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Chronic clozapine treatment improves prenatal infection-induced working memory deficits without influencing adult hippocampal neurogenesis

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Abstract

Background

Converging evidence indicates that prenatal exposure to immune challenge can induce long-term cognitive deficits relevant to schizophrenia. Such cognitive impairments may be related to deficient hippocampal neurogenesis at adult age.

Objectives

In the present study, we sought evidence for the possibility that chronic treatment with the reference atypical antipsychotic drug clozapine may improve prenatal infection-induced cognitive dysfunctions by stimulating adult hippocampal neurogenesis.

Methods

This hypothesis was tested in a well-established mouse model of prenatal immune challenge which is based on prenatal administration of the viral mimic, polyriboinosinic–polyribocytidilic acid (PolyI:C).

Results

We found that maternal PolyI:C (5 mg/kg, i.v.) exposure on gestation day 17 led to significant spatial working memory impairment and reduced hippocampal neurogenesis in the resulting offspring at adult age. The latter effect was apparent in postmortem immunohistochemical analyses of the cell proliferation marker bromodeoxyuridine and the microtubule-associated protein doublecortin, a marker of newborn neuronal cells. Chronic (3 weeks) administration of clozapine (5 mg/kg/day, i.p.) significantly improved the prenatal PolyI:C-induced working memory deficits, while at the same time, it negatively affected working memory performance in adult offspring born to control mothers. These bidirectional cognitive effects of clozapine were not paralleled by concomitant effects on adult hippocampal neurogenesis.

Conclusions

Our findings do not support the hypothesis that the atypical antipsychotic drug clozapine may influence cognitive functions by acting on adult neurogenesis in the hippocampus, regardless of whether the drug is administered to subjects with or without a neurodevelopmental predisposition to adult neuropathology.

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References

  • Addy NA, Pocivavsek A, Levin ED (2005) Reversal of clozapine effects on working memory in rats with fimbria-fornix lesions. Neuropsychopharmacology 30:1121–1127

    Article  CAS  PubMed  Google Scholar 

  • Adler G, Grieshaber S, Faude V, Thebaldi B, Dressing H (2002) Clozapine in patients with chronic schizophrenia: serum level, EEG and memory performance. Pharmacopsychiatry 35:190–194

    Article  CAS  PubMed  Google Scholar 

  • Altman J, Das GD (1965) Post-natal origin of microneurones in the rat brain. Nature 207:953–956

    Article  CAS  PubMed  Google Scholar 

  • Antonova E, Sharma T, Morris R, Kumari V (2004) The relationship between brain structure and neurocognition in schizophrenia: a selective review. Schizophr Res 70:117–145

    Article  PubMed  Google Scholar 

  • Baddeley A (2003) Working memory: looking back and looking forward. Nat Rev Neurosci 4:829–839

    Article  CAS  PubMed  Google Scholar 

  • Balu DT, Lucki I (2009) Adult hippocampal neurogenesis: regulation, functional implications, and contribution to disease pathology. Neurosci Biobehav Rev 33:232–252

    Article  PubMed  Google Scholar 

  • Bannerman DM, Rawlins JN, McHugh SB, Deacon RM, Yee BK, Bast T, Zhang WN, Pothuizen HH, Feldon J (2004) Regional dissociations within the hippocampus-memory and anxiety. Neurosci Biobehav Rev 28:273–283

    Article  CAS  PubMed  Google Scholar 

  • Bessa JM, Ferreira D, Melo I, Marques F, Cerqueira JJ, Palha JA, Almeida OF, Sousa N (2009a) The mood-improving actions of antidepressants do not depend on neurogenesis but are associated with neuronal remodeling. Mol Psychiatry 14:764–773

    Article  CAS  PubMed  Google Scholar 

  • Bessa JM, Ferreira D, Melo I, Marques F, Cerqueira JJ, Palha JA, Almeida OF, Sousa N (2009b) Hippocampal neurogenesis induced by antidepressant drugs: an epiphenomenon in their mood-improving actions. Mol Psychiatry 14:739

    Article  CAS  Google Scholar 

  • Broersen LM (2000) Attentional processes and learning and memory in rats: the prefrontal cortex and hippocampus compared. Prog Brain Res 126:79–94

    Article  CAS  PubMed  Google Scholar 

  • Brown AS (2006) Prenatal infection as a risk factor for schizophrenia. Schizophr Bull 32:200–202

    Article  PubMed  Google Scholar 

  • Brown AS, Susser ES (2002) In utero infection and adult schizophrenia. Ment Retard Dev Disabil Res Rev 8:51–57

    Article  PubMed  Google Scholar 

  • Brown JP, Couillard-Després S, Cooper-Kuhn CM, Winkler J, Aigner L, Kuhn HG (2003) Transient expression of doublecortin during adult neurogenesis. J Comp Neurol 467:1–10

    Article  CAS  PubMed  Google Scholar 

  • Brown AS, Vinogradov S, Kremen WS, Poole JH, Deicken RF, Penner JD, McKeague IW, Kochetkova A, Kern D, Schaefer CA (2009) Prenatal exposure to maternal infection and executive dysfunction in adult schizophrenia. Am J Psychiatry 166:683–690

    Article  PubMed  Google Scholar 

  • Cardon M, Ron-Harel N, Cohen H, Lewitus GM, Schwartz M (2009) Dysregulation of kisspeptin and neurogenesis at adolescence link inborn immune deficits to the late onset of abnormal sensorimotor gating in congenital psychological disorders. Mol Psychiatry (in press)

  • Clancy B, Darlington RB, Finlay BL (2001) Translating developmental time across mammalian species. Neuroscience 105:7–17

    Article  CAS  PubMed  Google Scholar 

  • Clancy B, Kersh B, Hyde J, Darlington RB, Anand KJ, Finlay BL (2007) Web-based method for translating neurodevelopment from laboratory species to humans. Neuroinformatics 5:79–94

    PubMed  Google Scholar 

  • Clelland CD, Choi M, Romberg C, Clemenson GD Jr, Fragniere A, Tyers P, Jessberger S, Saksida LM, Barker RA, Gage FH, Bussey TJ (2009) A functional role for adult hippocampal neurogenesis in spatial pattern separation. Science 325:210–213

    Article  CAS  PubMed  Google Scholar 

  • Couillard-Despres S, Winner B, Schaubeck S, Aigner R, Vroemen M, Weidner N, Bogdahn U, Winkler J, Kuhn HG, Aigner L (2005) Doublecortin expression levels in adult brain reflect neurogenesis. Eur J Neurosci 21:1–14

    Article  PubMed  Google Scholar 

  • Coyle P, Tran N, Fung JN, Summers BL, Rofe AM (2009) Maternal dietary zinc supplementation prevents aberrant behaviour in an object recognition task in mice offspring exposed to LPS in early pregnancy. Behav Brain Res 197:210–218

    Article  CAS  PubMed  Google Scholar 

  • Cui K, Ashdown H, Luheshi GN, Boksa P (2009) Effects of prenatal immune activation on hippocampal neurogenesis in the rat. Schizophr Res 113:288–297

    Article  PubMed  Google Scholar 

  • Delatour B, Gisquet-Verrier P (1999) Lesions of the prelimbic–infralimbic cortices in rats do not disrupt response selection processes but induce delay-dependent deficits: evidence for a role in working memory? Behav Neurosci 113:941–955

    Article  CAS  PubMed  Google Scholar 

  • Dolbeare F (1995) Bromodeoxyuridine: a diagnostic tool in biology and medicine, part I: historical perspectives, histochemical methods and cell kinetics. Histochem J 27:339–369

    CAS  PubMed  Google Scholar 

  • Fatemi SH (2005) Neuropsychiatric disorders and infection. Taylor & Francis, London

    Google Scholar 

  • Francis F, Koulakoff A, Boucher D, Chafey P, Schaar B, Vinet MC, Friocourt G, McDonnell N, Reiner O, Kahn A, McConnell SK, Berwald-Netter Y, Denoulet P, Chelly J (1999) Doublecortin is a developmentally regulated, microtubule-associated protein expressed in migrating and differentiating neurons. Neuron 23:247–256

    Article  CAS  PubMed  Google Scholar 

  • Franklin KBJ, Paxinos G (2008) The mouse brain in stereotaxic coordinates. Elsevier, Amsterdam

    Google Scholar 

  • Fritschy JM, Weinmann O, Wenzel A, Benke D (1998) Synapse-specific localization of NMDA and GABA(A) receptor subunits revealed by antigen-retrieval immunohistochemistry. J Comp Neurol 390:194–210

    Article  CAS  PubMed  Google Scholar 

  • Galletly CA, Clark CR, McFarlane AC, Weber DL (1997) Relationships between changes in symptoms ratings, neuropsychological test performance, and quality of life in schizophrenic patients with clozapine. Psychiatry Res 72:161–166

    Article  CAS  PubMed  Google Scholar 

  • Galletly CA, Clark CR, McFarlane AC (2005) Clozapine improves working memory updating in schizophrenia. Eur Neuropsychopharmacol 15:601–608

    Article  CAS  PubMed  Google Scholar 

  • Gilbert PE, Kesner RP, DeCoteau WE (1998) Memory for spatial location: role of the hippocampus in mediating spatial pattern separation. J Neurosci 18:804–810

    CAS  PubMed  Google Scholar 

  • Gilbert PE, Kesner RP, Lee I (2001) Dissociating hippocampal subregions: double dissociation between dentate gyrus and CA1. Hippocampus 11:626–636

    Article  CAS  PubMed  Google Scholar 

  • Gilmore JH, Jarskog LF (1997) Exposure to infection and brain development: cytokines in the pathogenesis of schizophrenia. Schizophr Res 24:365–367

    Article  CAS  PubMed  Google Scholar 

  • Goodrich-Hunsaker NJ, Hunsaker MR, Kesner RP (2008) The interactions and dissociations of the dorsal hippocampus subregions: how the dentate gyrus, CA3, and CA1 process spatial information. Behav Neurosci 122:16–26

    Article  PubMed  Google Scholar 

  • Grace J, Bellus SB, Raulin ML, Herz MI, Priest BL, Brenner V, Donnelly K, Smith P, Gunn S (1996) Long-term impact of clozapine and psychosocial treatment on psychiatric symptoms and cognitive functioning. Psychiatr Serv 47:41–45

    CAS  PubMed  Google Scholar 

  • Hagger C, Buckley P, Kenny JT, Friedman L, Ubogy D, Meltzer HY (1993) Improvement in cognitive functions and psychiatric symptoms in treatment-refractory schizophrenic patients receiving clozapine. Biol Psychiatry 34:702–712

    Article  CAS  PubMed  Google Scholar 

  • Halim ND, Weickert CS, McClintock BW, Weinberger DR, Lipska BK (2004) Effects of chronic haloperidol and clozapine treatment on neurogenesis in the adult rat hippocampus. Neuropsychopharmacology 29:1063–1069

    Article  CAS  PubMed  Google Scholar 

  • Harrison PJ (1999) The neuropathology of schizophrenia. A critical review of the data and their interpretation. Brain 122:593–624

    Article  PubMed  Google Scholar 

  • Harrison PJ (2004) The hippocampus in schizophrenia: a review of the neuropathological evidence and its pathophysiological implications. Psychopharmacology 174:151–162

    Article  CAS  PubMed  Google Scholar 

  • Kempermann G, Jessberger S, Steiner B, Kronenberg G (2004) Milestones of neuronal development in the adult hippocampus. Trends Neurosci 27:447–452

    Article  CAS  PubMed  Google Scholar 

  • Kempermann G, Krebs J, Fabel K (2008) The contribution of failing adult hippocampal neurogenesis to psychiatric disorders. Curr Opin Psychiatry 21:290–295

    Article  PubMed  Google Scholar 

  • Kesner RP (2007) A behavioral analysis of dentate gyrus function. Prog Brain Res 163:567–576

    Article  PubMed  Google Scholar 

  • Kralic JE, Ledergerber DA, Fritschy JM (2005) Disruption of the neurogenic potential of the dentate gyrus in a mouse model of temporal lobe epilepsy with focal seizures. Eur J Neurosci 22:1916–1927

    Article  PubMed  Google Scholar 

  • Lee I, Kesner RP (2003) Time-dependent relationship between the dorsal hippocampus and the prefrontal cortex in spatial memory. J Neurosci 23:1517–1523

    CAS  PubMed  Google Scholar 

  • Lee MA, Jayathilake K, Meltzer HY (1999) A comparison of the effect of clozapine with typical neuroleptics on cognitive function in neuroleptic–responsive schizophrenia. Schizophr Res 37:1–11

    Article  CAS  PubMed  Google Scholar 

  • Leutgeb JK, Leutgeb S, Moser MB, Moser EI (2007) Pattern separation in the dentate gyrus and CA3 of the hippocampus. Science 315:961–966

    Article  CAS  PubMed  Google Scholar 

  • Maeda K, Sugino H, Hirose T, Kitagawa H, Nagai T, Mizoguchi H, Takuma K, Yamada K (2007) Clozapine prevents a decrease in neurogenesis in mice repeatedly treated with phencyclidine. J Pharmacol Sci 103:299–308

    Article  CAS  PubMed  Google Scholar 

  • McGurk SR, Carter C, Goldman R, Green MF, Marder SR, Xie H, Schooler NR, Kane JM (2005) The effects of clozapine and risperidone on spatial working memory in schizophrenia. Am J Psychiatry 162:1013–1036

    Article  PubMed  Google Scholar 

  • Meyer U, Feldon J (2009) Neural basis of psychosis-related behaviour in the infection model of schizophrenia. Behav Brain Res 204:322–334

    Article  CAS  PubMed  Google Scholar 

  • Meyer U, Feldon J, Schedlowski M, Yee BK (2005) Towards an immuno-precipitated neurodevelopmental animal model of schizophrenia. Neurosci Biobehav Rev 29:913–947

    Article  CAS  PubMed  Google Scholar 

  • Meyer U, Nyffeler M, Engler A, Urwyler A, Schedlowski M, Knuesel I, Yee BK, Feldon J (2006) The time of prenatal immune challenge determines the specificity of inflammation-mediated brain and behavioral pathology. J Neurosci 26:4752–4762

    Article  CAS  PubMed  Google Scholar 

  • Meyer U, Yee BK, Feldon J (2007) The neurodevelopmental impact of prenatal infections at different times of pregnancy: the earlier the worse? Neuroscientist 13:241–256

    Article  CAS  PubMed  Google Scholar 

  • Meyer U, Engler A, Weber L, Schedlowski M, Feldon J (2008a) Preliminary evidence for a modulation of fetal dopaminergic development by maternal immune activation during pregnancy. Neuroscience 154:701–709

    Article  CAS  PubMed  Google Scholar 

  • Meyer U, Nyffeler M, Yee BK, Knuesel I, Feldon J (2008b) Adult brain and behavioral pathological markers of prenatal immune challenge during early/middle and late fetal development in mice. Brain Behav Immun 22:469–486

    Article  CAS  PubMed  Google Scholar 

  • Meyer U, Feldon J, Fatemi SH (2009a) In-vivo rodent models for the experimental investigation of prenatal immune activation effects in neurodevelopmental brain disorders. Neurosci Biobehav Rev 33:1061–1079

    Article  CAS  PubMed  Google Scholar 

  • Meyer U, Feldon J, Yee BK (2009b) A review of the fetal brain cytokine imbalance hypothesis of schizophrenia. Schizophr Bull 35:959–972

    Article  PubMed  Google Scholar 

  • Moser E, Moser MB, Andersen P (1993) Spatial learning impairment parallels the magnitude of dorsal hippocampal lesions, but is hardly present following ventral lesions. J Neurosci 13:3916–3925

    CAS  PubMed  Google Scholar 

  • O'Donnell P, Grace AA (1998) Dysfunctions in multiple interrelated systems as the neurobiological bases of schizophrenic symptom clusters. Schizophr Bull 24:267–283

    PubMed  Google Scholar 

  • Olton DS, Papas BC (1979) Spatial memory and hippocampal function. Neuropsychologia 17:669–682

    Article  CAS  PubMed  Google Scholar 

  • Olton DS, Wible CG, Shapiro ML (1986) Mnemonic theories of hippocampal function. Behav Neurosci 100:852–855

    Article  CAS  PubMed  Google Scholar 

  • Ozawa K, Hashimoto K, Kishimoto T, Shimizu E, Ishikura H, Iyo M (2006) Immune activation during pregnancy in mice leads to dopaminergic hyperfunction and cognitive impairment in the offspring: a neurodevelopmental animal model of schizophrenia. Biol Psychiatry 59:546–554

    Article  CAS  PubMed  Google Scholar 

  • Patterson PH (2002) Maternal infection: window on neuroimmune interactions in fetal brain development and mental illness. Curr Opin Neurobiol 12:115–118

    Article  CAS  PubMed  Google Scholar 

  • Patterson PH (2007) Maternal effects on schizophrenia risk. Science 318:576–577

    Article  CAS  PubMed  Google Scholar 

  • Patterson PH (2009) Immune involvement in schizophrenia and autism: etiology, pathology and animal models. Behav Brain Res 204:313–321

    Article  CAS  PubMed  Google Scholar 

  • Pocivavsek A, Icenogle L, Levin ED (2006) Ventral hippocampal alpha7 and alpha4beta2 nicotinic receptor blockade and clozapine effects on memory in female rats. Psychopharmacology 188:597–604

    Article  CAS  PubMed  Google Scholar 

  • Rahimi O, Claiborne BJ (2007) Morphological development and maturation of granule neuron dendrites in the rat dentate gyrus. Prog Brain Res 163:167–181

    Article  PubMed  Google Scholar 

  • Reif A, Fritzen S, Finger M, Strobel A, Lauer M, Schmitt A, Lesch KP (2006) Neural stem cell proliferation is decreased in schizophrenia, but not in depression. Mol Psychiatry 11:514–522

    Article  CAS  PubMed  Google Scholar 

  • Reif A, Schmitt A, Fritzen S, Lesch KP (2007) Neurogenesis and schizophrenia: dividing neurons in a divided mind? Eur Arch Psychiatry Clin Neurosci 257:290–299

    Article  PubMed  Google Scholar 

  • Samuelsson AM, Jennische E, Hansson HA, Holmäng A (2006) Prenatal exposure to interleukin-6 results in inflammatory neurodegeneration in hippocampus with NMDA/GABA(A) dysregulation and impaired spatial learning. Am J Physiol Regul Integr Comp Physiol 290:R1345–R1356

    CAS  PubMed  Google Scholar 

  • Schmitt A, Weber S, Jatzko A, Braus DF, Henn FA (2004) Hippocampal volume and cell proliferation after acute and chronic clozapine or haloperidol treatment. J Neural Transm 111:91–100

    Article  CAS  PubMed  Google Scholar 

  • Shapiro ML, Olton DS (1994) Hippocampal function and interference. In: Schacter DL, Tulving E (eds) Memory systems. MIT, London, pp 141–146

    Google Scholar 

  • Sharma T, Hughes C, Soni W, Kumari V (2003) Cognitive effects of olanzapine and clozapine treatment in chronic schizophrenia. Psychopharmacology 169:398–403

    Article  CAS  PubMed  Google Scholar 

  • Shi L, Fatemi SH, Sidwell RW, Patterson PH (2003) Maternal influenza infection causes marked behavioral and pharmacological changes in the offspring. J Neurosci 23:297–302

    PubMed  Google Scholar 

  • Steele RJ, Morris RG (1999) Delay-dependent impairment of a matching-to-place task with chronic and intrahippocampal infusion of the NMDA-antagonist D-AP5. Hippocampus 9:118–136

    Article  CAS  PubMed  Google Scholar 

  • Tamminga CA (2006) The neurobiology of cognition in schizophrenia. J Clin Psychiatry 67(Suppl 9):9–13

    CAS  PubMed  Google Scholar 

  • Toro CT, Deakin JF (2007) Adult neurogenesis and schizophrenia: a window on abnormal early brain development? Schizophr Res 90:1–14

    Article  CAS  PubMed  Google Scholar 

  • van Praag H, Schinder AF, Christie BR, Toni N, Palmer TD, Gage FH (2002) Functional neurogenesis in the adult hippocampus. Nature 415:1030–1034

    Article  PubMed  Google Scholar 

  • Weinberger DR (1999) Cell biology of the hippocampal formation in schizophrenia. Biol Psychiatry 45:95–402

    Article  Google Scholar 

  • Zuckerman L, Weiner I (2005) Maternal immune activation leads to behavioral and pharmacological changes in the adult offspring. J Psychiatr Res 39:311–323

    Article  PubMed  Google Scholar 

  • Zuckerman L, Rehavi M, Nachman R, Weiner I (2003) Immune activation during pregnancy in rats leads to a postpubertal emergence of disrupted latent inhibition, dopaminergic hyperfunction, and altered limbic morphology in the offspring: a novel neurodevelopmental model of schizophrenia. Neuropsychopharmacology 28:1778–1789

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

The research presented in this study was partially supported by The Swiss National Science Foundation (SNSF) grant 310000-118284/1, by The Swiss Federal Institute of Technology (ETH Zurich) grant-11 07/03, and by a 2009 NARSAD Distinguished Investigator Award to Joram Feldon. We are extremely grateful to the Animal Services Department Schwerzenbach, Swiss Federal Institute of Technology, for their excellent animal husbandry and care.

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All authors declare they have no conflicts of interest to disclose.

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Meyer, U., Knuesel, I., Nyffeler, M. et al. Chronic clozapine treatment improves prenatal infection-induced working memory deficits without influencing adult hippocampal neurogenesis. Psychopharmacology 208, 531–543 (2010). https://doi.org/10.1007/s00213-009-1754-6

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