Corticosteroids Mediate Heart Failure-Induced Depression through Reduced σ1-Receptor Expression

PLoS One. 2016 Oct 14;11(10):e0163992. doi: 10.1371/journal.pone.0163992. eCollection 2016.

Abstract

Cardiovascular diseases are risk factors for depression in humans. We recently proposed that σ1 receptor (σ1R) stimulation rescued cardiac hypertrophy and heart failure induced by transverse aortic constriction (TAC) in mice. Importantly, σ1R stimulation reportedly ameliorates depression-like behaviors in rodents. Thus, we hypothesized that impaired σ1R activity in brain triggers depression-like behaviors in animals with cardiovascular disease. Indeed, here we found that cardiac hypertrophy and heart failure induced by TAC were associated with depression-like behaviors concomitant with downregulation of σ1R expression in brain 6 weeks after surgery. σ1R levels significantly decreased in astrocytes in both the hippocampal CA1 region and dentate gyrus. Oral administration of the specific σ1R agonist SA4503 (0.3-1.0mg/kg) significantly improved TAC-induced depression-like behaviors concomitant with rescued astrocytic σ1R expression in CA1 and the dentate gyrus. Plasma corticosterone levels significantly increased 6 weeks after TAC, and chronic treatment of mice with corticosterone for 3 weeks elicited depression-like behaviors concomitant with reduced astrocytic σ1R expression in hippocampus. Furthermore, the glucocorticoid receptor antagonist mifepristone antagonized depressive-like behaviors and ameliorated decreased hippocampal σ1R expression in TAC mice. We conclude that elevated corticosterone levels trigger hippocampal σ1R downregulation and that σ1R stimulation with SA4503 is an attractive therapy to improve not only cardiac dysfunction but depression-like behaviors associated with heart failure.

MeSH terms

  • Adenosine Triphosphate / metabolism
  • Administration, Oral
  • Animals
  • Aorta / physiopathology
  • Behavior, Animal / drug effects*
  • Cardiomegaly / complications
  • Cardiomegaly / diagnostic imaging
  • Corticosterone / blood
  • Corticosterone / pharmacology*
  • Corticosterone / therapeutic use*
  • Dentate Gyrus / drug effects
  • Dentate Gyrus / metabolism
  • Dentate Gyrus / pathology
  • Depression / drug therapy*
  • Depression / etiology
  • Depression / prevention & control
  • Disease Models, Animal
  • Down-Regulation / drug effects*
  • Echocardiography
  • Heart Failure / complications
  • Heart Failure / pathology
  • Hippocampus / drug effects
  • Hippocampus / metabolism
  • Hippocampus / pathology
  • Male
  • Mice
  • Mice, Inbred ICR
  • Mifepristone / pharmacology
  • Mifepristone / therapeutic use
  • Piperazines / pharmacology
  • Piperazines / therapeutic use
  • Receptors, sigma / metabolism*

Substances

  • Piperazines
  • Receptors, sigma
  • Mifepristone
  • Adenosine Triphosphate
  • SA 4503
  • Corticosterone

Grants and funding

This work was supported in part by grants-in-aid for Scientific Research from the Ministry of Education, Science, Sports and Culture of Japan (KAKENHI 25293124 and 26102704 to K.F.), the Smoking Research Foundation (K.F.), and from a Research Fellowship from the Japan Society for the Promotion of Science (265570 o Y.S.).