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1 Department of Physiology and Pathology, School of Dentistry, Paulista State University (UNESP), 14801 - 903 Araraquara, São Paulo, Brazil; and 2 Departments of Psychology and Pharmacology and Exercise Science and the Cardiovascular Center, University of Iowa, Iowa City, Iowa 52242 - 1407
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ABSTRACT |
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Serotonin [5-hydroxytryptamine (5-HT)] and CCK injected into the lateral parabrachial nucleus (LPBN) inhibit NaCl and water intake. In this study, we investigated interactions between 5-HT and CCK into the LPBN to control water and NaCl intake. Male Holtzman rats with cannulas implanted bilaterally in the LPBN were treated with furosemide + captopril to induce water and NaCl intake. Bilateral LPBN injections of high doses of the 5-HT antagonist methysergide (4 µg) or the CCK antagonist proglumide (50 µg), alone or combined, produced similar increases in water and 1.8% NaCl intake. Low doses of methysergide (0.5 µg) + proglumide (20 µg) produced greater increases in NaCl intake than when they were injected alone. The 5-HT2a/2c agonist 2,5-dimetoxy-4-iodoamphetamine hydrobromide (DOI; 5 µg) into the LPBN reduced water and NaCl intake. After proglumide (50 µg) + DOI treatment, the intake was not different from vehicle treatment. CCK-8 (1 µg) alone produced no effect. CCK-8 combined with methysergide (4 µg) reduced the effect of methysergide on NaCl intake. The data suggest that functional interactions between 5-HT and CCK in the LPBN may be important for exerting inhibitory control of NaCl intake.
5-hydroxytryptamine; proglumide; methysergide; NaCl intake; sodium appetite; angiotensin II
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INTRODUCTION |
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THE LATERAL PARABRACHIAL NUCLEUS (LPBN) is an important central site involved in the control of water and NaCl intake in rats (2, 17-21, 23, 24). This structure in the rat lies dorsolateral to the superior cerebellar peduncle in the pons and is reciprocally connected with several forebrain areas such as the paraventricular nucleus of the hypothalamus, central nucleus of amygdala, median preoptic nucleus (1, 7, 10, 11, 13), and more caudal regions such as the area postrema (AP) and the medial portion of the nucleus of the solitary tract (mNTS) (9, 14, 22). Recent studies have shown that bilateral LPBN injections of methysergide, a serotonergic receptor antagonist, markedly increase NaCl intake induced by ANG II administered either intracerebroventricularly or into the subfornical organ (2, 21). Methysergide injected bilaterally into the LPBN also increased NaCl intake induced by combined treatment with the diuretic furosemide (Furo) and the angiotensin converting enzyme inhibitor captopril (Cap) injected subcutaneously (21). The injection of 2,5-dimetoxy-4-iodoamphetamine hydrobromide [DOI, a serotonergic 5-hydroxytryptamine (5-HT)2A/2C-receptor agonist] into the LPBN reduced Furo + Cap-induced NaCl intake (21). Other studies have shown that methysergide injected into the LPBN increases water and hypertonic NaCl intake induced by 24 h of water deprivation or by injection of Furo followed by 24 h of sodium-deficient diet (18). Not only 5-HT, but also CCK action in the LPBN is involved in the inhibition of water and NaCl intake. Bilateral injections of proglumide, a CCK-receptor antagonist, into the LPBN increased ANG II and Furo + CAP-induced 0.3 M NaCl intake (20).
Serotonin and CCK inhibit food intake (3-5, 8, 15, 29, 30). The reduction of food intake induced by intraperitoneal injection of CCK-8 was antagonized by intraperitoneal injection of metergoline (a 5-HT-receptor antagonist) (8). Devazepide, a type A CCK-receptor antagonist, injected subcutaneously, significantly antagonized the reduction in meal size induced by intraperitoneal injection of fenfluramine, an indirect 5-HT agonist, showing a reciprocal interaction between 5-HT and CCK (8). To explain the effects of antagonists and agonists of these two neurotransmitters on food intake, Cooper and Dourish (3) proposed a model of interdependence and cooperativity between 5-HT and CCK. The authors suggested that, in response to food ingestion, both endogenous 5-HT and CCK are released. The cooperativity assumption is that elevated 5-HT release and action tend to increase CCK release and action and vice versa. The interdependence assumption is that both 5-HT and CCK action at their respective receptors is necessary for the normal development of satiety. Pharmacological interventions that block either 5-HT or CCK receptors reduce the satiety-inducing effects of either transmitter. In the present study, we investigated whether the model proposed by Cooper and Dourish to control food intake could also be applied to 5-HT and CCK in the LPBN to inhibit water and sodium intake.
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MATERIALS AND METHODS |
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Animals. Male Holtzman rats weighing 280-300 g were used. The animals were housed in individual stainless steel cages with free access to normal sodium diet (Purina Rat Chow), water, and 1.8% NaCl solution. Temperature was maintained at 23 ± 2°C, and humidity was maintained at 55 ± 10% on a 12:12 light-dark cycle with light onset at 7:30 AM.
Cerebral cannulas. Rats were anesthetized with tribromoethanol (200 mg/kg of body wt) and placed in a Kopf stereotaxic instrument. The skull was leveled between bregma and lambda. Stainless steel 23-gauge cannulas were implanted bilaterally into the LPBN using the following coordinates: 9.5 mm caudal to bregma, 2.2 mm lateral to the midline, and 4.1 mm below the dura mater. The tips of the cannulas were positioned at a point 2 mm above each LPBN. The cannulas were fixed to the cranium using dental acrylic resin and jeweler screws. A 30-gauge metal obturator filled the cannulas between tests. When surgery was complete, the rats were allowed to recover 6 days before drug injections into the LPBN.
Injections into the LPBN. Injections into the LPBN were made using 10-µl Hamilton syringes connected by polyethylene tubing (PE-10) to 30-gauge injection cannulas. At the time of testing, obturators were removed and the injection cannulas (2 mm longer than the guide cannulas) were introduced in the brain. The injection volume into the LPBN was 0.2 µl each site. The obturators were replaced after the injection, and the rats were placed back into the cage.
Drugs. Furo (Sigma Chem., St Louis, MO) was administered subcutaneously at 10 mg/kg of body weight. Cap (Sigma Chemical, St Louis, MO) was administered subcutaneously at 5 mg/kg of body weight.
Methysergide maleate, DOI, proglumide sodium, and CCK-8 sulfated {cholecystokinin fragment 26-33,[Tyr (SO3H)27]-amide} were purchased from Research Biochemicals Internationals (Natick, MA). Methysergide (0.5 and 4 µg/0.2 µl) was dissolved in propylene glycol and water 2:1 (vehicle), DOI (5 µg/0.2 µl) and proglumide (20 and 50 µg/0.2 µl) were dissolved in saline. CCK-8 (1 µg/0.2 µl) was dissolved in distilled water.Water and NaCl intake. Rats were tested in their home cages. Water and 1.8% NaCl were provided from burettes with 0.1-ml divisions that were fitted with metal drinking spouts. Water and 1.8% NaCl intake were induced by treatment with subcutaneous Furo (10 mg/kg of body wt) + Cap (5 mg/kg of body wt) as described previously (6, 21). Cumulative water and 1.8% NaCl intakes were measured at 30, 60, 90, and 120 min starting 1 h after Furo + Cap treatment when water and NaCl were available for animals.
Rats received Furo + Cap treatments and were returned to their home cages in the absence of water and 1.8% NaCl solution. Forty minutes later, the animals received the first bilateral injections into the LPBN (first treatment) followed 10 min later by the second bilateral injections into the LPBN (second treatment) according to the combinations of treatments presented in Table 1. Water and 1.8% NaCl were available to the animals 10 min after the second LPBN treatment.
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Histology. At the end of the experiments, the animals received bilateral injections of methylene blue solution (0.2 µl) into the LPBN. They were then deeply anesthetized with pentobarbital sodium (80 mg/kg) and perfused transcardially with saline followed by 10% formalin. The brains were removed, fixed in 10% formalin, frozen, cut in 50-µm sections, stained with cresyl violet, and analyzed by light microscopy to confirm the injection sites into the LPBN.
Statistical analysis. The results are reported as means ± SE. Repeated-measures ANOVA and Newman-Keuls tests were used for comparisons (GB STAT software, Dynamic Microsystems, Silver Spring, MD). Differences were considered significant at P < 0.05.
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RESULTS |
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Histological analysis.
Similar to the results seen in previous reports (2,
18-21), the LPBN injection sites were centered in the
central lateral and dorsal lateral portions of the LPBN [see Fulwiler
and Saper (7) for definitions of LPBN subnuclei]. Figure
1 shows typical LPBN injection sites.
Injections reaching the ventral lateral and external lateral portions
as well as the Kölliker-Fuse nucleus were observed in some rats,
and the results from these rats were included in the analysis.
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Effects of bilateral injections of methysergide + proglumide
into the LPBN on Furo + Cap-induced 1.8% NaCl and water intake.
With the higher doses of the drugs tested, bilateral injections of only
methysergide (4 µg/0.2 µl each site) or of only proglumide (50 µg/0.2 µl each site) into the LPBN produced similar increases of
1.8% NaCl intake (14.5 ± 4.1 and 14.2 ± 3.2 ml/2 h,
respectively, vs. control: 2.9 ± 0.9 ml/2 h), [Fig.
2A;
F(3,36) = 3.07; P < 0.05]. The combination of both antagonists injected into the LPBN resulted in no additional change in 1.8% NaCl intake (16.3 ± 3.2 ml/2 h) compared with the effect of each antagonist alone delivered to
the LPBN (Fig. 2A). The increase in water intake was similar for all treatments (methysergide: 17.7 ± 2.3 ml/2 h; proglumide: 17.4 ± 2.3 ml/2 h; and methysergide + proglumide: 20.4 ± 3.4 ml/2 h vs. control: 10.3 ± 1.1 ml/2 h; Fig.
2B). An ANOVA showed significant interaction between
treatments and time for water intake
[F(9,108) = 2.56; P < 0.05].
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Effects of bilateral injections of proglumide + DOI into the
LPBN on Furo + Cap-induced 1.8% NaCl and water intake.
Bilateral injections of DOI (5 µg/0.2 µl each site) into the LPBN
decreased 1.8% NaCl intake [1.8 ± 0.4 vs. control: 4.9 ± 0.9 ml/2 h; Fig. 4A;
F(3,76) = 14.03; P < 0.01]. Proglumide (50 µg/0.2 µl each site) injected bilaterally
into the LPBN significantly increased 1.8% NaCl intake (15.4 ± 2.8 ml/2 h). With the combination of bilateral injections of proglumide
and DOI into the LPBN, the 1.8% NaCl intake was not different from the
control treatment (5.9 ± 1.3 vs. control: 4.9 ± 0.9 ml/2 h;
Fig. 4A).
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Effects of bilateral injections of methysergide + CCK-8 into
the LPBN on Furo + Cap-induced 1.8% NaCl and water intake.
Bilateral injections of only methysergide (4 µg/0.2 µl, each site)
into the LPBN increased 1.8% NaCl intake (16.3 ± 3.7 vs. control: 3.0 ± 0.9 ml/2 h; Fig.
5A). CCK-8 (1 µg/0.2 µl,
each site) alone injected bilaterally into the LPBN produced no change in 1.8% NaCl intake (3.7 ± 1.3 ml/2 h). During the first 30 min of the test with the combination of bilateral LPBN injections of
methysergide and CCK-8, 1.8% NaCl intake (6.7 ± 2.7 ml/30 min) was reduced compared with NaCl intake with methysergide injected alone
into the LPBN [F(3,32) = 8.02;
P < 0.01; Fig. 5A].
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Specificity of injections into the LPBN to produce the reported
results.
The specificity of the LPBN as the site of injections that produce the
effects of the drugs was confirmed by results from rats in which the
injections did not reach one or both LPBN sites. Table
2 shows the total ingestion of water and
1.8% NaCl (120 min of intake) produced by the different treatments in
rats in which the injections did not reach one or both LPBN sites.
ANOVA showed no significant differences on cumulative water and NaCl intake in these rats with any of the treatments.
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DISCUSSION |
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The effects of the combined administration of serotonergic and CCKergic agonists and antagonists into the LPBN on Furo + Cap-induced NaCl intake suggest the presence of important interactions between the two neurotransmitters in the control of sodium intake. On the other hand, the results showed no clear interaction between 5-HT and CCK in the control of Furo + Cap-induced water intake. In most of the experiments, the rats ingested significant amounts of 1.8% NaCl that can, in turn, induce significant water intake due to the increase in body fluid osmolality. Consequently, the water intake recorded in the protocols was likely to have been confounded by large intakes of hypertonic NaCl. Therefore, it is not appropriate to consider possible interactions between 5-HT and CCK to control water intake in the protocol used in the present study.
The present results show an interaction between inhibitory serotonergic and cholecystokinergic mechanisms in the LPBN on the control of sodium chloride intake (sodium appetite) that seems to work like the model of cooperativity and interdependence between 5-HT and CCK proposed by Cooper and Dourish to explain the inhibitory control of feeding by these two neurotransmitters (3). Cooper and Dourish proposed that elevated 5-HT release and action tend to increase CCK release and action and vice versa. The interdependence assumption is that both 5-HT and CCK action at their respective receptors is necessary for the normal development of satiety. Pharmacological interventions that block either 5-HT or CCK receptors reduce the satiety-inducing effects of either transmitter. One assumption of this idea is that elevated 5-HT and CCK activity is necessary for satiety to be fully expressed.
The combination of methysergide and proglumide administered in high doses into the LPBN produced an increase of 1.8% NaCl and water intake that was equivalent to the increase produced by the injections of either antagonist alone. With low doses, bilateral LPBN injections of only methysergide or only proglumide produced comparable increases in 1.8% NaCl intake. The combined treatment with low doses of both antagonists administered into the LPBN produced a significantly greater increase in sodium intake. Considering the effects of bilateral LPBN injections of methysergide and proglumide in light of the model of cooperativity and interdependence, the treatment with a high dose of methysergide not only prevents the action of 5-HT, but also may reduce CCK release, therefore nearly abolishing the action of both inhibitory mechanisms within the LPBN. Similarly, proglumide treatment prevents the action of CCK but also may reduce 5-HT release, producing the same effects as methysergide. Thus the effects of one or both antagonists in high doses injected in the LPBN are the same; that is, with high doses, combined injections of both antagonists did not produce a greater 1.8% NaCl intake, because the blockade of only one receptor system seems to be sufficient to abolish the action of both systems. Injections of low doses of each antagonist, methysergide or proglumide, produce only a partial impairment in each mechanism. The combination of both receptor antagonists given in low doses into the LPBN can produce a more intense blockade of each mechanism compared with single injections of each antagonist, thereby producing an increased sodium intake.
Bilateral injections of the serotonergic receptor agonist DOI alone into the LPBN decreased water and 1.8% NaCl intake. With the combination of bilateral LPBN injections of proglumide and DOI, water and 1.8% NaCl intake returned to control level. This suggests that the association of proglumide and DOI abolished the inhibition of sodium intake produced by activation of the serotonergic inhibitory mechanism with DOI as well as the increase of sodium intake produced by the deactivation of cholecystokinergic mechanism with proglumide. According to the model of cooperativity and interdependence between 5-HT and CCK, the activation of the serotonergic inhibitory mechanism of the LPBN with DOI may also stimulate local CCK release, resulting in a reduction of NaCl intake as a consequence of the action of DOI and CCK on their respective receptors. Proglumide treatment prevents CCK action on its receptors and may reduce the inhibitory effect of DOI, which is also dependent on CCK action. Why would the proglumide effect disappear when proglumide is associated with DOI? Proglumide blocking CCK receptors prevents the direct inhibitory action of CCK and also the stimulant effect of CCK on 5-HT release. The result may be due also to a reduced endogenous 5-HT release and almost a complete blockade of both inhibitory mechanisms within the LPBN. However, DOI injections activating serotonergic receptors can partially restore the inhibition, impairing the normal effect of proglumide. The effect of DOI is partial, because without CCK participation, the effect of serotonergic receptor activation is not complete.
Bilateral injections of CCK-8 alone into the LPBN did not change either water or 1.8% NaCl intake. Compared with the intake with bilateral injections of methysergide alone, the combination of CCK-8 and methysergide injected into the LPBN reduced 1.8% NaCl intake during the first 30 min of testing. The lack of an effect of CCK-8 when administered alone into the LPBN on NaCl intake is consistent with previous results showing that bilateral injections of CCK-8 into the LPBN did not reduce Furo + Cap-induced 1.8% NaCl intake (20). To explain the lack of an effect of CCK-8 injected into the LPBN on NaCl intake, Menani and Johnson (20) proposed that the CCK normally present in the LPBN is enough to interact with 5-HT and sufficient to exert a complete inhibitory effect on sodium intake. Thereby, exogenous CCK-8 would not increase the inhibition of sodium intake. According to the model of cooperativity and interdependence between 5-HT and CCK, the blockade of 5-HT receptors impairs CCK release. Therefore, only methysergide treatment can increase 1.8% NaCl intake by indirectly reducing CCK release. Replacing CCK by injecting exogenous CCK-8 may restore part of the inhibition, so it is possible to observe a partial reduction of 1.8% NaCl intake in association with methysergide and CCK-8 into the LPBN.
The LPBN is a major site that receives ascending projections from
AP/mNTS and sends efferent projections to areas of the forebrain involved in the control of fluid and electrolyte balance such as
hypothalamic areas and amygdala (1, 7, 9-11, 13, 14). The AP/mNTS is an important area of the hindbrain that receives afferent projections from volume receptors (arterial baroreceptors, cardiopulmonary receptors), gustatory receptors, and other visceral receptors that can influence water and NaCl intake (12, 22, 27,
28). Central or peripheral administration of the atrial natriuretic peptide (ANP) has also been shown to reduce water and
sodium intake (16). Because the AP lacks a blood-brain
barrier, plasma ANP released by atrial distension may have activated
this area, and this information about blood-borne levels of ANP is then
carried to the LPBN. Neurotransmitters such as 5-HT and CCK have been
identified in the projections from AP/mNTS to the LPBN (14, 25,
26). Thus the LPBN can play a key role in the central circuitry
that controls water and NaCl intake. Figure
6 is representing the interdependence and
cooperativity between 5-HT and CCK in the LPBN to control NaCl intake.
The proposed model suggests that the release and the action of 5-HT and
CCK in the LPBN are essential for complete inhibition of NaCl intake.
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Perspectives
The demonstration of an interaction between inhibitory serotonergic and CCKergic mechanisms in the LPBN to control NaCl intake represents an important advance in our understanding of the central mechanisms involved in the control of fluid and electrolyte balance. Future studies should deal with the origin and nature of the stimuli that induce serotonin and CCK release in the LPBN and whether 5-HT and CCK interact in the LPBN to control water intake.| |
ACKNOWLEDGEMENTS |
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We thank Silas Pereira Barbosa and Sílvia Fóglia for expert technical assistance and Silvana A. D. Malavolta for secretarial assistance. We also thank Ana L. V. de Oliveira for animal care.
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FOOTNOTES |
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This research was supported by public funding from Fundação de Amparo a Pesquisa do Estado de São Paulo; Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, Conselho Nacional de Pesquisa-Programa de Apoio a Núcleos de Excelência and National Heart, Lung and Blood Institute Grants HL-14388 and HL-57472.
This work is part of the requirements to obtain a Master's degree by J. I. F. De Gobbi in the graduate program in physiological sciences at the Federal University of São Carlos.
Address for reprint requests and other correspondence: J. V. Menani, Dept. of Physiology and Pathology, School of Dentistry, UNESP, Rua Humaitá, 1680, 14801-903 Araraquara-SP, Brazil.
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
Received 30 May 2000; accepted in final form 13 November 2000.
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