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Acquired deficit of forebrain glucocorticoid receptor produces depression-like changes in adrenal axis regulation and behavior
Open accessAbstract
Dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis is a hallmark of major depressive disorder. A number of studies have shown that this dysregulation is correlated with impaired forebrain glucocorticoid receptor (GR) function. To determine whether a primary, acquired deficit in forebrain GR signaling is an etiologic factor in the pathogenesis of depression, we generated a line of mice with time-dependent, forebrain-specific disruption of GR (FBGRKO). These mice develop a number of both physiological and behavioral abnormalities that mimic major depressive disorder in humans, including hyperactivity of the HPA axis, impaired negative feedback regulation of the HPA axis and, increased depression-like behavior. Importantly, a number of these abnormalities are normalized by chronic treatment with the tricyclic antidepressant, imipramine. Our findings suggest that imipramine's proposed activities on forebrain GR function are not essential for its antidepressant effects, and that alteration in GR expression may play a causative role in disease onset of major depressive disorder.
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“Finally, the broad disruption of the GR allele in the CNS [GRNesCre (5)] and its targeted deletion in the forebrain [forebrain-specific GR knock-out; FBGRKO mice] (119), or the PVN all resulted in the disinhibition of the HPA axis (120).”
From The HPA – Immune Axis and the Immunomodulatory Actions of Glucocorticoids in the Brain (2014) · cites this paper as [119]
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“Considering that down-regulation of GR has been reported in several animal models of depression (Boyle et al. 2005 ; Herman et al. 1995 ; Kitraki et al. 1999), we think this finding further supports the validity of our model as an animal model of mood disorders.”
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Thiagarajah, A. S., Eades, L. E., Thomas, P. R., Guymer, E. K., Morand, E. F., Clarke, D. M., & Leech, M. T. (2014) · Brain Research · doi:10.1016/j.brainres.2014.06.008 · Cited by 34
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“Recently, it has been shown that acquired defect of forebrain GR produces depressionlike changes in adrenal axis regulation and behavior (17).”
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“At the termination of the experiments, the mice were decapitated and trunk bloodwas collected at 0900 h, centrifuged and kept at −80 °C for determination of plasma corticosterone [7].”
MethodVisceral Pain and Psychiatric Disorders
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“…GR is a primary effector in stress-related anxiety and memory changes, we packaged Cre-recombinase into a lentiviral vector and then stereotaxically injected the lentivirus into bilateral CeAs of our loxP-flanked GR mice (Boyle et al., 2005; Brewer et al., 2003; Kolber et al., 2008a) (Fig.”
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“The knockdown of GR in the forebrain reduces anxiety-like and active-coping behaviors, and it increases HPA axis activity and impairs the glucocorticoid negative feedback (Boyle et al., 2005; Boyle et al., 2006; Jeanneteau et al., 2012; Laryea et al., 2013).”
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Serum cortisol concentration in patients with major depression after treatment with clomipramine
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“[96–98] Furthermore, some genetic studies have found that polymorphisms in the GR-gene may be associated with susceptibility to depression[99,100] as well as treatment response.”
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“The dysregulation of GR activity in this structure is related to HPA hyperactivity and to mood disorders [18, 25, 27].”
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Stress Neurobiology and Developmental Psychopathology
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“In 2-month-old FBGRKO mice, 60% of the hippocampal neurons were lack of GRs, at 4–5-month the number of such neurons increased to 90–100%, and after 6 month, GRs were absent in the whole hippocampus as well as in most cortical neurons (Boyle et al., 2005).”
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“Chronic stress-induced GR impairment including reduced expression and decreased ligand-binging ability in the hippocampus is a critical process in the pathology of depression [23].”
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“Glucocorticoids, such as cortisol, are stress hormones that interact with GRs in the brain, which play a crucial role in the regulation of the stress response, and their dysfunction has been implicated in the pathogenesis of stress-related disorders, such as anxiety and depression [42,43].”
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InfluentialStress-induced neural activation is altered during early withdrawal from chronic methamphetamine
Jacobskind, J. S., Rosinger, Z. J., Brooks, M. L., & Zuloaga, D. G. (2019) · Behavioural Brain Research · doi:10.1016/j.bbr.2019.03.034 · Cited by 14
“GR, CRF, and CRFR1 containing cells are key regulators of behavioral and hormonal stress responses [52,55,56].”
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Zhang, J., Fan, Y., Raza, M. U., Zhan, Y., Du, X.-D., Patel, P. D., & Zhu, M. (2017) · Neurochemistry International · doi:10.1016/j.neuint.2017.05.021 · Cited by 14
“For example, mice with a deletion of the GR specifically in the hippocampus display an impaired feedback inhibition and show HPA axis hyperactivity and depressive-like behavior (Boyle et al., 2005).”
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“Knocking out central GR expression (except in the hypothalamus) produces a reliable depression-like phenotype in rodents, which is restored with tricyclic antidepressant treatment [232].”
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“In genetic mouse models of GR deletion in the forebrain (FRGRKO), substantial GR loss does not occur until adulthood, and results in HPA axis hyperactivity, indicating a role for forebrain GR in negative feedback regulation (Boyle et al., 2005, 2006; Furay et al., 2008; Solomon et al., 2012).”
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“Furthermore, transgenic mice that have genetically reduced GR expression in their forebrain regions developed both physiological and behavioral abnormalities including impaired negative feedback regulation of the HPA axis and increased depression-like behaviors, which were normalized by antidepressant treatments (Boyl…”
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Cell-type specialization in the brain is encoded by specific long-range chromatin topologiesPreprint
Winick‐Ng, W., Kukalev, A., Harabula, I., Redondo, L. Z., Szabó, D., Meijer, M., Serebreni, L., Zhang, Y., Bianco, S., Chiariello, A. M., et al. (2020) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2020.04.02.020990 · Cited by 11
HPA axis function in mood disorders
Watson, S., & Mackin, P. (2009) · Psychiatry · doi:10.1016/j.mppsy.2008.11.006 · Cited by 10
Oakley, R. H., Riddick, N. V., Moy, S. S., & Cidlowski, J. A. (2023) · Neurobiology of Stress · doi:10.1016/j.ynstr.2023.100589 · Cited by 9
“While several studies have reported that loss of GR in the mouse forebrain can lead to dysregulation of the HPA axis (Boyle et al., 2005, 2006; Furay et al., 2008; Solomon et al., 2012), others have observed no alterations in HPA axis activity following depletion of GR in the hippocampus which is…”
BackgroundHariom, Kumari, P., Chaturvedi, S., Shrivastav, S., Maratha, S. R., & Walia, V. (2024) · Pharmacology Biochemistry and Behavior · doi:10.1016/j.pbb.2024.173930 · Cited by 9
Gunasekaran, V., Sankar, V., & Ramanathan, M. (2019) · Journal of Pharmacy and Pharmacology · doi:10.1111/jphp.13085 · Cited by 9
“However, higher GR occupancy was observed only at elevated corticosterone level in brain.([8]) Chronic stress exposure exhibited over”
BackgroundNeurochemical Systems Regulating the Hypothalamo-Pituitary-Adrenocortical Axis
Herman, J. P., Figueiredo, H. F., Mueller, N. K., Ostrander, M. M., Zhang, R., Tauchi, M., Choi, D. C., Furay, A. R., Evanson, N. K., Nelson, E., et al. (2006) · Springer eBooks · doi:10.1007/978-0-387-30405-2_13 · Cited by 9
Fresh approaches to antidepressant drug discovery
Anacker, C. (2014) · Expert Opinion on Drug Discovery · doi:10.1517/17460441.2014.892071 · Cited by 9
“Accordingly, mice with GR deletion specifically in mature forebrain neurons (GR mice) also exhibit increased glucocorticoid levels, impaired adult hippocampal neurogenesis and depressive behavior [108].”
BackgroundDifferential Regulation of the Glucocorticoid Receptor in a Rat Model of Inflammatory Pain
Ibrahim, S. I. A., Strong, J. A., Qualls, K. A., Ulrich‐Lai, Y. M., & Zhang, J. (2020) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000004652 · Cited by 8
Saayman, J. L. B., Harvey, B. H., Wegener, G., & Brink, C. B. (2024) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2024.176434 · Cited by 7
Kong, F., Laryea, G. N., Liu, Z., & Bhattacharyya, S. (2014) · Immunology · doi:10.1111/imm.12434 · Cited by 8
Current drug targets for the treatment of depression
Pathak, G., Nigade, A., Anitha, K., & Bhatt, S. (2025) · Brain Disorders · doi:10.1016/j.dscb.2025.100270 · Cited by 7
Sakamoto, T., & Sakamoto, H. (2019) · Nutrients · doi:10.3390/nu11030611 · Cited by 7
“Brain GRs can consistently be considered to be important for regulating hypothalamus-pituitary-adrenal (HPA) axis function independent of pituitary GR activity in mouse models, and the heterozygotic [16] or forebrain-restricted [18] GR knockout also causes depressive behaviors.”
BackgroundBurgess, D. J., Lucia, D., Cuffe, J. S. M., & Moritz, K. M. (2020) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2020.104901 · Cited by 7
Forebrain corticosteroid receptors promote post-myocardial infarction depression and mortality
Bruns, B., Daub, R., Schmitz, T., Sinno, M. H., Spaich, S., Dewenter, M., Schwale, C., Gass, P., Vogt, M. A., Katus, H. A., et al. (2022) · Basic Research in Cardiology · doi:10.1007/s00395-022-00951-6 · Cited by 7
“An inducible forebrain GR KO was shown to cause CS upregulation and depressive-like behavior in one study [7], whereas findings from Vogt et al.”
ResultOyola, M. G., Malysz, A. M., Mani, S. K., & Handa, R. J. (2015) · Elsevier eBooks · doi:10.1016/b978-0-12-802114-9.00013-5 · Cited by 7
Obesity and Depression: Shared Pathophysiology and Translational Implications
Huet, L., Delgado, I., Aouizerate, B., Castanon, N., & Capuron, L. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-813333-0.00016-0 · Cited by 8
Regulation of the HPA Axis by Acute and Chronic Stress
Herman, J. P. (2010) · Elsevier eBooks · doi:10.1016/b978-0-08-045396-5.00230-x · Cited by 7
Proteomic analysis of a rat model of depression
Mu, J., Yang, Z., & Xie, P. (2008) · Expert Review of Proteomics · doi:10.1586/14789450.5.2.315 · Cited by 6
Hussain, R. J., & Jacobson, L. (2014) · Physiology & Behavior · doi:10.1016/j.physbeh.2014.10.019 · Cited by 6
“Consistent with our results, mice with deletion of forebrain GR, including PFC GR, are more likely than their floxed GR counterparts to respond to chronic imipramine treatment with significant decreases in immobility [26].”
ResultAvgustinovich, D. F., Tenditnik, M. V., Bondar, N. P., Marenina, M. K., Zhanaeva, S. Y., Lvova, M. N., Katokhin, A. V., Pavlov, K. S., Evseenko, V. I., & Tolstikova, T. G. (2022) · Physiology & Behavior · doi:10.1016/j.physbeh.2022.113846 · Cited by 7
The JNK signaling pathway as a potential new target for depression
Zhang, J., & Lin, W. (2018) · Chinese Science Bulletin (Chinese Version) · doi:10.1360/n972018-00157 · Cited by 5
Kalambokis, G., Konitsiotis, S., Pappas, D., & Tsianos, E. V. (2006) · Journal of Endocrinological Investigation · doi:10.1007/bf03345550 · Cited by 6
Corticosteroid Receptor Involvement in the Stress Response
de Kloet, E. R., DeRijk, R. H., & Meijer, O. C. (2011) · Wiley eBooks · doi:10.1002/9781118083222.ch3 · Cited by 6
Wei, Q., Kumar, V., Moore, S. J., Li, F. R., Murphy, G. G., Watson, S. J., & Akil, H. (2023) · Neurobiology of Stress · doi:10.1016/j.ynstr.2023.100581 · Cited by 5
“The role of brain GR in stress and mood disorders has been investigated in a number of animal models (Arnett et al., 2011; Boyle et al., 2005, 2006; Hartmann et al., 2017; Reichardt et al., 1998; Ridder et al., 2005; Tronche et al., 1999; Wagner et al., 2011).”
BackgroundThe glucocorticoid receptor acts locally to protect dystrophic muscle and heart during disease
OLIVER, T. R., Nguyen, N., Tully, C., McCormack, N. M., Sun, C. M., Fiorillo, A. A., & Heier, C. R. (2024) · Disease Models & Mechanisms · doi:10.1242/dmm.050397 · Cited by 5
Gebhardt, S., Heiser, P., Fischer, S., Schneyer, T., Krieg, J.-C., & Vedder, H. (2008) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2008.07.002 · Cited by 5
“…hand, it is commonly accepted that antidepressants (AD) attenuate HPA axis activity and normalize disturbed relations of endocrine, immune and signal transduction factors (Boyle et al., 2005; Budziszewska and Lason, 1994; Ignatowski and Spengler, 1994; Leonard, 2001; Morley-Fletcher et al., 2004).”
BackgroundAnimal Models in Psychiatric Disorder Studies
Nani, J. V. S., Rodríguez, B., Cruz, F. C., & Hayashi, M. A. F. (2019) · IntechOpen eBooks · doi:10.5772/intechopen.89034 · Cited by 7
Central Nervous System Regulation of the Hypothalamic–Pituitary–Adrenal Axis Stress Response
Herman, J. P. (2011) · doi:10.1002/9781118083222.ch2 · Cited by 5
Castro-Vildosola, J., Bryan, C.-A., Tajamal, N., Jonnalagadda, S. A., Kasturi, A., Tilly, J., García, I., Kumar, R., Fried, N. T., Hala, T. J., et al. (2024) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2024.12.001 · Cited by 6
Moon, A. L., Mawson, E. R., Gasalla, P., Wilkinson, L. S., Dwyer, D. M., Thomas, K. L., & Hall, J. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26125547 · Cited by 4
“Peripheral hormone levels (Figure 3A,B”
Anti, N. A. O., Gheorghe, C. P., Deming, D. D., Adeoye, O. O., Zhang, L., & Mata‐Greenwood, E. (2025) · Frontiers in Endocrinology · doi:10.3389/fendo.2025.1587891 · Cited by 6
Metadata
- Authors
- Boyle, M. P., Brewer, J. A., Funatsu, M., Wozniak, D. F., Tsien, J. Z., Izumi, Y., & Muglia, L. J.
- Affiliations
- Princeton University (US)
- Corresponding author
- Muglia, Louis J.
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2004-12-27
- Volume
- 102
- Issue
- 2
- Pages
- 473-478
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC544280
- OpenAlex
- W2156404675
- Cited by
- 378
- References
- 40
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 13 · 2023: 9 · 2022: 14 · 2021: 10 · 2020: 15 · 2019: 20 · 2018: 21 · 2017: 15 · 2016: 16 · 2015: 18 · 2014: 29 · 2013: 20 · 2012: 29
- FWCI
- 7.13
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuropeptides and Animal Physiology
- Keywords
- glucocorticoid receptor, major depressive disorder, hypothalamic-pituitary-adrenal axis, HPA axis dysregulation, negative feedback regulation, depression-like behavior, imipramine, tricyclic antidepressants, antidepressant mechanism, glucocorticoid signaling
- MeSH terms
- Animals, Corticotropin-Releasing Hormone, Depression, Hippocampus, Hypothalamo-Hypophyseal System, Imipramine, Mice, Inbred CBA, Mice, Inbred C57BL, Pituitary-Adrenal System, Receptors, Glucocorticoid, RNA, Messenger, Time Factors, Prosencephalon, Mice, Knockout, Mice
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