ORIGINAL RESEARCH Diurnal Corticosterone Presence and Phase Modulate Clock Gene Expression in the Male Rat Prefrontal Cortex Elizabeth R. Woodruff, Lauren E. Chun, Laura R. Hinds, and Robert L. Spencer Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, Colorado 80309 Mood disorders are associated with dysregulation of prefrontal cortex (PFC) function, circadian rhythms, and diurnal glucocorticoid (corticosterone [CORT]) circulation. Entrainment of clock gene expression in some peripheral tissues depends on CORT. In this study, we characterized over the course of the day the mRNA expression pattern of the core clock genes Per1, Per2, and Bmal1 in the male rat PFC and suprachiasmatic nucleus (SCN) under different diurnal CORT conditions. In experiment 1, rats were left adrenal-intact (sham) or were adrenalectomized (ADX) followed by 10 daily antiphasic (opposite time of day of the endogenous CORT peak) ip injections of either vehicle or 2.5 mg/kg CORT. In experiment 2, all rats received ADX surgery followed by 13 daily injections of vehicle or CORT either antiphasic or in-phase with the endogenous CORT peak. In sham rats clock gene mRNA levels displayed a diurnal pattern of expression in the PFC and the SCN, but the phase differed between the 2 structures. ADX substantially altered clock gene expression patterns in the PFC. This alteration was normalized by in-phase CORT treatment, whereas antiphasic CORT treatment appears to have eliminated a diurnal pattern (Per1 and Bmal1) or dampened/inverted its phase (Per2). There was very little effect of CORT condition on clock gene expression in the SCN. These experiments suggest that an important component of glucocorticoid circadian physiology entails CORT regulation of the molecular clock in the PFC. Consequently, they also point to a possible mechanism that contributes to PFC disrupted function in disorders associated with abnormal CORT circulation. (Endocrinology 157: 1522–1534, 2016) O ptimal organismal function depends on the integrity of the circadian system (1). Circadian misalignment is associated with many physiological and psychological disease states including obesity, diabetes, some forms of cancer, cardiovascular disease, posttraumatic stress disorder (PTSD), and depression (2– 4). The hypothalamic suprachiasmatic nucleus (SCN) is an autonomous circadian oscillator that is primarily entrained by the light-dark cycle and coordinates circadian function throughout the entire body (5). Circadian rhythms are generated by the transcriptional/translational feedforward and feedback cycles of clock gene expression present not only in the SCN, but also in many other cells throughout the body. This molecular clock is comprised of a positive arm (Bmal1 and Clock gene products) which induces the transcription of a negative arm (Period and Cryptochrome genes) whose protein products inhibit their own production by preventing the actions of Brain and muscle ARNT-like protein (BMAL1) and circadian locomotor output cycles kaput (CLOCK) proteins (6). REV-ERB␣ and retinoic acid-like orphan receptor modulate the cycle by inhibiting and inducing Bmal1 transcription, respectively (7). The completion of this cycle takes approximately 24 hours (6). Although many extra-SCN tissues show oscillations in core clock gene expression, the phase of ISSN Print 0013-7227 ISSN Online 1945-7170 Printed in USA Copyright © 2016 by the Endocrine Society Received October 17, 2015. Accepted February 17, 2016. First Published Online February 22, 2016 Abbreviations: ACC, anterior cingulate cortex; ADX, adrenalectomized; BMAL, brain and muscle ARNT-like protein; CLOCK, circadian locomotor output cycles kaput; CORT, corticosterone; FLSD, Fisher’s least significant difference; GR, glucocorticoid receptor; GRE, glucocorticoid-response element; IL, infralimbic cortex; MDD, major depressive disorder; nt, nuclear transcript; Per1, Period1; PFC, prefrontal cortex; PL, prelimbic cortex; PTSD, posttraumatic stress disorder; ROI, region of interest; Rev-erb, NR1D1; SCN, suprachiasmatic nucleus; VO, ventral orbital cortex; ZT, zeitgeber time. 1522 press.endocrine.org/journal/endo Endocrinology, April 2016, 157(4):1522–1534 doi: 10.1210/en.2015-1884 doi: 10.1210/en.2015-1884 expression (ie, time of peak and trough expression) varies in a tissue specific manner (8 –10). The SCN is necessary to maintain synchronized rhythmic clock gene expression throughout the body (11–13), but because it provides virtually no direct innervation to peripheral and central tissues outside of the hypothalamus (14), its mechanism of transduction remains to be established. In recent years, corticosterone (CORT), the principal glucocorticoid hormone in rodents, has been found to serve as a clock gene expression entraining factor in the liver, kidney, lung, cornea, and salivary gland (8, 15). Glucocorticoid receptors (GRs) are ubiquitously expressed throughout the body with the noted exception of the SCN (16). The core clock gene Period1 (Per1) has a functional glucocorticoid-response element (GRE) in its promoter region (17–19) and is modulated by CORT in both central (20, 21) and peripheral tissues (8, 16, 22, 23). CORT has also been shown to directly modulate Per2 (18, 19) and Rev-erb␣ (24) mRNA expression in some peripheral cell types. CORT circulation is normally entrained by the SCN (25) and shows a robust diurnal rhythm with peak levels occurring around the time of waking (26). CORT therefore is a promising candidate as an entraining factor in extra-SCN tissues. Interestingly, normal diurnal and stress-induced CORT release also relies on the presence of a functional molecular clock within the adrenal gland itself (27, 28), supporting the importance of the interplay and communication between the circadian and glucocorticoid systems. Although CORT-dependent clock gene entrainment has been extensively examined in the periphery, limited research has examined this process in the brain (20). The prefrontal cortex (PFC) is a key neural center for regulation of the emotional and physiological response to stress (29, 30). Many PFC-dependent functions such as attention (31), mood (1, 32), and conditioned fear extinction learning (33, 34) show diurnal variation. In addition, dendritic branching (which is also CORT-dependent) (35) of pyramidal cells in the infralimbic subregion of the PFC exhibits diurnal variation (36). PFC dysfunction is associated with depression and PTSD (37–39). These disorders are also characterized by impaired circadian function parameters such as sleep, diurnal glucocorticoid circulation, and PFC clock gene rhythmicity (40, 41). Chronic unpredictable stress can disrupt clock gene oscillation in brain regions associated with mood regulation (42), and successful treatment of psychiatric disorders is frequently associated with corrected circadian abnormalities (43– 45). Interestingly, increasing the amplitude of diurnal CORT circulation in mice has anxiolytic effects (46). To date there has been no examination of CORT-dependent modulation of clock gene expression in the brain encompassing press.endocrine.org/journal/endo 1523 both the positive and negative arms of the molecular clock. We therefore examined the diurnal expression of 3 core clock genes (Per1, Per2, and Bmal1) in 4 subregions of the PFC (anterior cingulate cortex [ACC], prelimbic cortex [PL], infralimbic cortex [IL], and ventral orbital cortex [VO]) and the SCN under different chronic CORT conditions. In experiment 1, we compared these expression profiles in adrenal intact rats, adrenalectomized (ADX) rats, as well as ADX rats injected with CORT every day for 10 days at the opposite time of day (zeitgeber time [ZT]1) as the endogenous CORT peak (ZT12) (antiphasic CORT). In experiment 2, we compared the diurnal expression of the same clock genes in ADX rats, ADX rats treated with antiphasic CORT, and ADX rats treated with in-phase CORT (ie, a CORT injection at the time of the endogenous peak) daily for 13 days. We have previously found in adrenal intact male and female rats that all 3 clock genes have a fluctuating daily (“diurnal”) expression pattern in the PFC with peak expression of the positive arm (Bmal1) approximately antiphasic to the negative arm (Per1 and Per2) (10). We hypothesized that the normal phase relationship and robustness of 24-hour clock gene expression in the PFC depends on the presence of in-phase diurnal CORT. Consequently, we predicted that the phase, and possibly even the presence of diurnal PFC clock gene expression, would be altered by the absence of circulating CORT (ADX) and would be substantially disrupted in ADX rats treated with antiphasic CORT. We also predicted that clock gene expression in the SCN would not be affected by CORT status due to the SCN’s lack of GR expression. Materials and Methods Animals For experiment 1 (N ⫽ 72) and experiment 2 (N ⫽ 80) male Sprague-Dawley rats (250 –280 g; Harlan Laboratories) were housed 2 per cage (polycarbonate tubs, 47 ⫻ 23 ⫻ 20 cm) and given food (Teklad Rodent Diet 8640; Harlan Laboratories) and either tap water (sham rats) or 0.9% saline (ADX rats) ad libitum. All rats were maintained on a 12-hour light, 12-hour dark cycle and were given either a 3-day (experiment 1) or 2 week (experiment 2) acclimation period before surgery. The time of manipulations and measures for each rat is expressed as ZT, the time (hours) after light phase onset. Rats were housed in 4 separate sound and light attenuated rooms to ensure proper entrainment to the light-dark cycle. All experiments were conducted in accordance to the guidelines found within the Guide for the Care and Use of Laboratory Animals (DHHS publication number [NIH] 80-23, revised 2010, 8th edition) and were approved by the University of Colorado Institutional Animal Care and Use Committee. 1524 Woodruff et al CORT Regulates PFC Clock Gene mRNA Endocrinology, April 2016, 157(4):1522–1534 ADX surgery, rats received an ip injection of either vehicle or CORT (2.5 mg/ kg) every day for 13 days at either ZT1 (antiphasic; n ⫽ 24 for CORT, n ⫽ 16 for vehicle) or ZT11 (in-phase; n ⫽ 24 for CORT, n ⫽ 16 for vehicle). The day after 13 daily injections, groups of rats within each CORT status condition were decapitated at 4 different time points through the day (ZT0, ZT6, ZT12, and ZT18; Figure 1. Experimental timelines. A, Experiment 1. Starting 2 days after ADX or sham surgery, n ⫽ 4 or n ⫽ 6 for each ZT with daily rats were given 10 daily ip injections of either vehicle or CORT (2.5 mg/kg) at ZT1. On the 11th vehicle or CORT treatment conditions, day, rats were killed at ZT0, ZT6, ZT12, or ZT18 (n ⫽ 6 per time of death for each CORT status respectively). For the time points ZT0 condition). B, Experiment 2. Starting 2 days after ADX surgery, rats were given 13 daily ip and ZT12 rats were decapitated approxinjections of either vehicle or CORT (2.5 mg/kg) at either ZT1 (antiphasic) or ZT11 (in-phase). On imately 15 minutes before the light tranthe 14th day, rats were killed at ZT0, ZT6, ZT12, or ZT18 (n ⫽ 4 or n ⫽ 6 per time of death for sition in order to avoid any rapid effects each daily vehicle or CORT treatment time, respectively). the light transition may have on clock gene expression. Rats did not receive an ADX surgery injection on the day they were killed in order to avoid any acute effects of CORT on clock gene expression. Brains were extracted For experiment 1, rats received either ADX or sham-ADX and flash-frozen in isopentane chilled to ⫺30°C with dry ice and surgery. Briefly, rats were anesthetized with halothane during then stored at ⫺70°C. surgery, bilateral incisions were made through the dorsal lateral skin and peritoneal wall near the kidneys, and adrenal glands of ADX rats were excised. Sham-ADX rats went through the same CORT assay procedure but adrenal glands were left in place. For experiment Plasma CORT levels were measured using an enzyme-linked 2, all rats received ADX surgery as described above. immunosorbant assay for CORT (Assay Design) in agreement with the manufacturer’s protocol. Before use, plasma was diluted Experiment 1 procedure (Figure 1A) 1:50 in assay buffer and incubated at 65°C for 60 minutes in order to denature corticosteroid binding globulin. Intraassay coThis experiment tested whether diurnal clock gene expression efficient of variation was 6.3%. depends on the presence and/or time of day when daily CORT elevations occur by comparing clock gene expression of sham rats with ADX rats and ADX rats that received a daily pulse of In situ hybridization and image analysis antiphasic CORT. Starting 2 days after surgery, rats received an Coronal brain slices (12 m) were cut on a Leica Microsysip injection of either vehicle (60% sterile saline, 30% propylene tems cryostat (model 1850) from the PFC (2.7 mm anterior to glycol, 10% ethanol 1 mL/kg) or CORT (2.5 mg/kg; Steraloids) bregma) through the caudal extent of the SCN (1.3 mm posterior each day at ZT1 for 10 days. We have previously demonstrated to bregma) (16), thaw mounted on Colorfrost Plus slides (VWR), that this CORT treatment produces peak plasma CORT levels and stored at ⫺70°C. (⬃50 g/100 mL) within 30 minutes after injection, and those In situ hybridization for Per1, Per2, and Bmal1 mRNA was levels return to preinjection levels within 2 hours (47). This maperformed as previously described (49). Briefly, tissue was hynipulation produces a relatively short-lasting pulse of CORT bridized with 35S-uridine triphosphate-labeled antisense ribolevels within the moderate-to-high physiological range that is probes in a 50% formamide humidified atmosphere at 54°C for expected to occupy most GRs in the body (48). All sham rats 16 –18 hours. Slides were then treated with Ribonuclease A received a vehicle injection (n ⫽ 24), and all ADX rats received (Sigma) at 37°C for 1 hour, washed in decreasing concentrations either vehicle (n ⫽ 24) or CORT (n ⫽ 24). The day after 10 daily of saline citrate solution (2⫻, 1⫻, 0.5⫻, and 0.1⫻), incubated in injections, groups of rats within each CORT status condition 0.1⫻ saline citrate solution at 65°C for 1 hour, then dehydrated were decapitated at 4 time points throughout the day (ZT0, ZT6, through a series of ethanol washes. Dried slides were then exZT12, and ZT18; n ⫽ 6 for each ZT within a CORT status posed to x-ray film for 2– 4 weeks, after which films were digicondition). For the time points ZT0 and ZT12, rats were decaptized by use of Northern Light lightbox model B95 (Imaging Res, itated approximately 15 minutes before the light transition in Inc), a Sony CCD video camera model XC-ST70 fitted with a order to avoid any rapid effects the light transition may have on Navitar 7000 zoom lens connected to a LG3– 01 frame grabber clock gene expression. Rats did not receive an injection on the (Scion Corp) inside a Dell Dimension 500, and captured with day they were killed in order to avoid any acute effects of CORT Scion Image Beta release 4.0.2. The cloned coding portion of on clock gene expression. Brains were extracted and flash-frozen each clock gene is as follows: Per1, nuclear transcript (nt) 974 – in isopentane chilled to ⫺30°C with dry-ice and then stored at 1547, GenBank accession number NM_001034125; Per2, nt ⫺70°C. Trunk blood plasma was collected for CORT assay. 2240 –2869, GenBank accession number NM_031678; and Bmal1, nt 697–1278, GenBank accession number NM_024362. Experiment 2 procedure (Figure 1B) Densitometry measurements from left and right hemispheres on 4 – 6 sections per brain per region of interest (ROI) was perThe second experiment tested whether the altered diurnal formed by an individual blind to treatment condition. ROIs were clock gene expression in the PFC of ADX rats observed in expositioned relative to the corpus callosum and longitudinal fisperiment 1 (see Results) is normalized by daily in-phase (ZT11), sure for PFC subregions and relative to the optic chiasm for the but not antiphasic (ZT1) CORT injections. Starting 2 days after doi: 10.1210/en.2015-1884 SCN. ROIs were 12 ⫻ 12 pixels in size and were centered over the target brain region with reference to a rat brain atlas (50). Measurements were taken without differentiation between cortical layers, as gene expression was predominantly uniform throughout. Densitometry measurements (uncalibrated optical density) were taken using ImageJ software 1.46r (National Institutes of Health). Optical density values for a given ROI were averaged across each of the separate tissue sections/ hemisphere measures for each brain to yield a single value for each brain. Statistical analysis Two-way ANOVA was used to examine overall main effects and interactions of time of death (ZT) and CORT status. Follow-up one-way ANOVA was used to test whether there was a significant time of death effect for clock gene expression within each CORT status group. Post hoc pair-wise comparisons used Fisher’s least significant difference (FLSD). Statistical Package for the Social Sciences (SPSS v. 21.0, IBM) was used for ANOVA analysis; P ⬍ .05 was considered significant. There were some missing data due either to insufficient brain sections for a given ROI, or variable within brain hybridization signal, accounting for the variable degrees of freedom for the reported F tests. Data presented in figures are the mean ⫾ SEM. Results Experiment 1. CORT status modulates Per1, Per2, and Bmal1 mRNA diurnal expression in the PFC but not in the SCN Corticosterone CORT levels in sham rats displayed a strong diurnal pattern of secretion (ZT effect: F3,23 ⫽ 12.0, P ⬍ .001) with peak circulation occurring around ZT12 (Figure 2). CORT levels were below assay detection limits for rats in both ADX and ADX⫹antiphasic CORT treatment groups. This is consistent with the very short half-life of CORT in the rat (ⱕ15 min) (21, 51). Consequently, any effect that this daily antiphasic CORT treatment had on Figure 2. Experiment 1. Diurnal CORT profile in sham-ADX rats. There was a prominent diurnal CORT peak at ZT12 in trunk blood from sham-ADX rats (n ⫽ 6). Plasma CORT levels were undetectable in trunk blood of ADX and ADX⫹antiphasic CORT-treated rats. The black bar above the x-axis denotes dark phase. press.endocrine.org/journal/endo 1525 clock gene expression levels at the time of death was likely not due to an acute modulatory effect of concurrent GR activation by CORT. Clock gene mRNA There was a significant main effect of CORT status and a time of death by CORT status interaction for Per1 and Per2 mRNA expression in each of the PFC subregions examined (ACC, PL, IL, and VO) but not in the SCN (Table 1). Bmal1 mRNA levels appeared to also be affected by CORT status in the PFC, because its expression showed a significant effect of time of death only in sham rats (Figure 3 and Table 1). The specific effect of each CORT status condition on clock gene expression is outlined below. Sham rats After 10 daily vehicle injections at ZT1, Per1, Per2, and Bmal1 mRNA expression in adrenal-intact (sham) rats showed a diurnal pattern (ie, effect of time of death) in subregions of the PFC and the SCN as determined by oneway ANOVA (Figures 3 and 4; Table 1). Within both the SCN and some PFC subregions, positive (Bmal1) and negative (Per1 and Per2) regulatory clock genes had peak mRNA expression levels during opposite phases of the light-dark cycle (Table 1). Although the time of day for peak clock gene expression was similar across all PFC subregions, it varied considerably between the PFC and SCN, as previously reported (8, 10, 16, 22). Specifically, we found peak Per1 mRNA occurred at ZT18 in the PFC and ZT6 in the SCN, peak Per2 occurred around ZT12 in the PFC and ZT6 in the SCN, and peak Bmal1 mRNA occurred around ZT0 in the PFC and ZT18 in the SCN. ADX rats After 10 daily vehicle injections at ZT1, Per1 and Per2 mRNA expression displayed a diurnal pattern in the PFC and the SCN of ADX rats as determined by one-way ANOVA (Figures 3 and 4; Table 1). However, in most PFC subregions Per1 peak expression was phase advanced (shift from ZT18 to ZT12 relative to sham rats), and across all PFC subregions Per2 peak expression was phase delayed (shift from ZT12 to ZT18) pointing towards a disruptive effect of ADX on normal PFC clock gene expression phase relationships. A diurnal pattern of Bmal1 mRNA expression was absent across each of the PFC subregions, further supporting disruption in clock gene expression. In contrast, there was no significant effect of ADX on the diurnal presence or phase of clock gene expression within the SCN. 1526 Woodruff et al Table 1. CORT Regulates PFC Clock Gene mRNA Endocrinology, April 2016, 157(4):1522–1534 Experiment 1 Peak ZT for CORT Status Groups With Significant Effect of Time of Death (P < .05, One-Way ANOVA) Experiment 1. Rat Clock Gene Expression Two-Way ANOVA Results Gene Per1 Per2 Bmal1 ROI Time of Death CORT Status Time of Death ⴛ CORT Status Sham ADX Antiphasic CORT ACC PL IL VO SCN ACC PL IL VO SCN ACC PL IL VO SCN F3,45 ⫽ 13.6 F3,41 ⫽ 14.2a F3,39 ⫽ 8.3a F3,44 ⫽ 17.6a F3,50 ⫽ 44.6a F3,55 ⫽ 47.8a F3,55 ⫽ 35.7a F3,55 ⫽ 34.3a F3,55 ⫽ 34.3a F3,60 ⫽ 193.5a F3,58 ⫽ 5.4a F3,53 ⫽ 1.2 F3,54 ⫽ 1.5 F3,58 ⫽ 9.0a F3,45 ⫽ 41.8a F2,45 ⫽ 3.3 F2,41 ⫽ 17.1a F2,39 ⫽ 15.4a F2,44 ⫽ 6.6a F2,50 ⫽ 0.67 F2,55 ⫽ 40.7a F2,55 ⫽ 40.9a F2,55 ⫽ 43.2a F2,55 ⫽ 33.1a F2,60 ⫽ 0.03 F2,58 ⫽ 2.6 F2,53 ⫽ 1.9 F2,54 ⫽ 1.5 F2,58 ⫽ 0.88 F2,45 ⫽ 0.24 F6,45 ⫽ 3.8 F6,41 ⫽ 5.8a F6,39 ⫽ 4.6a F6,44 ⫽ 4.6a F6,50 ⫽ 0.43 F6,55 ⫽ 80.1a F6,55 ⫽ 70.9a F6,55 ⫽ 69.6a F6,55 ⫽ 52.3a F6,60 ⫽ 0.142 F6,58 ⫽ 2.0 F6,53 ⫽ 1.2 F6,54 ⫽ 1.4 F6,58 ⫽ 1.8 F6,45 ⫽ 1.6 ZT18 ZT18 ZT18 ZT18 ZT6 ZT12 ZT12 ZT12 ZT12 ZT6 ZT0 (P ⫽ .2) (P ⫽ .3) ZT0 ZT18 ZT18 ZT12 ZT12 ZT12 ZT6 ZT18 ZT18 ZT18 ZT18 ZT6 (P ⫽ .3) (P ⫽ .2) (P ⫽ .2) (P ⫽ .5) ZT12 (P ⫽ .05) (P ⫽ .6) (P ⫽ .6) (P ⫽ .2) ZT6 ZT0 ZT0 ZT0 (P ⫽ .06) ZT6 (P ⫽ .3) (P ⫽ .2) (P ⫽ .4) (P ⫽ .2) ZT18 a a a Two- and one-way ANOVA results for clock gene expression in the PFC (ACC, PL, IL, and VO) and SCN. Factors were time of death (ZT0, ZT6, ZT12, or ZT18) and CORT status (sham, ADX, and ADX⫹antiphasic CORT). a P ⬍ .05. ADXⴙantiphasic CORT rats After treatment of ADX rats with 10 daily antiphasic CORT injections at ZT1, a diurnal pattern of Per1 and Bmal1 mRNA expression was absent across all PFC subregions but was maintained in the SCN as determined by one-way ANOVA (Figures 3 and 4; Table 1). In the PFC, Per2 mRNA expression displayed a significant effect of time of death supporting a diurnal pattern in its expression; however, its diurnal amplitude was substantially blunted, and the phase of its peak expression was inverted relative to sham rats (ZT0 as opposed to ZT12) (Figures 3 and 4; Table 1). In contrast, there was no significant effect of antiphasic CORT treatment in ADX rats on diurnal clock gene expression within the SCN. Experiment 2. Diurnal pattern of Per1, Per2, and Bmal1 mRNA in the PFC of ADX rats is normalized by daily in-phase CORT treatment but not daily antiphasic CORT treatment; CORT status has no effect on clock gene mRNA in the SCN There was no significant difference in clock gene expression in any brain area between ADX rats given a daily vehicle injection at ZT1 or ZT11 (two-way ANOVA, P ⬎ .05) (Supplemental Figure 1). Accordingly, data from vehicle-treated rats were pooled for subsequent statistical analyses and graphical presentation (ADX⫹vehicle group: total of 32 rats, with n ⫽ 8 for each ZT of death). As in the first experiment, there was an overall significant main effect of CORT status for Per1 and Per2 mRNA expression in each of the PFC subregions examined (ACC, PL, IL, and VO), but not in the SCN (two-way ANOVA) (Table 2). There was also a significant time of death by CORT status interaction for each of the clock genes throughout the PFC, and there was a time of death by CORT status interaction for Per1 and Bmal1 mRNA expression in the SCN. However, post hoc tests and visual inspection of the graphs indicate that the interaction within the SCN, in contrast to the PFC, was due to small group differences at a single time point that did not reflect a CORT status dependent difference in clock gene expression pattern, amplitude, or phase relationship (Figures 5 and 6). The specific effect of each CORT status condition on clock gene expression is outlined below. ADXⴙvehicle rats The phase relationship for the peak of each clock gene mRNA in the SCN corresponded to that of all rats in experiment 1, with the exception that in this experiment we found Bmal1 mRNA peak expression at ZT12 instead of ZT18 (Figure 5 and Table 2). The positive (Bmal1) and negative (Per1 and Per2) arms of the molecular clock still displayed peak expression levels during opposite phases of the light-dark cycle. Similar to the first experiment, in the PFC of ADX rats Per2 mRNA expression was diurnal in nature but phase delayed relative to the sham rats in experiment 1 (Figure 5 and Table 2). In this second experiment, Per1 expression in the VO subregion of the PFC of ADX rats had a significant diurnal pattern with peak expression levels at ZT18 (Figure 5 and Table 2). There was also a significant time of death effect for Per1 mRNA levels in the IL, and a near significant trend in the ACC and PL; however, in each of those PFC subregions, there appeared to be 2 peaks of expression at ZT6 and ZT18 (Figure 5 and Table 2). For this experiment there was also a significant time of death effect for Bmal1 expression in all subregions of the PFC with a peak at ZT18 (Figures 3 and 5). Sup- doi: 10.1210/en.2015-1884 press.endocrine.org/journal/endo 1527 Figure 3. Experiment 1. Effect of ADX and daily antiphasic CORT treatment on clock gene expression in PFC and SCN. In sham rats, Per1, Per2, and Bmal1 mRNA expression exhibited a diurnal pattern in the PFC and SCN, but the phase of peak expression differed between the PFC and SCN. ADX shifted the time of peak Per1 and Per2 mRNA expression and disrupted Bmal1 mRNA diurnal expression pattern in the PFC. Ten days of antiphasic CORT disrupted Per1, Per2, and Bmal1 mRNA diurnal expression. There was no effect of CORT status in the SCN. The black bar above the x-axis denotes dark phase. #, sham vs ADX difference at that ZT, P ⬍ .05; *, sham vs antiphasic CORT difference at that ZT P ⬍ .05 (FLSD, n ⫽ 4 – 6). Brain ROIs used for analyses are depicted on brain atlas images adapted from Paxinos and Watson (50). portive of a disruptive nature of ADX on PFC clock gene expression, as in the first experiment, ADX⫹vehicletreated rats lacked peak expression of the positive (Bmal1) and negative (Per1 and Per2) arms of the molecular clock during opposite phases of the light-dark cycle. ADXⴙin-phase CORT rats After 13 daily CORT (2.5 mg/kg) injections at ZT11, Per1, Per2, and Bmal1 mRNA expression displayed a diurnal pattern in the PFC and the SCN as determined by one-way ANOVA (Figures 5 and 6; Table 2). Within each subregion of the PFC, clock gene expression patterns were largely normalized in these ADX rats. That is, peak expression for the positive (Bmal1) and negative (Per1 and Per2) arms of the molecular clock occurred at opposite phases of the light-dark cycle with the same diurnal timing as observed in adrenal intact rats (Figure 3). ADXⴙantiphasic CORT rats After 13 daily CORT (2.5 mg/kg) injections at ZT1, Per1, Per2, and Bmal1 mRNA exhibited a diurnal expression pattern in the SCN but not in the PFC for Per1 and Bmal1 expression (Figures 5 and 6; Table 2). Consistent with the first experiment, Per2 mRNA expression in the PFC did exhibit a significant time of death effect, but it had a somewhat blunted diurnal peak amplitude and its peak expression was phase-inverted relative to Per2 mRNA expression in in-phase CORT-treated rats (ZT12) (Figure 5 1528 Woodruff et al CORT Regulates PFC Clock Gene mRNA Figure 4. Experiment 1. Representative autoradiogram images of Per1, Per2, and Bmal1 mRNA (in situ hybridization) in the PFC (coronal section) and SCN (ventral portion of coronal section) of sham and ADX rats across 4 times of day (ZT0, ZT6, ZT12, and ZT18). Note the different phase relationships of peak clock gene expression in the PFC of sham vs ADX rats but similar phase relationships of both treatment groups in the SCN. and Table 2) or sham rats in experiment 1 (ZT12) (Figure 3 and Table 1). Consequently, as in the first experiment, antiphasic CORT treatment of ADX rats substantially disrupted the normal diurnal expression of both the positive and negative arms of PFC clock gene expression. Discussion In these experiments, we demonstrated that diurnal clock gene expression in the PFC was strongly modulated by the presence and phase of daily fluctuations in circulating CORT. The diurnal variations in Per1, Per2, and Bmal1 mRNA expression that we observed in the SCN are consistent with the well-established rhythmic expression of Endocrinology, April 2016, 157(4):1522–1534 these clock genes that constitutes a molecular clock (5, 6). The diurnal variation of clock gene expression in PFC subregions of adrenal-intact rats suggests that under normal conditions there may also be an operational molecular clock here as well. Interestingly, CORT manipulations substantially affected both the presence and timing of diurnal clock gene expression patterns in the PFC. In contrast, clock gene expression in the SCN was unaffected by CORT manipulations, likely due to the absence of GR expression in the SCN (16, 18, 19). To aid in the discussion of these data we have provided summary figures for each treatment group (Figure 7 and Supplemental Figure 2) that show whether there was a significant diurnal variation in clock gene expression and if so, the observed peak time of that expression. Comparison of the time of peak diurnal expression of these clock genes provides some indication of the phase relationships that would be expected in the case of sustained rhythmic expression. Adrenal-intact rats had diurnal expression patterns of Per1, Per2, and Bmal1 mRNA in both the PFC and SCN (Figure 7 and Supplemental Figure 2). The phase of peak clock gene mRNA that we observed in the SCN is similar to other reports of SCN clock gene expression in the rodent (8 –10, 16, 24, 49). Sham rats displayed a different phase relationship for the expression of each clock gene within the PFC compared with the SCN, and this PFCspecific clock gene expression profile is in close agreement with our recent report of diurnal clock gene expression in the PFC of male and female rats (10). Importantly, there was an antiphasic relationship between the time of day for peak expression of a positive (Bmal1) and negative (Per1/ Per2) arm of the molecular clock in both the SCN and PFC of sham rats, as would be expected for an operational intrinsic molecular clock (Figure 7). ADX alters PFC diurnal clock gene expression Although there was no significant difference in SCN clock gene expression between ADX and sham rats, PFC clock gene expression profiles were significantly altered by ADX. In the first experiment, Per1 and Per2 mRNA expression continued to exhibit a diurnal pattern in the PFC of ADX rats, but the apparent phase of that expression was altered with a delay of peak Per2 mRNA and an advance of peak Per1 mRNA relative to the expression patterns in sham rats. In the second experiment, ADX rats with vehicle treatment again displayed a phase delay in PFC Per2 mRNA expression relative to sham rats, and PFC Per1 mRNA expression lacked a reliable diurnal variation across the PFC subregions. ADX also affected PFC Bmal1 expression patterns in both experiments. The discrepancy between experiments in the specific effects of ADX on PFC clock gene expression patterns may be re- doi: 10.1210/en.2015-1884 Table 2. press.endocrine.org/journal/endo Experiment 2 Peak ZT for CORT Status Groups With Significant Effect of Time of Death (P < .05, One-Way ANOVA) Experiment 2. Rat Clock Gene Expression Two-Way ANOVA Results Gene Per1 Per2 Bmal1 1529 ROI Time of Death CORT Status Time of Death ⴛ CORT Status ADX ⴙ In-Phase CORT ADX ⴙ Veh ADX ⴙ Antiphasic CORT ACC PL IL VO SCN ACC PL IL VO SCN ACC PL IL VO SCN F3,52 ⫽ 5.8 F3,58 ⫽ 7.8a F3,53 ⫽ 8.5a F3,58 ⫽ 7.9a F3,67 ⫽ 165.2a F3,53 ⫽ 6.1a F3,55 ⫽ 1.5 F3,56 ⫽ 1.4 F3,54 ⫽ 9.9a F3.67 ⫽ 194.4a F3,61 ⫽ 4.5a F3,60 ⫽ 2.3a F3,62 ⫽ 2.4 F3,61 ⫽ 8.7a F3,67 ⫽ 52.8a F2,52 ⫽ 3.6 F2,58 ⫽ 5.1a F2,53 ⫽ 13.3a F2,58 ⫽ 3.3a F2,67 ⫽ 2.0 F2,53 ⫽ 7.2a F2,55 ⫽ 4.5a F2,56 ⫽ 4.5a F2,54 ⫽ 3.5a F2,67 ⫽ 0.04 F2,61 ⫽ 0.11 F2,60 ⫽ 0.28 F2,62 ⫽ 0.29 F2,61 ⫽ 0.49 F2,67 ⫽ 1.3 F6,52 ⫽ 4.7 F6,58 ⫽ 5.3a F6,53 ⫽ 6.6a F6,58 ⫽ 5.5a F6,67 ⫽ 2.9a F6,53 ⫽ 6.5a F6,55 ⫽ 2.8a F6,56 ⫽ 5.3a F6,54 ⫽ 6.3a F6,67 ⫽ 1.1 F6,61 ⫽ 4.2a F6,60 ⫽ 4.3a F6,62 ⫽ 5.5a F6,61 ⫽ 7.9a F6,67 ⫽ 2.8a ZT12 ZT18 ZT18 ZT12 ZT6 ZT12 (P ⫽ .07) ZT12 ZT12 ZT6 ZT0 ZT0 ZT0 ZT0 ZT12 (P ⫽ .06) (P ⫽ .05) ZT6/18 ZT18 ZT6 ZT18 ZT18 ZT18 ZT18 ZT6 ZT18 ZT18 ZT18 ZT18 ZT12 (P ⫽.5) (P ⫽ .7) (P ⫽ .4) (P ⫽ .7) ZT6 (P ⫽ .3) (P ⫽ .3) ZT0 ZT0 ZT6 (P ⫽ .4) (P ⫽ .5) (P ⫽ .1) (P ⫽ .4) ZT12 a a a Two-way ANOVA and one-way ANOVA results for clock gene expression in the PFC (ACC, PL, IL, and VO) and SCN. Factors were time of death (ZT0, ZT6, ZT12, or ZT18) and CORT status (ADX⫹vehicle, ADX⫹in-phase CORT, and ADX⫹antiphasic. a P ⬍ .05. lated to the longer duration of ADX in the second experiment (13 d) compared with the first experiment (10 d). CORT is known to stabilize circadian rhythms (8, 26, 52, 53), therefore the extended absence of endogenous CORT in experiment 2 may have been enough to further alter the clock gene expression patterns in the PFC. ADX has been found in other studies to disrupt diurnal clock gene expression in some but not all peripheral tissues (8, 20, 22) and to blunt diurnal PER2 immunoreactivity in subregions of the extended amygdala (20). It should be noted that in the second experiment peak SCN Bmal1 mRNA occurred at ZT12 instead of ZT18 as seen in the first experiment. Although this may reflect an effect of ADX on molecular clock operation within the SCN, we believe that is not the case for the following reasons. First, we did not see this effect of ADX in the first experiment. Second, in contrast to clock gene expression in the PFC, neither in-phase nor antiphasic CORT treatment had an effect on SCN clock gene expression in ADX rats. Third, other studies report no effect of ADX on SCN clock gene expression (8, 20, 31, 54). Instead, we suspect that this difference in Bmal1 mRNA peak times reflects a cohort difference in timing that may appear more pronounced than it was due to the 6-hour interval between sampling times. Other studies with greater temporal resolution typically report a Bmal1 mRNA acrophase in the rat SCN around ZT16 –ZT18 (9, 10, 49). In-phase diurnal CORT normalizes PFC diurnal clock gene expression Daily in-phase CORT pulses were sufficient to normalize the diurnal pattern in PFC clock gene expression of ADX rats (Figure 7 and Supplemental Figure 2). Similar in-phase glucocorticoid treatment (glucocorticoid in drinking water) of ADX rats has previously been shown to normalize ex vivo Per1 gene promoter rhythmic activity in some peripheral tissues (8) and normalize diurnal PER2 expression in select extended amygdala subregions of the brain (54). In contrast, treatment of ADX rats with constant glucocorticoid levels was not sufficient to restore normal brain PER2 expression patterns (54). Our study is the first to demonstrate a regulatory influence of CORT treatment on clock gene expression in the PFC. Importantly, our study also demonstrated that this influence was evident for both positive (Bmal1) and negative (Per1 and Per2) transcriptional regulatory components of the core molecular clock. We are the first to systematically test and report the extent of in-phase CORT normalization of negative and positive clock gene expression in extra-SCN tissue and to directly compare this with antiphasic CORT treatment of ADX rats. This result, combined with the general antiphasic relationship between Bmal1 mRNA (peak at onset of the light phase) and Per1/Per2 mRNA (peak during the early to midportion of the dark phase) in subregions of the PFC suggests that there is not only 24hour rhythmic clock gene expression present within the PFC, but also intrinsic oscillatory control of that expression. Support for rhythmic and generally oscillatory clock gene expression in the PFC has also been observed in humans (41, 55). However, the clock gene expression phase relationship profile in the human PFC was opposite to what we have found in the rat, ie, the negative components of the clock tended to reach peak expression during the light phase and the positive components during the dark phase. This species difference may be related to the dif- 1530 Woodruff et al CORT Regulates PFC Clock Gene mRNA Endocrinology, April 2016, 157(4):1522–1534 Figure 5. Experiment 2. Effect of daily in-phase or antiphasic CORT treatment on clock gene expression in PFC and SCN of ADX rats. All rats were ADX and treated for 13 days with either vehicle or CORT at either ZT11 (in-phase CORT) or ZT1 (antiphasic CORT). In vehicle-treated rats (regardless of the time of daily injection) (Supplemental Figure 1) Per1, Per2, and Bmal1 mRNA in PFC subregions either lacked a significant diurnal expression pattern or the time of peak expression was shifted relative to sham rats in experiment 1, whereas 13 days of in-phase CORT treatment normalized PFC diurnal clock gene expression patterns compared with sham rats (Figure 3). Thirteen days of antiphasic CORT substantially disrupted Per1, Per2, and Bmal1 diurnal expression, and in the IL and VO, it inverted the diurnal expression profile of Per2. There were only minor effects of CORT status in the SCN. The black bar above the x-axis denotes dark phase. #, in-phase vs vehicle difference at that ZT, P ⬍ .05; *, in-phase vs antiphasic CORT difference at that ZT, P ⬍ .05 (FLSD, n ⫽ 4 – 8). ferent awake/sleep activity phase profile of diurnal humans compared with nocturnal rats. If such is the case, then clock gene expression in the PFC of both species may depend more on entraining influences that align with activity patterns which are known to influence endogenous CORT circulation rather than light-dark cycle phase (56). Antiphasic diurnal CORT substantially disrupts PFC diurnal clock gene expression In contrast to the normalizing influence of daily inphase CORT, antiphasic CORT, matched in dose and delivery procedure, produced a dramatic disruption of PFC clock gene expression in ADX rats (Figure 7 and Supplemental Figure 2). In both of our experiments, antiphasic CORTtreated rats lacked a significant diurnal variation in PFC Per1 and Bmal1 mRNA. This effect was especially pronounced for Per1 mRNA. Diurnal expression of Per2 mRNA was substantially blunted in most PFC subregions, at least for the specific sample times used in the study. These results are similar to what was observed in the liver of adrenal-intact mice after daily antiphasic, but not in-phase Prednisolone treatment (15). Interestingly, despite the blunted diurnal amplitude of PFC Per2 mRNA expression, we saw a distinct 12-hour phase shift of Per2 mRNA peak expression relative to its profile in sham rats or ADX rats with in-phase CORT treatment. A similar phase inversion of PER2 diurnal immunoreactivity in the extended amygdala was observed after daily antiphasic CORT injections of ADX rats (20). Despite the dramatic effect of antiphasic CORT treatment on clock gene expression in the PFC, it had no significant effect on clock gene expression in the SCN. Possible mechanisms of glucocorticoid modulation of the PFC molecular clock In our study, CORT was a strong modulatory factor for PFC diurnal Per1 mRNA levels, a clock gene with a well-characterized functional GRE (17–19). Glucocorticoids rapidly induce Per1 expression in a variety of cell lines and tissues (16, 17, 21). CORT manipulations in our study also effectively modulated PFC expression patterns of Per2 and Bmal1 mRNA. These clock genes are also associated with candidate GREs; however, there is much less evidence that these GREs are functional across a range of tissues and conditions (18, 19, 57). Thus, the entraining influence of CORT on PFC rhythmic clock gene expression may be due to the activation of GR within the PFC (which expresses a high level of GR) (58) by daily CORT surges/pulses, and subsequent induction doi: 10.1210/en.2015-1884 Figure 6. Experiment 2. Representative autoradiogram images of Per1, Per2, and Bmal1 mRNA (in situ hybridization) in the PFC (coronal section) and SCN (ventral portion of coronal section) of in-phase CORT and antiphasic CORT-treated rats across 4 times of day (ZT0, ZT6, ZT12, and ZT18). Note the absent or phase shifted relationships of diurnal clock gene expression in the PFC of antiphasic CORT rats compared with in-phase CORT rats but similar phase relationships of both treatment groups in the SCN. of Per1 gene expression. In hepatocytes, the expression of GR is necessary for glucocorticoid modulation of the phase of liver rhythmic clock gene expression (16). Recent studies show direct protein-protein interactions between GR and several clock gene proteins, including CLOCK, BMAL1, and CRYPTOCHROME1, each of which modulates GR-dependent transcriptional activity (19, 59, 60). Glucocorticoids have also been shown to down-regulate Rev-erb␣ expression in both rat and human liver tissue (8, 15, 24). REV-ERB␣ is a negative controller of Bmal1 transcription, and the expression of Rev-erb␣ is suppressed by PERIOD proteins (7). We also cannot rule out the possibility that CORT indirectly affects PFC clock gene expression by acting at other brain regions. For example, normal CORT secretion is necessary for diurnal fluctuations in tryptophan hy- press.endocrine.org/journal/endo 1531 Figure 7. Phase comparisons of peak Per1, Per2, and Bmal1 mRNA diurnal expression within the PFC (most typical timing across all subregions is depicted) (Supplemental Figure 2) and SCN of each treatment group in experiments 1 and 2. Circles are oriented as clock faces with ZT labels, and shading of the dark phase. Time of peak expression is shown only where a significant effect of time of death was observed (Tables 1 and 2). Note in the SCN the lack of effect of CORT manipulations on clock gene expression phase relationships, but in the PFC the dramatic effect relative to sham rats of all manipulations except daily in-phase CORT treatment of ADX rats. droxylase 2 expression in the dorsal raphe nuclei (61). Tryptophan hydroxylase 2 is the rate-limiting enzyme for serotonin synthesis, and the dorsal raphe nucleus provides a strong serotonergic input to the PFC (62). Although our results demonstrate that diurnal fluctuations in circulating CORT had a strong influence on PFC diurnal clock gene expression, we do not believe that the results point to CORT as the sole entrainment factor of PFC clock gene expression. In ADX⫹vehicle rats we still observed a diurnal pattern of PFC clock gene mRNA lev- 1532 Woodruff et al CORT Regulates PFC Clock Gene mRNA els, albeit a pattern that was altered relative to those observed in adrenal-intact rats. In addition, although treatment of ADX rats with in-phase CORT pulses normalized PFC clock gene expression, treatment with antiphasic CORT pulses inverted the phase only of PFC Per2 expression, and that diurnal expression amplitude was substantially blunted. If CORT is the sole entrainer for PFC clock gene expression, then one would expect that Per1 and Bmal1 expression would have been inverted as well. It is therefore likely that the SCN has some influence on PFC clock gene expression that is independent of circadian CORT rhythms. The SCN does not directly innervate the PFC, but it provides strong indirect input to the PFC IL via a relay through the paraventricular nucleus of the thalamus (14, 63). SCN-dependent input could then be exchanged throughout the subregions of the PFC which communicate extensively with each other (64). Consequently, the PFC may receive circadian entrainment input from multiple sources including the master clock in the SCN and diurnal CORT circulation. In instances when these inputs are not tightly coupled to each other, a “competition” for entrainment may occur and lead to a complete loss of normal circadian rhythmicity in the PFC, as appears to be the case with antiphasic CORT treatment in our study. On the other hand, the presence of daily in-phase CORT pulses combined with an indirect SCN influence may lead to robust rhythmic and oscillatory expression of Per1, Per2, and Bmal1 mRNA in the PFC. Regardless of the process by which CORT modulates clock gene expression in the PFC, that process appears to be similar across PFC subregions. We observed very similar CORT treatment effects on the extent of diurnal clock gene expression patterns and peak expression timing in each of the 4 subregions that we examined. Although the functionality and connectivity of these various subregions of the PFC are similar in some regards, they also exhibit distinct differences (64 – 66). Perhaps CORT provides a similar modulatory influence in clock gene expression across PFC subregions by regulation of the indirect SCN input to the PFC. Alternatively, CORT may directly affect clock gene expression in each PFC subregion via the abundant presence of GR found throughout the PFC (58). The similarity across PFC subregions in diurnal clock gene expression profiles and their sensitivity to CORT suggest that this CORT modulatory influence is important for a shared and coordinated aspect of PFC subregion function. Glucocorticoid circadian physiology and implications for PFC-dependent function The PFC modulates many cognitive (29, 67) and physiological functions (68), and its operation and dendritic architecture are strongly affected by time of day and stress Endocrinology, April 2016, 157(4):1522–1534 (36). It is noteworthy that many PFC-dependent behaviors show circadian variation (31–33). Mood and anxiety disorders are characterized by both abnormal PFC functioning (37, 38) and abnormal diurnal CORT circulation (4, 69). Intriguingly, Li et al (41) found reduced diurnal patterns of clock gene mRNA in the postmortem PFC of major depressive disorder (MDD) patients. Successful treatment of MDD is associated with normalization of both diurnal CORT circulation (70) and peripheral blood cell clock gene expression (69). Chen et al (55) have similarly found altered diurnal clock gene expression in the postmortem PFC of older humans compared with younger humans, potentially related to age-associated alterations in cognition and mood. Karatsoreos et al (71) have shown that a rodent model of circadian disruption produces sequelae of behaviors resembling those that occur after PFC lesion (decreased cognitive flexibility and altered emotionality). In addition, McClung and coworkers have shown that both mutation and knock down of Clock (a second component of the positive arm) lead to disruption in mood related behavior in mice (72, 73). That research group has also found that chronic stress leads to similar behavioral disruption as well as altered clock gene expression in several relevant brain areas (42). Our results have important implications for some of the consequences of situations in which normal diurnal CORT circulation is no longer present, as can occur with hypothalamic adrenal pituitary axis dysregulation or pharmacological treatment with glucocorticoids. Disrupted clock gene oscillatory expression due to abnormal CORT circulation may be a mechanism that causes or exacerbates MDD, PTSD, and other PFC-related psychiatric disorders. This will be an important consideration in the future when optimizing treatment strategies for these disorders. It was because of these clinically relevant considerations that the primary aim of this study was to examine the effect that varying chronic patterns of diurnal CORT circulation have on clock gene expression in the PFC in the presence of a fully functioning master clock and a normal environmental light-dark cycle. It would be interesting, however, to examine the effects of various patterns of CORT circulation on PFC clock gene expression in the absence of the master clock (eg, SCN lesion) or under free running SCN conditions (eg, under constant darkness). Those studies will be useful in determining the mechanistic relationship between the SCN and CORT in control of PFC clock gene expression and circadian function. Acknowledgments We thank Sara Fardi and Nicolas Varra for technical assistance. doi: 10.1210/en.2015-1884 Address all correspondence and requests for reprints to: Elizabeth R. 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