All-trans retinoic acid-induced hypothalamus-pituitary-adrenal hyperactivity involves glucocorticoid receptor dysregulation

Transl Psychiatry. 2013 Dec 17;3(12):e336. doi: 10.1038/tp.2013.98.

Abstract

Clinical reports have highlighted a role for retinoids in the etiology of mood disorders. Although we had shown that recruitment of the nuclear receptor retinoic acid receptor-α (RAR-α) to corticotropin-releasing hormone (CRH) promoter is implicated in activation of the hypothalamus-pituitary-adrenal (HPA) axis, further insight into how retinoids modulate HPA axis activity is lacking. Here we show that all-trans retinoic acid (RA)-induced HPA activation involves impairments in glucocorticoid receptor (GR) negative feedback. RA was applied to rats chronically through intracerebroventricular injection. A 19-day RA exposure induced potent HPA axis activation and typical depression-like behavior. Dexamethasone failed to suppress basal corticosterone (CORT) secretion, which is indicative of a disturbed GR negative feedback. In the hypothalamic paraventricular nucleus, increased CRH⁺ and c-fos⁺ cells were found while a negative R-2⁺/ER⁺ correlation was present between the number of RAR-α⁺ and GR⁺ cells. This was paralleled by increased RAR-α and decreased GR protein expression in the hypothalamus. Additional in vitro studies confirmed that RA abolished GR-mediated glucocorticoid-induced suppression of CRH expression, indicating a negative cross-talk between RAR-α and GR signaling pathways. Finally, the above changes could be rapidly normalized by treatment with GR antagonist mifepristone. We conclude that in addition to the 'classic' RAR-α-mediated transcriptional control of CRH expression, disturbances in GR negative feedback constitute a novel pathway that underlies RA-induced HPA axis hyperactivity. The rapid normalization by mifepristone may be of potential clinical interest in this respect.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Behavior, Animal / drug effects*
  • Corticosterone / metabolism*
  • Corticotropin-Releasing Hormone / drug effects
  • Corticotropin-Releasing Hormone / metabolism
  • Depression / chemically induced
  • Depression / metabolism*
  • Dexamethasone / pharmacology
  • Feedback, Physiological / drug effects*
  • Glucocorticoids / pharmacology
  • Hormone Antagonists / pharmacology
  • Hydrocortisone / metabolism
  • Hypothalamo-Hypophyseal System / drug effects*
  • Hypothalamo-Hypophyseal System / metabolism
  • Mifepristone / pharmacology
  • Paraventricular Hypothalamic Nucleus / drug effects*
  • Paraventricular Hypothalamic Nucleus / metabolism
  • Pituitary-Adrenal System / drug effects*
  • Pituitary-Adrenal System / metabolism
  • Rats
  • Receptors, Glucocorticoid / antagonists & inhibitors
  • Receptors, Glucocorticoid / drug effects*
  • Receptors, Glucocorticoid / metabolism
  • Receptors, Retinoic Acid / metabolism
  • Retinoic Acid Receptor alpha
  • Signal Transduction
  • Tretinoin / adverse effects
  • Tretinoin / pharmacology*

Substances

  • Glucocorticoids
  • Hormone Antagonists
  • Rara protein, rat
  • Receptors, Glucocorticoid
  • Receptors, Retinoic Acid
  • Retinoic Acid Receptor alpha
  • Mifepristone
  • Tretinoin
  • Dexamethasone
  • Corticotropin-Releasing Hormone
  • Corticosterone
  • Hydrocortisone