Department of Physiology, Tzu Chi University, Hualien, Taiwan.
Center for Neuropsychiatric Research, National Health Research Institutes, Miaoli, Taiwan.
Chin J Physiol. 2023 Mar-Apr;66(2):65-72. doi: 10.4103/cjop.CJOP-D-23-00015.
Prenatal opioid exposure may impede the development of adaptive responses to environmental stimuli by altering the stress-sensitive brain circuitry located at the paraventricular nucleus of the hypothalamus (PVH) and locus coeruleus (LC). Corticotropin-releasing factor (CRF) released from neurons in the PVH has emerged as a key molecule to initiate and integrate the stress response. Methadone (Meth) and buprenorphine (Bu) are two major types of synthetic opioid agonists for first-line medication-assisted treatment of opioid (e.g., morphine, Mor) use disorder in pregnant women. No studies have compared the detrimental effects of prenatal exposure to Meth versus Bu on the stress response of their offspring upon reaching adulthood. In this study, we aimed to compare stress-related neuronal activation in the PVH and LC induced by restraint (RST) stress in adult male rat offspring with prenatal exposure to the vehicle (Veh), Bu, Meth, or Mor. CFos-immunoreactive cells were used as an indicator for neuronal activation. We found that RST induced less neuronal activation in the Meth or Mor exposure groups compared with that in the Bu or Veh groups; no significant difference was detected between the Bu and Veh exposure groups. RST-induced neuronal activation was completely prevented by central administration of a CRF receptor antagonist (α-helical CRF, 10 μg/3 μL) in all exposure groups, suggesting the crucial role of CRF in this stress response. In offspring without RST, central administration of CRF (0.5 μg/3 μL)-induced neuronal activation in the PVH and LC. CRF-induced neuronal activation was lessened in the Meth or Mor exposure groups compared with that in the Bu or Veh groups; no significant difference was detected between the Bu and Veh exposure groups. Moreover, RST- or CRF-induced neuronal activation in the Meth exposure group was comparable with that in the Mor exposure group. Further immunohistochemical analysis revealed that the Meth and Mor exposure groups displayed less CRF neurons in the PVH of offspring with or without RST compared with the Bu or Veh groups. Thus, stress-induced neuronal activation in the PVH and LC was well preserved in adult male rat offspring with prenatal exposure to Bu, but it was substantially lessened in those with prenatal exposure to Meth or Mor. Lowered neuronal activation found in the Meth or Mor exposure groups may be, at least in part, due to the reduction in the density of CRF neurons in the PVH.
产前阿片类药物暴露可能通过改变位于下丘脑室旁核 (PVH) 和蓝斑核 (LC) 的应激敏感脑回路,阻碍对环境刺激的适应性反应。来自 PVH 神经元的促肾上腺皮质释放因子 (CRF) 已成为启动和整合应激反应的关键分子。美沙酮 (Meth) 和丁丙诺啡 (Bu) 是用于治疗孕妇阿片类药物(如吗啡,Mor)使用障碍的一线药物辅助治疗的两种主要类型的合成阿片类药物激动剂。没有研究比较产前暴露于 Meth 与 Bu 对其成年后代应激反应的有害影响。在这项研究中,我们旨在比较产前暴露于载体 (Veh)、Bu、Meth 或 Mor 的雄性大鼠成年后代在束缚 (RST) 应激下 PVH 和 LC 中与应激相关的神经元激活。c-Fos 免疫反应细胞被用作神经元激活的指标。我们发现,与 Bu 或 Veh 暴露组相比,RST 诱导的 Meth 或 Mor 暴露组的神经元激活较少;Bu 和 Veh 暴露组之间没有检测到显著差异。在所有暴露组中,中央给予 CRF 受体拮抗剂(α-螺旋 CRF,10 μg/3 μL)完全阻止了 RST 诱导的神经元激活,表明 CRF 在这种应激反应中起关键作用。在没有 RST 的后代中,中央给予 CRF(0.5 μg/3 μL)诱导 PVH 和 LC 中的神经元激活。与 Bu 或 Veh 暴露组相比,Meth 或 Mor 暴露组的 CRF 诱导的神经元激活减少;Bu 和 Veh 暴露组之间没有检测到显著差异。此外,Meth 或 Mor 暴露组的 RST 或 CRF 诱导的神经元激活与 Mor 暴露组相当。进一步的免疫组织化学分析显示,与 Bu 或 Veh 组相比,有或没有 RST 的 Meth 和 Mor 暴露组的后代 PVH 中的 CRF 神经元较少。因此,在产前暴露于 Bu 的雄性大鼠成年后代中,PVH 和 LC 中的应激诱导神经元激活得到很好的保留,但在产前暴露于 Meth 或 Mor 的后代中则大大减少。在 Meth 或 Mor 暴露组中发现的降低的神经元激活至少部分归因于 PVH 中 CRF 神经元密度的降低。