Behavioural Brain Research 112 (2000) 127 – 134 www.elsevier.com/locate/bbr Research report Sucrose and quinine intake by maternally-deprived and control rhesus monkeys Ian A. Paul *, Justin A. English, Angelos Halaris Department of Psychiatry, Di6ision of Neurobiology and Beha6ior Research, Laboratory of Neurobeha6ioral Pharmacology and Immunology, Uni6ersity of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216 -4505, USA Received 10 December 1999; received in revised form 9 February 2000; accepted 12 February 2000 Abstract Clinical depression is often characterized by a loss of interest or pleasure in formerly enjoyable activities. Analogs of anhedonia are established in rats, but the generality of this phenomenon to other species is unknown. Maternally-deprived rhesus macaques show a wide range of behavioral abnormalities that are reversed by chronic antidepressant treatment. We tested consumption by maternally deprived versus control macaques of sweetened (seven sucrose concentrations) or bitter water (four quinine concentrations) versus plain water to evaluate a non-human primate model of depression for signs of anhedonia. All monkeys consumed more sweetened than tap water, but maternally-deprived monkeys had a diminished preference for sweetened water than did controls. However, maternally deprived animals consumed more bitter water than did controls. Baseline fluid consumption did not differ. The data suggest that ‘anhedonia’ in animal models may be secondary to a generally attenuated responsiveness to stimuli, rather than a unitary reduction in responsiveness to the appetitive properties of stimuli. We conclude that maternally-deprived rhesus monkeys do not display gustatory signs of anhedonia, but rather of insensitivity to gustatory stimuli. © 2000 Elsevier Science B.V. All rights reserved. Keywords: Animal model; Anhedonia depression; Maternal deprivation; Monkey; Sucrose; Quinine 1. Introduction Major depressive disorders are characterized by diverse symptoms including melancholia, suicidal ideation, to changes in appetitive behaviors, sleep patterns and sexual behavior. The clinical presentation of individual cases varies widely with respect to the extent to which any of these symptoms predominates. Many classification and diagnostic systems for depressive disorders exist, and each diagnostic system defines a variety of subtypes of depressive disorders. Nevertheless, certain core features or symptoms can be considered defining or cardinal features of depression. One feature that has received substantial attention is anhedonia, a loss of interest or pleasure in acts that are normally * Corresponding author. Tel.: +1-601-9845898; fax: + 1-6019845899. E-mail address: [email protected] (I.A. Paul) enjoyable. A recent field trial of the DSM-IV [3] showed that anhedonia was present in 95% of patients with major depressive disorder, and in 54% of dysthymic patients [20]. Unlike some clinical features of depressive disorders, anhedonia can be readily operationalized in animal models. Rats presented with a chronic regimen of variable mild stressors (CMS) will display progressive reductions in intracranial self-stimulation and consumption of sweetened water. These reductions can be attained with relatively brief (1 week) [16–18] or more prolonged (5–9 weeks) stress, [38–42] are reversed by chronic treatment with some antidepressants, and can be considered to be a rodent analog of anhedonia. Although similar results are reported with the brief and chronic stress procedures, it has been suggested that the briefer, more intensive exposure to stressors might better model post-traumatic stress disorder than major depression or dysthymia [2]. 0166-4328/00/$ - see front matter © 2000 Elsevier Science B.V. All rights reserved. PII: S 0 1 6 6 - 4 3 2 8 ( 0 0 ) 0 0 1 7 3 - X 128 I.A. Paul et al. / Beha6ioural Brain Research 112 (2000) 127–134 Animal analogs of major depressive disorders (e.g. forced swim test, DRL-72 and chronic mild stress) generally use rodents as subjects. These analogs have considerable predictive validity as behavioral screening tools for identification of potential antidepressant treatments. Nonetheless, the extent to which such analogs can model major depression is limited by at least two factors: the etiology of major depressive disorders is unknown and the range of affective expression of rodents is limited and difficult to equate with human emotional expression [37]. An alternative to procedures using rodents, the maternally-deprived rhesus monkey, has also been proposed as an animal model of depression [8,9]. In the maternal-deprivation model, newborn monkeys are separated from their mothers and reared in a nursery environment with minimal social contact. Maternallydeprived macques develop persistent behavioral abnormalities including inappropriate or ambivalent response to social situations, gaze aversion, huddling and self-injurious behaviors [22,28,33,35]. Early studies indicated that at least some of these deficits could be reversed or ameliorated with chronic tricyclic, monoamine oxidase inhibitor and electroconvulsive antidepressant treatments [23,25,36]. Likewise, repeated contact with a ‘therapist’ monkey reduces the presentation of these behaviors [32,34]. Nonetheless, predictive validation of this model has been quite limited, with only a few antidepressant therapies tested. Thus, considerable controversy exists as to the nature of the effects of neonatal maternal deprivation and their relevance to major depressive disorders [25,27]. The present study was designed to determine if a diminished response to pleasurable stimuli like that observed in rodents (i.e. reduction in sucrose solution consumption) could be observed in maternally-deprived macaques. We also measured response to a presumably aversive stimulus (i.e. quinine solution consumption), to test the hypothesis that decreases in sucrose solution consumption could reflect a general decrease in responsiveness to gustatory stimuli. In the present study, maternally-deprived macaques consumed less of a normally preferred sweetened solution than did controls. Moreover, maternally-deprived macaques consumed a normally aversive bitter solution as avidly as they did tap water. These effects were concentration dependent and were accompanied by compensatory reductions or increases in the consumption of tap water. 2. Methods and materials Four maternally-deprived rhesus macaques (Macaca mulatta, three female; one male, Harlow Primate Center, Madison, WI) and five normally-reared controls (five females, Oregon Regional Primate Center) matched for age and body weight (5–8 kg, 4– 5 years old) were individually housed in stainless steel cages. Maternally-deprived macaques were removed from their mothers at 3 days postpartum and were hand- or nursery-reared by human caregivers until the age of 6 months. Once trained to self-feed from a bottle, they were raised on Similac formula. At 3–5 months of age, they were transferred to Purina monkey chow. At 7 months of age, all but one monkey (AL-67) were pair-housed. They experienced repeated separations from the partner and were singly-housed for the course of these experiments. The male macaque (AL-67) was single-housed at the Harlow Laboratories for experimental purposes but, did have daily interactions with humans. All monkeys had been involved in previous experimental procedures as follows: controls — subjected to one to two bone marrow biopsies; female maternally-separated (AO72, AO74, AO77) — observation of separation-induced behavior; male maternally-separated (AL67) — trained and tested in the WGTA. All monkeys were undisturbed except for shipping for 6–12 months prior to the beginning of our preference studies. After arrival and quarantine in the UMC Laboratory Animal Facilities, all monkeys were single-housed with visual access to several other cohort members. All animals were placed on a 12 h light/dark cycle (on at 07:00 h) and were fed monkey biscuits (Harlan LabraDiet (25%) 12–15 biscuits/day) supplemented with fruit to maintain normal body weight. Three months after their arrival, all animals were acclimated to a 23 h/day water restriction schedule. Animals had access to tap water in two identical bottles for 1 h/day. Bottles were placed such that the spouts were approximately 35 cm from the cage floor and approximately 15 cm from either wall of the front of the cage. After acclimation to the restriction schedule and between experiments, baseline water consumption was monitored daily. The UMMC Animal Care and Use Committee monitored all procedures. Animals were healthy throughout the study and unrestrained with the exception of those occasions when the monkeys were anesthetized with ketamine for physical examination and tuberculin skin testing (3–4 times throughout the study). All maternally-deprived animals displayed consistent affective display confusion, huddling, fearfulness, agitation and, in one case, sham self-biting throughout the course of experimentation. Normally-reared animals displayed no such behavioral signs and reacted normally to human presence in the colony room. No increase or diminution of aberrant behavior among the maternally-deprived animals was observed over the course of experimentation. However, animals were not formally rated during these experiments. In the first experiment, one bottle contained one of seven sucrose concentrations (0.375–6.0% – i.e. I.A. Paul et al. / Beha6ioural Brain Research 112 (2000) 127–134 129 followed by Tukey’s HSD to identify between-cell differences (SPSS Windows, v. 5.05, SPSS Inc., Chicago, IL). 3. Results Fig. 1. Flavored water intake during sucrose presentation experiments. Open symbols and solid lines represent control subjects, filled symbols and broken lines represent maternally-deprived monkeys. Trials are bracketed by presentation conditions (Baseline =tap water in both bottles, 0.375, 0.75, 1.5, 3.0, 6.0% = percent sucrose in flavored bottle). Data represent the mean of five controls and four maternally-deprived macaques per group. Although not shown for clarity, S.E.M. values were typically 15 – 25% of the mean value on any trial. All monkeys displayed a stable baseline of water consumption when presented with two bottles of tap water. Baseline total water consumption did not differ as a function of group (controls= 1609 5 ml/kg, n= 100 observations; deprived= 1489 5 ml/kg, n=80 observations) or bottle position (data not shown). Because of the relatively small number of animals available for testing, presentation of the various concentrations of sucrose were conducted repeatedly over the course of 4 months. The initial data reduction is shown in Fig. 1. As is evident on inspection, maternally-deprived monkeys consumed less of any sweetened solution with a concentration greater than 0.75% sucrose. After the initial presentation of 3 and 6% sucrose solutions (trials 1–24), the monkeys were re- 2.74–175.0 mM), randomly presented. The bottles were refilled 30 min after the start of the access period to accommodate the increased consumption of sweetened water. The second experiment was similar to the first, except that one of five quinine – HCl concentrations (0.1 –5.0 mM) was presented for 4 days as described for sucrose. Bottle positions were alternated daily to control for position preference. Fluid consumption was measured at the middle and end of access. Because baseline fluid consumption is correlated with body weight (data obtained over 20 baseline observation days, r 2 =0.48, F1,6 =5.46, P = 0.058), fluid intake for each bottle was analyzed as ml consumed per kg body weight. Sucrose was obtained from commercial sources as cane sugar while quinine – HCl was obtained from Sigma (St. Louis, MO). Sucrose or quinine was diluted with house tap water. All bottles were thoroughly washed and sanitized between presentations. Sucrose and quinine solutions were prepared fresh every 2–4 days in sanitized containers. Data were collected for 8 – 30 days per [sucrose] or 2 days per [quinine] from all animals. We have presented data both by trial and condition. However, in order to reduce variance and simplify data analysis each condition’s data for all animals in a group were pooled. Thus n= observations= (number of subjects)×(number of trials) per condition. Although this technique tends to obscure individual variance, it best describes the performance of each group of animals when presented with a particular concentration of either sucrose or quinine. Data were subsequently analyzed with two-factor analysis of variance (group ×[sucrose] or group×[quinine] Fig. 2. Effect of concentration on flavored water intake (pooled into four trial blocks). Open symbols or bars represent control, filled symbols and bars represent maternally-deprived subjects. Data for each animal were pooled in blocks of four trials. The mean9S.E.M. of five control and four maternally-deprived monkeys for each block within a given sucrose concentration are presented. 130 I.A. Paul et al. / Beha6ioural Brain Research 112 (2000) 127–134 Fig. 3. Flavored water intake pooled by sucrose concentration. Open symbols and solid lines represent controls, filled symbols and broken lines represent maternally-deprived macaques. Data are presented as the mean 9 S.E.M. of all subject-trials within a given sucrose presentation concentration. Inset: Concentration–response relationship for sucrose to facilitate fluid consumption from the sucrose-containing bottle. Data were analyzed using a single-site sigmoidal model. R 2 \ 0.9 for both control and maternally-deprived. Points labeled a are significantly different from the within-group baseline; points labeled b indicate significant between-group differences. turned to baseline (tap water in both bottles) from trials 27 – 46. The animals were retested with similar results (trials 47–76) and the sensitivity to sucrose concentration was extended (trials 77 – 118). As shown in Fig. 2, relatively little difference between control and maternally-deprived monkeys was observable at concentrations of sucrose less than 1.5% and greater than 3%. However, at concentrations of 1.5 and 3% sucrose, maternally-deprived monkeys repeatedly consumed less of the flavored solutions than did controls. In summary, when presented with a choice between a sweetened solution and tap water all monkeys concentration-dependently increased their consumption from the bottle containing sucrose (Fig. 3). When analyzed as a concentration-response function (Fig. 3, inset) it is clear that maternally-deprived monkeys were both less sensitive to sucrose (increased EC50) and less responsive to sucrose (reduced EMAX) than controls. Likewise, all monkeys reduced tap water consumption when presented with sweetened water (Fig. 6A). However, except at very high sucrose concentrations, no difference in tap water intake was observed between controls and deprived (Fig. 6A). Thus, total fluid intake increased in both groups up to 3% sucrose (data not shown). Presentation of quinine-flavored water was conducted in a manner similar to that of sucrose presentation (Fig. 4). However, owing to our concern for inducing a conditioned-taste aversion in either group, quinine was presented for shorter intervals (no more than 2 sequential trials/concentration and no more than 10 sequential trials of quinine. As with the sucrose presentation, quinine concentrations were presented twice separated by a 4 trial return to baseline (tap water in both bottles) conditions. When presented with quinine-flavored water, control monkeys rapidly reduced consumption from the bitter Fig. 4. Flavored water intake during quinine presentation experiments. Open symbols and solid lines represent control subjects, filled symbols and broken lines represent maternally-deprived monkeys. Trials are bracketed by presentation conditions (Baseline = tap water in both bottles, 0.1, 0.3, 1.0, 3.0 and 5.0 =mM quinine in flavored bottle). Data represent the mean of five controls and four maternallydeprived macaques per group. Although not shown for clarity, S.E.M. values were typically 15 – 25% of the mean value on any trial. I.A. Paul et al. / Beha6ioural Brain Research 112 (2000) 127–134 131 4. Discussion Fig. 5. Flavored water intake pooled by quinine concentration. Open symbols and solid lines represent controls, filled symbols and broken lines represent maternally-deprived macaques. Data are presented as the mean 9S.E.M. of all subject-trials within a given sucrose presentation concentration. Panel A: Untransformed scale. Concentrationresponse relationship for quinine to inhibit fluid consumption from the quinine-containing bottle. Panel B: Log-transformed scale. Data were analyzed using a single-site sigmoidal model. R 2 \ 0.9 for control. No curve could be resolved for maternally-deprived macaques. Points labeled a are significantly different from the withingroup baseline. flavored bottle and increased consumption of water from the unflavored bottle (Figs. 5 and 6B). In contrast, maternally-deprived monkeys continued to consume from the quinine-spiked bottle even at concentrations that effectively eliminated control consumption (Fig. 5). Moreover, maternally-deprived monkeys did not display significant increases in tap water consumption when presented with a choice between unflavored and quinine-flavored water (Fig. 6B). Thus, the EC50 for quinine suppression of consumption by controls was 2.69 0.12 mM and quinine produced more than 50% inhibition of consumption from the flavored bottle compared to tap water (Fig. 5B). The maternal deprivation model has been much less widely used than the CMS model. This neglect likely has two causes: maternal-deprivation (especially in nonhuman primates) is difficult and time consuming, and many reports of maternal-deprivation’s effects adopted a fundamentally psychodynamic perspective — a direct analogy with presumptive anaclitic depression resulting from an infant’s separation from its mother [13,19,31]. Nevertheless, behavioral effects of maternal deprivation can be considered from a non-psychodynamic viewpoint. For example Hennessy reported that maternal deprivation in the squirrel monkey reduces consumption of novel sweetened liquids [10]. Hennessy interpreted these data as indicating neophobia, noting that maternally-deprived animals’ consumption tended to increase after four presentations. However, the animals were only followed for four presentations and only sweetened liquids (various fruit juices) were presented to the monkeys. Thus, these data do not permit a systematic separation between neophobia, anhedonia, or changes in taste preference or sensitivity as causes of changes in consumption. In the present study, we have tried to determine which of these possible causes might produce reduced sweet solution consumption. Thus, the present experiment included multiple concentrations of both sweet (presumably appetitive) and bitter (presumably aversive) solutions, and followed animals over a large number of trials so that the role of neophobia could be more clearly understood. The data support several conclusions. First, although neophobia may influence the consumption during the first few days of novel stimulus presentation, the reduced consumption of sweet solutions is not readily accounted for by this phenomenon, because reduced consumption is maintained over a chronic course. Second, reduced sweet solution consumption can be accounted for by anhedonia, but this is not a satisfactory explanation of the data on bitter solution consumption. Likewise, a general shift in the overall hedonic qualities of particular classes of gustatory stimuli was not apparent in our data. Maternallydeprived animals showed relatively less preference for the sweet solutions than did controls, but nevertheless consumed more of the sweetened solutions than tap water, preserving the general pattern shown by controls. Similarly, making the solution bitter by addition of quinine suppressed consumption by maternally deprived monkeys only at much higher concentrations than those that suppressed it in controls. Previous studies have demonstrated that plasma corticosterone concentrations ([CORT]P) are inversely correlated with fluid consumption. Moreover, under a water restriction schedule, [CORT]P is rapidly reduced during water presentation [11,12]. Likewise, [CORT]P 132 I.A. Paul et al. / Beha6ioural Brain Research 112 (2000) 127–134 Fig. 6. Consumption of tap water as a function of sucrose (Panel A) or quinine (Panel B) concentration. Open symbols and solid lines represent controls, filled symbols and broken lines represent maternally-deprived macaques. Data are presented as the mean 9S.E.M. of all subject-trials within a given sucrose presentation concentration. Points labeled a are significantly different from the within-group baseline; points labeled b indicate significant between-group differences. increases under schedule-induced polydipsia (SIP) paradigms and exogenous elevation of [CORT]P by direct administration [6] or indirectly by brief stress presentation [14] facilitates acquisition of SIP. In contrast, inescapable stress exposure retards SIP acquisition [5] as does isolation rearing in rats [15]. However, in this latter study, isolation-reared rats actually displayed increased water consumption under non-SIP conditions [15]. Notably, in the human dexamethasone supression test, nonsuppressors are typically polydipsic [7]. Thus, polydipsia is associated with both depressogenic environmental conditions in non-humans and depressive symptomatology. In the present study, then, we might expect polydipsia if, indeed, maternally-separated macaques displayed a non-human primate analog of depression. No such polydipsia was evident in either the sucrose- or quinine-presentation studies. In fact, there is some evidence at near detection limit concentrations of sucrose or quinine that the maternally-separated animals might be somewhat adipsic. I.A. Paul et al. / Beha6ioural Brain Research 112 (2000) 127–134 The simplest explanation of the data we report is that the maternally-deprived animals are not simply anhedo nic, but instead are less responsive overall to gustatory stimuli. Any observed reduction in sweet solution consumption (anhedonia) is likely to be mediated by this reduced responsiveness. In summary, we note that the apparent anhedonia observed in this and other animal models of depressive disorders may be secondary to a sensory deficit. Although not included as a diagnostic criterion for depressive disorders in the current DSM-IV, a flattening of affective response is considered a characteristic symptom of schizophrenia, although the exact nature of this symptom is itself controversial [1,4,24,26,29,30]. Likewise, it has been suggested previously that there are similarities between the behavior of maternally-deprived monkeys and schizophrenic symptoms [21]. Thus, our data would be congruent with the hypothesis that maternal deprivation in nonhuman primates results in appetitive conditions more analogous to schizophrenia than to depression. A more concrete observation is that research on animal models of anhedonia should be improved by the inclusion of the appropriate control conditions with regard to the presumed hedonic properties of stimuli. Our data demonstrate that anhedonia is likely not an isolated phenomenon, but instead may reflect a generally attenuated sensory response to stimuli. 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