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Logo of nihpaAbout Author manuscriptsSubmit a manuscriptHHS Public Access; Author Manuscript; Accepted for publication in peer reviewed journal;
 
Neurosci Lett. Author manuscript; available in PMC 2008 March 26.
Published in final edited form as:
PMCID: PMC1892631
NIHMSID: NIHMS20384

Neurosteroid Modulation of GABAergic Neurotransmission in the Central Amygdala: A Role for NMDA Receptors

Abstract

The neurosteroid 3α-hydroxy-5α-pregnan-20-one (allopregnanolone or ALLO) positively modulates GABAA receptors, an action that may contribute to the anxiolytic effects of ALLO. Recent evidence suggests that ALLO’s anxiolytic effects appear to be mediated by the amygdala, a key neural structure for emotional and cognitive behaviors. However, little is known regarding ALLO effects on amygdala physiology. We therefore explored ALLO effects on GABA neurotransmission in the central nucleus (Ce) of the amygdala, a major output nucleus involved in fear and anxiety. We recorded evoked GABAA receptor-mediated inhibitory postsynaptic currents (IPSCs) in Ce neurons using whole-cell patch clamp techniques. We observed that ALLO significantly reduced the amplitude of evoked GABAA receptor-mediated IPSCs. However, the effect of ALLO was occluded by the NMDA receptor antagonist D-APV. D-APV alone also reduced evoked IPSCs in Ce neurons. These results suggest that ALLO-induced reduction of GABAergic transmission in Ce appears to depend on neural network activity, possibly involving an NMDA receptor-mediated mechanism. These ALLO effects on GABAergic transmission in the central amygdala may play a role in mediating its anxiolytic actions.

Keywords: allopregnanolone, amygdala, neurosteroid, GABAA, NMDA, patch clamp

Introduction

Neurosteroids are molecules formed de novo in the brain that modulate both inhibitory and excitatory neurotransmission (Rupprecht and Holsboer 1999). The neurosteroid allopregnanolone (ALLO) enhances γ-aminobutyric acid type A (GABAA) receptor-mediated Cl current (Majewska et al, 1986; Morrow et al, 1987, 1990), an action that may contribute to its anxiolytic effects (Crawley et al, 1986; Wieland et al, 1991). Allopregnanolone levels in plasma and brain increase rapidly following acute stress (Purdy et al. 1991; Barbaccia et al. 1996, Morrow et al 1998). ALLO elevations have also been observed following antidepressant (Guidotti and Costa, 1998; Uzunova et al., 1998) and antipsychotic (Marx et al. 2003; Barbaccia et al 2001) administration.

The amygdala formation is a complex structure containing multiple subnuclei and pathways (Pitkänen 2000). The central nucleus (Ce) is a major output nucleus of the amygdala that may directly mediate anxiety and the anxiolytic effects of a number of pharmacologic compounds (Roberto et al 2003, Delaney and Sah 1999, Kang-Park et al 2004). In addition, direct application of ALLO to Ce causes marked anxiolytic effects in rats (Akwa et al., 1999), suggesting that anxiolytic effects of ALLO may be mediated by the amygdala.

Electrophysiological characteristics of ALLO effects have been studied using patch clamp techniques with different cell preparations in a variety of CNS regions in rats (Poisbeau et al 1997; Fáncsik et al 2000; Haage et al 1999, 2002, Uchida et al 2002; Brussaard et al 1999; Sooksawate and Simmonds 1998; Puia et al 2003). These studies examined GABAA receptor-mediated miniature inhibitory postsynaptic currents (mIPSCs) or GABA evoked currents through bath application of GABA. The consistent finding in these efforts has been that ALLO positively modulates GABAA receptors by significantly prolonging the Cl channel open time, allowing more Cl influx into neurons through GABAA receptor channels. However, little is known regarding ALLO effects on electrically evoked GABA responses involving a specific neural network. We therefore explored ALLO effects on the electrophysiology of GABAergic transmission in Ce.

Materials and Methods

All experimental procedures were in accordance with the NIH Guide for the Care and Use of Laboratory Animals. Male rats (Sprague Dawley, 3–5 weeks) were deeply anesthetized with halothane and quickly decapitated. The brains were removed, blocked, and sliced in the coronal plane with a vibratome. Slices (300 μm thick) containing the mid-caudal amygdala formation (Bregma −2.30 to −2.80 mm) were incubated at room temperature in artificial cerebrospinal fluid (ACSF) composed of (in mM): NaCl, 124; dextrose, 10; NaHCO3, 26; KCl, 2; KH2PO4, 1.25; CaCl2, 2; and MgSO4, 1; and equilibrated with 95% O2 and 5% CO2.

After 1-hour incubation, slices were transferred into an immersion-type recording chamber at room temperature continuously perfused with oxygenated ACSF at a rate of 3 ml/min. All experiments were conducted at room temperature (27 °C). For studies of synaptic transmission, patch pipettes were filled with intracellular solution A containing (in mM): Cs-gluconate, 130; CsCl, 7; HEPES, 10; Mg-ATP, 4; Tris-GTP, 0.5, QX-314, 4. For membrane property recordings, patch pipettes were filled with intracellular solution B containing (in mM): K-gluconate, 130; KCl, 7; HEPES, 10; Mg-ATP, 4; Tris-GTP, 0.5. The intracellular solutions were adjusted to a pH of 7.2–7.3 with KOH (or CsOH) and to an osmolarity of 280–290 mOsm. Pipette resistances were 3–6 MΩ. Intracellular recordings neurons within Ce visualized with a light microscope (Fig. 1a) (Axioskop 2, Carl Zeiss) with a water immersion lens (40X, Zeiss) (Wang et al. 2003). Once a giga-seal was obtained upon a neuron, a gentle suction was applied to the recordings pipette to cause the cell membrane to rupture, achieving the whole-cell configuration. Electrical signal were amplified through an Axopatch 200B amplifier (Axon Instruments, Foster City, CA). The junction potential was offset to zero just before approaching to the cell. All of the cells used in the study had a resting membrane potential below −55 mV and access resistance less than 30 MΩ. Access resistance was monitored throughout recordings, and cells were rejected if it changed by more than 15% during the experiment.

Figure 1
Allopregnanolone significantly reduces GABAergic transmission in Ce

IPSCs were electrophysiologically isolated with the cell membrane potential held at the reversal potential for glutamatergic currents (0 mV) in voltage-clamp mode. For evoked IPSC recordings, single stimuli were delivered every 40 seconds through a unipolar tungsten microelectrode placed in the core of the central nucleus of the amygdala. Stimulating intensity (ranged from 15 to150 μA, 200 μsec duration) was individually adjusted to be half current intensity needed to trigger the maximum eIPSC amplitude. For membrane property recordings, cell membrane potentials were held under current-clamp mode. Electrical signals were recorded and analyzed with a self-developed software using Labview (National Instruments, Austin, TX). Peak amplitude of evoked responses was measured and compared before and after drug application using paired student’s t-test and one-way ANOVA.

3α-Hydroxy-5α-pregnan-20-one (allopregnanolone) (Steraloids Inc. Newport, RI) was first dissolved into DMSO (1 mM) and then diluted into ACSF. D-(−) 2-amino-5-phosphonovaleric acid (D-APV) (Fisher) was dissolved in water to make a stock solution (40 mM). Picrotoxin (Sigma) was directly dissolved into ACSF. 6,7-Dinitroquinoxaline-2,3 (1H, 4H)-dione (DNQX) (Sigma) was prepared as a stock solution in DMSO (0.2 M). TTX in citrate buffer (Sigma) was prepared as a stock solution (1 mM). ATP, GTP, and lidocaine N-ethyl bromide (QX-314) were directly dissolved into the intracellular pipette solution. In experiments using compounds dissolved in DMSO, the same concentration of DMSO was used in control ACSF.

Results

We first examined ALLO effects on membrane properties of Ce neurons. Ce neurons were recorded in current clamp mode with intracellular solution B (see methods). The average resting membrane potential in Ce neurons was −67.6 ± 1.2 mV in control conditions and −67.7 ± 1.3 mV after bath application of ALLO (100 nM), with no significant change (n = 8). The input resistance of Ce neurons was 262 ± 33 MΩ before and 275 ± 38 MΩ after ALLO (n = 8). ALLO did not change the current-voltage (I-V) relationship in Ce neurons. Neurons showed a wide range in the number of spikes in response to a depolarizing current injection (150 pA, 600ms) ranging from 2 to 18. All neurons recorded in current clamp mode in Ce (n = 8) showed spike accommodation and the pattern of spike accommodation was very similar before and after ALLO application. These results indicate that membrane properties of Ce neurons are not altered by ALLO.

To examine GABAergic transmission in the central amygdala, we recorded evoked IPSCs (eIPSCs) in Ce neurons in response to stimulation at the lateral margin of Ce. We first confirmed that the reversal potential of the eIPSC was between −65 and −70 mV in Ce neurons (Fig. 1a). However, to evaluate the possibility that ALLO was having effects on intact neural networks, we subsequently isolated IPSCs using a holding potential of 0 mV (near the reversal potential for the glutamate receptor-mediated responses). As shown in Fig. 1b, picrotoxin (PTX, 100 μM, a GABAA receptor channel blocker) completely blocked the eIPSCs, with little residual current remaining from potential excitatory postsynaptic currents (including NMDA or AMPA currents). These data demonstrate that the recorded eIPSCs reflect a relatively pure GABAergic current.

After bath application of ALLO at a physiological concentration (100 nM), the amplitude of eIPSCs in Ce neurons was significantly reduced, with an average reduction of 31.0 ± 4.0% (n = 8, p< 0.01, paired t-test, Fig. 1c, d). In general, we saw no reversal of the ALLO effect upon re-superfusion with control medium up to 30 minutes (n=4). No rundown of the eIPSCs was observed in the recorded neurons in control conditions. Since ALLO is known to directly enhance GABAA receptor function in other systems involving dissociated neurons (Poisbeau et al 1997; Haage et al 1999; Sooksawate and Simmonds 1998), we determined if ALLO-induced decreases in GABAergic transmission in Ce depend on neural network activities.

To further investigate possible involvement of glutamate in the mechanism of ALLO-induced reduction of GABAergic transmission, we examined the role of NMDA receptors in ALLO actions on GABAergic transmission in Ce. To test this possibility, the NMDA receptor antagonist D-APV (50 μM) was applied to the amygdala slice preparation. As shown in Fig. 2, D-APV occluded the reduction of eIPSCs in Ce neurons by ALLO (n = 7, p > 0.05, paired t-test). This result suggests that NMDA receptor function is relevant to ALLO reduction of GABAergic transmission in Ce.

Figure 2
D-APV prevents reduction of GABAergic transmission by ALLO in Ce

If ALLO-induced reduction of GABAergic transmission is mediated by the negative modulation of NMDA receptors, we would expect a reduction of GABAergic transmission by NMDA blockers such as D-APV. We tested this possibility by applying the NMDA receptor antagonist D-APV (50 μM) to the amygdala slice preparation. As shown in Fig. 3, D-APV significantly reduced the eIPSC in Ce neurons by 46 ± 8% (n = 7, p < 0.01, paired t-test).

Figure 3
D-APV significantly reduces GABAergic transmission (eIPSCs) in Ce

In cingulate cortex inhibition of NMDA receptor-mediated functions causes a reduction of GABAergic transmission (Li et al 2002). We reasoned that ALLO may be suppressing NMDA-mediated functions in Ce neurons, and therefore examined ALLO effects on evoked NMDA-mediated currents. NMDA currents were observed at a holding potential of +40 mV in conjunction with application of PTX (100 μM) and DNQX (20 μM, an AMPA receptor antagonist) in the bath (Fig. 4). Our results showed a small but significant reduction (12 ± 2%; n = 11, p< 0.05, one-way ANOVA) of NMDA current (D-APV sensitive) in Ce neurons in the presence of ALLO (100 nM) (Fig. 4). When ALLO concentration was increased to 4 μM, the average reduction of NMDA current was 14 ± 4% of ALLO (n = 5, p< 0.05, one-way ANOVA). There was no significant difference between the two concentrations.

Figure 4
Allopregnanolone significantly reduces NMDA (N-methyl-D-aspartate) current in Ce neurons

Discussion

In this study, we explored the electrophysiological effects of ALLO on GABAergic neurotransmission in the central amygdala. Specifically, ALLO negatively modulates eIPSCs, in contrast to previous studies of ALLO effects on mIPSCs in different brain regions (Poisbeau et al 1997; Haage and Johansson 1999; Patenaude et al 2001). Unlike mIPSCs, eIPSCs involve membrane excitability and network functioning. However, our results revealed that ALLO did not significantly affect membrane properties of Ce neurons. This left the possibility that other neural network effects of ALLO may underlie the mechanism of ALLO-induced reduction of evoked GABAergic transmission in Ce. As shown previously, glutamatergic NMDA receptors have significant effects on GABAergic transmission in CNS neurons (Aguayo et al. 1998; Li et al. 2002). Specifically, these prior studies demonstrated that activation of NMDA receptors enhances GABAergic transmission, whereas blocking NMDA receptors reduces GABAergic transmission. We therefore examined the effects of the NMDA receptor antagonist D-APV on the ability of ALLO to suppress eIPSCs. Both ALLO and D-APV reduced evoked IPSCs in Ce, and D-APV prevented further reduction of eIPSCs by ALLO. These results suggest that the effects of ALLO on eIPSCs possibly involve an NMDA receptor-mediated mechanism. Although the direct inhibitory effect on ALLO on isolated NMDA receptor-mediated currents was relatively modest compared to ALLO effects on eIPSCs, we speculate that this could be due to amplication of ALLO effects in an intact, complex network.

Since inhibition of NMDA receptor function occluded ALLO-induced reduction of eIPSCs, we suggest that an NMDA receptor-dependent mechanism may mediate ALLO effects on GABA neurotransmission in Ce. However, the concentration of GABA has also been shown to play a role in ALLO effects on GABAA receptors in rat hypothalamic cultured neurons (Poisbeau et al 1997) and dissociated medial preoptic neurons (Haage and Johansson 1999). Specifically, at low GABA concentrations, ALLO potentiates GABAA receptor responses, but has no effect or significantly decreases GABAA receptor responses at high GABA concentrations. The exact mechanism for this phenomenon is not clear, but it has been suggested that changes in kinetic properties of the GABAA receptor channel and desensitization of GABAA receptors by ALLO may be involved (Haage and Hohansson 1999). In our experiments, electrical stimulation of GABAergic neurons in Ce would likely cause a large amount of GABA release and significantly elevate the concentration of GABA, potentially leading to a change in the way of effects of ALLO on GABAA receptor-mediated responses. In addition, GABA receptor desensitization in high concentrations of ALLO has been demonstrated previously (Haage and Hohansson 1999). However, this may not fully explain our results. Moreover, this explanation is inconsistent with the suppression of eIPSCs by the NMDA antagonist D-APV and the subsequent occlusion of the ALLO effect.

The possibility that NMDA receptors contribute to the effects of ALLO is supported by the finding that ALLO decreases NMDA receptor-mediated current in Ce neurons. Although direct ALLO effects on NMDA receptors have not been reported previously, prior studies have shown that the sulfated ALLO stereoisomer pregnanolone sulfate (3α-hydroxy-5β-pregnan-20-one sulfate or PS) negatively modulates NMDA current in different cell types (Irwin et al 1994; Park-Chung et al 1994, Weaver et al 2000), as does its synthetic homologue pregnanolone hemisuccinate (Weaver et al 1997). The exact mechanism(s) of possible ALLO regulation of NMDA receptor-dependent processes remains unclear.

Our data provide an initial electrophysiological exploration of ALLO effects on GABA and NMDA receptor-mediated neurotransmission in the Ce, and raise the possibility that NMDA receptors play an important role in ALLO actions. These results also suggest that ALLO effects on GABAergic transmission in a neural network may be different from effects on isolated neurons. These findings may provide insights into potential mechanisms mediating ALLO’s pronounced anxiolytic effects, and to the pathophysiology of psychiatric disorders with anxiety components.

Acknowledgments

This study is supported by NIH 1-K23-MH65080 (CEM), DAMA17-99-1-9541 (WAW), VA Merit Review (SDM, WAW), NIMH 5T32MH19109 (Redford B. Williams).

Footnotes

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References

1. Aguayo LG, Espinoza F, Kunos G, Satin LS. Effects of intracellular calcium on GABAA receptors in mouse cortical neurons. Eur J Physiol. 1998;435:382–387. [PubMed]
2. Akwa Y, Purdy RH, Koob GF, Britton KT. The amygdala mediates the anxiolytic-like effect of the neurosteroid allopregnanolone in rat. Behav Brain Res. 1999;106:119–125. [PubMed]
3. Barbaccia ML, Affricano D, Purdy RH, Maciocco E, Spiga F, Biggio G. Clozapine, but not haloperidol, increases brain concentrations of neuroactive steroids in the rat. Neuropsychopharmacology. 2001;25:489–97. [PubMed]
4. Barbaccia ML, Roscetti G, Trabucchi M, Purdy RH, Mostallino MC, Perra C, Concas C, Biggio G. Isoniazid-induced inhibition of GABAergic transmission enhances neurosteroid content in the rat brain. Neuropharmacology. 1996;35:1299–1305. [PubMed]
5. Brussaard AB, Devay P, Leyting-Vermeulen JL, Kits KS. Changes in properties and neurosteroid regulation of GABAergic synapses in the supraoptic nucleus during the mammalian female reproductive cycle. J Physiol (Lond) 1999;516:513–524. [PubMed]
6. Crawley JN, Glowa JR, Majewska MD, Paul SM. Anxiolytic activity of an endogenous adrenal steroid. Brain Res. 1986;398:382–385. [PubMed]
7. Delaney AJ, Sah P. GABA receptors inhibited by benzodiazepines mediate fast inhibitory transmission in the central amygdala. J Neurosci. 1999;19:9698–9704. [PubMed]
8. Fancsik A, Linn DM, Tasker JG. Neurosteroid modulation of GABA IPSCs is phosphorylation dependent. J Neurosci. 2000;20:3067–3075. [PubMed]
9. Guidotti A, Costa E. Can the antidysphoric and anxiolytic profiles of selective serotonin reuptake inhibitors be related to their ability to increase brain 3α, 5α-tetrahydroprogesterone (allopregnanolone) availability? Biol Psychiatry. 1998;44:865–873. [PubMed]
10. Haage D, Johansson S. Neurosteroid modulation of synaptic and GABA-evoked current in neurons from the rat medial preoptic nucleus. J Neurophysiol. 1999;82:143–151. [PubMed]
11. Haage D, Druzin M, Johansson S. Allopregnanolone modulates spontaneous GABA release via presynaptic Cl permeability in rat preoptic nerve terminals. Brain Res. 2002;958:405–413. [PubMed]
12. Irwin RP, Lin SZ, Rogawski MA, Purdy RH, Paul SM. Steroid potentiation and inhibition of N-methyl-D-aspartate receptor-mediated intracellular Ca++ responses: structure activity studies. J Pharmacol Exp Ther. 1994;271:677–682. [PubMed]
13. Kang-Park MH, Wilson WA, Moore SD. Differential actions of diazepam and zolpidem in basolateral and central amygdala nuclei. J Neuropharmacol. 2004;46:1–9. [PubMed]
14. Koksma JJ, van Kesteren RE, Rosahl TW, Zwart R, Smit AB, Lüddens H, Brussaard AB. Oxytocin regulates neurosteroid modulation of GABAA receptors in supraoptic nucleus around parturition. J Neurosci. 2003;23:788–797. [PubMed]
15. Li Q, Clark S, Lewis DV, Wilson WA. NMDA receptor antagonists disinhibt rat posterior cingulated and retrosplenial cortices: a potential mechanism of neurotoxicity. J Neurosci. 2002;22:3070–3080. [PubMed]
16. Majewska MD, Harrison NL, Schwartz RD, Barker JL, Paul SM. Steroid hormone metabolites are barbiturate-like modulators of the GABA receptor. Science. 1986;232:1004–1007. [PubMed]
17. Marx CE, VanDoren MJ, Duncan GE, Lieberman JA, Morrow AL. Olanzapine and clozapine increase the GABAergic neuroactive steroid allopregnanolone in rodents. Neuropsychopharmacol. 2003;28:1–13. [PubMed]
18. Morrow AL, Suzdak PD, Paul SM. Steroid hormone metabolites potentiate GABA receptor-mediated chloride ion flux with nanomolar potency. Eur J Pharmacol. 1987;142:483–485. [PubMed]
19. Morrow AL, Pace JR, Purdy RH, Paul SM. Characterization of steroid interactions with gamma-aminobutyric acid receptor gated chloride ion channels: evidence for multiple steroid recognition sites. Mol Pharmacol. 1990;37:263–270. [PubMed]
20. Morrow AL, VanDoren MJ, Devaud LL. Effects of progesterone or neuroactive steroid? Nature. 1998;395:652–653. [PubMed]
21. Park-Chung M, Wu FS, Farb DH. 3 alpha-Hydroxy-5 beta-pregnan-20-one sulfate: a negative modulator of the NMDA-induced current in cultured neurons. Mol Pharmacol. 1994;46:146–150. [PubMed]
22. Patenaude C, Nurse S, Lacaille JC. Sensitivity of synaptic GABAA receptors to allosteric modulators in hippocampal oriens-alveus interneurons. Synapse. 2001;41 [PubMed]
23. Pitkänen A. Connectivity of the rat amygdaloid complex. In: Aggleton JP, editor. The Amygdala: a Functional Analysis. 2. New York: Oxford Univ Press; 2000. pp. 29–39.
24. Poisbeau P, Feltz P, Schlichter R. Modulation of GABAA receptor-medicated IPSCs by neuroactive steroids in a rat hypothalmo-hypophyseal co-culture model. J Physiol. 1997;500:475–85. [PubMed]
25. Puia G, Mienville JM, Matsumoto K, Takahata H, Watanabe H, Costa E, Guidotti A. On the putative physiological role of allopregnanolone on GABAA receptor function. Neuropharmacology. 2003;44:49–55. [PubMed]
26. Purdy RH, Moore PH, Rao PN, Hagino N, Yamaguchi T, Schmidt P, Rubinow DR, Morrow AL, Paul SM. Radioimmunoassay of 3a-hydroxy-5a-pregnan-20-one in rat and human plasma. Steroids. 1990;55:290–296. [PubMed]
27. Roberto M, Madamba SG, Moore SD, Tallent MK, Siggins GR. Ethanol increases GABAergic transmission at both pre- and postsynaptic sites in rat central amygdala. Proc Nat Acad Sci USA. 2003;100:2053–2058. [PubMed]
28. Rupprecht R, Holsboer F. Neuroactive steroids: mechanisms of action and neuropsychopharmacological perspectives. TINS. 1999;22:410–416. [PubMed]
29. Sooksawate T, Simmonds MA. Increased membrane cholesterol reduces the potentiation of GABAA currents by neurosteroids in dissociated hippocampal neurons. Neuropharmacology. 1998;37:1103–1110. [PubMed]
30. Uchida S, Noda E, Kakazu Y, Mizoguchi Y, Akaike N, Nabekura J. Allopregnanolone enhancement of GABAergic transmission in rat medial preoptic area neurons. Am J Physiol Endocrinol Metab. 2002;283:E1257–E1265. [PubMed]
31. Uzunova V, Sheline Y, Davis JM, Rasmusson A, Uzunov DP, Costa E, Guidotti A. Increase in the cerebrospinal fluid content of neurosteroids in patients with unipolar major depression who are receiving fluoxetine or fluvoxamine. Proc Natl Acad Sci USA. 1998;95:3239–3244. [PubMed]
32. Weaver CE, Jr, Marek P, Park-Chung M, Tam SW, Farb DH. Neuroprotective activity of a new class of steroidal inhibitors of the N-methyl-d-aspartate receptor. Proc Natl Acad Sci USA. 1997;94:10450–10454. [PubMed]
33. Weaver CE, Land MB, Purdy RH, Richards KG, Gibbs TT, Farb DH. Geometry and charge determine pharmacological effects of steroids on N-methyl-D-aspartate receptor-induced Ca2+ accumulation and cell death. JPET. 2000;293:747–754. [PubMed]
34. Wieland S, Lan NC, Mirasedeghi S, Gee KW. Anxiolytic activity of the progesterone metabolite 5a-pregnan-3a-ol-20-one. Brain Res. 1991;565:263–268. [PubMed]
35. Wohlfarth KM, Bianchi MT, Macdonald RL. Enhanced neurosteroid potentiation of ternary GABAA receptors containing the δ Subunit. J Neurosci. 2002;22:1541–1549. [PubMed]