Psychopharmacology

, Volume 228, Issue 2, pp 231–241 | Cite as

Prenatal exposure to escitalopram and/or stress in rats

A prenatal stress model of maternal depression and its treatment
  • Chase H. Bourke
  • Catherine F. Capello
  • Swati M. Rogers
  • Megan L. Yu
  • Katherine A. Boss-Williams
  • Jay M. Weiss
  • Zachary N. Stowe
  • Michael J. Owens
Original Investigation

Abstract

Rationale

A rigorously investigated model of stress and antidepressant administration during pregnancy is needed to evaluate possible effects on the mother.

Objective

The objective of this study was to develop a model of clinically relevant prenatal exposure to an antidepressant and stress during pregnancy to evaluate the effects on maternal care behavior.

Results

Female rats implanted with 28-day osmotic minipumps delivering the SSRI escitalopram throughout pregnancy had serum escitalopram concentrations in a clinically observed range (17–65 ng/ml). A separate cohort of pregnant females exposed to a chronic unpredictable mild stress paradigm on gestational days 10–20 showed elevated baseline (305 ng/ml), and acute stress-induced (463 ng/ml), plasma corticosterone concentrations compared to unstressed controls (109 ng/ml). A final cohort of pregnant dams were exposed to saline (control), escitalopram, stress, or stress and escitalopram to determine the effects on maternal care. Maternal behavior was continuously monitored over the first 10 days after parturition. A reduction of 35 % in maternal contact and 11 % in nursing behavior was observed due to stress during the light cycle. Licking and grooming behavior was unaffected by stress or drug exposure in either the light or dark cycle.

Conclusions

These data indicate that: (1) clinically relevant antidepressant treatment during human pregnancy can be modeled in rats using escitalopram; (2) chronic mild stress can be delivered in a manner that does not compromise fetal viability; and (3) neither of these prenatal treatments substantially altered maternal care post parturition.

Keywords

Animal models Developmental pharmacology Hypothalamic–pituitary–adrenal axis Maternal care Pharmacokinetics Pregnancy Selective serotonin reuptake inhibitor Stress 

Abbreviations

CMS

Chronic unpredictable mild stress

CRF

Corticotropin-releasing factor

GN

Gestational day N

PNDN

Postnatal day N

SSRI

Selective serotonin reuptake inhibitor

Notes

Acknowledgements

We thank Dr. James Ritchie and Bailey Glover from the Department of Pathology and Laboratory Medicine at Emory University for running the serum escitalopram assay. We also thank Dr. K.V. Thrivikraman for help with the jugular catheterization surgery. Escitalopram oxalate was a generously provided by Lundbeck Research USA (Paramus NJ). All experiments comply with the current laws of the United States of America. This work was supported by the National Institutes of Health National Institute of Mental Health [Grant P50 MH-77928] (ZNS and MJO) and the National Institute of Environmental Health Sciences [Grant 12870] (CHB), the National Center for Research Resources [Grant 012870] (CHB), the Howard Hughes Medical Institute [Grant 5600672] (CHB), and in part by the Emory Biomarker Service Center.

Conflicts of interest

CHB, CFC, SMR, MLY, KAB, and JMW have no conflicts to disclose. ZNS has received research support from NIH, GSK, Pfizer and Wyeth, has served on speakers or advisory boards for Pfizer, Eli Lilly, Wyeth, BMS, and GSK, and has received honoraria from Eli Lilly, GSK, Pfizer, and Wyeth. MJO has research grants from NIH, Eli Lilly, Lundbeck A/S, Cyberonics, Ortho-McNeil Janssen, AstraZeneca, Dainippon Sumitomo Pharma, Sunovion, and SK Life Sciences. He is a consultant to Takeda and RJ Reynolds. He receives consulting fees from H. Lundbeck A/S that are greater than $5,000 annually. These financial interests have been reviewed and a financial management plan is in place. He has a patent entitled: "Method of assessing antidepressant drug therapy via transport inhibition of monoamine neurotransmitters" (US 7,148,027 B2).

References

  1. Baker S, Chebli M, Rees S, Lemarec N, Godbout R, Bielajew C (2008) Effects of gestational stress: 1. Evaluation of maternal and juvenile offspring behavior. Brain Res 1213:98–110PubMedCrossRefGoogle Scholar
  2. Ballard PL, Kitterman JA, Bland RD, Clyman RI, Gluckman PD, Platzker AC, Kaplan SL, Grumbach MM (1982) Ontogeny and regulation of corticosteroid binding globulin capacity in plasma of fetal and newborn lambs. Endocrinology 110:359–366PubMedCrossRefGoogle Scholar
  3. Barlow SM, Morrison PJ, Sullivan FM (1975) Effects of acute and chronic stress on plasma corticosterone levels in the pregnant and non-pregnant mouse. J Endocrinol 66:90–99CrossRefGoogle Scholar
  4. Bonnin A, Goeden N, Chen K, Wilson ML, King J, Shih JC, Blakely RD, Deneris ES, Levitt P (2011) A transient placental source of serotonin for the fetal forebrain. Nature 21:347–350CrossRefGoogle Scholar
  5. Bundgaard C, Jørgensen M, Larsen F (2007) Pharmacokinetic modelling of blood–brain barrier transport of escitalopram in rats. Biopharm Drug Dispos 28:349–360PubMedCrossRefGoogle Scholar
  6. Cabrera TM, Battaglia G (1994) Delayed decreases in brain 5-hydroxytryptamine2A/2C receptor density and function in male rat progeny following prenatal fluoxetine. J Pharmacol Exp Ther 269:637–645PubMedGoogle Scholar
  7. Cabrera-Vera TM, Battaglia G (1998) Prenatal exposure to fluoxetine (Prozac) produces site-specific and age-dependent alterations in brain serotonin transporters in rat progeny: evidence from autoradiographic studies. J Pharmacol Exp Ther 286:1474–1481PubMedGoogle Scholar
  8. Cabrera-Vera TM, Garcia F, Pinto W, Battaglia G (1997) Effect of prenatal fluoxetine (Prozac) exposure on brain serotonin neurons in prepubescent and adult male rat offspring. J Pharmacol Exp Ther 280:138–145PubMedGoogle Scholar
  9. Capello CF, Bourke CH, Ritchie JC, Stowe ZN, Newport DJ, Nemeroff A, Owens MJ (2011) Serotonin transporter occupancy in rats exposed to serotonin reuptake inhibitors in utero or via breast milk. J Pharmacol Exp Ther 339:275–285PubMedCrossRefGoogle Scholar
  10. Champagne FA, Meaney MJ (2006) Stress during gestation alters postpartum maternal care and the development of the offspring in a rodent model. Biol Psychiatry 59:1227–1235PubMedCrossRefGoogle Scholar
  11. Champagne FA, Francis DD, Mar A, Meaney MJ (2003) Variations in maternal care in the rat as a mediating influence for the effects of environment on development. Physiol Behav 79:359–371PubMedCrossRefGoogle Scholar
  12. Cipriani A, Furukawa TA, Salanti G, Geddes JR, Higgins JP, Churchill R, Watanabe N, Nakagawa A, Omori IM, McGuire H, Tansella M, Barbui C (2009) Comparative efficacy and acceptability of 12 new-generation antidepressants: a multiple-treatments meta-analysis. Lancet 373:746–758PubMedCrossRefGoogle Scholar
  13. Clancy B, Darlington RB, Finlay BL (2001) Translating developmental time across mammalian species. Neuroscience 105:7–17PubMedCrossRefGoogle Scholar
  14. Coe CL, Murai JT, Wiener SG, Levine S, Siiteri PK (1986) Rapid cortisol and corticosteroid-binding globulin responses during pregnancy and after estrogen administration in the squirrel monkey. Endocrinology 118:435–440PubMedCrossRefGoogle Scholar
  15. Cohen LS, Altshuler LL, Harlow BL, Nonacs R, Newport DJ, Viguera AC, Suri R, Burt VK, Hendrick V, Reminick AM, Loughead A, Vitonis AF, Stowe ZN (2006) Relapse of major depression during pregnancy in women who maintain or discontinue antidepressant treatment. JAMA 295:499–507PubMedCrossRefGoogle Scholar
  16. Cottrell EC, Seckl JR (2009) Prenatal stress, glucocorticoids and the programming of adult disease. Front Behav Neurosci 3:19PubMedCrossRefGoogle Scholar
  17. Davis EP, Sandman CA (2010) The timing of prenatal exposure to maternal cortisol and psychosocial stress is associated with human infant cognitive development. Child Dev 81:131–148PubMedCrossRefGoogle Scholar
  18. Forcelli PA, Heinrichs SC (2008) Teratogenic effects of maternal antidepressant exposure on neural substrates of drug-seeking behavior in offspring. Addict Biol 13:52–62PubMedCrossRefGoogle Scholar
  19. Fromm M, Oelkers W, Hegel U (1983) Time course of aldosterone and corticosterone plasma levels in rats during general anaesthesia and abdominal surgery. Pflugers Arch 399:249–254PubMedCrossRefGoogle Scholar
  20. Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T (2005) Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol 106:1071–1083PubMedCrossRefGoogle Scholar
  21. Henderson MG, McMillen BA (1993) Changes in dopamine, serotonin and their metabolites in discrete brain areas of rat offspring after in utero exposure to cocaine or related drugs. Teratology 48:421–430PubMedCrossRefGoogle Scholar
  22. Institute for Laboratory Animal Resources (1996) Guide for the care and use of laboratory animals, 7th edn. Institute of Laboratory Animal Resources, Commission on Life Sciences, National Research Council, Washington, DCGoogle Scholar
  23. Ishiwata H, Shiga T, Okado N (2005) Selective serotonin reuptake inhibitor treatment of early postnatal mice reverses their prenatal stress-induced brain dysfunction. Neuroscience 133:893–901PubMedCrossRefGoogle Scholar
  24. Kreilgaard M, Smith DG, Brennum LT, Sanchez C (2008) Prediction of clinical response based on pharmacokinetic/pharmacodynamic models of 5-hydroxytryptamine reuptake inhibitors in mice. Br J Pharmacol 155:276–284PubMedCrossRefGoogle Scholar
  25. Léonhardt M, Matthews SG, Meaney MJ, Walker C-D (2007) Psychological stressors as a model of maternal adversity: diurnal modulation of corticosterone responses and changes in maternal behavior. Horm Behav 51:77–88PubMedCrossRefGoogle Scholar
  26. Lovejoy MC, Graczyk PA, O'Hare E, Neuman G (2000) Maternal depression and parenting behavior: a meta-analytic review. Clin Psychol Rev 20:561–592PubMedCrossRefGoogle Scholar
  27. Matuszewski BK, Constanzer ML, Chavez-Eng CM (2003) Strategies for the assessment of matrix effect in quantitative bioanalytical methods based on HPLC-MS/MS. Anal Chem 75(13):3019–3030PubMedCrossRefGoogle Scholar
  28. Meaney MJ (2010) Epigenetics and the biological definition of gene × environment interactions. Child Dev 81:41–79PubMedCrossRefGoogle Scholar
  29. Meyer JH, Wilson AA, Ginovart N, Goulding V, Hussey D, Hood K, Houle S (2001) Occupancy of serotonin transporters by paroxetine and citalopram during treatment of depression: a [(11)C]DSAB PET imaging study. Am J Psychiat 158:1843–1849PubMedCrossRefGoogle Scholar
  30. Meyer JH, Wilson AA, Sagrati S, Hussey D, Carella A, Potter WZ, Ginovart N, Spencer EP, Cheok A, Houle S (2004) Serotonin transporter occupancy of five selective serotonin reuptake inhibitors at different doses: an [11C]DSAB positron emission tomography study. Am J Psychiat 161:826–835PubMedCrossRefGoogle Scholar
  31. Mueller BR, Bale TL (2006) Impact of prenatal stress on long term body weight is dependent on timing and maternal sensitivity. Physiol Behav 88:605–614PubMedCrossRefGoogle Scholar
  32. Mueller BR, Bale TL (2008) Sex-specific programming of offspring emotionality after stress early in pregnancy. J Neurosci 28:9055–9065PubMedCrossRefGoogle Scholar
  33. Newport DJ, Stowe ZN, Nemeroff CB (2002) Parental depression: animal models of an adverse life event. Am J Psychiatry 159:1265–1283PubMedCrossRefGoogle Scholar
  34. Pawluski JL, Charlier TD, Fillet M, Houbart V, Crispin HT, Steinbusch HW, van den Hove DL (2013) Chronic fluoxetine treatment and maternal adversity differentially alter neurobehavioral outcomes in the rat dam. Behav Brain Res 228(1):159–168CrossRefGoogle Scholar
  35. Rao N (2007) The clinical pharmacokinetics of escitalopram. Clin Pharmacokinet 46:281–290PubMedCrossRefGoogle Scholar
  36. Rayen I, van den Hove DL, Prickaerts J, Steinbusch HW, Pawluski JL (2011) Fluoxetine during development reverses the effects of prenatal stress on depressive-like behavior and hippocampal neurogenesis in adolescence. PLoS ONE 6:e24003PubMedCrossRefGoogle Scholar
  37. Smith JW, Seckl JR, Evans AT, Costall B, Smythe JW (2004) Gestational stress induces post-partum depression-like behaviour and alters maternal care in rats. Psychoneuroendocrinology 29:227–244PubMedCrossRefGoogle Scholar
  38. Sogaard B, Mengel H, Rao N, Larsen F (2005) The pharmacokinetics of escitalopram after oral and intravenous administration of single and multiple doses to healthy subjects. J Clin Pharmacol 45:1400–1406PubMedCrossRefGoogle Scholar
  39. Takahashi LK, Turner JG, Kalin NH (1998) Prolonged stress-induced elevation in plasma corticosterone during pregnancy in the rat: implications for prenatal stress studies. Psychoneuroendocrinology 23:571–581PubMedCrossRefGoogle Scholar
  40. Thrivikraman K, Huot R, Plotsky P (2002) Jugular vein catheterization for repeated blood sampling in the unrestrained conscious rat. Brain Research Protocols 10:84–94PubMedCrossRefGoogle Scholar
  41. Ward IL, Weisz J (1984) Differential effects of maternal stress on circulating levels of corticosterone, progesterone, and testosterone in male and female rat fetuses and their mothers. Endocrinology 114:1635–1644PubMedCrossRefGoogle Scholar
  42. Weaver ICG, Champagne FA, Brown SE, Dymov S, Sharma S, Meaney MJ, Szyf M (2005) Reversal of maternal programming of stress responses in adult offspring through methyl supplementation: altering epigenetic marking later in life. J Neurosci 25:11045–11054PubMedCrossRefGoogle Scholar
  43. Weaver IC, Meaney MJ, Szyf M (2006) Maternal care effects on the hippocampal transcriptome and anxiety-mediated behaviors in the offspring that are reversible in adulthood. Proc Natl Acad Sci U S A 103:3480–3485PubMedCrossRefGoogle Scholar
  44. Williams MT, Davis HN, McCrea AE, Long SJ, Hennessy MB (1999) Changes in the hormonal concentrations of pregnant rats and their fetuses following multiple exposures to a stressor during the third trimester. Neurotoxicol Teratol 21:403–414PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Chase H. Bourke
    • 1
  • Catherine F. Capello
    • 1
  • Swati M. Rogers
    • 1
  • Megan L. Yu
    • 1
  • Katherine A. Boss-Williams
    • 1
  • Jay M. Weiss
    • 1
  • Zachary N. Stowe
    • 2
  • Michael J. Owens
    • 1
  1. 1.Laboratory of Neuropsychopharmacology, Department of Psychiatry and Behavioral SciencesEmory UniversityAtlantaUSA
  2. 2.Department of Psychiatry, Pediatrics and Obstetrics and GynecologyUniversity of Arkansas for Medical SciencesLittle RockUSA

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