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Preterm birth affects GABAA receptor subunit mRNA levels during the foetal-to-neonatal transition in guinea pigs

Published online by Cambridge University Press:  09 February 2015

J. C. Shaw*
Affiliation:
School of Biomedical Sciences and Pharmacy, University of Newcastle, Newcastle, Australia Hunter Medical Research Institute, Mother and Babies Research Centre
H. K. Palliser
Affiliation:
School of Biomedical Sciences and Pharmacy, University of Newcastle, Newcastle, Australia Hunter Medical Research Institute, Mother and Babies Research Centre
D. W. Walker
Affiliation:
Monash Institute of Medical Research, Ritchie Centre
J. J. Hirst
Affiliation:
School of Biomedical Sciences and Pharmacy, University of Newcastle, Newcastle, Australia Hunter Medical Research Institute, Mother and Babies Research Centre
*
*Address for correspondence: J. C. Shaw, Mothers and Babies Research Centre, Hunter Medical Research Institute, University of Newcastle, Callaghan, NSW 2308, Australia. (Email julia.shaw@uon.edu.au)

Abstract

Modulation of gamma-aminobutyric acid A (GABAA) receptor signalling by the neurosteroid allopregnanolone has a major role in late gestation neurodevelopment. The objective of this study was to characterize the mRNA levels of GABAA receptor subunits (α4, α5, α6 and δ) that are key to neurosteroid binding in the brain, following preterm birth. Myelination, measured by the myelin basic protein immunostaining, was used to assess maturity of the preterm brains. Foetal guinea pig brains were obtained at 62 days’ gestational age (GA, preterm) or at term (69 days). Neonates were delivered by caesarean section, at 62 days GA and term, and maintained until tissue collection at 24 h of age. Subunit mRNA levels were quantified by RT-PCR in the hippocampus and cerebellum of foetal and neonatal brains. Levels of the α6 and δ subunits were markedly lower in the cerebellum of preterm guinea pigs compared with term animals. Importantly, there was an increase in mRNA levels of these subunits during the foetal-to-neonatal transition at term, which was not seen following preterm birth. Myelination was lower in preterm neonatal brains, consistent with marked immaturity. Salivary cortisol concentrations, measured by EIA, were also higher for the preterm neonates, suggesting greater stress. We conclude that there is an adaptive increase in the levels of mRNA of the key GABAA receptor subunits involved in neurosteroid action after term birth, which may compensate for declining allopregnanolone levels. The lower levels of these subunits in preterm neonates may heighten the adverse effect of the premature decline in neurosteroid exposure.

Type
Original Article
Copyright
© Cambridge University Press and the International Society for Developmental Origins of Health and Disease 2015 

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References

1. Goldenberg, RL, Culhane, J, Iams, J, Romero, R. Epidemiology and causes of preterm birth. Lancet. 2008; 371, 7584.Google Scholar
2. Mathews, T, Menacker, F, MacDorman, MF. Infant mortality statistics from the 2002 period linked birth/infant death data set. Natl Vital Stat Rep. 2004; 53, 132.Google Scholar
3. Ananth, CV, Vintzileos, AM. Epidemiology of preterm birth and its clinical subtypes. J Matern Fetal Neonatal Med. 2006; 19, 773782.Google Scholar
4. Beck, S, Wojdyla, D, Say, L, et al. The worldwide incidence of preterm birth: a systematic review of maternal mortality and morbidity. Bull World Health Organ. 2010; 88, 3138.Google Scholar
5. Cheong, JL, Doyle, LW. Increasing rates of prematurity and epidemiology of late preterm birth. J Paediatr Child Health. 2012; 48, 784788.Google Scholar
6. Chyi, LJ, Lee, HC, Hintz, SR, Gould, JB, Sutcliffe, TL. School outcomes of late preterm infants: special needs and challenges for infants born at 32 to 36 weeks gestation. J Pediatr. 2008; 153, 2531.CrossRefGoogle ScholarPubMed
7. Moster, D, Lie, RT, Markestad, T. Long-term medical and social consequences of preterm birth. N Engl J Med. 2008; 359, 262273.Google Scholar
8. van Baar, AL, Vermaas, J, Knots, E, de Kleine, MJ, Soons, P. Functioning at school age of moderately preterm children born at 32 to 36 weeks’ gestational age. Pediatrics. 2009; 124, 251257.Google Scholar
9. Rees, S, Harding, R, Walker, D. An adverse intrauterine environment: implications for injury and altered development of the brain. Int J Dev Neurosci. 2008; 26, 311.Google Scholar
10. Rivkin, MJ. Hypoxic-ischemic brain injury in the term newborn. Neuropathology, clinical aspects, and neuroimaging. Clin Perinatol. 1997; 24, 607625.Google Scholar
11. de Graaf-Peters, VB, Hadders-Algra, M. Ontogeny of the human central nervous system: what is happening when? Early Hum Dev. 2006; 82, 257266.Google Scholar
12. Rice, D, Barone, S Jr. Critical periods of vulnerability for the developing nervous system: evidence from humans and animal models. Environ Health Perspect. 2000; 108, 511533.Google Scholar
13. Rees, S, Inder, T. Fetal and neonatal origins of altered brain development. Early Hum Dev. 2005; 81, 753761.Google Scholar
14. Kelleher, MA, Palliser, HK, Hirst, JJ. Neurosteroid replacement therapy in the preterm neonate. In The 38th Annual Meeting Fetal and Neonatal Physiological Society. 2011. Australia.Google Scholar
15. Nicol, M, Hirst, J, Walker, D. Effect of pregnane steroids on electrocortical activity and somatosensory evoked potentials in fetal sheep. Neurosci Lett. 1998; 253, 111114.Google Scholar
16. Nguyen, PN, Billiards, SS, Walker, DW, Hirst, JJ. Changes in 5 alpha-pregnane steroids and neurosteroidogenic enzyme expression in fetal sheep with umbilicoplacental embolization. Pediatr Res. 2003; 54, 840847.CrossRefGoogle Scholar
17. Nosarti, C, Al‐Asady, MH, Frangou, S, et al. Adolescents who were born very preterm have decreased brain volumes. Brain. 2002; 125, 16161623.Google Scholar
18. Yawno, T, Yan, E, Walker, D, Hirst, J. Inhibition of neurosteroid synthesis increases asphyxia-induced brain injury in the late gestation fetal sheep. Neuroscience. 2007; 146, 17261733.Google Scholar
19. Hirst, JJ, Palliser, HK, Yates, DM, Yawno, T, Walker, DW. Neurosteroids in the fetus and neonate: potential protective role in compromised pregnancies. Neurochem Int. 2008; 52, 602610.Google Scholar
20. Kelleher, MA, Hirst, JJ, Palliser, HK. Changes in neuroactive steroid concentrations after preterm delivery in the Guinea pig. Reprod Sci. 2013; 20, 13651375.Google Scholar
21. Belelli, D, Lambert, JJ. Neurosteroids: endogenous regulators of the GABAA receptor. Nat Rev Neurosci. 2005; 6, 565575.CrossRefGoogle Scholar
22. Crossley, KJ, Nitsos, I, Walker, DW, et al. Steroid-sensitive GABAA receptors in the fetal sheep brain. Neuropharmacology. 2003; 45, 461472.Google Scholar
23. Crossley, KJ, Walker, DW, Beart, PM, Hirst, JJ. Characterisation of GABAA receptors in fetal, neonatal and adult ovine brain: region and age related changes and the effects of allopregnanolone. Neuropharmacology. 2000; 39, 15141522.CrossRefGoogle ScholarPubMed
24. Nicol, MB, Hirst, JJ, Walker, DW. Effect of finasteride on behavioural arousal and somatosensory evoked potentials in fetal sheep. Neurosci Lett. 2001; 306, 1316.CrossRefGoogle ScholarPubMed
25. Coleman, H, Hirst, JJ, Parkington, HC. The GABAA excitatory-to-inhibitory switch in the hippocampus of perinatal Guinea-pigs. In The 40th Annual Meeting Fetal and Neonatal Physiological Society. 2013. Chile.Google Scholar
26. Mirmiran, M. The function of fetal/neonatal rapid eye movement sleep. Behav Brain Res. 1995; 69, 1322.Google Scholar
27. Kelleher, MA, Palliser, HK, Walker, DW, Hirst, JJ. Sex-dependent effect of a low neurosteroid environment and intrauterine growth restriction on foetal Guinea pig brain development. J Endocrinol. 2011; 208, 301309.Google Scholar
28. Gulinello, M, Gong, Q, Smith, S. Progesterone withdrawal increases the α4 subunit of the GABAA receptor in male rats in association with anxiety and altered pharmacology – a comparison with female rats. Neuropharmacology. 2002; 43, 701714.CrossRefGoogle ScholarPubMed
29. Burgard, EC, Tietz, EI, Neelands, TR, Macdonald, RL. Properties of recombinant gamma-aminobutyric acid A receptor isoforms containing the alpha 5 subunit subtype. Mol Pharmacol. 1996; 50, 119127.Google Scholar
30. Belelli, D, Harrison, NL, Maguire, J, et al. Extrasynaptic GABAA receptors: form, pharmacology, and function. J Neurosci. 2009; 29, 1275712763.Google Scholar
31. Maguire, J, Mody, I. Neurosteroid synthesis-mediated regulation of GABA(A) receptors: relevance to the ovarian cycle and stress. J Neurosci. 2007; 27, 21552162.Google Scholar
32. Jacobson-Pick, S, Audet, MC, McQuaid, RJ, Kalvapalle, R, Anisman, H. Stressor exposure of male and female juvenile mice influences later responses to stressors: modulation of GABAA receptor subunit mRNA expression. Neuroscience. 2012; 215, 114126.Google Scholar
33. Serra, M, Pisu, MG, Littera, M, et al. Social isolation-induced decreases in both the abundance of neuroactive steroids and GABA(A) receptor function in rat brain. J Neurochem. 2000; 75, 732740.CrossRefGoogle ScholarPubMed
34. McKendry, A, Palliser, H, Yates, D, Walker, D, Hirst, J. The effect of betamethasone treatment on neuroactive steroid synthesis in a foetal Guinea pig model of growth restriction. J Neuroendocrinol. 2009; 22, 166174.Google Scholar
35. Bennett, GA, Palliser, HK, Saxby, B, Walker, DW, Hirst, JJ. Effects of prenatal stress on fetal neurodevelopment and responses to maternal neurosteroid treatment in Guinea pigs. Dev Neurosci. 2013; 35, 416426.Google Scholar
36. Mihalek, RM, Banerjee, PK, Korpi, ER, et al. Attenuated sensitivity to neuroactive steroids in γ-aminobutyrate type A receptor delta subunit knockout mice. Proc Natl Acad Sci. 1999; 96, 1290512910.Google Scholar
37. Spigelman, I, Li, Z, Banerjee, PK, et al. Behavior and physiology of mice lacking the GABAA-receptor delta subunit. Epilepsia. 2002; Suppl. 5, 38.Google Scholar
38. Spigelman, I, Li, Z, Liang, J, et al. Reduced inhibition and sensitivity to neurosteroids in hippocampus of mice lacking the GABA(A) receptor delta subunit. J Neurophysiol. 2003; 90, 903910.Google Scholar
39. Spittle, AJ, Cheong, J, Doyle, LW, et al. Neonatal white matter abnormality predicts childhood motor impairment in very preterm children. Dev Med Child Neurol. 2011; 53, 10001006.Google Scholar
40. Allin, M, Matsumoto, H, Santhouse, AM, et al. Cognitive and motor function and the size of the cerebellum in adolescents born very pre-term. Brain. 2001; 124, 6066.Google Scholar
41. Pitcher, JB, Schneider, LA, Burns, NR, et al. Reduced corticomotor excitability and motor skills development in children born preterm. J Physiol. 2012; 590, 58275844.Google Scholar
42. Payne, HL, Connelly, WM, Ives, JH, et al. GABAA alpha6-containing receptors are selectively compromised in cerebellar granule cells of the ataxic mouse, stargazer. J Biol Chem. 2007; 282, 2913029143.Google Scholar
43. Stoodley, CJ. The cerebellum and cognition: evidence from functional imaging studies. Cerebellum. 2012; 11, 352365.Google Scholar
44. Buckner, RL. The cerebellum and cognitive function: 25 years of insight from anatomy and neuroimaging. Neuron. 2013; 80, 807815.CrossRefGoogle ScholarPubMed
45. Timmann, D, Drepper, J, Frings, M, et al. The human cerebellum contributes to motor, emotional and cognitive associative learning. A review. Cortex. 2010; 46, 845857.Google Scholar
46. Kajantie, E, Phillips, DI, Andersson, S, et al. Size at birth, gestational age and cortisol secretion in adult life: foetal programming of both hyper- and hypocortisolism? Clin Endocrinol (Oxf). 2002; 57, 635641.Google Scholar
47. Potijk, MR, de Winter, AF, Bos, AF, Kerstjens, JM, Reijneveld, SA. Higher rates of behavioural and emotional problems at preschool age in children born moderately preterm. Arch Dis Child. 2012; 97, 112117.Google Scholar
48. Loe, IM, Lee, ES, Luna, B, Feldman, HM. Behavior problems of 9-16 year old preterm children: biological, sociodemographic, and intellectual contributions. Early Hum Dev. 2011; 87, 247252.Google Scholar
49. Sarkar, J, Wakefield, S, MacKenzie, G, Moss, SJ, Maguire, J. Neurosteroidogenesis is required for the physiological response to stress: role of neurosteroid-sensitive GABAA receptors. J Neurosci. 2011; 31, 1819818210.Google Scholar
50. Herman, JP, Mueller, NK, Figueiredo, H. Role of GABA and glutamate circuitry in hypothalamo-pituitary-adrenocortical stress integration. Ann N Y Acad Sci. 2004; 1018, 3545.Google Scholar
51. Limperopoulos, C, Bassan, H, Gauvreau, K, et al. Does cerebellar injury in premature infants contribute to the high prevalence of long-term cognitive, learning, and behavioral disability in survivors? Pediatrics. 2007; 120, 584593.Google Scholar
52. Ghoumari, AM, Ibanez, C, El-Etr, M, et al. Progesterone and its metabolites increase myelin basic protein expression in organotypic slice cultures of rat cerebellum. J Neurochem. 2003; 86, 848859.Google Scholar
53. Liao, G, Cheung, S, Galeano, J, et al. Allopregnanolone treatment delays cholesterol accumulation and reduces autophagic/lysosomal dysfunction and inflammation in Npc1-/- mouse brain. Brain Res. 2009; 1270, 140151.Google Scholar
54. Luchetti, S, Huitinga, I, Swaab, DF. Neurosteroid and GABA-A receptor alterations in Alzheimer’s disease, Parkinson’s disease and multiple sclerosis. Neuroscience. 2011; 191, 621.CrossRefGoogle ScholarPubMed