Molecular and Behavioral Neuroscience Institute, University of Michigan, Ann Arbor, MI 48109, USA.
J Alzheimers Dis. 2013;33(2):407-22. doi: 10.3233/JAD-2012-121438.
Activation of the hypothalamic-pituitary-adrenal (HPA) axis occurs in response to the organism's innate need for homeostasis. The glucocorticoids (GCs) that are released into the circulation upon acute activation of the HPA axis perform stress-adaptive functions and provide negative feedback to turn off the HPA axis, but can be detrimental when in excess. Long-term activation of the HPA axis (such as with chronic stress) enhances susceptibility to neuronal dysfunction and death, and increases vulnerability to Alzheimer's disease (AD). However, little is known how components of the HPA axis, upstream of GCs, impact vulnerability to AD. This study examined basal gene expression of stress-related molecules in brains of 3xTg-AD mice during early-stage pathology. Basal GC levels and mRNA expression of the glucocorticoid receptor (GR), mineralocorticoid receptor (MR), and corticotropic releasing hormone (CRH) in several stress- and emotionality-related brain regions were measured in 3-4-month-old 3xTg-AD mice. Despite normal GC levels, young 3xTg-AD mice exhibit an activated central HPA axis, with altered mRNA levels of MR and GR in the hippocampus, GR and CRH in the paraventricular nucleus of the hypothalamus, GR and CRH in the central nucleus of the amygdala, and CRH in the bed nucleus of the stria terminalis. This HPA axis activation is present during early-stage neuropathology when 3xTg-AD mice show mild behavioral changes, suggesting an ongoing neuroendocrine regulation that precedes the onset of severe AD-like pathology and behavioral deficits.
下丘脑-垂体-肾上腺 (HPA) 轴的激活是机体对内环境稳态固有需求的反应。HPA 轴的急性激活会导致糖皮质激素 (GCs) 释放到循环中,这些 GCs 具有应激适应功能,并对 HPA 轴产生负反馈,从而使其关闭,但如果过量则会产生不利影响。HPA 轴的长期激活(如慢性应激)会增强神经元功能障碍和死亡的易感性,并增加患阿尔茨海默病 (AD) 的易感性。然而,人们对 HPA 轴上游的成分如何影响 AD 的易感性知之甚少。本研究在早期病理阶段检查了 3xTg-AD 小鼠大脑中与应激相关的分子的基础基因表达。在 3-4 月龄的 3xTg-AD 小鼠中,测量了几种与应激和情感相关的脑区中的基础 GC 水平和糖皮质激素受体 (GR)、盐皮质激素受体 (MR) 和促肾上腺皮质释放激素 (CRH) 的 mRNA 表达。尽管 GC 水平正常,但年轻的 3xTg-AD 小鼠表现出中枢 HPA 轴的激活,其海马中的 MR 和 GR、下丘脑室旁核中的 GR 和 CRH、杏仁核中央核中的 GR 和 CRH 以及终纹床核中的 CRH 的 mRNA 水平发生改变。这种 HPA 轴激活存在于 3xTg-AD 小鼠出现轻度行为改变的早期神经病理学阶段,表明存在持续的神经内分泌调节,这种调节先于严重 AD 样病理和行为缺陷的发生。