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Although adverse early life experiences have been found to increase lifetime risk to develop violent behaviors, the neurobiological mechanisms underlying these long-term effects remain unclear. We present a novel animal model for pathological aggression induced by peripubertal exposure to stress with face, construct and predictive validity. We show that male rats submitted to fear-induction experiences during the peripubertal period exhibit high and sustained rates of increased aggression at adulthood, even against unthreatening individuals, and increased testosterone/corticosterone ratio. They also exhibit hyperactivity in the amygdala under both basal conditions (evaluated by 2-deoxy-glucose autoradiography) and after a resident–intruder (RI) test (evaluated by c-Fos immunohistochemistry), and hypoactivation of the medial orbitofrontal (MO) cortex after the social challenge. Alterations in the connectivity between the orbitofrontal cortex and the amygdala were linked to the aggressive phenotype. Increased and sustained expression levels of the monoamine oxidase A (MAOA) gene were found in the prefrontal cortex but not in the amygdala of peripubertally stressed animals. They were accompanied by increased activatory acetylation of histone H3, but not H4, at the promoter of the MAOA gene. Treatment with an MAOA inhibitor during adulthood reversed the peripuberty stress-induced antisocial behaviors. Beyond the characterization and validation of the model, we present novel data highlighting changes in the serotonergic system in the prefrontal cortex—and pointing at epigenetic control of the MAOA gene—in the establishment of the link between peripubertal stress and later pathological aggression. Our data emphasize the impact of biological factors triggered by peripubertal adverse experiences on the emergence of violent behaviors.
Epidemiological studies have shown that adverse experiences during childhood, particularly fear and maltreatment, enhance the risk of developing violent behaviors.1 Deviation from the normal development of social, emotional and cognitive abilities has been proposed to mediate the association between early adversity and aggression later in life;2 however, the associated neurobiological mechanisms remain unclear.
There has been increasing evidence for the associations linking early adversity to the serotonin (5-HT) system and pathological impulsive aggression in adulthood both in humans and animals.3, 4, 5, 6, 7 Early studies established a connection between aggressive behavior and deficiency in the expression or activity of the monoamine oxidase A (MAOA) gene, which encodes a catabolic enzyme that degrades biogenic amines including 5-HT.8, 9 Subsequently, common polymorphisms in the genes of the serotonergic circuitry—notably the 5-HT transporter (5HTT) and MAOA (with abundant evidence for the latter)—were found to increase the risk of antisocial and aggressive behaviors following childhood adversity10, 11, 12, 13, 14 (but see Kim-Cohen et al.15). Interestingly, the MAOA allelic variant that mediates the effect of early life maltreatment on the development of antisocial behavior10 was independently associated with increased reactivity in the amygdala and reduced activity in the regulatory prefrontal regions (orbitofrontal and anterior cingulate cortices) in response to an emotional challenge.16 Similarly, the 5HTT allelic variant that reportedly links early adversity to the development of aggression12 was also associated with increased amygdala activity and reduced cingulate cortex activation under emotional arousal.17 Changes in these corticolimbic networks have been linked to aggressive behavior in lesion and stimulation studies (for a review, see Coccaro et al.18) and linked to a dysfunction of the amygdala–orbitofrontal cortex response to social threats in functional neuroimaging studies in individuals with impulsive aggression.19
Recent work has shown that extreme levels of early life stress can lead to increased aggression independently of these genetic variations.12, 14 These observations suggest that high levels of stress experienced during critical developmental periods can alter the expression of serotonergic genes and affect the functioning of associated brain areas and their connectivity.20, 21 In monkeys, low 5HTT expression in peripheral blood mononuclear cells was found to be a predictor of behavioral disinhibition following early life stress independent of a polymorphism in the promoter of the 5HTT gene.22 A study investigating hypothalamic 5-HT expression in a rat model of enhanced intermale aggression induced by maternal separation provided evidence for the serotonergic system to exhibit long-lasting stress effects.23 However, whether early life stress can directly affect the activity of serotonergic pathways in higher brain areas and circuits implicated in human aggression (for example, the amygdala and the prefrontal cortex (PFC)) remains unknown. Changes in epigenetic markers in the 5-HT gene—increased methylation of its promoter region—have been observed in lymphoblasts of women submitted to childhood abuse and proposed to mediate the impact of child maltreatment on antisocial behavior.24 However, there is currently no available evidence that early life experience can have long-lasting changes in epigenetic markers associated to serotonergic neural mechanisms.
To address these questions, we utilized a rat protocol developed in our laboratory,25 and based on the exposure to stressful experiences during the peripubertal period (from postnatal days P28 to P42), to investigate intermale aggressive behaviors in adult rats. We selected the peripubertal period (instead of manipulating stress before weaning as many other studies in the literature do) to tackle specifically this important developmental phase when significant maturation processes occur in particular brain regions important for emotion and cognition, resembling the period spanning childhood and puberty in humans.26, 27 At adulthood, we investigated the brain activity of peripubertally stressed rats along with brain-region-specific changes in the expression of the MAOA and 5HTT genes, and assessed potential changes in histone acetylation associated with the observed increased expression in these genes. A pharmacological approach based on the neurobiological findings was also applied to assess the therapeutic implications for reversibility of the aggressive phenotype.
The experimental subjects were the offspring of Wistar Han rats (Charles River Laboratories, L'Arbresle, France), bred in our animal house. Male rats from different litters were mixed throughout the different home cages by placing equivalent numbers of animals from each litter into the stress or control group and by avoiding having siblings in the same home cage. They were housed 2–3 animals per standard plastic cage on a 12h light–dark cycle (lights on at 0700h). Food and water were available ad libitum. All procedures were conducted in conformity with the Swiss National Institutional Guidelines on Animal Experimentation and approved by a license from the Swiss Cantonal Veterinary Office Committee for Animal Experimentation.
This protocol is based on exposure to fear-induction procedures. Following exposure to an open field for 5min on day P28, the stress protocol consisted on the presentation of two different fear-inducing stressors (each one lasting 25min): (1) the synthetic fox odor trimethylthiazoline (9μl) (Phero Tech Inc., Delta, BC, Canada), which was administered in a plastic box (38 × 27.5 × 31cm) through a small cloth. The box was placed under a bright light (210–250lx); and (2) exposure to an elevated platform (12 × 12cm elevated 95cm from the ground) under direct bright light (470–500lx). Following each stress session, the animals were returned to their home cages where, during the first 15min, a transparent Plexiglas wall with holes separated each animal.
The stressors were applied during the peripuberty period (a total of 7 days across the P28–P42 period, that is, on P28–30, P34, P36, P40 and P42) during the light phase following an unpredictable schedule. The order and timing of the stressors were changed on different days. On some stress days, only one stressor was presented, while on other days, the two stressors were given consecutively (for details on the specific protocol, see Supplementary Figure S1a and Supplementary Videos S1and S2). The control animals were handled on the days that their experimental counterparts were exposed to stress. In one experiment, the same stress procedure instead of being applied during the peripuberty period, it was applied at adulthood (see details in Supplementary Figure S1b).
Different experiments were carried out in which the behavioral effects of peripubertal stress at adulthood and/or neurobiological end points were examined (Supplementary Figure S2). At the behavioral level, our main focus was the evaluation of aggressive behaviors through different RI tests that varied depending on the nature of the intruder (that is, whether anesthetized, or similar, smaller or larger than the resident animal). Evaluation of social behaviors was complemented with the sociability test. Other behavioral domains evaluated were anxiety-like (through the elevated plus maze (EPM)) and depression-like (through the forced swim and sucrose consumption tests) behaviors.
Control (n=45) and peripubertally stressed animals (n=43) were used to characterize the effects of the peripubertal stress protocol (Supplementary Figure S2, cohorts 1, 6 and 7). At specific days during peripuberty (P36, P37, P40, P43 and P50), an experimenter blind to the stress condition evaluated the moment of puberty onset by direct observation of prepuce separation. Moreover, corticosterone levels were measured in a subset of stressed animals (n=35) on the first (P28) and last days (P42) of the stress protocol. Blood samples were collected using the tail-nick protocol under basal conditions, immediately following the termination of the elevated platform stress and 30 and 60min after the elevated platform stress.
Different sets of control and peripubertally stressed rats were tested for different types of aggressive behavior at adulthood (3 months old):
Control and peripubertally stressed animals (n=9 per group; Supplementary Figure S2, cohort 1) were tested for depression-like behaviors using the following tests in the specified order during adulthood (3 months old): sucrose consumption,28 sociability,29, 30 and forced swimming tests31 (see Behavioral tests description for further details). There were at least 3 days between each behavioral test.
At 1 week after the behavioral testing on the elevated-plus maze, eight animals per group were used to evaluate the brain glucose metabolism under basal conditions (Supplementary Figure S2, cohort 2). These animals were injected intraperitoneally with [1-14C]2-deoxy--glucose (165μCi/kg; Hartmann Analytic, Braunschweig, Germany) 45min before being killed. The brains were removed and quickly frozen in isopentane precooled with dry ice. The frozen brains were stored at −80°C until processing for the 2-deoxy-glucose procedure imaging technique (see Supplementary Methods for further details).
At 3 months old, control and peripubertally stressed animals (n=8 and 9, respectively; Supplementary Figure S2, cohort 5) were submitted to a conventional RI test protocol. At 90min after the behavioral testing, the animals were anesthetized with isoflurane and perfused via the ascending aorta with ice-cold 0.9% saline, followed by 4% paraformaldehyde in phosphate-buffered saline (pH=7.5). Their brains were subsequently removed, postfixed and processed for c-Fos immunohistochemistry (see Supplementary Methods for further details).
Control and peripubertally stressed animals were killed during adulthood (3 months old) either under basal conditions or 3h after the end of the RI test. Thus, the experiment involved four experimental groups (n=9–10 per group; Supplementary Figure S2, cohort 6). After decapitation, the fresh brains were quickly removed, and the areas of interest were quickly dissected on dry ice and placed into liquid nitrogen in RNase-free cryotubes. The samples were stored at −80°C until further processing for RNA extraction or chromatin immunoprecipitation (ChIP) protocols (see Supplementary Methods for further details).
At 3 months old, control and peripubertally stressed animals (n=16 and 18, respectively; Supplementary Figure S2, cohort 7) were assigned either to vehicle or a low, chronic dose of the irreversible and selective MAOA inhibitor clorgyline (Sigma, Basel, Switzerland; subcutaneously, 1mg/kg per day). The animals were injected with drug or vehicle (physiological saline) every morning for 3 weeks and then tested to analyze their behaviors in the sociability and RI tests. The sociability test was conducted on the 21st day of clorgyline treatment immediately before the last injection (approximately 24h after the injection on the previous day). The RI test was performed during the dark cycle of the 23rd day, approximately 55–60h after the last injection.
To test if the behavioral phenotype observed in the peripubertally stressed animals was due to the time period when it is applied (that is, peripuberty), an additional experiment was performed in which the same stress protocol was given to adult animals (3 months old). A total of 24 male Wistar rats (n=12 per group) were used (Supplementary Figure S2, cohort 8). The behavioral tests were performed 2 months after stress application (that is, to allow for the same delay period as in the peripubertal stress studies). Thus, 5-month-old control and stressed animals were evaluated in the sucrose preference test, the EPM and the RI test.
Rats underwent the RI tests at 3–4 months of age. The RI protocol was adapted from Veenema et al.23 Briefly, each rat was housed in an experimental cage (40 × 29 × 20cm3) with a female Wistar rat for 10 days. The female was removed from the resident's home cage 30min before each test and was returned after the test. The RI tests were conducted during the beginning of the dark cycle (between 1930 and 2130 hours). During the standard RI test, the resident control or peripubertally stressed male was exposed in its home cage to a slightly smaller (5% of body weight difference), unfamiliar male Wistar rat for 30min. The rats were exposed to a single RI test, and the intruders were used only once. The tests were videotaped, and the behavioral scoring was conducted by an experimenter blind to the treatment conditions and assisted by a computer program (The Observer 5.0.25, 2003; Noldus Information Technology, Wageninge, The Netherlands). The following parameters related to intermale aggression were scored for the intruders and the residents: attack latency time, number of attacks, lateral threat, clinch, offensive upright and keep down. The percentage of the time spent performing the latter four behavioral parameters was summarized as the total aggressive behavior. To determine the aggressive behavior of each pair of animals, the aggressive behavior ratio was calculated as follows: (aggressive behavior of the resident × 100/(resident+intruder aggressive behaviors)).33 In another set of animals, a detailed video analysis (frame by frame when necessary) was performed to identify the target of the attacks. Hard bites were scored as targeted toward vulnerable (head, throat and belly of their opponents) or non-vulnerable parts of the opponent. The percentage of the hard bites targeted toward vulnerable parts was calculated. Furthermore, social behaviors (consisting of general investigation or anogenital sniffing of the opponent), grooming and the submissive behaviors of the intruders were also scored.
To further characterize the aggressive profile of the animals, different variants of the conventional RI test were performed, as follows:
RI test with an anesthetized intruder: In this experiment, the intruder placed into the home cage of either the control or the peripubertally stressed rat was an anesthetized male with a body weight similar to that of the resident. The interaction (30min) was videotaped, and the behavioral scoring was conducted with the assistance of a computer program (The Observer 5.0.25, 2003; Noldus IT). The following behaviors of the resident animal against the intruder were scored: burying, bites, jumps and displacements (that is, aggressive behaviors) and grooming.
RI test with a small intruder: A small, naïve intruder of 50% of the body weight of the resident was introduced into the control or peripubertally stressed animal's home cage for 15min. The following parameters related to intermale aggression were scored blindly for the intruders and the residents using a computer program (see above): attack latency time, number of attacks, lateral threat, clinch, offensive upright and keep down. As the intruders rarely displayed aggressive behaviors, calculating the ratio of the aggressive behaviors between the resident and intruder did not provide the best information concerning this type of encounter. Furthermore, social behaviors (consisting of investigating the opponent and anogenital sniffing), grooming and the submissive behaviors of the intruders were also scored.
RI test with a large intruder: A larger intruder of 125% the body weight of the resident was introduced into the control or peripubertally stressed animal's home cage for 30min. The following parameters related to intermale aggression were scored for the intruders and the residents: attack latency time, number of attacks, lateral threat, clinch, offensive upright and keep down. Furthermore, social behaviors (consisting of investigating the opponent and anogenital sniffing), grooming and the submissive behavior of the intruders were also scored.
The sociability test was adapted from the protocol described by Crawley to investigate the sociability of male mice.29 Briefly, the test was conducted in a rectangular, three-chambered box (a center chamber of 20 × 35 × 35cm and left and right compartments of 30 × 35 × 35cm) fabricated from gray opaque polycarbonate. The dividing walls had retractable doorways allowing access to each chamber. The left and right compartments contained a central Plexiglas cylinder (15cm in diameter) that was transparent with small holes where either a social (unfamiliar juvenile rat approximately 34 days old) or a non-social stimulus (yellow plastic bottle) was placed. The cylinder permitted visual, tactile, auditory and olfactory communication. This allowed evaluating the social approach tendencies while avoiding potential confounds resulting from aggressive or sexual interactions.29 The juvenile rats were first habituated to the three-chambered apparatus by placing them individually in the box within the Plexiglas cylinder for 10min during the 3 consecutive days preceding the social test.
On the testing day, the test rat was first placed into the middle chamber and allowed to explore for 5min. The doorways into the two side chambers were closed during this habituation phase. After the habituation period, the unfamiliar juvenile was placed into one of the side chambers, and the object was placed in the other side chamber. The locations of the juvenile and the object in the left vs right sides of the chamber were counterbalanced. Next, both doors to the side chambers were carefully removed, and the rat was allowed to explore the entire apparatus for a 10-min session. The session was video-recorded, and the time spent sniffing each cylinder was manually scored by an experimenter blind to the treatments to evaluate the level of preference for the unfamiliar juvenile compared with the object (exploration time ratio=time exploring the juvenile/time exploring the object). The entire apparatus was cleaned with 5% acetic acid solution and dried thoroughly between each test.
Anxiety-like levels were evaluated using the EPM test.32 Briefly, the test consists of two opposing open arms (50 × 10cm) perpendicular to two enclosed arms (50 × 10 × 50cm) that extend from a central platform (10 × 10cm) elevated 65cm above the floor. The rats were placed individually on the central platform facing a closed arm and allowed to explore the maze for 5min. Their behavior was monitored using a video camera and analyzed with a computerized tracking system (Ethovision 3.1.16; Noldus IT). The time spent in the open and closed arms, the latency to enter the open arm, the distance traveled and the transitions between the different arms were recorded. The entire apparatus was cleaned with 5% acetic acid solution and dried thoroughly between each animal.
The rats were submitted to a forced swimming test to evaluate depression-like behaviors.31, 34 Briefly, the animals were individually placed in a plastic beaker (25cm diameter, 46cm deep) containing 30cm of water (25°C) for 15min. A second session was performed 24h later for 5min.35 Their behaviors were recorded with a video camera, and the time spent immobile (making only those movements necessary to keep the snout above the water), swimming, climbing or diving was manually quantified with the aid of a computer program (The Observer 5.0.25, 2003; Noldus IT) by an experimenter who was blind to the experimental condition.
Sucrose consumption was measured to evaluate anhedonic symptoms in the experimental animals. The relative preference for a sucrose-sweetened solution (vs water) provides a simple measure related to the anhedonia seen in depressive patients.28 Sucrose intake (1% sucrose solution) was measured at basal conditions during adulthood. Two preweighted bottles, containing 0% (tap water) or 1% sucrose solution, were placed in each cage. The animals were allowed to freely drink from the two bottles during an overnight window. The rats were not deprived of food or water to avoid any stress related to these procedures. Consumption was measured by comparing the bottle weight before and after the overnight window. The intake was expressed in relation to each animal's body weight (g/100g of body weight).
Blood samples were obtained either by the tail-nick procedure or decapitation depending on the experiment. The tail-nick procedure allows for the collection of blood samples at different time points from the same animal,36 which enables the study of hormonal dynamics. In the tail-nick procedure, blood samples (up to 100μl for peripubertal and 250μl for adult animals) were taken within 2min from starting the procedure and collected into ice-cold heparinized capillary tubes (Sarsted, Sevelen, Switzerland). The plasma obtained after centrifugation was stored at −20°C until analysis. To obtain the decapitation blood samples, the animals were euthanized in an adjacent room within 30s of removal from the holding room. The trunk blood was collected in tubs containing heparin and centrifuged at 4°C, and the serum was frozen at −20°C until the analysis.
Plasma corticosterone and testosterone levels were measured using an enzymatic immunoassay kit (Correlate-EIA from Assay Designs Inc., Ann Arbor, MI, USA) according to the supplier's recommendations. The area under the curve of the corticosterone and testosterone levels was calculated using GraphPad Prism (version 4), which computes the area under the curve using the trapezoid rule.
Potential differences in brain activity between control and peripubertally stressed animals were evaluated at adulthood both under basal conditions (using the [14C]2-deoxy-glucose procedure) and after the standard RI test (using c-Fos immunohistochemistry, 90min after the end of the test) (see Supplementary Methods for further details). We used these two complementary techniques at different time points to obtain a picture of brain activity while avoiding injecting animals before the social encounter. Dynamic brain interactions after the RI test were modeled through structural equation modeling that was applied with maximum-likelihood estimation to evaluate the effective network connectivity37, 38, 39 (see Supplementary Methods).
Potential changes in the expression of candidate genes were explored (see Supplementary Table S1 for primer sequences). For this purpose, mRNA was assessed by quantitative real-time polymerase chain reaction and significant changes in gene expression followed up by the assessment of histone acetylation by ChIP procedures, as described previously40 (see Supplementary Methods).
The SPSS 13.0 (SPSS, Chicago, IL, USA) statistical package was used for the statistical analyses. The normality and homogeneity of variance of the data were tested, and the adjusted statistics were used as required. Independent-samples t-tests were performed to compare differences between control and peripuberty stress groups. Analysis of variance (ANOVA) of repeated measures with stress as between-subject factor and time as within-subject factor was used to study the evolution over time of aggressive and submissive behaviors in the RI test in control and peripuberty stress groups. ANOVAs of repeated measures were performed in the analysis of brain activity studies (2-deoxy-glucose procedure and c-Fos), with stress as between-subject group and different subregions of candidate brain areas as within-subject factor. Post hoc comparisons were used when required. Dynamic brain interactions after the RI test were modeled through structural equation modeling (see Supplementary Methods). Peripuberty stress effects on gene expression and epigenetic regulation were assessed with two-way ANOVA with stress (control/peripuberty stress) and moment of sampling (basal/after RI test) as independent factors. Finally, two-way ANOVAs were performed to study the reversibility of the main behavioral effects of peripuberty stress with the MAOA inhibitor, with stress (control/peripuberty stress) and drug (vehicle/clorgyline) as independent factors. The different statistical analyses used for each experiment are indicated in the figure legends and explained in Supplementary Methods. Statistical significance was set at P<0.05.
We first characterized the stressful nature of the peripuberty stress protocol based on exposure to fear-induction experiences (Materials and methods, Supplementary Figure S1 and Supplementary Videos S1 and S2). Stressed animals displayed a robust stress response to our protocol, as indicated by increased corticosterone release during the first and the last stress days (Supplementary Figure S3). In addition, exposure to these fear-induction experiences led to a delay on the puberty onset (Supplementary Figure S4).
We then evaluated the long-term behavioral consequences of exposure to peripuberty stress, with a particular focus on aggressive behaviors. Importantly, peripubertally stressed animals displayed a pattern of pathological aggression during adulthood when exposed to different RI tests against a variety of male intruders, including: (i) animals of similar body weights (Figure 1a–d and Supplementary Videos S3 and S4), which were more frequently attacked by peripubertally stressed rats than by controls (Figure 1a and c), particularly in vulnerable body parts (Figure 1d), despite showing high signals of submissive behavior (Figure 1b); (ii) animals that did not pose a real threat (for example, an anesthetized intruder (Figure 1e) or a smaller intruder that was 50% lighter than the resident (Figure 1f)), indicating a mismatch between provocation and response; and (iii) larger intruders (Figure 1g) that posed a greater threat. The plasma testosterone/corticosterone ratio measured after the RI test was higher in peripubertally stressed animals than in the controls (Figure 1h and Supplementary Figure S5).
We further evaluated whether other behaviors would also be affected by peripubertal stress exposure. In the social domain, peripubertally stressed animals were less motivated than controls to explore a juvenile conspecific when tested in the three-chamber sociability test (Figure 1i). In addition, peripubertally stressed animals showed increased anxiety-like (Supplementary Figure S6a–e) and depression-like behaviors (Supplementary Figure S6g and h). Importantly, these behavioral alterations (for example, in the aggression (Figure 1j) and anxiety- and depression-like (Supplementary Figure S6f and i) tests) were not observed when the fear-induction protocol was applied during adulthood (for experimental design, see Supplementary Figure S1b).
To ascertain the neuroanatomical substrates of this peripubertal stress-induced aggressive syndrome, basal brain energy metabolism ([14C]2-deoxy-glucose autoradiography; Figure 2a and b) and neural activity after the RI test (c-Fos immunoreactivity; Figure 2c and d) were studied. We used these two complementary techniques at different time points to obtain a comprehensive picture of brain activity while avoiding injecting animals before the social encounter. Overall, peripubertally stressed animals showed higher basal energy metabolism in the amygdala (Figure 2b, upper panel) and marginal increases in the bed nucleus of the stria terminalis and the lateral septum (Figure 2b, medium panel), but no significant changes were found throughout the PFC (Figure 2c, lower panel). After an aggressive encounter, c-Fos analyses revealed that these animals continued to show hyperactivation of the central and medial amygdala nuclei (Figure 2d, upper panel), but lower expression in the MO cortex and no changes in other PFC subregions (Figure 2d, lower panel) or in other analyzed areas (Figure 2b, middle panel). Effective connectivity analyses revealed alterations in the network dynamics associated with the high aggression provoked by the RI test in peripubertally stressed animals (Figure 2e and f, Supplementary Figure S7 and Supplementary Tables S2 and S3). Unlike controls, peripubertally stressed animals showed a negative coupling between the MO and the amygdala.
Relevant molecular changes were then investigated in brain regions in which the pattern of activity was found to be affected by peripubertal stress (that is, PFC and amygdala) and in other brain regions implicated in social behaviors and emotional regulation (including septum and raphe nuclei). Quantitative reverse transcription-polymerase chain reaction analyses were used to examine the expression levels of genes related to aggressive behaviors, including MAOA and 5HTT, the variants of which genetically predispose humans for aggressive behaviors.10, 12, 41 Brain samples were collected either under basal conditions or after the RI test. Peripubertally stressed rats showed increased MAOA and 5HTT mRNA levels in the PFC; however, only the latter was downregulated by social contact (Figure 3a and b). There were no alterations in any of the other brain regions examined (Supplementary Figure S8). Given the observed increase in MAOA and 5HTT mRNA expression in the PFC, potential epigenetic changes that could be linked to long-term enhancements in gene expression were investigated by determining the acetylation of the relevant histones for these genes. Using ChIP, peripubertally stressed animals were found to exhibit increased relative enrichment of histone 3 acetylation, but not for histone 4 acetylation, for the MAOA gene in the PFC during adulthood. No changes for acetylation of these histones were found for 5HTT gene in the PFC during adulthood (Figure 3c and d, Supplementary Figure S9).
The enhanced MAOA gene expression and its associated H3 acetylation observed in the PFC of peripubertally stressed animals prompted us to perform a pharmacological experiment using the MAOA inhibitor clorgyline. Chronic treatment of adult rats with a low dose of clorgyline (1mg/kg per day injected subcutaneously daily during 3 weeks; behavioral testing started 24h after treatment) reversed the reduced sociability (Figure 4a) and the enhanced aggression in the standard RI's test (Figure 4b) induced by peripubertal stress. On the contrary, control animals chronically treated with clorgyline showed enhanced aggressive behavior (Figure 4b).
In humans, it is well established that exposure to stress and maltreatment early in life represents a major risk factor for the development of violent behaviors during adulthood;10, 42, 43 however, the underlying neurobiological mechanisms that mediate the effects of stress remain unclear. In this study, we provide behavioral, endocrine, neurobiological, molecular and pharmacological data supporting the validity of a rat model of hyperaggression induced by exposure to peripubertal stress for the investigation of the neural mechanisms that establish a link between early life stress and aggression during adulthood. Our data indicate that the model displays face, construct and predictive validity, and therefore represents a valuable tool for the assessment of potential treatments.
We show that male rats exposed to stressful experiences during the peripubertal period exhibit higher rates of long-term increased aggression. Peripubertally stressed rats are more aggressive than controls in the RI tests and also exhibit an overall pattern of pathological aggression based on the following criteria:4, 44 (i) they continue attacking even when their opponents display highly submissive postures (that typically in control animals reduce attacks from the resident); (ii) they attack vulnerable body parts; and (iii) they do not discriminate between different types of opponents, attacking unthreatening small and anesthetized males along with larger males. In addition, we have recently shown that the same peripubertal stress protocol leads to increased aggression against females.45 Thus, our findings fit with previous human studies showing that children exposed to early life stress show increased risk to develop subsequent aggressive behavior.12, 14
Also, as previously observed in humans (for a review see Heim et al.46), peripubertally stressed rats exhibit changes in other behavioral domains, including reduced social tendencies and increased anxiety- and depression-like behaviors. In humans, symptoms of depression and antisocial behaviors frequently co-occur, especially during adolescence and early adulthood,43, 47 and both have been associated with exposure to adversity early in life.42, 43 Maternal separation stress during the early postnatal period in rats was previously shown to promote aggression.23 Our results extend the stress-sensitivity period for increased aggression to adolescence (that is, peripuberty period) and are in agreement with previous studies that characterized adolescence as a stress-sensitive time-window during which individuals may develop anxiety- and depression-like behaviors.48, 49, 50 Importantly, the lack of behavioral effects observed when the same stress protocol was applied during adulthood highlights peripuberty as a period of special sensitivity to the behavioral programming of aggressive and emotional behaviors. This finding resembles former observations in mice showing that assembling unfamiliar groups at weaning, but not in adulthood or soon after birth, elicits a marked hyperaggression later in life.51, 52
Although high testosterone and low cortisol levels have been associated independently with social aggression, when both are combined in the same individual aggression seems to be most violent.53 Strikingly, the plasma testosterone/corticosterone ratio measured after the RI test was higher in the peripubertally stressed animals compared with the controls, in agreement with evidence in humans suggesting that this ratio is a hormonal indicator of aggressive behavior.53
The pattern of brain activity that we observed in peripubertally stressed rats (that is, hyperactivity in the amygdala under both basal and challenged conditions and hypoactivation of the MO cortex in response to the social challenge) is in agreement with previous findings of amygdala hyperfunctioning and MO cortex hypofunctioning in humans with impulsive aggression.54, 55 Furthermore, our findings are consistent with a large body of data linking amygdala hyperactivity and orbitofrontal cortex dysfunction to increased emotionality, impulsivity and aggression (for reviews, see Coccaro et al.18, 56 and Davidson et al.56). Our data therefore support a model linking dysfunction of the neural circuitry underlying emotional regulation with impulsive aggression,56 suggesting that the association between early life adversity and adult aggression involves the disruption of this circuitry. The results of our structural modeling suggest that a deficiency in MO cortex recruitment in peripubertally stressed animals is linked to high (medial) amygdala activation, which is similar to neuroimaging observations in humans presenting the low-expression MAOA allelic variant that is associated with an enhanced risk for impulsive-aggressive behavior.16, 56
There is a large amount of evidence supporting the association between the 5-HT system and aggression and violence.5, 6, 7, 18 We observed increased expression of the MAOA gene in the PFC in peripuberty stress animals under basal conditions and following an RI test. In contrast, increased basal expression of the 5HTT gene in the same brain region normalized after the social challenge. Overall, these findings are in agreement with reports implicating changes in the 5-HT system in different models of early life stress.3, 57 Although the finding of enhanced 5HTT gene expression might seem counterintuitive in light of early accounts in the literature proposing enhanced vulnerability to early life stress and psychopathology in association with genetic variants leading to reduced 5HTT gene expression,58 it is important to note that the developmental period when variations in the expression or function of this gene occur seem to be critical. As opposed to constitutive genetic deficiencies present throughout very early development, in our model, peripuberty stress-induced increases in PFC 5HTT expression occur after the major early developmental changes have occurred. In this connection, note the positive mood effects exerted by 5-HT-specific reuptake inhibitors in adult individuals. Similarly, former simplistic accounts linking 5-HT with aggression have been recently reviewed to account for a more complex picture depicting both low and high 5-HT levels in association with different types of aggression.4
PFC function is highly sensitive to changes in the activity of the 5-HT system,59, 60 and this interaction appears to be compromised in impulsive-aggressive individuals. For example, an increase in glucose metabolism in the PFC observed in normal subjects in response to a 5-HT agonist (fenfluramine) was found to be blunted or entirely absent in patients with aggressive-impulsive personality disorder,61, 62 a finding that was particularly significant for the MO cortex.63 It has been proposed that the decreased activation of inhibitory regions, such as the prefrontal and MO regions, in patients with impulsive aggression in response to a serotonergic stimulus contributes to their reduced ability to modulate aggressive impulses.64 In this context, our results put forward the increased expression of the MAOA and 5HTT genes in the PFC as a possible mechanism underlying the blunted MO cortex response to the RI challenge.
In our study, we also observed increased acetylation of histone H3, but not H4, at the promoter of the MAOA gene in the PFC of peripubertally stressed rats. This observation is in accordance with their increased expression levels of MAOA after the RI challenge, as histone acetylation is known to increase the accessibility of genes to the transcription machinery,65 and in accordance with a proposed role for histone 3 acetylation, but not H4, in regulating long-term changes in gene expression.66 Our observations on the acetylation of the MAOA gene are consistent with recent work implicating epigenetic modifications in the development of several psychiatric disorders67 and add to the mounting evidence that some of the enduring effects of early life stress on behavior and psychopathology are linked to changes in the epigenetic control of particular genes.68, 69, 70 The majority of the developmental studies performed in rodents have utilized either natural or stress-induced changes in the postnatal maternal care. The findings of these research studies have revealed altered epigenetic control of different genes in specific brain regions in adulthood, including the following: the glucocorticoid receptor in the hippocampus,71 which was also found to be affected in human suicide victims exposed to childhood abuse or neglect;72 the estrogen receptor (ER) gene in the medial preoptic area,73 and the brain-derived neurotrophic factor (BDNF) gene in the PFC,74 which was also found to be responsive to stress manipulations during adulthood.75 Although, in our study, no changes were observed in the histone acetylation of the 5HTT gene in the PFC, the involvement of other epigenetic mechanisms in the upregulation of 5HTT expression in peripubertally stressed animals cannot be excluded. Several examples in the literature report alterations in DNA methylation for this gene, including recent examples in the lymphoblasts of women who exhibit antisocial behavior induced by child abuse.24
Peripubertally stressed animals also showed increased anxiety- and depression-like behaviors. Although the link between anxiety and aggression is still under investigation,76 a considerable comorbidity has been established between aggression and depression in animals77, 78 and in humans, particularly during adolescence and early adulthood.43, 47 Interestingly, a gene × environment interaction between early life stress and both 5HTT (for a review, see Vergne and Nemeroff79 and Caspi et al.80) and MAOA (Beach et al.43, 81 and Cicchetti et al.81, but note discrepant findings in Caspi et al.10, 82 and Eley et al. 82) genes has also been associated with depression. Thus, our findings raise the possibility that a link between early life stress, comorbid aggression and depression-like phenotypes relies on changes in the regulation of serotonergic pathways, and more specifically, changes in the expression levels of the MAOA and 5HTT genes in the PFC. Further studies should address the phenotypic and mechanistic relationships between these different peripubertal stress-induced behavioral manifestations.
Our pharmacological experiment showed that chronic treatment with the MAOA inhibitor clorgyline during adulthood reversed the increased aggression and reduced sociability observed in peripubertally stressed animals. These findings support a role for the observed increase in MAOA expression in the development of these behavioral outcomes and suggest that its targeting can be effective for treatment of the aggressive phenotype. It should be noted that animals were tested 1–3 days after the termination of the pharmacological treatment to avoid immediate confounding effects of the drug on behavior. Moreover, and in agreement with previous findings,9, 83 unstressed animals given the same pharmacological treatment showed increased, as opposed to normalized, social interaction during the RI test, further supporting the specificity of the observed normalizing effects of the MAOA inhibitor on peripuberty stress-induced behavioral changes. Taken together, these results support previously established hypotheses that either MAOA hypo- or hyperactivity can contribute to pathological aggression.6
In conclusion, we present a novel animal model for pathological aggression induced by peripuberty stress with face, construct and predictive validity. The face validity criterion relates the model with impulsive aggression, as peripubertally stressed animals exhibit heightened attacks against all types of opponents and continue attacking opponents regardless of clear indications of defensive behavior. The construct validity of the model is supported by the hallmark alterations of aggressive-impulsive behaviors in human subjects (that is, changes in the amygdala–MO cortex circuitry,18, 19 the testosterone/corticosterone ratio53 and the serotonergic system41) that are recapitulated in our rat model. The predictive validity criterion relates to the effectiveness of the MAOA inhibitor pharmacological treatment in mitigating antisocial behaviors, as previously reported in humans. Beyond the characterization and validation of the model, our data highlight the impact of biological factors triggered by juvenile adverse experiences on the emergence of violent behaviors, which should thus be considered a critical complement to the predominant views that emphasize cultural and social learning influences as the mediating mechanisms. Importantly, this animal model of peripuberty stress-induced adult aggression provides a unique tool for investigating the underlying neurobiological mechanisms and for testing and developing new treatment approaches that would otherwise be largely unfeasible in human studies.
We thank Angélique Vaucher, Coralie Siegmund, Marjorie Clerc, Aliénor Sonnay and Flora Vajda for excellent technical assistance, Manuel Bueno and Sylvain Lengacher for their advice on the gene expression experiments, Julia Parafita for her advice on 2-deoxy-glucose procedure analysis and David Rotllant for his advice in c-Fos immunohistrochemistry. This work was supported by grants from the Swiss National Science Foundation (310000-120791 and 31003AB-135710; Sinergia CRSIK3-122691; and the NCCR ‘The synaptic basis of mental diseases'), Oak Foundation, IBRO-SNSF and Roche Research Foundation, and intramural funding from the EPFL.
The authors declare no conflict of interests.
Supplementary Information accompanies the paper on the Translational Psychiatry website (http://www.nature.com/tp)