Laboratories, Inc., West Grove, PA). After 24 h, the tissue was washed (3 x 10 min), incubated with extravidin-peroxidase (Sigma; 1:1500 in TPBS) overnight, washed again (3 x 10 min), and reacted for visualization of dßh-ir or CRH-ir using nickel-intensified diaminobenzidine in the peroxidase reaction to produce a black reaction product. Sections were then mounted on slides and coverslipped for microscopic evaluation. All antibodies used in the experiment were titrated before use to determine optimal concentrations. Standard controls for specificity of primary antibodies were used, including the incubation of the tissue with normal instead of immune serum and preincubation of the immune serum with the antigen before its application to tissue. Histological sections used in figures were captured using a Nikon photomicroscope equipped with a digital camera (RS Photometrics, Roper Scientific Inc., Tucson, AZ) and linked to a computer running CoolSNAP software (Roper Scientific Inc.). Plates of multiple sections were assembled using Adobe Photoshop (Adobe Systems Inc., San Jose, CA). Brightness only was altered digitally in some cases to achieve uniformity among photomicrographs grouped in composite figures.
In situ hybridization
For in situ hybridization experiments, corticosterone responses to 2DG and saline were tested, as described, in separate groups of rats given PVH SAP or DSAP injections (n = 8 per group). Hypothalamic tissue from these rats was later processed for in situ hybridization of CRH mRNA or heteronuclear RNA (hnRNA). At the time the rats were killed, jugular catheters were connected to infusion lines, and animals were allowed to rest quietly for approximately 1 h. Half of the DSAP and SAP rats were then injected remotely through their infusion lines with 2DG (250 mg/kg) and half with 0.9% saline. Thirty minutes later, they were killed rapidly by remote injection of a lethal dose of pentobarbital. Within 2 min, transcardial perfusion was initiated, as described above, using the pH shift procedure. Brains were then removed from the skull and were post-fixed for 24 h in the pH 9.5 borate buffer containing 1215% (wt/vol) sucrose. Hypothalamic tissue was sectioned (14 µm) through the level of the PVH using a cryostat (Leica Corp., Deerfield, IL). Sections used for in situ hybridization were mounted on Superfrost Plus slides (Fisher Scientific, Pittsburgh, PA) and stored desiccated at -70 C until processed for in situ hybridization.
Sections were hybridized with a 35S-uridine triphosphate (UTP)-labeled cRNA probe transcribed from a 700-bp cDNA sequence encoding for part of the pre-proCRH mRNA (25), a 2.1-kbp sequence encoding for the rat c-fos mRNA, or a 35S-UTP/35S-CTP-labeled cRNA probe transcribed from a 536-bp PvuII fragment complementary to the sequence within the single CRH intron. cRNA probes were synthesized using the Promega Gemini kit (Promega Corp., Madison, WI) and the appropriate RNA polymerase, as described previously (25, 26). The characterization of each probe has been reported elsewhere (25, 26, 27, 28). Sections were exposed to Cronex Microvision x-ray film (DuPont, Wilmington, DE) for 1 d (CRH and c-fos mRNAs) or 42 d (CRH hnRNA), then dipped in nuclear track emulsion (Kodak NTB-2, Eastman Kodak Co., Rochester, NY; diluted 1:1 with distilled water). Slides were exposed for 4 d (c-fos mRNA), 7 d (CRH mRNA), or 42 d (CRH hnRNA), developed, and counterstained with thionin.
Quantitation of 35S-UTP-cRNA hybridization signals
Mean gray levels of the RNA hybridization signals in the PVHmp were measured from images on Microvision C x-ray film using IP-Lab Spectrum imaging software (Signal Analytics Corp., Vienna, VA) as described elsewhere (25). Hybridization values were expressed on a 0255 grayscale. Parcellation of the hypothalamus was determined using the scheme and nomenclature of Swanson (29). We have previously demonstrated the linearity of the in situ hybridization signal response on the x-ray film and our detection system (28). That part of the PVHmp in which CRH hnRNA measurements were taken was defined using the adjacent CRH mRNA hybridized section.
Assessment of the DSAP lesion
To verify the effectiveness of PVH DSAP injections in lesioning NE/E neurons, dßh-ir cell bodies were quantified at representative levels through hindbrain cell groups A1, C1 (caudal part), and A2, where the majority of cell bodies project to the hypothalamus and which provide the major NE/E innervation of the PVH (30, 31). To assess the specificity of the DSAP lesion for PVH-projecting NE/E neurons, groups A5 and A7 were also analyzed. Cell groups A5 and A7 project predominantly to the spinal cord and do not innervate the PVH. One of three sets of hindbrain sections from each rat was used for quantification. Three 40-µm sections, anatomically matched across rats, were selected from each area of interest for quantification. Cells were counted bilaterally on each section, and the mean number of cells per section was calculated for each cell group. All immunoreactive cells were counted, regardless of the presence of a cell nucleus. No correction factor for double counting was applied due to the use of relatively thick nonconsecutive sections for the quantification. A1 and A2 cells were counted between the pyramidal decussation and the calamus scriptorius (i.e. the most caudal extent of the area postrema). Cells in the area of A1/C1 overlap were counted between the calamus scriptorius and obex (i.e. the most rostral level of the area postrema). Cell group A5 was quantified at the level of the caudal locus coeruleus, at the exit of cranial nerve 7 from the ventral brain stem, and A7 was assessed at the level of the Kölliker-Fuse nucleus. Hypothalamic sections were examined for the presence of dßh-ir terminals and CRH-ir cell bodies. However, CRH-ir cell bodies and dßh-ir terminals in the PVH were not quantified.
Catecholamine cell groups are referred to using conventional terminology; NE cell groups are designated A1A6, and E cell groups as C1C3 (32). The area of overlap of rostral A1 and caudal C1 cell bodies is referred to as A1/C1. The respective distribution of NE and E neurons has been described in detail (4, 33, 34, 35).
Statistical analysis
Data from RIA, feeding tests, and glucose determinations were analyzed using two-factor repeated measures ANOVA and appropriate post hoc tests to isolate significant differences. A probability level of 0.05 was used as the level for significance.
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Results
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Rats recovered rapidly from intracranial injections without evidence of illness or neurological impairment. Body weights of DSAP and SAP rats did not differ at the time of PVH injections (374.8 ± 4.6 g and 362.0 ± 8.8 g, respectively), but DSAP rats weighed significantly more than SAP rats 5 months later at the conclusion of testing (537.5 ± 3.9 g and 465.5 ± 4.6 g, respectively; P < 0.05), as observed previously for PVH DSAP-injected rats (14).
Effects of DSAP on glucoprivic feeding
Injections of DSAP into the PVH completely eliminated feeding in response to both insulin-induced hypoglycemia and 2DG (Fig. 1
). SAP controls ate 1.6 ± 0.4, 5.9 ± 0.2, and 6.1 ± 0.3 g of food in response to saline, insulin, and 2DG, respectively (P < 0.001 for insulin and 2DG vs. saline), whereas DSAP rats ate 1.3 ± 0.3, 2.2 ± 0.4, and 2.0 ± 0.4 g of food in response to saline, insulin, and 2DG injection (P > 0.05 for insulin and 2DG vs. saline). The amounts consumed in response to insulin-induced hypoglycemia and 2DG were significantly greater in SAP than in DSAP rats (P < 0.001). All DSAP-injected rats exhibited severe deficits in glucoprivic feeding, and none were excluded from the data analysis.

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Figure 1. Total amount of food consumed by SAP- or DSAP-treated rats in a 4-h test immediately after systemic administration of 2DG (250 mg/kg), insulin (1.5 U/kg), or saline (0.9%). DSAP or SAP was microinjected bilaterally into the PVH at least 3 wk before the feeding tests to selectively eliminate the innervation of the PVH by hindbrain NE and E neurons. DSAP rats did not increase their food intake in response to either direct metabolic blockade of glucose use by 2DG or to a hypoglycemic dose of insulin.
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Corticosterone and glycemic responses to 2DG, hypoglycemia, and forced swim
Figure 2
shows that 2DG significantly elevated blood glucose concentrations above baseline levels in both SAP and DSAP rats, beginning 30 min after 2DG injection. Glucose responses to saline and 2DG did not differ between SAP and DSAP rats. Corticosterone levels measured after saline injection did not differ between SAP and DSAP groups at any sampling time. In contrast, the corticosterone response to 2DG was significantly reduced in the DSAP-treated rats, compared with SAP controls. For SAP rats, corticosterone levels after 2DG differed significantly from levels after saline injection at all sampling times between 30 and 240 min (P < 0.001). For DSAP rats, corticosterone levels after 2DG injection differed significantly from levels at the corresponding time points after saline injection between 30 and 120 min after 2DG (P
0.05), but the 2DG response was severely diminished in the DSAP compared with the SAP rats at all post-injection sampling times (P < 0.001). The peak corticosterone response, occurring at 60 min after 2DG injection, was 480 ± 23.2 ng/ml for SAP and 268 ± 13.8 ng/ml for DSAP rats. The corticosterone response of DSAP rats to 2DG, as measured by the calculated area under the curve (36), was only 34% of the response to 2DG in SAP rats.

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Figure 2. Plasma corticosterone (top) and glucose (bottom) concentrations in SAP- and DSAP-treated rats after systemic injection 2DG (250 mg/kg) or saline (0.9%). DSAP or SAP was microinjected bilaterally into the PVH at least 3 wk before initiation of testing to selectively eliminate the innervation of the PVH by hindbrain NE and E neurons. Basal levels of corticosterone did not differ between groups, but the plasma corticosterone response to 2DG was significantly attenuated by the DSAP treatment. The corticosterone response of DSAP rats to 2DG, as measured by the calculated area under the curve, was only 34% of the response to 2DG in SAP rats. Glucose concentrations were increased to a similar extent above baseline by 2DG in SAP and DSAP rats, indicating that the glucoprivic stimulus for corticosterone secretion was similar for both groups.
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Figure 3
shows that insulin produced significant hypoglycemia between 30 and 240 min after the injection (P < 0.001) that did not differ between SAP and DSAP groups (P > 0.05). In SAP rats, corticosterone levels were elevated significantly above those present after saline injection at all post-injection sampling times (P < 0.001). In DSAP rats, corticosterone levels at 60, 90, and 120 min after insulin injection were elevated significantly above saline baseline levels (P < 0.001), but the corticosterone response in DSAP rats was significantly less than the response in SAP rats at all post-injection time points (P < 0.001). The peak corticosterone response, occurring at 120 min after insulin injection, was 369.1 ± 18.5 ng/ml in SAP rats and 165.4 ± 14.6 ng/ml in DSAP rats (P < 0.001). The corticosterone response to insulin-induced hypoglycemia in the DSAP rats, as measured by the calculated area under the curve, was only 28% of the response in SAP rats.

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Figure 3. Plasma corticosterone (top) and glucose (bottom) concentrations in SAP- and DSAP-treated rats after a hypoglycemic dose of insulin (1.5 U/kg) or saline (0.9%). DSAP or SAP was microinjected bilaterally into the PVH at least 3 wk before testing to selectively eliminate the innervation of the PVH by hindbrain NE and E neurons. Basal corticosterone concentrations did not differ between groups, but the plasma corticosterone response to hypoglycemia was significantly attenuated in DSAP-treated rats. The corticosterone response to insulin-induced hypoglycemia in the DSAP rats, as measured by the calculated area under the curve, was only 28% of the response in SAP rats. Glucose concentrations were reduced from baseline levels by insulin in both SAP and DSAP rats, but did not differ between groups under either condition, demonstrating that the glucoprivic stimulus was similar in both groups.
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Forced swim did not significantly alter blood glucose concentrations in either SAP or DSAP rats, but it did significantly elevate corticosterone secretion (Fig. 4
). However, the corticosterone response to forced swim did not differ between SAP and DSAP rats. The peak corticosterone responses of SAP and DSAP rats were 312 ± 12.8 and 316 ± 17.3 ng/ml, respectively. The total corticosterone response of DSAP rats to forced swim, as measured by the calculated area under the curve, was 104% of the response to swim in SAP rats.

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Figure 4. Plasma corticosterone (top) and glucose (bottom) concentrations in SAP- and DSAP-treated rats after a 5-min forced swim. DSAP or SAP was microinjected bilaterally into the PVH at least 3 wk before initiation of testing to selectively eliminate the innervation of the PVH by hindbrain NE and E neurons. Basal levels of corticosterone and glucose did not differ between SAP and DSAP groups. In addition, the plasma corticosterone response to forced swim did not differ between groups, indicating that NE and E terminals are not required for the corticosterone response to this particular stressor. Glucose concentrations were not altered by the swim in either group.
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Basal secretion of corticosterone did not differ between SAP and DSAP rats across the circadian cycle (Fig. 5
). Corticosterone levels were highest just before the onset of the dark phase of the circadian light cycle and lowest just before onset of the light phase, as described in many previous reports (37, 38).

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Figure 5. Circadian rhythm of corticosterone secretion in rats given bilateral PVH microinjections of unconjugated SAP (n = 6) control solution or the immunotoxin anti-dßh-SAP (DSAP, n = 7) at least 3 wk before the test to selectively eliminate NE and E innervation to the PVH area. Blood samples for RIA of corticosterone were collected remotely at 4-h intervals across the circadian light/dark cycle. Black bar indicates the dark portion of the circadian cycle. The circadian rhythm of corticosterone secretion did not differ in DSAP and SAP rats.
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DSAP lesions
Deficits in the screening test for glucoprivic feeding were consistent with the histological data in indicating lesion severity. In all DSAP-injected rats, the injections produced a nearly complete loss of dßh-ir terminals in medial hypothalamic structures, including the PVH and arcuate nucleus, and loss of NE/E cell bodies known to innervate these structures (30, 31, 39, 40). In the PVH itself, dßh-ir terminals were almost completely eliminated by the DSAP injection (Fig. 6
, left column). However, histological sections revealed no evidence of nonspecific damage at the injection site in either DSAP- or SAP-injected rats. Most importantly, CRH-ir cell bodies in the PVH were not altered by DSAP (Fig. 6
, right column). Similarly, the PVH DSAP lesions did not diminish axonal processes and synaptic terminals of these CRH cell bodies in the median eminence, although the lesion virtually eliminated dßh-ir terminals from this area (Fig. 7
). The selectivity of the immunotoxin lesion observed here is consistent with our previous study using the same PVH DSAP microinjection protocol in which lesion selectivity was investigated using a variety of histological and functional tests (14).

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Figure 6. Histological sections (14 µm) showing the parvicellular area of the PVH from representative rats given bilateral injections of unconjugated SAP control solution or the immunotoxin anti-dßh-SAP (DSAP) into the PVH approximately 5 months before death. Sections show dßh-ir terminals (left side) and CRH-ir cell bodies (right side). Rats were perfused using a pH shift procedure to visualize CRH-ir without using colchicine. DSAP injections virtually abolished dßh-ir in the PVH, but did not alter the appearance of CRH-ir cell bodies in the same area. Calibration bar (100 µm) applies to all sections.
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Figure 7. Histological sections (14 µm) showing the median eminence region from representative rats given bilateral injections of unconjugated SAP control solution or the immunotoxin anti-dßh-SAP (DSAP) into the PVH approximately 5 months before death. Sections show dßh-ir terminals (left side) and CRH-ir terminals (right side). DSAP injections virtually abolished dßh-ir terminals in the median eminence, but did not alter the appearance of CRH-ir terminals in the same area. Calibration bar (100 µm) applies to all sections.
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Injections of DSAP into the PVH reduced or eliminated dßh-ir terminals in several additional medial diencephalic structures in addition to the PVH and median eminence, as described above. These included the dorsomedial and arcuate nucleus of the hypothalamus and the paraventricular nucleus of the thalamus. Notably, dßh-ir terminals were reduced only slightly in the supraoptic nucleus of the hypothalamus. Loss of terminals throughout the medial hypothalamus may indicate that the same NE/E neurons that innervate the injection site also provide collateral innervation of this entire region. Destruction of the cell body would eliminate all of the terminals of that cell, even those distant from the injection site. Alternatively, this pattern of denervation may reflect the diffusion radius of the injected toxin. In the medial forebrain bundle at levels caudal to the PVH, dßh-ir was reduced significantly by PVH DSAP, whereas reductions in dßh-ir in the rostral medial forebrain bundle and in the bed nucleus of the stria terminalis were minimal, indicating that many of the catecholamine cell bodies contributing fibers or terminals to these regions do not extend collaterals into our PVH injection site.
As reported previously (14), microinjection of DSAP into the PVH produced profound reductions in the number of cell bodies in PVH-projecting NE/E cell groups. Table 1
shows numbers of dßh-ir cell bodies (mean number per section ± SEM) for each of 5 quantified levels from 5 SAP and 14 DSAP rats used for corticosterone determinations and in situ hybridization experiments. The PVH DSAP injections produced a selective and nearly complete loss of dßh-ir in cell groups A1 and the area of A1/C1 overlap between the levels of the calamus scriptorius and obex and significantly reduced cell number in group A2. In contrast, spinally projecting NE/E neurons in A5, A7, or subcoeruleus (5, 40, 41, 42) were not damaged by PVH DSAP injections. Although not quantified, cell numbers in A6, C2, and C3 (all of which contain some cells with projections to the medial hypothalamus) appeared to be reduced by PVH DSAP, as described previously (14), but numbers of subcoeruleus area cells (which project spinally) did not appear to be reduced.
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Table 1. No. (mean ± SEM) of dßh-ir cell bodies at representative levels of the hindbrain showing effects of bilateral PVH microinjections of SAP or DSAP on PVH-projecting (A1, A1/C1, and A2) and spinally projecting (A5 and A7) NE and E cell groups
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The effects of 2DG on CRH mRNA, CRH hnRNA, and c-fos mRNA levels in the PVHmp
Basal and 2DG-induced transcriptional activity in the PVHmp are shown in Figs. 8
and 9
. Neither CRH hnRNA nor CRH mRNA levels differed significantly between SAP and DSAP rats given saline control infusions (Figs. 8
and 9
). This result is consistent with the CRH immunohistochemical findings, described above, and provides additional evidence that the DSAP lesion does not damage CRH neurons nonspecifically. There was a robust and significant increase in CRH hnRNA levels in the SAP rats given 2DG, whereas 2DG produced no response in the DSAP rats (Figs. 8A
and 9
). In contrast, CRH mRNA hybridization signal was not altered by 2DG in either SAP or DSAP rats (Figs. 8B
and 9
). This is consistent with studies using other stressors in which changes in CRH mRNA levels usually are not detected sooner than 3 h after stress onset (26, 43). The lack of effect of the DSAP lesion on CRH mRNA indicates that basal CRH mRNA expression is not dependent on catecholamine neurons and also provides another indication that the DSAP lesion did not destroy CRH-expressing cell bodies. Figure 9
also shows that 2DG significantly increased c-fos mRNA levels in the PVH of the SAP rats but produced no response in the PVH of DSAP rats, indicating that the activation of CRH neurons, as well as any other cell types in the PVH area, is diminished by the DSAP lesion.

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Figure 8. The effect of 2DG (250 mg/kg) or saline (0.9%) injections on the mean (+SEM) CRH hnRNA (A) and CRH mRNA (B) levels from rats previously given bilateral PVH microinjections of unconjugated saporin (SAP) or anti-dßh-SAP (DSAP). The hybridization values are based on a 0255 U grayscale.
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Figure 9. Darkfield photomicrographs showing CRH hnRNA (top row), CRH mRNA (middle row), and c-fos mRNA (bottom row) hybridization signal in the PVH from representative rats previously given bilateral PVH microinjections of unconjugated SAP (columns 1 and 2) or anti-dßh-SAP (DSAP, columns 3 and 4) to selectively eliminate NE and E terminals in the PVH area. Saline (0.9%) or 2DG (250 mg/kg) was administered by remote iv injection 30 min before death. 2DG-induced glucoprivation did not induce CRH hnRNA or c-fos mRNA in DSAP-treated rats. The expression of CRH mRNA, which was not altered at this time point by 2DG, was similar in both SAP and DSAP rats, indicating that the CRH-expressing neurons were not damaged by the DSAP injection.
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Discussion
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Microinjection of DSAP into the PVH produced virtually complete destruction of dßh-ir terminals in the PVH but did not damage CRH-ir cell bodies. This selective lesion profoundly impaired induction of CRH hnRNA, Fos mRNA, and corticosterone secretion by glucoprivation, without altering the corticosterone response to forced swim, the basal circadian pattern of corticosterone secretion, or basal CRH mRNA expression. Thus, hindbrain NE or E neurons are essential for glucoprivic stimulation of neuroendocrine CRH neurons, but are completely dispensable for their stimulation during the daily corticosterone surge or during swim stress.
An extensive literature clearly documents that catecholaminergic afferents release NE/E within the PVH and can activate both CRH gene expression and ACTH release either by direct innervation of CRH neurons or indirectly through glutamatergic interneurons (2, 3, 4, 5, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53). Despite this wealth of data, the relative importance of catecholamine neurons in the shaping of the HPA axis response to particular stressors has been difficult to establish. This difficulty has been due largely to lack of selective lesioning techniques. Even 6-hydroxydopamine, the most selective lesioning agent previously available, causes nonspecific damage at the injection site, is highly variable in its effect on different parts of the catecholamine neuron and on different catecholamine phenotypes, and may produce severe behavioral deficits (54, 55, 56). The sensory complexity of many stressors has also been an obstacle. In analyzing neural activation associated with a complex stressor, it is often difficult to distinguish the primary sensory signals driving the CRH response from those generated by secondary physiological reactions to the stressor. Furthermore, hindbrain catecholaminergic neurons are functionally heterogeneous, such that evidence of catecholamine neuron activation by a stressor does not reveal if or how that neuron contributes to the subsequent neuroendocrine response. For these reasons, studies attempting to identify catecholamine pathways controlling CRH neurons by examining the patterns of c-fos induction, NE/E release, or electrophysiological changes in response to various stressors have not produced unequivocal results regarding stimulus specificity (51, 57, 58, 59, 60). Thus, the ability to eliminate catecholamine afferents selectively using DSAP is an important and novel aspect of the present work. The clear differential effect of the DSAP lesion on the CRH neuroendocrine response to glucoprivation strongly supports the hypothesis that NE/E afferents exert stimulus-specific control of the HPA axis and are not required for all modes of CRH neuronal activation.
Mapping of stressor-induced Fos expression suggests that subpopulations of NE and E neurons may each encode stressor-specific information (23, 59, 61). Certainly the evidence for anatomical and functional heterogeneity among these catecholamine neurons suggests that different subgroups are organized to respond to distinct physiological conditions (14, 39, 62, 63, 64, 65, 66, 67, 68, 69, 70). On the other hand, the fact that swim stress has been shown to induce Fos-ir in catecholaminergic neurons (59) would seem to contradict the present findings, which show that these neurons are not required for the CRH response to swim. A possible explanation is that the same catecholamine neurons activated by glucoprivation may also be activated during longer swim bouts because increased physical exertion increases the demand for glucose. Regardless, our findings are unambiguous in showing that any catecholaminergic neurons projecting to the PVH are far more critical for the CRH neuronal response to glucoprivation than to forced swimming. They clearly indicate that catecholaminergic neurons that are Fos-positive after forced swimming either have functions other than the activation of CRH neurons or are not obligatory for a CRH response to swim stress.
Based on a variety of results, it has been hypothesized that stressors can be grouped into two broad categories that control the HPA axis by different neural pathways (7, 59, 71, 72). These categories can be described as interoceptive (or systemic, physiological, or homeostatic) and exteroceptive (or neurogenic, psychological, or emotional). Glucoprivation would be categorized as an interoceptive stressor, and the importance of catecholamine neurons for the CRH response to this stressor is consistent generally with the reported roles of the hindbrain, and specifically of catecholamine neurons, in a wide variety of homeostatic responses (71, 72, 73, 74). The categorization of our swim protocol as an exteroceptive stressor would receive support from recent Fos mapping studies indicating that swim produces an activational footprint that is similar to other proposed exteroceptive stressors and unlike the footprint of proposed interoceptive stressors (59). The neural mediators of the corticosterone response to forced swim are not known. Catecholaminergic neurons clearly are not required, but
-aminobutyric acid and glutamate are candidates for this role because they both influence CRH secretion (45, 75, 76). Our present results therefore indicate clearly that forced swim and glucoprivation activate CRH neurons by distinct pathways. But whether information conveyed by these different pathways converges at the level of the PVH, or whether it is conveyed by a final common pathway shared with a broader category of stressors remains to be determined (77).
DSAP microinjections produced a nearly complete loss of the corticosterone response to glucoprivation, but a slight residual response remained. This residual response might have been due to incomplete denervation of the PVH or to activation of an indirect catecholaminergic or noncatecholaminergic pathway not damaged by our lesion. Noncatecholaminergic neurons with projections to the PVH have been described in the vicinity of the A1/C1 and A2/C2 cell groups (42). In addition, we reported previously that DSAP abolishes 2DG-induced increases in Fos-immunoreactivity in the PVH, but not in the nucleus of the solitary tract, lateral parabrachial nucleus, or central nucleus of the amygdala (14), supporting the possibility of an alternative pathway from the hindbrain that may influence CRH neurons during glucoprivation. The possibility that the residual response is mediated by a neural or endocrine factor that does not involve CRH neurons should also be considered because DSAP lesions abolished the glucoprivation-induced increase in c-fos mRNA in the PVH. This is not due to an inability of PVH neurons to express Fos after DSAP treatment. We showed previously in DSAP-lesioned rats that Fos protein can be increased in PVH neurons by intraventricular injection of E, despite the lack of responsiveness of PVH neurons to 2DG (14). Thus, any stimulation of corticosterone secretion by glucoprivation that survives after the DSAP lesion does not require the immediate-early gene response, does not bring that response to the detection threshold of either immunohistochemical or transcriptional detection methods, or does not require CRH neurons.
Our data extend previous studies demonstrating that catecholaminergic afferents are not required for basal CRH gene expression (78, 79). We now show that both CRH mRNA levels in the PVH and circadian corticosterone secretion are completely unaffected by the DSAP lesions. We recently demonstrated that CRH mRNA (and presumably peptide) levels in the PVH are maintained by a robust circadian rhythm of CRH gene transcription, the amplitude of which is independent of circulating corticosterone (80). Together with the fact that basal CRH mRNA levels are unaffected by DSAP lesions, at least at the midpoint of the light cycle, these findings show that catecholaminergic afferents are not required for maintaining the basal CRH gene transcriptional activity that accompanies circadian corticosterone secretion. mRNA levels would be expected to fall significantly after the lesion if catecholaminergic afferents were required to sustain basal transcription. However, further experiments are required to establish whether NE/E inputs contribute to the integrity of the basal rhythm of CRH gene transcription.
The present findings add to the developing picture of the neural organization of central systems controlling brain glucose homeostasis. In particular, they define the essential role hindbrain catecholamine neurons play in this regard. Cell groups A1 and C1C3 are situated in sites where localized glucoprivation stimulates feeding and hyperglycemia and are strongly activated by systemic glucoprivation (24). In other studies using DSAP, we have shown that catecholamine neurons with projections to the medial hypothalamus are required for glucoprivic feeding (14) and for arousal of hypothalamic orexigenic circuitry by glucoprivation (81, 82). A separate, spinally projecting population is required for the adrenal medullary response to glucoprivation (14). The present demonstration of the importance of hindbrain catecholamine neurons in the glucoprivic stimulation of corticosterone secretion confirms their essential role in coordinating multiple regulatory responses that assure glucose delivery to the brain as a whole.
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Acknowledgments
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We thank Dr. Wylie Vale (The Salk Institute, Peptide Biology Laboratory, La Jolla, CA) for supplying CRH antibody and Robert Bierwirth for help with preliminary studies.
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Footnotes
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This work was supported by the Juvenile Diabetes Research Foundation International and U.S. Public Health Service Grants DK-40498 (to S.R.) and NS-29728 (to A.G.W.).
Abbreviations: dßh, Dopamine ß-hydroxylase; 2DG, 2-deoxy-D-glucose; DSAP, dßh mouse monoclonal antibody conjugated to SAP; E, epinephrine; hn, heteronuclear; HPA, hypothalamo-pituitary-adrenal; ir, immunoreactive; mp, medial parvicellular; NE, norepinephrine; PVH, paraventricular nucleus of the hypothalamus; SAP, saporin; TPBS, Tris sodium phosphate buffer; UTP, uridine triphosphate.
Received October 17, 2002.
Accepted for publication January 6, 2003.
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