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DEVELOPMENTAL PHYSIOLOGY AND PREGNANCY
1Graduate Neuroscience Program, 2Department of Zoology and Physiology, and 3Department of Pharmaceutical Sciences, University of Wyoming, Laramie, Wyoming
Submitted 13 March 2008 ; accepted in final form 7 July 2008
| ABSTRACT |
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behavioral sensitization; psychomotor stimulant; salt appetite
Once behavioral sensitization has developed to one substance, an animal may also be more responsive to other substances that activate the dopaminergic system, termed cross-sensitization. Clark and Bernstein (12) showed that rats exposed to repeated sodium deficiencies were more responsive to amphetamines and vice versa. This process of cross-sensitization can also occur during early development. Previous work in our laboratory (33) revealed that offspring from dams maintained on sodium-deficient diets during the prenatal and early postnatal period were more responsive to amphetamines when tested as adults than their normal counterparts. This implies that early life experience with sodium deficiency has long-lasting effects on the organization of the developing brain, sensitizing offspring to amphetamines.
In our previous experiments (33), it also was observed that Wistar-Kyoto (WKY) offspring exposed to the low-sodium diet during the perinatal period had increased adrenal gland weights as adults in addition to altered amphetamine sensitivity. Adrenal hypertrophy can reflect hydromineral states and/or stress. Low-sodium diets can increase both aldosterone and corticosterone (Cort) levels in plasma (20), and high-sodium diets increase Cort levels in the blood, and this leads to hyperresponsiveness to stress in offspring (41). Therefore, adrenal hypertrophy due to periods of sodium deficiency or sodium excess could result in increased glucocorticoid release due to diet-induced stress.
Maternal malnutrition is a stressor for both mothers and offspring (3, 4, 7). Prenatal stress increases the responsiveness of offspring to amphetamines when tested as adults (18, 19, 29). Therefore, the present experiments examined whether the increased responsiveness to amphetamines observed in sodium-manipulated offspring was a direct effect of dietary sodium manipulation or diet-induced stress.
In addition, there appears to be critical periods in development for the effects of stress. Therefore, we chose to examine offspring exposed to dietary sodium manipulation during either the prenatal period or the early postnatal period in development. Prenatal maternal stress, indicated by increased glucocorticoid levels, can alter responsiveness of offspring to stressful experiences and to drugs of abuse (18, 19, 29, 52). Furthermore, prenatal stress occurring during specific time windows, late gestation in particular, is sufficient to cause this (18, 19, 29, 52). Likewise, maternal separation or poor mother-pup interactions during the early postnatal period have detrimental effects on pups, rendering them more sensitive to psychostimulant drugs and environmental stressors (9, 10). Therefore, if dietary sodium manipulation is a physiological stress affecting the mother and pup during either the prenatal or early postnatal period, then the offspring should show enhanced responsiveness to amphetamines and to stressful challenges as adults.
In human populations and in rats, there are individual differences in susceptibility to psychostimulant drugs and development of behavioral sensitization (45, 51, 54). Previous studies from our laboratory and others have examined differences between WKY and spontaneously hypertensive rats (SHR) in response to amphetamine, because the SHR show altered dopamine function, which could contribute to differences in response to amphetamine (26, 34, 49, 54). Wistar rats, which were used in the current experiment, are commonly used in the study of psychomotor stimulants and display physiological distinctions from inbred WKY rats (37, 43). Examining substrains of Wistar rats allowed us to determine whether the effects of dietary sodium manipulation generalized across substrains of Wistar rats.
Three sets of experiments were performed to test our hypotheses 1) that dietary sodium manipulation during the prenatal or postnatal period affects behavioral responses to amphetamine in offspring and 2) that dietary sodium manipulation is a physiological stress that is an underlying factor mediating amphetamine sensitivity in the offspring. First, systolic blood pressure (BP), fluid intake, and salt preference were collected to determine whether there were permanent changes in behavior and physiology of adult offspring. Second, behavioral responses to amphetamine were tested in normal and sodium-manipulated offspring to test amphetamine sensitization. Third, measures of stress were evaluated, including locomotor behavior in a novel environment, plasma adrenocorticotropin hormone (ACTH) and Cort levels before and after a restraint stress, and adrenal gland weight.
| MATERIALS AND METHODS |
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All diets used in this study allow for normal reproduction, growth, and litter size. To produce diets with varied salt content, we added NaCl to sodium-deficient powdered rat chow (MP Biomedicals, Aurora, OH) by weight and mixed for 10 min to ensure homogeneity. Mixed diets were sealed in plastic containers and stored in a cold room. The 0.12% NaCl diet was chosen as the low-sodium diet because this amount is close to the minimum amount required for successful reproduction (0.08% NaCl), and amounts below this lead to high levels of mortality (8, 15). The 1% NaCl diet was chosen as the normal diet because it is similar to standard rat chow. The 4% NaCl diet was chosen as the high-sodium diet because this concentration is not normally preferred and is sufficiently high to elevate blood pressure (8, 15). In addition, the various NaCl levels used in this experiment mimic salt intake levels in humans. The 0.12% NaCl diet corresponds to reduced salt diets recommended for people with hypertension, the 1% NaCl diet corresponds to the recommended daily average for salt intake in the United States, and the 4% NaCl diet reflects a high-salt diet that corresponds with elevated daily salt intake (40, 48a). This study was approved by the University of Wyoming Animal Care and Use Committee in accordance with federal regulations.
Systolic blood pressure. Systolic BP was measured indirectly using a semiautomated tail-cuff device (IITC, Woodland Hills, CA). Rats (n = 6–8/dietary group) were placed in cylindrical Plexiglas restraining tubes and were acclimated to the testing chamber and restraining tubes for 30 min to reduce restraint stress. Three BP measurements were then taken for each rat, and the average of the three readings was used for the BP. BP was measured in the morning to midafternoon (between 0900 and 1400).
Two-bottle fluid intake and salt preference test. At 6 mo of age, adult male offspring were examined for differences in fluid intake and NaCl preference [NaCl intake/(NaCl + water intake) x 100]. For this test, offspring (n = 6–8/dietary group) were removed from their clear plastic home cages into individual suspended steel-mesh cages and acclimated to the test cages for several hours before the 24-h test period began. Offspring were kept in a temperature controlled room with a 12:12-h light-dark cycle with lights on at 0700 and returned to their home cages after testing. During testing, rats had ad libitum access to Purina rat chow. Two calibrated glass bottles, one containing distilled water and one containing 0.3 M NaCl, were attached to the front of each cage and placed on opposite sides to prevent mixing of solutions. After 24 h, intake was measured to the nearest milliliter.
Behavioral activity testing and amphetamine challenge. Locomotor activity was recorded using an activity monitoring system (Omniscan Instruments, Columbus, OH) similar to that commonly used to characterize the effects of psychomotor stimulants (12, 21, 30, 53). Previous studies examining the effects of nicotine on locomotor activity have employed these monitors and validated their data collection (30). The Digiscan monitor uses arrays of infrared photobeams mounted on the sides (2.54–7.62 and 16.51–21.59 cm) of the clear acrylic test chambers (41.91 x 41.91 x 30.48 cm). Locomotion or horizontal activity was detected by beam breaks of lower photocells (30). Locomotor behavior is associated with the psychomotor stimulant effects of amphetamines and is a commonly used indicator of amphetamine effects (21, 53).
Activity tests were conducted during the daytime, between 0900 and 1400. Before testing, adult offspring (n = 6–8/dietary group, 6 mo of age) were placed in the activity chamber and allowed to acclimate to the chamber for 30 min. After acclimation, rats were removed from the chamber, given an intraperitoneal injection of isotonic saline, and returned to the chamber for 30 min, when behavior was measured. After 30 min, rats were again removed and given an intraperitoneal injection of 3 mg/kg amphetamine (D-amphetamine sulfate; Sigma, St. Louis, MO). Rats were returned to the activity chamber for 30 min, and behavior was measured. In our previous study (33), two different doses of amphetamine were used to determine whether there were dose-dependent interactions with perinatal dietary sodium history. In that study, the 3 mg/kg dose was found most effective, so for this experiment, we used only that dose. In addition, this dose is consistent with those typically used to show psychomotor effects of amphetamine and cross-sensitization to NaCl in adult rats (12, 53).
Locomotion in a novel open field. Locomotor behavior was measured using the same method described above for behavioral activity testing, with the exception that bright lights were placed above the activity chambers. To measure behavior in a novel open field, offspring (n = 6–8/dietary group) were placed in the center of the testing chambers and measurements were started immediately afterward. Behavior in a novel environment varies the most within the first 20 min; therefore, measurements from 0 to 20 min were analyzed (18, 42). After this time period, rats are mainly sedentary (42).
Plasma ACTH and Cort levels before and after restraint stress. Experiments were performed between 0900 and 1400 to minimize time-of-day differences in ACTH and Cort levels. Offspring used to establish baseline measurements were not exposed to restraint stress. Offspring exposed to restraint stress were placed in a cylindrical Plexiglas restraining tube for 30 min. At the end of this period, offspring were removed from the restraining tube and blood was collected. Blood was collected again 120 min after removal from the restraining tube (150 min from the start of the experiment), similar to the protocol described by Koenig et al. (29). Offspring (n = 4/dietary group) from the same litter were used for the repeated baseline, 30 min, and 150 min poststress measurements because these offspring should be genetically similar and were exposed to the same early life experiences.
For blood sampling, adult male offspring were anesthetized with a mixture of ketamine HCl (90.1 mg/kg) and acepromazine maleate (9.1 mg/kg ip) before cardiac stick. Samples were collected into plastic tubes containing heparinized saline (50 U/ml) and 10 µM phosphoramidon, a protease inhibitor. Samples were centrifuged, and plasma was stored at –80°C until enzyme immunoassay (EIA) analysis. Plasma ACTH was extracted using a 1% trifluoroacetic acid buffer and C-18 column technique, and plasma Cort was extracted using a methylene chloride liquid extraction method. Extracted samples were dehydrated using an Eppendorf vacufuge, and pelleted samples were stored at –80°C. Samples were reconstituted 24 h before the EIA assay in assay buffer. Cort samples were diluted 1:100 for the assay. Each sample was analyzed in triplicate using an ACTH EIA (Phoenix Pharmaceuticals, Belmont, CA) or Cort EIA (Assay Designs, Ann Arbor, MI). Intra-assay variability on triplicate samples and interassay variability were determined, and in both assays the values were <5%.
Adrenal gland weight. After the completion of blood sampling, rats (n = 4/dietary group) were killed and the left adrenal gland was removed from each rat. Wet weight (nearest 0.01 g) of the adrenal gland was obtained to determine the effects of prenatal and early postnatal dietary sodium manipulation on adrenal gland weight.
Data analysis. Data are means ± SE and were analyzed using SPSS software with a P value <0.05 considered significant. For comparisons of prenatal groups (LN, NN, and HN), a one-way ANOVA with subsequent post hoc least significant difference analysis was used to break down significant differences and interactions between groups. The same statistical analysis was applied to examine differences among postnatal groups (LN, NN, and HN). For comparisons between the prenatal and the postnatal groups (i.e., prenatal LN and postnatal LN, and so on), an independent-samples t-test was used.
| RESULTS |
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Two-bottle fluid intake and salt preference test. Overall, the responses of the prenatally and postnatally exposed offspring to altered dietary sodium were very similar, and no statistical differences were observed between the prenatal and postnatal groups. As observed in Table 2, early dietary sodium manipulation affected water intake, 0.3 M NaCl intake, and salt preference in both prenatally and postnatally exposed offspring. Offspring that were prenatally or postnatally exposed to HN had significantly decreased water intake compared with the corresponding NN offspring (both P < 0.03). Offspring exposed to HN during either the prenatal or the postnatal period had increased intake of 0.3 M NaCl compared with the corresponding NN offspring (P < 0.006 or P < 0.04, respectively). In accordance with this, both prenatal and postnatal HN offspring had a greater salt preference compared with the NN offspring (P < 0.001 and P < 0.01, respectively). LN and NN offspring had similar water intake, 0.3 M NaCl intake, and salt preference whether the manipulation occurred during the prenatal or the postnatal period. Total fluid intake (water + 0.3 M NaCl) was similar for all groups.
Behavioral activity testing and amphetamine challenge. There were no differences among the groups in their locomotor behavior following saline injection. However, there were group differences in locomotion following injection of amphetamine in both prenatal and postnatal offspring [F(2, 21) = 4.9, P < 0.02 and F(2, 19) = 4.5, P < 0.03, respectively]. Amphetamine injection elicited a greater locomotor response in offspring prenatally exposed to LN and HN diets compared with the offspring prenatally exposed to the NN diet (both P < 0.01). Similarly, the postnatally exposed LN and HN offspring exhibited increased locomotor behavior in response to amphetamines compared with the NN offspring (P < 0.01 and P < 0.04, respectively). These results reveal that both LN and HN dietary manipulations during early life, whether during the prenatal or the early postnatal period, sensitized offspring to the psychomotor stimulant effects of amphetamine (Fig. 1).
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Similarly, 30 min after restraint stress, the postnatal LN and HN offspring had significantly elevated ACTH (P < 0.05 and P < 0.002, respectively) and Cort levels (P < 0.006 and P < 0.001, respectively) compared with NN offspring. ACTH (P < 0.01 and P < 0.04, respectively) and Cort levels (P < 0.02 and P < 0.00l, respectively) levels in postnatal LN and HN offspring at 30 min were significantly higher than baseline. Plasma ACTH and Cort levels in postnatal NN offspring were not significantly different from baseline (both P = 0.5).
At 150 min following the restraint stress, no differences were detected in ACTH or Cort levels when comparing prenatal and postnatal LN and HN offspring with their NN counterparts or with baseline.
Adrenal gland weight. Adrenal gland weight was expressed as a function of body weight. Figure 4 shows that the adrenal gland weight was increased in both the prenatal and postnatal LN and HN groups compared with the NN offspring (both P < 0.05). No differences were observed between the prenatal and postnatal groups in adrenal gland size, suggesting that both prenatal and postnatal dietary sodium manipulation were sufficient to affect adrenal gland weight.
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| DISCUSSION |
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Similar to our previous experiments using WKY offspring, we found that early life exposure to a high-sodium diet permanently increased BP in the Wistar offspring (33). In addition, both WKY and Wistar offspring exposed to the high-sodium diet had an increased sodium appetite as adults compared with control offspring. SHR, with their overall high salt intake, did not show a dietary sodium effect on salt intake or preference (33).
The present results demonstrate that maintaining Wistar dams on high dietary sodium has permanent effects on the offspring's salt preference and BP. Similar findings show that maternal dietary sodium intake affects an offspring's salt preferences and BP when dams and offspring are maintained on a high-sodium diet during pregnancy, weaning, and through the early postnatal period (8, 14, 16, 17, 33). The present results show that a limited exposure to high sodium, during either the prenatal or postnatal period, is sufficient to significantly increase the salt preference and BP of offspring when tested as adults.
Although the high-sodium diet affected BP and salt intake in the WKY substrain, a history with the low-sodium diet caused a greater behavioral response to amphetamine when the WKY and SHR offspring were tested as adults (33). This outcome was also found in the Wistar strain, in which the low-sodium diet caused an exaggerated response to amphetamine. A strain difference arises when considering the effects of the high dietary sodium on behavioral responses to amphetamine. The high dietary sodium history had no effect on the SHR and WKY offsprings' responses to amphetamine (33). In contrast, both the low and high dietary sodium exposure in the Wistar strain potentiated the adult offsprings' behavioral responses to amphetamine. The susceptibility of different substrains to dietary sodium manipulation may be tied to differences in the expression of receptors, such as the tachykinins, in brain regions that mediate the psychomotor stimulant and reinforcing properties of amphetamine and sodium solutions (27, 32). These results add to the literature identifying strain differences in salt intake, responses to stress, and psychomotor stimulant sensitivity (2, 5, 35, 43, 54).
Our previous experiments identified that combined prenatal and postnatal exposure to dietary sodium manipulations sensitized adult offspring to amphetamine. This time period was divided into either the prenatal or the early postnatal period in the current experiment to determine whether dietary sodium manipulation during specific time windows in early development would affect the offsprings' responses to amphetamine, novelty, and restraint stress. During development, different neural systems develop at different times, and it is during these critical periods that they are most susceptible or vulnerable to change. The mesolimbic dopamine system, which has been implicated in drug abuse (38), develops during late gestation and the early postnatal period (22, 29). Early life manipulations that increase behavioral responses in adults to drugs alter dopamine function, and behavioral responsiveness to amphetamine is an indication of the responsiveness of dopamine neurons (9, 19). Sodium restriction alters dopamine function in adults (13), and dietary sodium manipulation during the period that the dopamine system is being established may produce enduring changes in dopamine activity, particularly in mediating responses to amphetamine. Our results show that dietary sodium manipulations during either the prenatal or the early postnatal period had similar effects, sensitizing the offspring to amphetamines. The psychomotor sensitization indicates that dietary sodium restriction or excess during the time that the dopamine system is developing causes long-lasting alterations in dopamine function that persist into adulthood.
The hypothalamic-pituitary-adrenal (HPA) axis is developing throughout the prenatal and early postnatal period (50). Early life exposure to a variety of stressors during this time, including prenatal nutritional stress, prenatal Cort administration, and prenatal environmental stressors (cold, noise, crowding, restraint), results in an exaggerated stress response, both behavioral and endocrine, in the offspring (4, 9, 11, 19, 29). Several of our results indicate that maternal dietary sodium restriction or excess is also a stress to the dams. First, like other stressors during the prenatal period (20, 41), dietary sodium manipulation during early life resulted in enlarged adrenal glands in LN and HN offspring (4, 15, 33). Second, when exposed to a novel environment, LN and HN offspring exhibited more activity than NN offspring. High locomotor responsiveness in a novel environment results from a prior history of stress (31) and is associated with increased susceptibility for drug self-administration (39). Third, LN and HN offspring had exaggerated ACTH and Cort responses to restraint stress compared with NN offspring. In comparing hormone levels at baseline and at 30 min, it appears that stress did not affect hormone release in the NN offspring. As pointed out in RESULTS, this may reflect the stressful effect of anesthesia on baseline levels, and the high baseline may have masked the effects of restraint stress in NN offspring.
Regardless of baseline values, at 30 min after restraint stress, prenatal and postnatal LN and HN offspring showed an increased activation of the HPA axis compared with NN offspring. Interestingly, in contrast to NN offspring, ACTH and Cort levels in LN and HN offspring did increase significantly over baseline. The exaggerated response to environmental stress observed in the LN and HN offspring may reflect the additive effects of stressors (36) and support the stressful nature of the altered dietary sodium in the experimental animals. Together, the results indicate that dietary sodium restriction or excess during the prenatal or postnatal period is similar to other early life stressors and causes long-term changes in the LN and HN offsprings' behavioral and hormonal responses to stressors.
Our results suggest that low or high dietary sodium intake during the prenatal or postnatal period is a stress. There is an association between early life stress and an offspring's subsequent psychomotor responses to amphetamine (23). Stressors, including maternal separation and poor maternal care, as well as prenatal administration of Cort, all increase an offspring's behavioral response to amphetamine (9, 10, 19). Offspring of dams on the low- and high-sodium diets show physiological changes associated with early life stress. This early life stress may contribute to increased responsiveness to amphetamines in the LN and HN offspring.
Perspectives and Significance
There are individual differences in human susceptibility to drug abuse (44, 51), and the differential susceptibility to drugs as adults may be tied to differences in early life experiences. Uncovering the factors that contribute to vulnerability to drug taking may lead to preemptive treatments to curtail drug abuse. One early life experience that is clearly linked to enhanced amphetamine sensitivity is stress (9, 19, 23). We demonstrated in both the previous and current work that manipulation of dietary sodium, either restriction or excess, during either the prenatal or early postnatal period is a stress that causes long-term changes in how the adult animal responds to environmental stressors and amphetamine. Differences in the animal's dietary sodium environment during early development may contribute to individual differences in drug taking as adults. The results should direct studies that identify the effects of the altered sodium environment during early development on the responsiveness of specific neural pathways, such as the mesocorticolimbic dopamine system, to psychostimulants.
| GRANTS |
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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