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      The Stress-Induced Transcription Factor NR4A1 Adjusts Mitochondrial Function and Synapse Number in Prefrontal Cortex

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          Abstract

          The energetic costs of behavioral chronic stress are unlikely to be sustainable without neuronal plasticity. Mitochondria have the capacity to handle synaptic activity up to a limit before energetic depletion occurs. Protective mechanisms driven by the induction of neuronal genes likely evolved to buffer the consequences of chronic stress on excitatory neurons in prefrontal cortex (PFC), as this circuitry is vulnerable to excitotoxic insults. Little is known about the genes involved in mitochondrial adaptation to the buildup of chronic stress. Using combinations of genetic manipulations and stress for analyzing structural, transcriptional, mitochondrial, and behavioral outcomes, we characterized NR4A1 as a stress-inducible modifier of mitochondrial energetic competence and dendritic spine number in PFC. NR4A1 acted as a transcription factor for changing the expression of target genes previously involved in mitochondrial uncoupling, AMP-activated protein kinase activation, and synaptic growth. Maintenance of NR4A1 activity by chronic stress played a critical role in the regressive synaptic organization in PFC of mouse models of stress (male only). Knockdown, dominant-negative approach, and knockout of Nr4a1 in mice and rats (male only) protected pyramidal neurons against the adverse effects of chronic stress. In human PFC tissues of men and women, high levels of the transcriptionally active NR4A1 correlated with measures of synaptic loss and cognitive impairment. In the context of chronic stress, prolonged expression and activity of NR4A1 may lead to responses of mitochondria and synaptic connectivity that do not match environmental demand, resulting in circuit malfunction between PFC and other brain regions, constituting a pathological feature across disorders.

          SIGNIFICANCE STATEMENT The bioenergetic cost of chronic stress is too high to be sustainable by pyramidal prefrontal neurons. Cellular checkpoints have evolved to adjust the responses of mitochondria and synapses to the buildup of chronic stress. NR4A1 plays such a role by controlling the energetic competence of mitochondria with respect to synapse number. As an immediate-early gene, Nr4a1 promotes neuronal plasticity, but sustained expression or activity can be detrimental. NR4A1 expression and activity is sustained by chronic stress in animal models and in human studies of neuropathologies sensitive to the buildup of chronic stress. Therefore, antagonism of NR4A1 is a promising avenue for preventing the regressive synaptic reorganization in cortical systems in the context of chronic stress.

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          Animal models of neuropsychiatric disorders.

          Modeling of human neuropsychiatric disorders in animals is extremely challenging given the subjective nature of many symptoms, the lack of biomarkers and objective diagnostic tests, and the early state of the relevant neurobiology and genetics. Nonetheless, progress in understanding pathophysiology and in treatment development would benefit greatly from improved animal models. Here we review the current state of animal models of mental illness, with a focus on schizophrenia, depression and bipolar disorder. We argue for areas of focus that might increase the likelihood of creating more useful models, at least for some disorders, and for explicit guidelines when animal models are reported.
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            Synaptic plasticity and depression: new insights from stress and rapid-acting antidepressants.

            Depression is a common, devastating illness. Current pharmacotherapies help many patients, but high rates of a partial response or no response, and the delayed onset of the effects of antidepressant therapies, leave many patients inadequately treated. However, new insights into the neurobiology of stress and human mood disorders have shed light on mechanisms underlying the vulnerability of individuals to depression and have pointed to novel antidepressants. Environmental events and other risk factors contribute to depression through converging molecular and cellular mechanisms that disrupt neuronal function and morphology, resulting in dysfunction of the circuitry that is essential for mood regulation and cognitive function. Although current antidepressants, such as serotonin-reuptake inhibitors, produce subtle changes that take effect in weeks or months, it has recently been shown that treatment with new agents results in an improvement in mood ratings within hours of dosing patients who are resistant to typical antidepressants. Within a similar time scale, these new agents have also been shown to reverse the synaptic deficits caused by stress.
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              The stressed synapse: the impact of stress and glucocorticoids on glutamate transmission.

              Mounting evidence suggests that acute and chronic stress, especially the stress-induced release of glucocorticoids, induces changes in glutamate neurotransmission in the prefrontal cortex and the hippocampus, thereby influencing some aspects of cognitive processing. In addition, dysfunction of glutamatergic neurotransmission is increasingly considered to be a core feature of stress-related mental illnesses. Recent studies have shed light on the mechanisms by which stress and glucocorticoids affect glutamate transmission, including effects on glutamate release, glutamate receptors and glutamate clearance and metabolism. This new understanding provides insights into normal brain functioning, as well as the pathophysiology and potential new treatments of stress-related neuropsychiatric disorders.
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                Author and article information

                Journal
                J Neurosci
                J. Neurosci
                jneuro
                jneurosci
                J. Neurosci
                The Journal of Neuroscience
                Society for Neuroscience
                0270-6474
                1529-2401
                7 February 2018
                7 August 2018
                : 38
                : 6
                : 1335-1350
                Affiliations
                [1] 1Département de Neuroscience et Physiologie, Institut de Génomique Fonctionnelle, Institut National de la Santé et de la Recherche Médicale, Centre National de Recherche Scientifique, Université de Montpellier, Montpellier, 34090 France,
                [2] 2Department of Medical Biochemistry, Academic Medical Center, University of Amsterdam, 1012 WX Amsterdam, The Netherlands,
                [3] 3Département de Psychiatrie et Neuroscience, Université Laval, Québec City, Québec G1V 0A6, Canada,
                [4] 4Faculté de Pharmacie, Université de Montréal, Montréal, Québec H3T 1J4, Canada,
                [5] 5Nutrition and Integrative Neurobiology, Institut National de la Recherche Agronomique, Université de Bordeaux, 33076 Bordeaux, France,
                [6] 6Department of Physiology and Pharmacology, Des Moines University, Des Moines, Iowa 50312,
                [7] 7Department of Psychiatry and Neurobiology, Yale University, New Haven, Connecticut 06520,
                [8] 8Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania 15260,
                [9] 9The Nathan S. Kline Institute for Pyschiatric Research, Orangeburg, New York 10962, and
                [10] 10Department of Psychiatry, Neuroscience & Physiology, NYU Langone Medical Center, New York, New York 10016
                Author notes
                Correspondence should be addressed to either Freddy Jeanneteau or Margarita Arango-Lievano, Département de Neuroscience et Physiologie, Institut de génomique fonctionnelle, Institut National de la Santé et de la Recherche Médicale, Centre National de Recherche Scientifique, Université de Montpellier, Montpellier, 34090 France, freddy.jeanneteau@ 123456igf.cnrs.fr or margarita.arango@ 123456igf.cnrs.fr

                Author contributions: F.J., S.D.G., and M.A.-L. designed research; F.J., C.B., M.V., C.D.V., C.R., D.L., Y.D., V.D., T.C.F., R.S.D., D.A.L., and M.A.-L. performed research; F.J., C.D.V., C.R., D.L., V.D., R.S.D., D.A.L., S.D.G., and M.A.-L. contributed unpublished reagents/analytic tools; F.J., C.B., V.D., R.S.D., D.A.L., S.D.G., and M.A.-L. analyzed data; F.J., M.-P.M., R.S.D., D.A.L., S.D.G., and M.A.-L. wrote the paper.

                Author information
                https://orcid.org/0000-0002-9606-2892
                https://orcid.org/0000-0003-4210-9330
                https://orcid.org/0000-0001-8690-8439
                https://orcid.org/0000-0002-3225-6778
                https://orcid.org/0000-0002-9611-8032
                Article
                2793-17
                10.1523/JNEUROSCI.2793-17.2017
                5815341
                29295823
                e89b9388-1edf-4f56-a2df-c77778e7b7e5
                Copyright © 2018 Wu, Lee et al.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License Creative Commons Attribution 4.0 International, which permits unrestricted use, distribution and reproduction in any medium provided that the original work is properly attributed.

                History
                : 25 September 2017
                : 10 November 2017
                : 8 December 2017
                Categories
                Research Articles
                Cellular/Molecular
                Custom metadata
                true
                cellular

                dendritic spines,mitochondria,prefrontal cortex,pyramidal neurons,stress

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