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Misediting of the serotonin (5HT) 2C receptor (5HT2CR) has been implicated in both depression and anxiety. The adenosine deaminases that act on double stranded RNAs (ADARs) are reported to modify the 5HT2CR by RNA editing. Transgenic mice misexpressing the RNA editing enzyme ADAR2 show an adult onset obese phenotype due to chronic hyperphagia, but little more than this is known about the behavior of these animals. The present experiments examined whether affect-associated behaviors are also altered in ADAR2 transgenic mice. Age- and weight-matched transgenic mice misexpressing ADAR2 were tested for signs of behavioral despair with the forced swim (FST) and tail suspension (TST) tests, and for anxiety by evaluating spontaneous exploration in a novel environment and by elevated plus maze performance. Plasma corticosterone was also determined by radioimmunoassay. Transgenic mice of both sexes displayed indications of increased behavioral despair on first exposures to the TST and the FST. Behavioral despair persisted in ADAR2 mice in that it was also observed in the FST in tests administered 24 hr and 1 week following the initial TST and FST. ADAR2 transgenic mice also displayed behaviors associated with anxiety as indicated by decreased entry into the open arms in an elevated plus maze test. Both sexes of ADAR2 transgenic mice displayed elevated plasma corticosterone. Taken together, the results suggest that ADAR2 transgenic mice represent a novel rodent model of endogenous behavioral despair and anxiety accompanied by elevated hypothalamo-pituitary adrenal axis activity.
The World Health Organization predicts that within a decade depression will be a leading cause of disability, second only to heart disease. At the present time, depression constitutes a monumental health problem, and the direct costs of depression are a significant burden to the economy . Since the 1960s, major depression has been diagnosed based on symptomatic criteria set forth in the Diagnostic and Statistical Manual of Mental Disorders . Most pharmacological treatments for depression modulate brain noradrenergic and serotonergic neurotransmitter systems, and many effective antidepressants act on noradrenergic and serotonergic signal transduction pathways to affect G protein-coupled receptors and associated second messenger systems.
Multiple functional studies have provided evidence of a role for the G protein-coupled serotonin (5HT) 2C receptor (5HT2CR) in the therapeutic actions of antidepressant drugs [37,72]. 5HT2CR are widely distributed throughout the brain, have been implicated in affective disorders such as depression and/or anxiety [21,57,66] and represent an important therapeutic target. 5HT2CR are the only known G protein-coupled receptors to be subjected to a post transcriptional modification referred to as RNA editing. RNA editing changes produce a 5HT2CR with altered signaling properties [9,20,53,59,71,88], and the subsequent change in receptor second messenger function has been suggested to underlie depression and anxiety [18,31,40].
RNA editing of 5HT2CR is catalyzed by a family of enzymes known as adenosine deaminases that act on RNAs (ADARs) [4,27]. This family of enzymes facilitates the conversion of adenosine to inosine residues (A-to-I) in mRNA to effectively alter the nucleotide sequence of mature mRNAs. As a result, the amino acid coding potential of the relevant mRNA is modified, thus leading to altered biological activity of translated proteins . Multiple cDNA isoforms of ADAR2 exist in rats, mice and humans as a result of alternative splicing mechanisms that may affect protein expression and function [24,46,74]. ADAR2 can also autoedit its own transcript to create an alternative splice acceptor site to down-regulate its own expression [19,74].
A recent report using bioinformatics suggests that there may be more than 2600 mRNAs in humans that can potentially undergo A-to-I RNA editing, but as of yet such mRNAs have not had their functional roles identified . At the present time, A-to-I RNA editing has mainly been identified in only a few receptors and ion channels in the central nervous system. These include the 5HT2CR, a glutamate receptor, a GABA receptor, and a potassium channel [6,8,9,61,76,81]. Interestingly, many of these potential editing changes appear in neural systems implicated in the pathophysiology of major mental disorders such as schizophrenia, bipolar disorder, anxiety and major depression [22,31,39,47,60,64,80].
In order to study whether misexpression of ADAR2 results in aberrant editing of ADAR2 target RNAs, a transgenic mouse was generated expressing an epitope FLAG tagged rat ADAR2b cDNA under the control of a human cytomegalovirus promoter . ADAR2 transgenic mice display a mature onset obese phenotype due to chronic hyperphagia . Prior to obesity, ADAR2 transgenic mice have normal plasma glucose, insulin and leptin levels. Little is known about the behavior of ADAR2 transgenic mice  other than that they display normal locomotor activity in the non-obese and obese states and that they have hyperphagia in comparison to their control littermates, (see  supplementary data Fig. S1). Recently in the course of handling ADAR2 transgenic mice, we observed that the animals were extremely docile and submissive. This led us to speculate that ADAR2 transgenic mice may display elevated behavioral despair and prompted us to conduct further behavioral analyses of this model.
In rats and mice the forced swim test (FST) and the tail suspension test (TST) are two commonly applied behavioral despair paradigms used to screen compounds for pharmacological antidepressant potential [67–69,83]. In these tests decreased activity under experimental conditions where rodents would normally struggle to escape is used as an indication of behavioral despair. To further characterize the behavioral phenotype of ADAR2 transgenic mice and to determine if they display signs of behavioral despair, we used both the FST and the TST in experimentally age- and weight-matched naïve transgenic mice and their control littermates. In addition, since anxiety and depression are often frequently comorbid , the present study also tested for anxiety-associated behaviors  by examining locomotor activity in a novel environment and performance in the elevated plus maze (EPM). Finally since activity of the hypothalamo-pituitary-adrenal (HPA) axis is altered in states associated with depression and anxiety, basal plasma corticosterone levels were determined in ADAR2 transgenic and control mice.
All studies were conducted on hemizygous transgenic or wild-type mice (e.g., control littermates) that were maintained on C57BL/6J X DBA2 hybrid background by back-crossing to the C57BL/6J X DBA2 (F1) parent strain . Mice were individually housed with a 12:12h light:dark cycle with lights turned on at 0600 h. ADAR2 transgenic mice have mature onset obesity due to chronic hyperphagia . Consequently in the present study, mice were maintained ad libitum on a leaner modified diet (NIH-31 6% mouse/rat diet; 7013, Harlan, Indianapolis) in order to delay the onset of the obese phenotype. This allowed us to assess the behavior of ADAR2 transgenic mice prior to frank obesity. Tap water was available ad libitum.
For genotype analysis of transgenic mice by polymerase chain reaction (PCR), genomic DNA from whole blood was amplified with the REDExtract-N-Amp™ Blood PCR Kit (Sigma-Aldrich, St. Louis, MO) using sense and antisense primers corresponding to positions 258–275 and 639–659 relative to the start codon of rat ADAR2, respectively. The 402 bp PCR amplicon was subsequently digested with Apa I to generate 313 and 89 bp fragments for the rat ADAR2 transgene, or an uncut 402 bp fragment for mouse ADAR2-derived sequences .
At 7 weeks of age, weight-matched control and transgenic mice were tested for indications of behavioral despair in both the FST [68,69] and TST . The duration of each test was 5 min, and these tests were video recorded for later analysis by an observer blind to the genotype of the mice.
The FST was modified from the original report [68,69]. Mice were placed individually into a Plexiglas cylinder (46 cm height, 21.5 cm diameter) filled with water to a depth of 15 cm. The water temperature was maintained at 23–25°C. After the mouse was placed in the water, it was left undisturbed for the test session.
Adhesive tape was used to suspend the mice by their tail from a rod for the TST . The height of the rod was 50 cm.
The EPM was made of black Plexiglas® with arms 30 cm long and 5 cm wide extending from a central platform (5 cm square). Two opposite arms were enclosed by black Plexiglas® walls (15 cm high), and two arms were open with a small ledge (0.25 cm high). The apparatus was situated 40 cm from the floor. The mouse was placed on the central platform (5×5 cm) facing an enclosed arm, and its behavior was video recorded over a 5 min period. Videotaping was conducted under white light illumination with a video camera located 100 cm above the maze. The total amount of time spent in the closed arms and open arms during the 5 min session was scored from videotapes by an observer blind to the genotype of the mice [63,73].
In a dark room, free exploration and spontaneous locomotor activity were recorded in a novel environment. This testing was conducted in a chamber that had the following dimensions: 40.5 cm in length × 20 cm in width and was covered with a ventilated lid. Inside the chamber was a center island that measured 24.8 cm length × 4.2 cm width × 20 cm height. Two infra-red beams with associated detectors were each located 5 cm from the two ends of the chambers. As the mice locomotioned around the island, they interrupted the photocell beams. Beam breaks were cumulatively recorded over the course of a 120 min test session.
After the behavioral assays, the mice were allowed to recover in their home cages. At the termination of the experiments, the mice were decapitated and trunk blood was collected at 0900 h, centrifuged and kept at −80°C for determination of plasma corticosterone . Corticosterone was measured using a Coat-A-Count Rat Corticosterone solid-phase radioimmunoassay (RIA) kit from Diagnostics Products Inc. (Los Angeles, CA). Sensitivity of the corticosterone RIA was 5.7 ng/ml and the intra- and inter-assay coefficients of variation averaged 7% and 9%, respectively.
After 4 weeks of habituation in their home cages, post weaned groups of age- and weight-matched control and transgenic mice at 7 weeks of age (i.e., both sexes) were subjected to an initial behavioral despair test (the TST) at 0900 h. After a 2 hr rest period following the TST, a FST was then conducted. 24 hr following the first behavioral despair tests, a second FST was carried out. The animals were then allowed to rest from the behavioral assays in their home cages for 1 week at which time a third FST was conducted. Again, mice were returned to their home cages and allowed to recover from the FST for an additional week. Following this period, they were tested in a novel environment where their locomotor activity was recorded for 120 min. Following the novel environment test the mice were returned to their home cage and allowed to rest for several weeks. At 21 weeks of age with minimum disturbance, the mice were decapitated, and trunk blood was collected for corticosterone analysis at 0900 h (Fig. 1).
Experimental results are expressed as mean ± SEM. Statistical analyses of differences between groups were performed using two-way ANOVA for body weights at the times animals were tested in the novel environment in the TST and FST, on the EPM, and when blood was collected for the determination of corticosterone. The linear mixed model analysis for repeated measures was used for body weight at the behavioral test, and immobility time on the FST. For the EPM and novel environment activity, negative binomial regression analysis was used to compare the number of beam breaks between the transgenic and control mice for three different time periods. To account for the correlation of responses from the same mice for three time periods, the negative binomial regression model was fitted using the method of generalized estimating equations (GEE). The outcome involving choice of going into the closed or open arm from the center, which represents a binomial outcome, was analyzed using logistic regression. This model was also fitted using the GEE method to account for correlations of responses from the same mice. From the fitted logistic model, the estimate of the probability of entry into the closed arm for transgenic and control mice were obtained, with the genotype effect expressed as the odds ratio of entry into the closed arm of transgenic relative to control mice. For all these models, when there was a significant interaction effect (sex × genotype or time × genotype), genotype difference based on the fitted model was tested by sex or at each time interval. To account for the number of tests performed (i.e., 2 tests for the by sex comparisons), the p-values for these tests have been adjusted using the Bonferroni method. All the statistical analyses were performed using SAS (Version 9.13 SAS Institute, Inc 2003). All tests of significance were two-tailed tests, with P<0.05 considered as statistically significant.
The mean body weights by genotype and sex at the time of each test are shown in Table 1. Linear mixed model analysis for repeated measures with genotype, sex, and time as the fixed effects was used to compare mean body weights between the genotype groups and between the sexes of the mice at the times of the behavioral despair and anxiety tests and at the time of corticosterone measurement. This model also included all two-factor and three-factor interactions. There was no significant genotype × sex × time interaction [F(1,51)=1.06; P=0.31], genotype × time [F(1,51)=0.07; P=0.80], and sex × time [F(1,51)=1.76; P=0.19] interaction effect. This indicates that genotype and sex differences did not significantly change over the one week interval. However, there was a significant genotype × sex interaction effect [F(1,51)=5.97; P=0.018], where genotype difference in mean body weight was significantly greater in male mice (transgenic smaller by 1.4±0.7 gm; Bonferroni adjusted P=0.08) than female mice (transgenic larger by 1.0±0.7 gm; Bonferroni adjusted P=0.35). Overall, there was no significant genotype effect [F(1,51)=0.24; P=0.63], with mean body weight differences observed only between male and female mice [F(1,51)=31.07 P<0.0001]. Because differences between genotypes in body weight were not present at this age, any alterations in behavior were unlikely to be due to adiposity or body buoyancy.
The two-way ANOVA with genotype and sex as the factors was used to compare mean body weight at the times the mice were tested in the novel environment, EPM, and when the corticosterone was measured. This showed no significant genotype × sex interaction effects [F(1,26)=1.10, P=0.30 for novel environment; F(1,57)=0.22, P=0.64 for EPM; and F(1,46)=0.08, P=0.78 for corticosterone]. For the novel environment assay, there was no significant difference in body weight between the genotype groups, with a mean difference in weight of 1.1±0.9 grams between transgenic and control groups [F(1,26)=1.69; P=0.21]. For both the EPM and the corticosterone studies, the mean body weights of transgenic mice were significantly greater compared to control mice. In the EPM, the transgenic mice were 3.4±1.0 grams heavier than control mice [F(1,57)=11.21; P=0.001]. In the corticosterone study, the mean weight difference was 7.3±2.0 grams [F(1,46)=12.95; P=0.0008]. For all of these studies, male mice were significantly heavier than female mice [sex main effect: F(1,26)=14.93, P=0.0007 for novel environment; F(1,57)=27.04, P<0.0001 for EPM; and F(1,46)=22.92, P<0.0001 for corticosterone study].
A two-way ANOVA, with genotype, sex, and genotype × sex interaction, as the factors in the model, was used to test for differences in mean immobility on TST between the ADAR2 transgenic mice and control (Fig. 2). A test for genotype × sex interaction showed a significant interaction [F(1,56)=4.08; P=0.048] with a greater genotype effect in male mice compared to female mice. For male mice, mean immobility time on TST was 1.5±0.2 min longer for the transgenic mice compared to control (2.9±0.1 min vs. 1.4±0.2 min; Bonferroni adjusted P<0.0001). The difference in mean immobility time on the TST between the transgenic and control female mice was 0.8±0.2 (2.3±0.2 min for transgenic vs. 1.5±0.1 min for control; Bonferroni adjusted P=0.002). Overall, averaging across male and female mice, mean immobility time on the TST was significantly longer for the transgenic mice compared to the control mice by 1.2±0.2 min [F(1,56)=47.55; P<0.0001].
The linear mixed model analysis for repeated measures was used to compare mean immobility on FST between the ADAR2 transgenic mice and control at three time points (first exposure, 24 hour FST, and 1 week post-exposure; Fig. 3a and 3b). The fixed effects in the model were genotype, sex, and time, with the model that also included all two-factor interactions and the three-factor interaction. There was no significant genotype × sex × time interaction effect [F(2,102)=0.04; P=0.96], and no two factor interactions of time with sex [F(2,102)=1.23; P=0.30] and with genotype [F(2,102)=0.86; P=0.43]. This implies that sex differences or genotype differences did not significantly change with time. There was a significant time effect [F(2,102)=3.15; P=0.047], where there was a significant increase in mean immobility time from first exposure to 24 hours of 0.4±0.2 min (Bonferroni adjusted P=0.047). There was no significant genotype × sex interaction [F(1,51)=1.54; P=0.22], where the test for genotype effect showed a significantly longer immobility time on FST for the transgenic mice compared to the control mice by 1.6±0.1 min [F(1,51)=144.32; P<0.0001].
The rate of entry (number of entries over a 5 min period) into either closed or open arms of the EPM was analyzed using negative binomial regression (Table 2). This analysis is applicable for use in cases in which the dependent variable represents a count of the number of events over a known time interval. The independent variables in the model included genotype (control vs. transgenic), sex and genotype × sex interaction. There was no significant sex × genotype interaction [Chi-square (1)=0.17; P=0.68] which indicates that genotype differences were not found to differ significantly between male and female mice. There also was no significant sex main effect [Chi-square (1)=0.67; P=0.41]. However, there was a significant difference in the two genotypes in mean rate of entry into the closed arm, with a lower rate for the transgenic group (4.7±0.5; 95% CI: 1.3, 5.8) compared to the control group (9.9±0.8; 95% CI: 8.5, 11.2) [Chi-square (1)=29.5; P<0.0001]. The rate of entry into the open arm showed no significant sex × genotype interaction [Chi-square (1)=0.15; P=0.703] and no significant difference between sex [Chi-square (1)=0.01; P=0.941]. There was a significant difference in mean rate of entry into the open arms between the control and transgenic mice with the transgenic group also having a lower rate (1.3±0.2; 95% CI: 0.9, 1.8) compared to the control group (4.5±0.5; 95% CI: 3.7, 5.8) [Chi-square (1)=35.8; P<0.0001]. These results suggest that there was less exploration of either arm displayed by the transgenic mice regardless of their sex.
The probability of entry into the closed arms (from the center) was compared between control and transgenic mice using logistic regression analysis fitted by the generalized estimating equations method to account for the correlation of responses by the same mice. The independent variables in the model were genotype, sex, and genotype × sex interaction. There was no significant genotype × sex interaction [Chi-square (1)=0.01; P=0.91], and no significant difference in the probability of going into the closed arms between male and female mice [Chi-square (1)=0.37; P=0.54]. There was a significant difference between the control and transgenic mice in the probability of entry into the closed arms with the transgenic mice more likely to go into the closed arms than the control mice (odds ratio of 1.66; 95% CI: 1.11, 2.50; P=0.014). Transgenic mice went into the closed arms 79% (95% CI: 72%, 84%) of the time compared to 69% (95% CI: 65%, 73%) for the control mice. These results suggest that regardless of sex the transgenic mice were more likely to enter the closed arms.
Percentage of time spent in open arms by transgenic mice was significantly lower than control mice (Wilcoxon two sample test, median interquartile range 11.2% vs. 16.2%, P<0.008). Taken together these results suggest that transgenic mice showed elevated anxiety-like behaviors on EPM.
Negative binomial regression analysis was used to compare the number of beam breaks over a 120 min test period (i.e., mean beam breaks per min) divided into 3 phases (the first 5 min, 6–60 min, and 61–120 min) between the ADAR2 transgenic and control mice. The model included genotype, sex, phase, all two-factor interactions and the three-factor interaction. There was no significant group × sex × phase interaction [Chi-square (2)=1.23; P=0.54], genotype × phase interaction [Chi-square (2)=3.18; P=0.20], and genotype × sex interaction [Chi-square (1)=0.58; P=0.45]. Having no significant genotype × phase interaction indicates that the statistical test was not able to detect a significant change over the 3 phases in the magnitude of the difference in mean beam breaks between transgenic and control mice (Fig. 4a). For the first 5 min, the mean number of breaks per min was 18.4%±10.0% lower in transgenic mice (4.8±0.5) compared to control mice (5.9±0.4) (Bonferroni adjusted P=0.29) (Fig. 4b). At the 6–60 min and 61–120 min intervals, mean breaks per min was higher in transgenic than control mice by 6.4%±6.8% (2.9±0.1 vs. 2.4±0.1; Bonferroni adjusted P>0.99) and 7.0%±17.6% (1.7±0.2 vs. 1.6±0.2; Bonferroni adjusted P>0.99), respectively. Overall, there was no significant genotype effect with the mean number of breaks per min 2.4%±8.5% lower in transgenic mice relative to controls (P=0.78). However, in the tests involving the sex effect, the data suggested a possible sex × phase interaction [Chi-square (2)=4.64; P=0.095]. Testing for sex effects at each phase showed no significant difference at the first 5 min with the male mean being 13.8%±12.2% lower compared to that of female mice (5.0±0.3 vs. 5.7±0.6; Bonferroni adjusted P=0.65). In contrast, at the 6–60 min and 61–120 min intervals, mean breaks per min was significantly lower in male mice compared to female mice by 29.5%±4.5% (2.4±0.1 vs. 3.4±0.2; Bonferroni adjusted P<0.0001) and 46.8%±8.8% (1.2±0.1 vs. 2.3±0.3; Bonferroni adjusted P=0.0002), respectively. These results suggest that there is no significant genotype difference but there is a sex difference where male mice showed less exploration compared to female mice for most of the test period.
A two-way ANOVA, with genotype, sex, and genotype × sex interaction, as the factors in the model was used to test for differences in mean corticosterone levels between the ADAR2 transgenic mice and controls (Fig. 5). A test for genotype × sex interaction showed a significant interaction effect [F(1,46)=4.89; P=0.032]. For female mice, mean corticosterone was 284±57 ng/ml higher in the transgenic mice compared to control (528±45 ng/ml vs. 244±36 ng/ml; Bonferroni adjusted P<0.0001). There was no significant difference in mean corticosterone between transgenic and control male mice (222±40 ng/ml for transgenic vs. 130±52 ng/ml for control; Bonferroni adjusted P=0.34).
RNA editing involving the conversion of A-to-I in pre-mRNA results in altered nucleotide sequences in mature mRNA. Such changes can produce altered RNA coding potential and consequently proteins with modified biological activities. This concept led to the generation of the ADAR2 transgenic mouse . The present studies examined behavioral traits and resting corticosterone levels of ADAR2 transgenic mice. The results of this work indicate first, that male and female ADAR2 transgenic mice in comparison to sex-, weight- and age-matched controls showed increased immobility in two experimental paradigms, the FST and the TST. In both of these assays, decreased activity is considered to be an indication of behavioral despair. Second, ADAR2 transgenic mice also demonstrated behavioral changes associated with anxiety as assessed on the EPM. Third, ADAR2 transgenic mice had increased plasma corticosterone. Taken together, the results are consistent with the hypothesis that adult male and female ADAR2 mice manifest both behavioral and endocrine signs of endogenous depression and anxiety.
ADARs catalyze the conversion of A-to-I in mRNAs that have a double-stranded RNA structure. Under normal physiological conditions A-to-I modification has been observed in several components of the mammalian nervous system. In particular, such alterations have been associated with glutamate gated-ion channels, the KV1.1 potassium ion channel, the alpha 3 subunit of the GABA receptor and the 5HT2CR [6,8,61,76,81]. Of all of these neural elements, the 5HT2CR is the one most extensively implicated in the states of depression and anxiety [18,23,31,32,40].
As well as being frequently associated with affective disorders , the 5HT system has also been implicated in the alterations of appetite, energy, sleep, libido, and cognitive functions . Serotonergic neurotransmission is mediated by the interaction of 5HT with at least 14 receptor subtypes , and of these the 5HT2CR is the only one that undergoes ADAR mediated A-to-I modification. Such an alternation results in reduced G protein-coupling of the phospholipase C signaling pathway . Recent studies in humans and in rodent models have implicated editing of messages for the 5HT2CR in both depression [20,30,38,75,92] and anxiety . Interestingly antidepressant treatment has also been shown to alter 5HT2CR RNA editing [23,75,86].
Many animal models of depression use prior exposure to stressors to induce depression-related behavioral changes [67–69]. For example, it has been demonstrated that chronic mild stress induces a state of anhedonia which is a core sign/symptom of depression in humans [28,90,91]. The FST [68,69], the TST  and uncontrollable shock (learned helplessness)  all involve subjecting rodents to stressors and are based on observations that animals normally try to escape or avoid aversive stimuli or conditions. As conventionally employed, both the FST and the TST require an initial exposure to the stressor before the actual test session. That is, a 15 min period of preexposure of forced swimming the day before the FST or a 5 min session of tail suspension the day preceding the TST are commonly used. Behavioral despair tests conducted with prior exposure to such stressors have been used to demonstrate the efficacy of many clinically employed antidepressant drugs. The fact that the FST and TST consistently screen and identify antidepressant drugs has been used to establish the high predictive validity of these tests . Recently the FST has been modified to eliminate the prior exposure period and use only a single exposure to the stressor as the actual test period to determine if a depression-related phenotype is endogenous (i.e., occurs without preconditioning) in a given strain or model [11–13]. In the present behavioral despair studies, we used 5 min FST and TSTs without prior exposure to the stressors. Tested in this manner ADAR2 transgenic mice irrespective of sex showed decreased escape behaviors on both of the behavioral despair tests. The “locomotion” per se was not altered in ADAR2 transgenic mice as indicated by activity during the 120 min in a novel environment. In a previous study neither pre-obese nor obese transgenic mice showed altered locomotor activity as compared to control littermates . These results suggest that the motor activity of the transgenic animals is similar to that of control mice and therefore not likely to confound the results of the behavioral despair tests. Our studies also indicate that ADAR2 transgenic mice consistently showed signs of increased behavioral despair on not only the first TST but in the subsequent FST and in additional TSTs. These observations indicate that behavioral despair is persistent in ADAR2 mice. This is consistent with previous findings showing that in spite of repeated exposures to stressors behavioral despair does not subside [10,14,15,84].
In the present studies, the stage of the estrous cycle of female mice during testing was not established. Female mice are reported to be more active during estrus [42,77] and differences in activity could potentially affect the results of behavioral despair assays. Future experiments with staging of the female estrous cycle in female mice will be helpful in determining the nature of the sex effects in ADAR2 transgenic mice and the effects of the estrous cycle in behavioral despair models.
Depression is often comorbid with anxiety . Two commonly employed behavioral tests of anxiety are reduced locomotion in novel environments and reduced exploration in the EPM. The present study used both of these methods to assay anxiety-like behaviors in the ADAR2 transgenic mouse. The EPM test is based on the natural tendency of rodents to explore novel environments while at the same time avoiding brightly lit, elevated, open areas [33,49]. The portion of time spent in the open arm of the EPM and rate of arm entries have been used as measures of anxiety [63,73]. In the EPM, ADAR2 transgenic mice showed a significant decrease in the percentage of time spent in the open arm, lower rate of open and closed arm entries and an increased probability of entering the closed arms. This pattern suggests that anxiety-like behaviors are increased in ADAR2 transgenic mice as compared to control mice. In a novel environment ADAR2 transgenic mice display only a slight decrease in activity during the 1st five minutes which did not reach a statistical significance. After the initial 5 min period, the activity of the ADAR2 transgenic mice was comparable to their control littermates. Some investigators suggest that the number of closed arm entries in the EPM is an indication of activity, rather than “anxiety per se” [25,56]. Taken together, both the performance on the EPM and the failure to find a significant change in locomotor activity in a novel environment suggest that ADAR2 transgenic mice manifest behavioral signs of increased anxiety. Because indications of anxiety-like behavior are evident in naïve ADAR2 transgenic mice when the EPM was conducted as an initial test (Experiment 2), ADAR2 mice can be considered to display signs of endogenous anxiety.
Both anxiety and depression are often associated with altered HPA axis activity as reflected by high levels of glucocorticoids [3,29,52,58,70]. Cortisol and corticosterone are metabolic hormones in humans and rodents, respectively, that play key roles in the physiological responses to stressors [16,26,65,93]. Both sexes of ADAR2 transgenic mice, compared to their control littermates, showed significantly elevated corticosterone levels. Female ADAR2 transgenic mice had higher corticosterone levels than males. Sex differences in cortisol and corticosterone levels in humans and rodents have been reported in both depression and anxiety [44,45,51,62,87]. It should be noted that the mean body weights of ADAR2 mice was significantly greater than those of control animals and that this might affect glucocorticoid levels. However, the increased corticosterone in ADAR2 mice is likely to be independent of the differences in body weight. In a previous unpublished study, ADAR2 mice with body weights matched to controls also showed significantly elevated glucocorticoid levels (Singh, unpublished data).
Mood disorders such as depression and anxiety are often associated with behavioral changes such as altered appetite and sleep, obesity, and reduced cognitive function. Human depression, anxiety, hyperphagia and obesity have been associated with low 5HT signaling and disordered serotonergic signaling through the 5HT2CR [5,18,23,30,32,34–36,38,40,41,50,52,55,57,59,60,75,85,86]. Previous studies of 5HT2CR null mice indicate that they have maturity onset obesity, type II diabetes, spontaneous seizures, anxiety-related phenotype, cognitive defects and hyperactivity but normal corticosterone levels [35,36,85]. The phenotype of ADAR2 transgenic mice is clearly distinct from the 5HT2CR null mouse. For example, the ADAR2 transgenic mouse in comparison to the 5HT2C-R null mouse develops a maximum body weight of 90 to 125 grams  rather than the approximately 40 gram body mass observed in the receptor knock-out model . ADAR2 transgenic mice have a form of adult onset obesity but without any apparent metabolic dysregulation prior to the inordinate weight gain .
The fact that ADAR2 transgenic mice have hyperphagia  and elevated plasma corticosterone along with behavioral despair and anxiety makes them an attractive model for investigating this important set of co-morbidities. The appearance of the phenotypes in a single model raises the question of whether there is a single molecular disruption that accounts for all of these signs. One hypothesis to be considered is that altered RNA editing of the 5HT2CR in the brain is key to all of these phenotypic alterations. ADAR2 transgenic mice misexpress ADAR2 in all areas of the brain that have been examined . In an earlier study  RNA was pooled from both whole brain and from the entire hypothalamus to determine if there were changes in 5HT2CR RNA editing in ADAR2 mice. In these studies no differences in 5HT2CR RNA were observed in the samples studied . However, in these studies it is possible that any differences between groups were diluted because of the large size of the tissue samples studied. Only a subpopulation of neurons in any given brain region express 5HT2CR, and misediting of this receptor in specific cells at particular brain sites may be required for the phenotypes of depression, anxiety, hyperglucocorticoidism, hyperphagia and obesity. Alternatively, it is also possible that other neuronal substrates (e.g., other receptors or ion channels) may also have undergone RNA editing changes, and these alterations may also contribute to the physiological and behavioral phenotype of ADAR2 transgenic mice. In future studies a detailed examination of changes in RNA editing in several brain regions will be required to begin to fully understand the phenotypic disorders characterized in the ADAR2 mouse.
This research was supported by National Heart, Lung, and Blood Institute HL-14388 (AKJ) and National Institute of Diabetes and Digestive and Kidney Diseases DK-66086 (AKJ). The authors would also like to thank Dr. Mark E. Anderson for financial support from the National Heart, Lung, and Blood Institute HL-079031, HL-62494, and HL-70250.
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