Neuropeptides are preferentially released under conditions of intense neural activation and thus represent “the language of the stressed nervous system” (
Hokfelt et al, 2003). Recent evidence has implicated PACAP in the control of stress responses at multiple central and peripheral levels (
Vaudry et al., 2009). PACAP-immunoreactive nerve fibers are numerous in the PVN (
Hannibal, 2002), where PACAP-containing terminals innervate CRH-positive neurons (
Legradi et al., 1998) and i.c.v. injection of PACAP causes upregulation of CRH mRNA (
Grinevich et al., 1997). Tracer studies have demonstrated expression of PACAP in subregions of the hypothalamus and catecholaminergic neurons of the brain stem that project to the PVN and the intermediolateral column of the spinal cord (
Das et al., 2007,
Farnham et al., 2008). Finally, PACAP is expressed in sympathetic terminals innervating the adrenal gland (
Frodin et al., 1995,
Holgert et al., 1996) where it co-localizes with the vesicular acetylcholine transporter at the adrenomedullary synapse and is required for maintaining catecholamine secretion caused by sustained stress in vivo (
Hamelink et al., 2002) and prolonged nerve firing in adrenal slices in vitro (
Kuri et al., 2009). Thus, PACAP-containing neurons are positioned to mediate afferent signaling to the PVN, intrahypothalamic signal integration, and outflow to peripheral effectors of the stress response, thereby modulating activity of the HPA axis, adrenomedullary and sympathetic nervous systems. Functional studies in vivo further show that PACAP elicits behavioral and neuroendocrine responses characteristic of stress (
Agarwal et al., 2005,
Norrholm et al., 2005).
Our present experiments provide direct evidence for PACAP’s involvement in mediating stress responses by using PACAP-deficient mice tested in the restraint model. First, corticosterone secretion elicited by prolonged restraint is impaired in PACAP−/− mice, accompanied by a lack of induction of hypothalamic CRH mRNA. CRH is the main regulator of the HPA axis, and its biosynthesis is maintained after release during stress primarily through enhanced gene transcription (
Aguilera et al., 2007). Thus, the biosynthesis of two hormones within the activated HPA axis is reduced in the absence of PACAP. Second, hypothalamic induction by restraint of the transcription factors Egr1 and Fos, both of which are markers for neuronal stimulation and have been shown to be upregulated in the parvocellular PVN during stress responses (
Honkaniemi et al., 1994,
Umemoto et al., 1994,
Watanabe et al., 1994), is PACAP-dependent. While immediate-early gene (IEG) products such as Fos do not appear to mediate acute increases in CRH gene transcription (
Imaki et al., 1996,
Kovacs and Sawchenko, 1996a,
Kovacs and Sawchenko, 1996b), they are indicative of excitatory input impinging on target cells within the PVN and could be involved in upregulation of CRH during prolonged stressor exposure (
Yao and Denver, 2007). Therefore, future experiments will test the hypothesis that PACAP-dependent IEG products drive the long-term PACAP-dependent increase in CRH expression observed in the present study. Our data do not rule out the possibility that PACAP-dependent effects during stress originate in other brain areas, e.g. the bed nucleus of the stria terminalis feeding into the PVN (
Hammack et al., 2009). However, we favor the hypothalamus itself as the site of PACAP’s action, based on our IEG expression data as well as known cellular and behavioral effects of intra-PVN infusion of PACAP (
Huang et al., 1996,
Norrholm et al., 2005).
Restraint-induced gene expression changes in the adrenal glands provide further evidence for PACAP-dependent stimulation of the stress axis. First, induction of Egr1 and Fos is strongly blunted in PACAP−/− mice. Second, abundance of TH and PNMT mRNA is higher in PACAP+/+ mice after prolonged restraint. The latter finding suggests that the compensatory catecholamine synthesis that occurs during restraint and is correlated with enhanced PNMT mRNA expression (
Tai et al., 2007) may also depend on PACAP. Based on the time course of transcript expression, it is tempting to speculate that PACAP-dependent upregulation of IEGs after 1h and enzyme mRNAs after 6h of restraint might be linked, given that all four candidates are known to be induced in the adrenal glands by stress, and the fact that Egr1 and AP-1 transcription factors are known regulators of TH and PNMT expression (
Wong et al., 2002,
Kvetnansky et al, 2009).