help button home button Endocrine Society Endocrinology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Copyright Permission
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kim, C. K.
Right arrow Articles by Rivier, C. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kim, C. K.
Right arrow Articles by Rivier, C. L.
Endocrinology Vol. 141, No. 6 2244-2253
Copyright © 2000 by The Endocrine Society


ARTICLES

Nitric Oxide and Carbon Monoxide Have a Stimulatory Role in the Hypothalamic-Pituitary-Adrenal Response to Physico-Emotional Stressors in Rats1

C. Kwon Kim and Catherine L. Rivier2

The Clayton Foundation Laboratories for Peptide Biology, The Salk Institute, La Jolla, California 92037

Address all correspondence and requests for reprints to: Catherine Rivier, Ph.D., The Clayton Foundation Laboratories for Peptide Biology, The Salk Institute, 10010 North Torrey Pines Road, La Jolla, California 92037. E-mail: crivier{at}salk.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We tested the hypothesis that nitric oxide and carbon monoxide, which are produced in the brain by nitric oxide synthase (NOS) and heme oxygenase (HO), modulate the hypothalamic-pituitary-adrenal response to physico-emotional stressors by acting at the hypothalamus. Accordingly, we determined 1) whether the intracerebroventricular (icv) injection of NOS or HO inhibitors at doses that were confined to the brain attenuated electroshock-induced ACTH release; and 2) whether the decreases in this ACTH response were concurrent with decreases in NOS or HO activity levels at the hypothalamus. Icv injection of the NOS inhibitor N{omega}-nitro-L-arginine-methylester (L-NAME; 50 µg) or the HO inhibitor tin protoporphyrin (SnPP; 20–25 µg) significantly blunted the plasma ACTH response to a 45-min session of intermittent electroshocks. Importantly, in these same animals there were concurrent decreases in hypothalamic NOS or HO activities, respectively. There were little or no effects of these inhibitors on anterior pituitary NOS or HO activities, indicating that there was only minimal leakage of the drug from the brain after icv administration. The specificity of action of these inhibitors was confirmed by the fact that SnPP did not affect NOS activity, and L-NAME did not affect HO activity. Finally, L-NAME produced no effect, whereas SnPP produced only transient increases in blood pressure, suggesting that these inhibitors do not affect activity indirectly through alterations in blood pressure. These data support the hypothesis that in the whole animal, both NO and CO exert a stimulatory influence on the acute ACTH response to physico-emotional stressors, and that the hypothalamus is the critical site of their actions.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IN RESPONSE TO stressors, the forces that threaten the constancy of an organism’s internal milieu, the body mounts an adaptive or stress response to preserve its internal homeostasis (1, 2, 3). The hypothalamic-pituitary-adrenal (HPA) axis constitutes a major aspect of this stress response. Neurons in the paraventricular nucleus (PVN) of the hypothalamus, the brain area that controls and initiates the HPA response, synthesize CRF and vasopressin (VP), then release these peptides into the hypothalamo-hypophyseal portal vessels of the median eminence. At the anterior pituitary, CRF, in conjunction with VP, stimulates the synthesis of POMC and release of the POMC-derived peptide ACTH. ACTH is transported via the systemic circulation to the adrenal gland, where it acts at the adrenal cortex to stimulate the synthesis and release of glucocorticoids.

The HPA axis is regulated by multiple stimulatory and inhibitory inputs (1, 2, 3). CRF, ACTH, and especially glucocorticoids themselves have regulatory roles through various negative feedback loops at different levels of this axis. At the PVN level, many of the classic neurotransmitters and other substances, such as PGs and opiates, alter CRF/VP synthesis and/or release. Recently, there has been recognition that the newest class of brain neuromodulators, the short-lived and highly diffusable gases nitric oxide (NO) and carbon monoxide (CO), may also play a role in HPA regulation (4, 5, 6). NO is formed during the conversion of arginine to citrulline by NO synthase (NOS) (7, 8, 9). There are three forms of this enzyme: two constitutive forms whose activities are dependent on the presence of Ca2+ [neuronal (n) NOS or NOS I, and endothelial (e) NOS or NOS III] and an inducible form that is Ca2+-independent (iNOS or NOS II). CO is produced by heme oxygenase (HO) during the conversion of iron-protoporphyrin to biliverdin and free iron (7, 8, 10). There are three forms of this enzyme: constitutive HO-2, inducible HO-1, and the recently discovered HO-3 (11). Of particular relevance, NOS (12, 13, 14, 15) and HO (16, 17) are found in hypothalamic nuclei known to control the release of CRF/VP. Specifically, NOS has been shown to be colocalized with CRF- and VP-producing neurons in the PVN (18, 19).

Studies from other laboratories that have examined the roles of NO and CO in the HPA stress response have yielded contradictory results. Experiments using tissue extracts have reported stimulatory and inhibitory roles for both NO (20, 21, 22, 23, 24, 25, 26, 27, 28, 29) and CO (30, 31, 32) in CRF and/or VP release. Experiments using the whole animal have also reported stimulatory and inhibitory roles for NO (27, 33, 34, 35, 36, 37, 38, 39) in CRF, VP, ACTH, and/or corticosterone release. Due to these discrepancies, our laboratory has conducted a comprehensive series of studies over the past several years using the rat model to determine the role of NO and CO on the HPA stress response. Our initial studies demonstrated that the systemic (sc or iv) administration of NOS inhibitors such as N{omega}-nitro-L-arginine-methylester (L-NAME), N{omega}-nitro-L-arginine, or NG-methyl-L-arginine augmented the ACTH response to systemic injections of cytokines such as interleukin-1ß, suggesting an inhibitory role for NO (40, 41, 42, 43). As the acute ACTH response to blood-borne cytokines is thought to primarily represent increased CRF and VP release from nerve terminals in the median eminence as well as the stimulatory effect of these peptides on the corticotrophs, our results suggested that NO might interfere with both events. In contrast, we found that NOS (L-NAME, N{omega}-nitro-L-arginine, or NG-methyl-L-arginine) or HO [tin protoporphyrin (SnPP) or tin mesoporphyrin (SnMP)] inhibitors attenuated the ACTH response to physico-emotional stressors such as electroshock or water avoidance (44, 45). As these stressors are thought to release ACTH by initially stimulating CRF and VP synthesis and release from the PVN, these results suggested a stimulatory role for NO and CO in the PVN. This idea was subsequently substantiated by our finding that intracerebroventricular (icv) injection of the NO donor 3-morpholino-sydnonimine (SIN-1) up-regulated PVN CRF and VP gene expression and increased plasma levels of ACTH (46).

Our experiments focusing on the roles of NO and CO in mediating the ACTH response to physico-emotional stressors, were initially conducted with systemic injections of NOS or HO inhibitors (44, 45). As indicated above, in response to physico-emotional stressors, hypothalamic activation is accompanied by the release of CRF and VP from the median eminence. Consequently, the ability of these antagonists to blunt physico-emotional stress-induced ACTH release implies that either the stimulatory influence of NO and CO on CRF/VP neurons of the PVN predominates over their inhibitory role at the median eminence, or that the inhibitory influence of NO is only observed in the presence of circulating cytokines. Thus, we thought it important to study the consequence of injecting L-NAME or SnPP centrally (i.e. icv), which would restrict the inhibitors’ effects to the brain and thus eliminate their action on the peripheral NOS and HO systems. Furthermore, if the hypothesis that NO and CO exert stimulatory influences on CRF/VP neurons of the PVN during physico-emotional stressors is correct, we would expect NOS and HO inhibitors to decrease hypothalamic NOS and HO activities, respectively, parallel to the observed attenuation of stress-induced ACTH release.

The main purpose of the present study was, therefore, 2-fold. First, we determined whether icv administration of L-NAME or SnPP would attenuate plasma ACTH responses to intermittent electroshocks, similar to those observed in our previous studies after systemic administration of the inhibitors. Second, we determined whether there was concordance between this ACTH response and hypothalamic NOS and HO activity levels, a finding that would support a role for PVN NO and CO in the HPA axis response to physico-emotional stressors. We also compared these NOS and HO activity responses with those observed after sc administration of L-NAME or SnPP. This was important because, as we mentioned above, we had administered these inhibitors peripherally in our initial demonstrations of decreased stress-induced ACTH release (44, 45). Furthermore, we wanted to confirm the specificity of action of L-NAME and SnPP at inhibiting NOS and HO activities, respectively, by assessing their effects on both hypothalamic NOS and HO activities. Finally, we determined that these inhibitors did not affect the HPA response indirectly through their well known actions as vasoconstrictors (42, 47, 48) by assessing blood pressure changes after icv administration of L-NAME or SnPP over the time course that we tested the animals for ACTH response.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Animals
Adult male Sprague Dawley rats (180–220 g) were maintained under standard lighting (12-h light, 12-h dark cycle; lights on, 0630 h) and feeding (rat chow and water ad libitum) conditions. All rats were initially group-housed, but were single-housed after surgical procedures. All procedures were approved by The Salk Institute animal care and use committee.

Drugs
The general NOS inhibitor L-NAME, purchased from Sigma (St. Louis, MO), was diluted in sterile water and injected icv (50 µg, 5 µl volume) or sc (50 mg/kg, 0.2-ml volume). The general HO inhibitor SnPP, purchased from Porphyrin Products (Logan, UT), was diluted in dimethylsulfoxide (DMSO)/sterile water, sonicated, and then injected icv (20–25 µg, 5-µl volume of 20% DMSO/80% water) or sc (60 mg/kg, 0.2-ml volume of 50% DMSO/water). L-NAME and SnPP can cross the blood-brain barrier to block the activity of NOS (49) or HO (50), respectively. The sc doses of drugs used in the present study were therefore based on our previously published studies (45). Icv doses were based on preliminary dose-response studies: L-NAME at 25–250 µl, and SnPP at 10–50 µl. Because both drugs are light sensitive, they were protected from light during handling.

Intracerebroventricular injection
An indwelling icv cannula was implanted using standard stereotaxic techniques (51) 7–10 days before testing. Animals were anesthetized with 0.6 ml (sc) of a mixture of ketamine (Fort Dodge Animal Health, Fort Dodge, IA), xylazine (Bayer Corp., Shawnee Mission, KS), acepromazine (Vedco, Inc., St. Joseph, MO), and sterile water in a volume ratio of 9:9:4:1.4. A 26-gauge stainless steel guide cannula (Plastics One, Roanoke, VA) was placed into the right lateral ventricle [0.3 mm posterior, 1.4 mm right, 3.5 mm ventral to bregma skull surface, with incisor bar 3.3 mm below the interaural line; coordinates from Paxinos and Watson (52)]. On the morning of the experiment, the internal cannula [33-gauge, projecting 1 mm beyond tip of the guide cannula (Plastics One)] was attached to the implanted guide cannula and extended with a 50-cm long catheter containing the appropriate drug. Rats were placed individually into opaque buckets in a quiet room, with the catheter extending outside the bucket to allow drug delivery without handling the animal. Rats were left undisturbed for 3 h before treatment, the time necessary for return of ACTH and corticosterone to baseline levels. Drugs were slowly infused (1 µl/10 sec) via a microinjection syringe (Hamilton Co., Reno, NV) attached to the catheter. Control animals received the appropriate vehicle.

Blood samples
An indwelling iv cannula to the right jugular vein was inserted under isoflurane anesthesia (Abbott Laboratories, Chicago, IL) 2–3 days before testing (51). On the morning of the experiment, the iv cannulas were extended with a 50-cm long catheter filled with heparinized saline. Rats were placed individually into opaque buckets in a quiet room, with the catheter extending outside the bucket to allow for blood sample collection without handling the animal. Rats were left undisturbed for 3 h before treatment. Each blood sample (400-µl volume) was withdrawn and immediately replaced with an equal volume of sterile saline. Each blood sample was collected in a 1-cc syringe, transferred to a plastic tube containing the anticoagulant EDTA, placed on ice, and centrifuged at 4 C for 10 min at low speed, and the plasma was stored at -70 C until assayed. This blood-sampling procedure allows for the collection of up to five samples from the same animal without affecting parameters of HPA activation (51).

Intermittent electroshock
Electroshocks (1 mA, 1 sec duration, randomized to two shocks per min for 45 min) were delivered to the animal’s paws using a Coulbourn E13–08 grid floor shocker controlled by a Macintosh computer (44). Each shock chamber was a 30 x 26 x 31 cm Plexiglas box housed inside a larger Plexiglas chamber. Because of the low voltage used, this stressor does not cause injury and produces only minimal pain. Indeed, the intermittent nature of this stressor makes it essentially an emotional stressor accompanied by a modest amount of physical discomfort.

Mean arterial blood pressure (MAP) measurement
At least 7 days after icv cannulation, an indwelling catheter was inserted into the right femoral artery under isoflurane anesthesia. On the morning of the next day, the cannula was extended with a 100-cm long catheter filled with heparinized saline and attached to the blood pressure apparatus (model RS 3200, Gould, Inc., Valley View, OH). Rats were placed individually into opaque buckets in a quiet room, with the catheter extending outside the bucket to allow for MAP monitoring in the freely moving animals without handling. Rats were left undisturbed for 3 h before icv drug treatment. MAP was continuously monitored for 30 min before and up to 1 h and 45 min after icv treatment. Data were expressed in displacement (mm Hg) from the predrug baseline.

ACTH RIA
Plasma ACTH levels were determined by a commercially available two-site RIA (Allegro kit, Nichols Institute Diagnostics, San Juan Capistrano, CA). The lower detection limit and the intraassay coefficient of variation were 15 pg/ml and less than 10%, respectively. Data were expressed in pg/ml plasma. We have validated this RIA for use in the rat (42).

Tissue preparation for NOS/HO activity assays
Animals were decapitated, and the whole brain and anterior pituitary were quickly removed, quick-frozen with powdered dry ice, and stored at -70 C until analyzed for NOS and HO activities. The hypothalamus was isolated using the landmarks of the optic chiasm on the ventral surface and the fornices for the dorsal and lateral boundaries. The anterior pituitary was separated from the posterior pituitary.

NOS activity assay
This procedure assessed the conversion of [14C] arginine to [14C]citrulline using the method of Bredt and Snyder (53). NO is produced in equimolar concentrations with citrulline. Tissues were homogenized in buffer (25 mM Tris-HCl, 1 mM EDTA, and 1 mM EGTA, pH 7.4) and centrifuged at 8000 x g for 10 min at 4 C. Supernatant (10–40 µl) was added to incubation buffer [25 mM Tris-HCl (pH 7.4), 3 µM tetrahydrobiopterin (Alexis Biochemicals, San Diego, CA), 1 µM flavin adenine dinucleotide (Sigma), 1 µM flavin mononucleotide (Sigma), 0.6 mM CaCl2, 1 mM NADPH (Sigma), and 0.3 µCi L-[14C]arginine monohydrochloride (Amersham Pharmacia Biotech, Arlington Heights, IL)] to a final volume of 100 µl, and incubated at 37 C. Aliquots (45 µl) of this mixture were removed at 4 and 8 min. To each aliquot, 400 µl stop buffer [50 mM HEPES (Sigma) and 5 mM EDTA, pH 5.5] and then 200 µl AG50W-X8 resin (Bio-Rad Laboratories, Inc., Richmond, CA) preequilibrated with stop buffer (5 g/10 ml) were added, vortexed for 2 min, and centrifuged at 12,000 x g for 15 min in spin columns (BIO-101, Vista, CA) to recover the eluant. [14C]Citrulline was quantified by liquid scintillation (ICN Pharmaceuticals, Inc., Costa Mesa, CA) counting in a ß-counter, and values were expressed as pmol/mg protein/min. Protein quantification of each sample was performed by the Bradford method using a commercially available kit (Bio-Rad Laboratories, Inc.). The above-mentioned procedure assessed cNOS (Ca2+-dependent) activity. iNOS (Ca2+-independent) activity was assessed after deletion of the Ca2+ source (CaCl2) from the incubation buffer.

HO activity assay
This procedure, adopted from that described by Maines et al. (54), relied on the quantification of bilirubin production. HO converts iron-protoporphyrin to biliverdin, free iron, and CO; biliverdin reductase then quickly converts biliverdin to bilirubin. CO and bilirubin are produced in equimolar concentrations. Tissues were homogenized in buffer (10 mM Tris-HCl and 250 mM sucrose, pH 7.5) and centrifuged at 10,000 x g for 20 min at 4 C, supernatants were centrifuged at 100,000 x g for 1 h at 4 C, and pellets were resuspended in buffer (20 mM Tris-HCl, 0.1 mM EDTA, 20% glycerol, and 0.4% Triton X-100). For each sample, a reaction mixture was made: 50 µl resuspended sample, 400 µl assay buffer (0.1 M potassium phosphate monobasic and 1 mM EDTA, pH 7.4), 10 µl biliverdin reductase (isolated supernatant after the centrifuge steps, from kidney tissue), 10 µl 1 mM heme solution [6.52 mg hemin (Sigma), 250 µl 0.1 N NaOH, 100 mg Tris base, 132 mg BSA, 9.5 ml water, and 200 µl 0.1 N HCl], and 0.02 U cytochrome P450 reductase (Calbiochem, La Jolla, CA). The reaction mixture (100 µl) was added to a test tube and a reference tube, and 10 µl of either 2.75 mM NADPH (Sigma) or assay buffer were added to the test and reference tubes, respectively. The tubes were incubated at 37 C for 15 and 30 min, placed into an ice bath to terminate the reaction, then scanned on a spectrophotometer (model DU 640B, Beckman Coulter, Inc., Fullerton, CA) using the reference tube as the blank. The change in OD of the test tube at the peak (530 nm) compared with the trough (465 nm) was divided by the extinction coefficient of bilirubin (40/mm cm), and values were expressed as nmol/mg protein/h. Protein quantification of each sample was performed by the Bradford method using a commercially available kit (Bio-Rad Laboratories, Inc.).

Statistical analysis
Statistical analyses were performed with t tests or appropriate one-, two-, or three-way ANOVA followed by Tukey’s post-hoc test. The P values are only reported when statistical significance was achieved (P < 0.05, two-tailed).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effects of icv L-NAME on the ACTH response to electroshocks and NOS activity in the hypothalamus and anterior pituitary
The purpose of this experiment was to determine whether icv L-NAME would attenuate the ACTH response to electroshocks and concurrently decrease NOS activity in the hypothalamus. NOS activity was also assessed in the anterior pituitary to determine whether there was leakage of L-NAME from the brain. Rats were injected with L-NAME (50 µg, icv) or vehicle 1 h before a 45-min session of intermittent electroshocks. Serial blood samples were taken before the injection (-60 min), immediately before placement in the shock chamber (0 min), and at 10, 30, and 45 min after the start of the shocks. After the termination of shocks, animals were decapitated, and tissues were processed for subsequent analysis of NOS activity.

As shown in Fig. 1Go, all nonshocked animals, whether they received L-NAME or vehicle, displayed basal ACTH levels throughout. As expected, electroshocks produced significant (P < 0.01) elevations of ACTH, and L-NAME significantly (P < 0.01) blunted this response, suggesting that NO plays a stimulatory role in ACTH release. NOS activity in the hypothalamus was significantly (P < 0.01) decreased in all animals that received L-NAME regardless of whether they were shocked. NOS activity in the anterior pituitary was marginally decreased by L-NAME. In animals that were shocked, those that received L-NAME showed a modest decrease (P < 0.07) compared with those that received vehicle. This suggests that icv L-NAME markedly blocked NO production in the hypothalamus, and there may have been a small amount of leakage of the drug to the anterior pituitary to marginally inhibit NO production. However, it is possible that the small decrease in NOS activity in the anterior pituitary may have been produced by downstream effects mediated by inhibition at the hypothalamus. Electroshocks exhibited no effects on NOS activity in either the hypothalamus or anterior pituitary. Collectively, these results confirm the stimulatory effect of NO on hypothalamic structures involved in the ACTH response to electroshocks.



View larger version (20K):
[in this window]
[in a new window]
 
Figure 1. Effects of icv L-NAME (50 µg) or vehicle on the plasma ACTH response to intermittent electroshocks and NOS activity in the hypothalamus and anterior pituitary. Blood samples were taken before the injection (-60 min), before placement in the shock chamber (0 min), and at 10, 30, and 45 min after the start of shocks. NOS activity was measured after shocks. The data points for vehicle/no shocks overlap those for L-NAME/no shocks. Each pointor bar represents the mean ± SEM of four to eight rats. **, P < 0.01 vs. respective vehicle; a, P < 0.01 vs. vehicle/shocks.

 
Effects of icv SnPP on the ACTH response to electroshocks and HO activity in the hypothalamus and anterior pituitary
The purpose of this experiment was to determine whether icv SnPP would attenuate the ACTH response to electroshocks and concurrently decrease HO activity in the hypothalamus. HO activity was also assessed in the anterior pituitary to determine whether there was leakage of SnPP from the brain. Rats were injected with SnPP (20 µg, icv) or vehicle 1 h before a 45-min session of intermittent electroshocks. Serial blood samples were taken before the injection (-60 min), immediately before placement into the shock chamber (0 min), and at 10, 30, and 45 min after the start of the shocks. After the termination of shocks, animals were decapitated, and tissues were processed for subsequent analysis of HO activity.

As shown in Fig. 2Go, all nonshocked animals, whether they received SnPP or vehicle, displayed basal ACTH levels throughout. As expected, electroshocks produced significant (P < 0.01) elevations of ACTH, and SnPP significantly (P < 0.01) blunted this response, suggesting that CO plays a stimulatory role in ACTH release. HO activity in the hypothalamus was significantly (P < 0.01) decreased in all animals that received SnPP regardless of whether they were shocked. HO activity in the anterior pituitary was not affected by SnPP, suggesting that SnPP was confined to the brain. Electroshocks exhibited no effect on HO activity at either site. Collectively, these results confirm the stimulatory effect of CO on hypothalamic structures involved in the ACTH response to electroshocks.



View larger version (22K):
[in this window]
[in a new window]
 
Figure 2. Effects of icv SnPP (20 µg) or vehicle on the plasma ACTH response to intermittent electroshocks and HO activity in the hypothalamus and anterior pituitary. Blood samples were taken before the injection (-60 min), before placement in the shock chamber (0 min), and at 10, 30, and 45 min after the start of shocks. HO activity was measured after the shocks. The data points for vehicle/no shocks overlap those for SnPP/no shocks. Each point or bar represents the mean ± SEM of four to eight rats. **, P < 0.01 vs. respective vehicle; a, P < 0.01 vs. vehicle/shocks.

 
Effects of sc L-NAME on NOS activity in the hypothalamus and anterior pituitary
Our previous studies have shown that the ACTH response to intermittent electroshocks was attenuated after sc injection of L-NAME 3 h earlier (44, 45). The present study measured NOS activity in the hypothalamus and anterior pituitary of rats treated in a similar fashion to demonstrate that L-NAME (50 mg/kg, sc) does cross the blood-brain barrier to inhibit hypothalamic NOS activity. After the termination of shocks, animals were decapitated, and tissues were processed for subsequent analysis of NOS activity. As shown in Fig. 3Go, L-NAME significantly decreased NOS activity in the hypothalamus (P < 0.01) and anterior pituitary (P < 0.01). This indicates that sc L-NAME not only acted at the anterior pituitary, but reached the hypothalamus. Data from rats that were not shocked are not reported here; previous unpublished data have shown that NOS activity values of shock vs. no shock animals did not differ significantly after L-NAME or vehicle treatment.



View larger version (13K):
[in this window]
[in a new window]
 
Figure 3. Effects of sc L-NAME (50 mg/kg) or vehicle on NOS activity in the hypothalamus and anterior pituitary. NOS activity was measured after electroshocks, which occurred 3 h after L-NAME injection. Each bar represents the mean ± SEM of four to eight rats. **, P < 0.01 vs. vehicle.

 
Effects of sc SnPP on HO activity in the hypothalamus and anterior pituitary
Our previous study has shown that the ACTH response to intermittent electroshocks was attenuated after sc injection of SnPP 3 h previously (45). The present study measured HO activity in the hypothalamus and anterior pituitary of rats treated in a similar fashion to demonstrate that SnPP (60 mg/kg, sc) does cross the blood-brain barrier to inhibit hypothalamic HO activity. After the termination of shocks, animals were decapitated, and tissues were processed for subsequent analysis of HO activity. As shown in Fig. 4Go, SnPP significantly decreased HO activity in the hypothalamus (P < 0.01) and anterior pituitary (P < 0.05). This indicates that sc SnPP not only acted at the anterior pituitary, but reached the hypothalamus.



View larger version (13K):
[in this window]
[in a new window]
 
Figure 4. Effects of sc SnPP (60 mg/kg) or vehicle on HO activity in the hypothalamus and anterior pituitary. HO activity was measured after electroshocks, which occurred 3 h after SnPP injection. Each bar represents the mean ± SEM of four to eight rats. **, P < 0.01 vs. vehicle; *, P < 0.05 vs.vehicle.

 
Effects of icv L-NAME or SnPP on both NOS and HO activities in the hypothalamus
The purpose of this experiment was to confirm the specificity of action of L-NAME and SnPP at inhibiting NOS and HO activities, respectively. Rats were injected icv with L-NAME (50 µg), SnPP (25 µg), or their respective vehicle 1 h before the session of intermittent electroshocks. Half of each vehicle control group received the vehicle for L-NAME, and the other half received the vehicle for SnPP. Because there were no differences as a result of the two types of vehicle treatments, these data were combined. After the termination of shocks, animals were decapitated, and tissues were processed for subsequent analysis of NOS and HO activities. As shown in Fig. 5Go, L-NAME, but not SnPP, significantly (P < 0.01) decreased NOS activity, and SnPP, but not L-NAME, significantly (P < 0.01) attenuated HO activity. These data indicate that L-NAME and SnPP are specific inhibitors of NOS and HO activities, respectively.



View larger version (18K):
[in this window]
[in a new window]
 
Figure 5. Effects of icv L-NAME (50 µg), SnPP (25 µg), or vehicle on NOS and HO activities in the hypothalamus. NOS activity was measured after electroshocks, which occurred 1 h after drug injection. Each bar represents the mean ± SEM of four to eight rats. **, P < 0.01 vs. vehicle.

 
Effect of removal of Ca2+ on NOS activity in the hypothalamus
The purpose of this experiment was to determine whether the NOS activity that was measured in this study was cNOS (Ca2+-dependent) or iNOS (Ca2+-independent). Hypothalamic samples from animals that received either icv (50 µg) or sc (50 mg/kg) L-NAME before electroshocks were assessed for NOS activity. The Ca2+ source (CaCl2) was deleted from the incubation buffer in the NOS activity assay. After the removal of Ca2+, enzymatic activity was undetectable, indicating that the NOS we measured was Ca2+-dependent (i.e. cNOS; data not shown).

Effects of icv L-NAME or SnPP on MAP
The purpose of this experiment was to demonstrate that L-NAME and SnPP did not affect the ACTH response indirectly through their well known actions as vasoconstrictors (42, 47, 48). Rats were injected icv with L-NAME (50 µg), SnPP (20 µg), or their respective vehicles, and displacement of MAP from the predrug baseline was determined over the time course during which we tested the animals for ACTH response. The 0 min point is the mean of five measurements taken at 1-min intervals during the 5 min that immediately preceded drug or vehicle administration. As shown in Fig. 6Go, SnPP produced significant (P < 0.05) increases in MAP, but this effect subsided within 15 min, well before the time when the rats were exposed to the electroshock treatment. L-NAME produced no significant effects on MAP. Although MAP measurements were taken up to 1 h and 45 min after drug injection, these data are not presented because no effects were observed. These data suggest that these inhibitors do not alter HPA activity indirectly through alterations in blood pressure.



View larger version (28K):
[in this window]
[in a new window]
 
Figure 6. Effects of icv L-NAME (50 µg), SnPP (20 µg), or vehicle on MAP displacement from the predrug baseline. Each point represents the mean ± SEM of four rats. *, P < 0.05 vs. vehicle.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The present study confirms that both NO and CO exert a stimulatory influence on the HPA response to physico-emotional stressors, and that the hypothalamus is the critical site of their action. Evidence for this is provided by the following observations. First, central (icv) administration of inhibitors of NO or CO formation (L-NAME or SnPP, respectively) blunted the plasma ACTH response to intermittent electroshock and concurrently decreased hypothalamic NOS or HO activities in the same subjects. Second, the attenuated ACTH response and the decrease in hypothalamic NOS or HO activity levels were comparable after sc or icv injections of the antagonists, whereas only systemic injections significantly blocked anterior pituitary enzyme activity. If NO and CO formation at the anterior pituitary was an important component of the stress response, ACTH release induced by stress would have been differentially altered in rats administered L-NAME or SnPP via sc and icv modes.

The stimulatory role of NO and CO that we observed here is consistent with our previous demonstrations of attenuated ACTH response to physico-emotional stressors after systemic administration of NOS or HO inhibitors (44, 45) and increased ACTH response to administration of the NO donor SIN-1 (46). Several other investigators using the whole animal model have demonstrated a stimulatory role for NO on CRF and VP release (27, 33, 36, 37). However, Goyer et al. (34) and Kadowaki et al. (35) observed an inhibitory role of NO on VP release after salt loading. It is possible that NO has different roles in neural circuitries underlying physico-emotional stressors and salt loading. Indeed, physico-emotional stressors predominantly affect VP neurons in the parvocellular (p) division of the PVN, whereas salt loading alters VP neurons in the magnocellular division (55). Another contrasting result is the finding by Tsuchiya et al. (38) that L-NAME delayed the return of plasma corticosterone to baseline levels after 2 h of immobilization stress; the same trend was apparent for ACTH release, but it did not reach statistical significance. Our studies (Refs. 44, 45 and the present study) that demonstrated a stimulatory role for NO examined ACTH changes over the initial 30–45 min of the stressor, which corresponds to the rise and plateau phases of the HPA stress response. As Tsuchiya’s and our studies examined different time domains of the stress response, it is difficult to make direct comparisons. One possibility is that NO has different roles in the different time domains of the HPA response, a hypothesis that we are presently pursuing. Finally, a recent study by Weidenfeld et al. (39) showed that NOR-3 (a NO donor) decreased CRF secretion from the median eminence and decreased serum levels of ACTH and corticosterone at 10 min after acute photic stimulation, whereas L-NAME augmented the ACTH and corticosterone responses to this stressor. As our demonstrations of NO’s effects on the HPA axis have been with physico-emotional stressors, such as electroshocks or water avoidance, it is possible that NO differentially affects photic stress.

Experiments that have used isolated tissue have also shown contradictory roles for NO (20, 21, 22, 23, 24, 25, 26, 27, 28, 29) and CO (30, 31, 32) in CRF and VP release, but such discrepancies may arise from the particular method of tissue extraction and manipulation. First, this approach isolates the tissue from relevant afferent inputs and the normal hormonal environment. Second, in view of our finding that NO (and possibly CO) exerts opposite effects in the brain (PVN) and the periphery (median eminence and pituitary), it is possible that the net effect of these gases may depend on the proportions of cells from the PVN and from the basal hypothalamus/median eminence.

Within the hypothalamus, we believe that the critical sites for the stimulatory actions of NO and CO are the CRF and VP neurons of the pPVN. This is based on our previous studies demonstrating attenuation of shock-induced expression of the immediate early gene NGFI-B messenger RNA (mRNA) and/or CRF heteronuclear RNA in the pPVN after systemic administration of NOS or HO inhibitors (45, 56), and increased NGFI-B mRNA and CRF/VP heteronuclear RNA levels in the pPVN after icv administration of SIN-1 (46). We have also shown that CRF antibodies abolished and VP antibodies partially decreased the ACTH response to icv SIN-1 administration (46). Furthermore, other investigators have demonstrated an increase in expression of another immediate early gene, fos, in NOS-producing neurons of the PVN after restraint or novel environment stressors (12, 57) and a decrease in restraint-induced fos expression in the PVN after L-NAME treatment (58).

Given that all NOS and HO isoforms are found in the hypothalamus, which isoform(s) is responsible for the HPA response to physico-emotional stressors? With regard to NOS, we believe it to be the constitutive forms, probably both nNOS and eNOS. Evidence for this comes from the present demonstration that the NOS activity that we measured was Ca2+ dependent (i.e. cNOS), and from our previous studies that have shown L-nitroarginine and NG-methyl-L-arginine (which preferentially blocks cNOS) and 7-nitroindozole (which preferentially blocks nNOS) to attenuate the ACTH response to electroshocks, similar to the effect of L-NAME (45, 59). At this time, we cannot conclude which HO isoform is responsible for the HPA response to physico-emotional stressors.

Our working hypothesis that both NO and CO stimulate the HPA axis would suggest that when a physico-emotional stressor occurs, there may be an increase in NO and CO formation that serves to activate the PVN neurons. The question that arises is why there were no measurable increases in NOS and HO activity levels in the hypothalamus that paralleled the ACTH response to the electroshocks. At present, we are considering several possible explanations. First, although the initial response to a stressor is that the existing enzymes become more active, the method that we used to assess NO and CO formation may not have detected this change. The NOS and HO activity assays quantify the maximum amount of gas that a given amount of enzyme is capable of producing, not the actual amount of gas produced in vivo at any given time. With prolonged stress, there would be an induction of NOS and HO mRNA expression, followed by an increase in enzyme protein levels and subsequently of enzymatic activity levels and gas production. Thus, our stress procedure may not allow sufficient time for the synthesis of new enzyme and the subsequent increase in enzymatic activity levels. This idea is confirmed by the observation that nNOS mRNA expression in the PVN is significantly elevated at 2 h of restraint (60, 61), whereas increases in nNOS protein expression were evident by 6 h (62). Similarly, increases in nNOS mRNA levels at the anterior pituitary and adrenal cortex were evident after 2 h of restraint, whereas increases in NOS activity were not observed at 2 h, but were seen by 6 h of restraint (62). Alternate methods of measuring NO and CO production would be useful in testing this idea. A second possibility is that PVN NOS and HO activities did increase in response to electroshock, but because the whole hypothalamus was examined, the change in activity at the PVN was diluted below detection levels. Measurement of PVN NOS and HO activity levels would confirm this idea. Finally, the roles of NO and CO in HPA activation may be mainly facilatory; i.e. basal levels of these gases may be sufficient in themselves to allow stress-induced CRF/VP release. This is somewhat similar to our observation of the interaction between CRF and VP on ACTH release (63).

Following are some final comments regarding the specific mechanisms by which NO and CO influence the HPA axis. First, given that both L-NAME and SnPP are potent vasoconstrictors (42, 47, 48), it has been suggested that changes in the HPA response after the administration of these inhibitors might be due to alterations in blood pressure. However, the present observation that SnPP produced only a transient increase in blood pressure that subsided by the time the electroshocks were delivered, argues against this mechanism. This is further collaborated by the observation that increases in blood pressure do not up-regulate PVN activity (64). Also, in the present study, the dose of L-NAME that we used did not have a significant effect on blood pressure, ruling out this potential mechanism. Second, it is possible that the blunted HPA response to physico-emotional stressors after L-NAME administration might be due to increased corticosterone negative feedback. As we reported previously (44, 45), there sometimes is a small, albeit statistically significant, increase in plasma ACTH levels after sc L-NAME. This increase in ACTH levels would produce an elevation in circulating corticosterone levels that, in turn, may exert a negative feedback signal. When a stressor is subsequently applied (i.e. electroshocks), the ACTH and corresponding corticosterone responses would be attenuated by the presence of the stronger feedback signal. However, the present study clearly shows that in contrast to sc treatment, the icv injection of L-NAME produced no elevation in basal ACTH levels, arguing against an increased corticosterone feedback mechanism. Furthermore, neither sc (45) nor icv (present study) delivery of SnPP was associated with increased plasma ACTH levels, ruling out a feedback mechanism.

To summarize, central administration of inhibitors of NO or CO formation (L-NAME or SnPP, respectively) attenuated the plasma ACTH response to intermittent electroshocks and concurrently decreased hypothalamic NOS and HO activities. This suggests that both gases exert a stimulatory influence on the HPA response to physico-emotional stressors, and that the hypothalamus is the critical site of their action. The present study also confirmed the specificity of action of L-NAME and SnPP at suppressing NOS and HO activities, respectively. Finally, we determined that these inhibitors did not affect the HPA response indirectly through their well known actions as vasoconstrictors. However, the issue of whether NO and CO act directly at the PVN to stimulate CRF/VP release or whether there is indirect stimulation of the PVN via neural afferents that terminate at the PVN, remains unsettled. Because the icv administration of an inhibitor produces widespread distribution of the drug throughout the brain, the present study cannot resolve this question. A useful approach may be to identify PVN afferents that contain NOS/HO enzymes and determine whether these pathways are affected by drugs that alter NOS/HO activities and by stressful stimuli. For example, one such pathway may be the PVN afferent from the amygdala, which is thought to contain NOS-positive neurons and influence HPA activity (65). The effects of NOS/HO antagonists microinfused directly into the PVN on the HPA response to stressors represents another way of answering this question. These studies are presently underway in our laboratory and should increase our understanding of the precise mechanisms by which NO and CO modulate the activity of the HPA axis.


    Acknowledgments
 
The advice of Dr. Soon Lee and the excellent technical assistance of Darrin Bergen, Michael Rosedale, and Yaira Haas are gratefully acknowledged. We thank Drs. William McCoubrey and Mahin Maines (Department of Biophysics, University of Rochester Medical Center, Rochester, NY) for assistance with the HO activity assay, Dr. Rosa Maria Uribe (Instituto De Biotechnologia/La Universidad Nacional Autónoma de México, Cuernavaca, Morelia, Mexico) for assistance with the NOS activity assay, and Drs. Raymond Chan and Paul Sawchenko (Laboratory of Neuronal Structure and Function, The Salk Institute) for assistance with blood pressure measurement.


    Footnotes
 
1 This work was supported by NIH Grant MH-51774 and the Foundation for Research, Inc. Back

2 Investigator with The Clayton Foundation. Back

Received November 16, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Chrousos GP, Gold PW 1992 The concepts of stress and stress system disorders. Overview of physical and behavioral homeostasis [published erratum appears in JAMA 1992 Jul 8;268(2):200]. JAMA 267:1244–1252[Abstract]
  2. Johnson EO, Kamilaris TC, Chrousos GP, Gold PW 1992 Mechanisms of stress: a dynamic overview of hormonal and behavioral homeostasis. Neurosci Biobehav Rev 16:115–130[CrossRef][Medline]
  3. Campeau S, Day HE, Helmreich DL, Kollack-Walker S, Watson SJ 1998 Principles of psychoneuroendocrinology. Psychiatr Clin North Am 21:259–276[CrossRef][Medline]
  4. Brann DW, Bhat GK, Lamar CA, Mahesh VB 1997 Gaseous transmitters and neuroendocrine regulation. Neuroendocrinology 65:385–395[Medline]
  5. Mancuso C, Preziosi P, Grossman AB, Navarra P 1997 The role of carbon monoxide in the regulation of neuroendocrine function. Neuroimmunomodulation 4:225–229[Medline]
  6. Nelson RJ, Kriegsfeld LJ, Dawson VL, Dawson TM 1997 Effects of nitric oxide on neuroendocrine function and behavior. Front Neuroendocrinol 18:463–491[CrossRef][Medline]
  7. Dawson TM, Snyder SH 1994 Gases as biological messengers: nitric oxide and carbon monoxide in the brain. J Neurosci 14:5147–5159[Abstract]
  8. Snyder SH, Jaffrey SR, Zakhary R 1998 Nitric oxide and carbon monoxide: parallel roles as neural messengers. Brain Res Rev 26:167–175[CrossRef][Medline]
  9. Zhang J, Snyder SH 1995 Nitric oxide in the nervous system. Annu Rev Pharmacol Toxicol 35:213–233[CrossRef][Medline]
  10. Maines MD 1997 The heme oxygenase system: a regulator of second messenger gases. Annu Rev Pharmacol Toxicol 37:517–554[CrossRef][Medline]
  11. McCoubrey Jr WK, Huang TJ, Maines MD 1997 Isolation and characterization of a cDNA from the rat brain that encodes hemoprotein heme oxygenase-3. Eur J Biochem 247:725–732[Medline]
  12. Hatakeyama S, Kawai Y, Ueyama T, Senba E 1996 Nitric oxide synthase-containing magnocellular neurons of the rat hypothalamus synthesize oxytocin and vasopressin and express Fos following stress stimuli. J Chem Neuroanat 11:243–256[CrossRef][Medline]
  13. Satta MA, Jacobs RA, Kaltsas GA, Grossman AB 1998 Endotoxin induces interleukin-1beta and nitric oxide synthase mRNA in rat hypothalamus and pituitary. Neuroendocrinology 67:109–116[CrossRef][Medline]
  14. Vanhatalo S, Soinila S 1995 Nitric oxide synthase in the hypothalamo-pituitary pathways. J Chem Neuroanat 8:165–173[CrossRef][Medline]
  15. Villar MJ, Ceccatelli S, Ronnqvist M, Hokfelt T 1994 Nitric oxide synthase increases in hypothalamic magnocellular neurons after salt loading in the rat. An immunohistochemical and in situ hybridization study. Brain Res 644:273–281[CrossRef][Medline]
  16. Vincent SR, Das S, Maines MD 1994 Brain heme oxygenase isoenzymes and nitric oxide synthase are co-localized in select neurons. Neuroscience 63:223–231[CrossRef][Medline]
  17. Weber CM, Eke BC, Maines MD 1994 Corticosterone regulates heme oxygenase-2 and NO synthase transcription and protein expression in rat brain. J Neurochem 63:953–962[Medline]
  18. Siaud P, Mekaouche M, Ixart G, Balmefrezol M, Givalois L, Barbanel G, Assenmacher I 1994 A subpopulation of corticotropin-releasing hormone neurosecretory cells in the paraventricular nucleus of the hypothalamus also contain NADPH- diaphorase. Neurosci Lett 170:51–54[CrossRef][Medline]
  19. Torres G, Lee S, Rivier C 1993 Ontogeny of the rat hypothalamic nitric oxide synthase and colocalization with neuropeptides. Mol Cell Neurosci 4:155–163
  20. Brunetti L, Preziosi P, Ragazzoni E, Vacca M 1993 Involvement of nitric oxide in basal and interleukin-1ß-induced CRH and ACTH release in vitro. Life Sci 53:L219–L222
  21. Costa A, Trainer P, Besser M, Grossman A 1993 Nitric oxide modulates the release of corticotropin-releasing hormone from the rat hypothalamus in vitro. Brain Res 605:187–192[CrossRef][Medline]
  22. Karanth S, Lyson K, McCann SM 1993 Role of nitric oxide in interleukin 2-induced corticotropin-releasing factor release from incubated hypothalami. Proc Natl Acad Sci USA 90:3383–3387[Abstract/Free Full Text]
  23. Kostoglou-Athanassiou I, Costa A, Navarra P, Nappi G, Forsling ML, Grossman AB 1998 Endotoxin stimulates an endogenous pathway regulating corticotropin-releasing hormone and vasopressin release involving the generation of nitric oxide and carbon monoxide. J Neuroimmunol 86:104–109[CrossRef][Medline]
  24. Kostoglou-Athanassiou I, Jacobs RA, Satta MA, Dahia PL, Costa A, Navarra P, Chew SL, Forsling ML, Grossman AB 1998 Acute and subacute effects of endotoxin on hypothalamic gaseous neuromodulators. Ann NY Acad Sci 840:249–261[Abstract/Free Full Text]
  25. Lutz-Bucher B, Koch B 1994 Evidence for an inhibitory effect of nitric oxides on neuropeptide secretion from isolated neural lobe of the rat pituitary gland. Neurosci Lett 165:48–50[CrossRef][Medline]
  26. Hashimoto K, Nishioka T, Tojo C, Takao T 1995 Nitric oxide plays no role in ACTH release induced by interleukin-1ß, corticotropin-releasing hormone, arginine vasopressin and phorbol myristate acetate in rat pituitary cell cultures. Endocr J 42:435–439[Medline]
  27. McCann SM, Karanth S, Kimura M, Yu WH, Rettori V 1996 The role of nitric oxide (NO) in control of hypothalamic-pituitary function. Rev Bras Biol [Suppl 1] 56:105–112
  28. Sandi C, Guaza C 1995 Evidence for a role of nitric oxide in the corticotropin-releasing factor release induced by interleukin-1ß. Eur J Pharmacol 274:17–23[CrossRef][Medline]
  29. Yasin S, Costa A, Trainer P, Windle R, Forsling ML, Grossman A 1993 Nitric oxide modulates the release of vasopressin from rat hypothalamic explants. Endocrinology 133:1466–1469[Abstract]
  30. Mancuso C, Kostoglou-Athanassiou I, Forsling ML, Grossman AB, Preziosi P, Navarra P, Minotti G 1997 Activation of heme oxygenase and consequent carbon monoxide formation inhibits the release of arginine vasopressin from rat hypothalamic explants. Molecular linkage between heme catabolism and neuroendocrine function. Mol Brain Res 50:267–276[Medline]
  31. Parkes D, Kasckow J, Vale W 1994 Carbon monoxide modulates secretion of corticotropin-releasing factor from rat hypothalamic cell cultures. Brain Res 646:315–318[CrossRef][Medline]
  32. Pozzoli G, Mancuso C, Mirtella A, Preziosi P, Grossman AB, Navarra P 1994 Carbon monoxide as a novel neuroendocrine modulator: inhibition of stimulated corticotropin-releasing hormone release from acute rat hypothalamic explants. Endocrinology 135:2314–2317[Abstract]
  33. Cao L, Sun X, Shen E 1996 Nitric oxide stimulates both the basal and reflex release of vasopressin in anesthetized rats. Neurosci Lett 221:49–52[CrossRef][Medline]
  34. Goyer M, Bui H, Chou L, Evans J, Keil LC, Reid IA 1994 Effect of inhibition of nitric oxide synthesis on vasopressin secretion in conscious rabbits. Am J Physiol 266:H822–H828
  35. Kadowaki K, Kishimoto J, Leng G, Emson PC 1994 Up-regulation of nitric oxide synthase (NOS) gene expression together with NOS activity in the rat hypothalamo-hypophysial system after chronic salt loading: evidence of a neuromodulatory role of nitric oxide in arginine vasopressin and oxytocin secretion. Endocrinology 134:1011–1017[Abstract]
  36. Ota M, Crofton JT, Festavan GT, Share L 1993 Evidence that nitric oxide can act centrally to stimulate vasopressin release. Neuroendocrinology 57:955–959[Medline]
  37. Raber J, Koob GF, Bloom FE 1995 Interleukin-2 (IL-2) induces corticotropin-releasing factor (CRF) release from the amygdala and involves a nitric oxide-mediated signaling; comparison with the hypothalamic response. J Pharmacol Exp Ther 272:815–824[Abstract/Free Full Text]
  38. Tsuchiya T, Kishimoto J, Koyama J, Ozawa T 1997 Modulatory effect of L-NAME, a specific nitric oxide synthase (NOS) inhibitor, on stress-induced changes in plasma adrenocorticotropic hormone (ACTH) and corticosterone levels in rats: physiological significance of stress-induced NOS activation in hypothalamic-pituitary-adrenal axis. Brain Res 776:68–74[CrossRef][Medline]
  39. Weidenfeld J, Feldman S, DeKeyser FG, Ovadia H 1999 Effect of exogenous nitric oxide and inhibitors of nitric oxide synthase on the hypothalamic pituitary adrenal axis responses to neural stimuli. Neuroendocrinology 70:153–159[CrossRef][Medline]
  40. Kim CK, Rivier C 1998 Influence of nitric oxide synthase inhibitors on the ACTH and cytokine responses to peripheral immune signals. J Neuroendocrinol 10:353–362[Medline]
  41. Rivier C 1995 Blockade of nitric oxide formation augments adrenocorticotropin released by blood-borne interleukin-1ß: role of vasopressin, prostaglandins, and {alpha}1-adrenergic receptors. Endocrinology 136:3597–3603[Abstract]
  42. Rivier C, Shen GH 1994 In the rat, endogenous nitric oxide modulates the response of the hypothalamic-pituitary-adrenal axis to interleukin-1ß, vasopressin, and oxytocin. J Neurosci 14:1985–1993[Abstract]
  43. Turnbull AV, Rivier C 1996 Selective inhibitors of nitric oxide synthase (NOS) implicate a constitutive isoform of NOS in the regulation of interleukin-1-induced ACTH secretion in rats. Endocrine 5:135–140
  44. Rivier C 1994 Endogenous nitric oxide participates in the activation of the hypothalamic-pituitary-adrenal axis by noxious stimuli. Endocr J 2:367–373
  45. Turnbull AV, Kim CK, Lee S, Rivier CL 1998 Influence of carbon monoxide, and its interaction with nitric oxide, on the adrenocorticotropin hormone response of the normal rat to a physico- emotional stress. J Neuroendocrinol 10:793–802[CrossRef][Medline]
  46. Lee S, Kim CK, Rivier C 1999 Nitric oxide stimulates ACTH secretion and the transcription of the genes encoding for NGFI-B, corticotropin-releasing factor, corticotropin-releasing factor receptor type 1, and vasopressin in the hypothalamus of the intact rat. J Neurosci 19:7640–7647[Abstract/Free Full Text]
  47. Bauer M, Pannen BH, Bauer I, Herzog C, Wanner GA, Hanselmann R, Zhang JX, Clemens MG, Larsen R 1996 Evidence for a functional link between stress response and vascular control in hepatic portal circulation. Am J Physiol 271:G929–G935
  48. Nurminen ML, Ylikorkala A, Vapaatalo H 1997 Central inhibition of nitric oxide synthesis increases blood pressure and heart rate in anesthetized rats. Methods Find Exp Clin Pharmacol 19:35–41[Medline]
  49. Abekawa T, Ohmori T, Koyama T 1994 Effect of NO synthase inhibition on behavioral changes induced by a single administration of methamphetamine. Brain Res 666:147–150[CrossRef][Medline]
  50. Bing O, Grundemar L, Ny L, Moller C, Heilig M 1995 Modulation of carbon monoxide production and enhanced spatial learning by tin protoporphyrin. Neuroreport 6:1369–1372[Medline]
  51. Rivest S, Rivier C 1994 Stress and interleukin-1ß-induced activation of c-fos, NGFI-B and CRF gene expression in the hypothalamic PVN: comparison between Sprague-Dawley, Fisher-344 and Lewis rats. J Neuroendocrinol 6:101–117[Medline]
  52. Paxinos G, Watson C 1986 The Rat Brain in Stereotaxic Coordinates, Academic Press, San Diego
  53. Bredt DS, Snyder SH 1990 Isolation of nitric oxide synthetase, a calmodulin-requiring enzyme. Proc Natl Acad Sci USA 87:682–685[Abstract/Free Full Text]
  54. Maines MD, Trakshel GM, Kutty RK 1986 Characterization of two constitutive forms of rat liver microsomal heme oxygenase. Only one molecular species of the enzyme is inducible. J Biol Chem 261:411–419[Abstract/Free Full Text]
  55. Owens MJ, Nemeroff CB 1991 Physiology and pharmacology of corticotropin-releasing factor. Pharmacol Rev 43:425–473[Medline]
  56. Lee S, Rivier C 1998 Interaction between corticotropin-releasing factor and nitric oxide in mediating the response of the rat hypothalamus to immune and non-immune stimuli. Mol Brain Res 57:54–62[Medline]
  57. Krukoff TL, Khalili P 1997 Stress-induced activation of nitric oxide-producing neurons in the rat brain. J Comp Neurol 377:509–519[CrossRef][Medline]
  58. Amir S, Rackover M, Funk D 1997 Blockers of nitric oxide synthase inhibit stress activation of c-fos expression in neurons of the hypothalamic paraventricular nucleus in the rat. Neuroscience 77:623–627[CrossRef][Medline]
  59. Rivier C 1998 Role of nitric oxide and carbon monoxide in modulating the ACTH response to immune and nonimmune signals. Neuroimmunomodulation 5:203–213[CrossRef][Medline]
  60. Calza L, Giardino L, Ceccatelli S 1993 NOS mRNA in the paraventricular nucleus of young and old rats after immobilization stress. Neuroreport 4:627–630[Medline]
  61. Ceccatelli S 1997 Expression and plasticity of NO synthase in the neuroendocrine system. Brain Res Bull 44:533–538[CrossRef][Medline]
  62. Kishimoto J, Tsuchiya T, Emson PC, Nakayama Y 1996 Immobilization-induced stress activates neuronal nitric oxide synthase (nNOS) mRNA and protein in hypothalamic-pituitary-adrenal axis in rats. Brain Res 720:159–171[CrossRef][Medline]
  63. Rivier C, Vale W 1983 Interaction of corticotropin-releasing factor and arginine vasopressin on adrenocorticotropin secretion in vivo. Endocrinology 113:939–942[Abstract]
  64. Li YW, Dampney RA 1994 Expression of Fos-like protein in brain following sustained hypertension and hypotension in conscious rabbits. Neuroscience 61:613–634[CrossRef][Medline]
  65. Tanaka M, Ikeda T, Hayashi S, Iijima N, Amaya F, Hisa Y, Ibata Y 1997 Nitrergic neurons in the medial amygdala project to the hypothalamic paraventricular nucleus of the rat. Brain Res 777:13–21[CrossRef][Medline]



This article has been cited by other articles:


Home page
ReproductionHome page
C. J McManus, M. Valent, S. L Hardy, and R. L Goodman
Does nitric oxide act in the ventromedial preoptic area to mediate oestrogen negative feedback in the seasonally anoestrous ewe?
Reproduction, July 1, 2007; 134(1): 137 - 145.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
P. M. Jamieson, C. Li, C. Kukura, J. Vaughan, and W. Vale
Urocortin 3 Modulates the Neuroendocrine Stress Response and Is Regulated in Rat Amygdala and Hypothalamus by Stress and Glucocorticoids
Endocrinology, October 1, 2006; 147(10): 4578 - 4588.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
M. Herman and C. Rivier
Activation of a Neural Brain-Testicular Pathway Rapidly Lowers Leydig Cell Levels of the Steroidogenic Acute Regulatory Protein and the Peripheral-Type Benzodiazepine Receptor while Increasing Levels of Neuronal Nitric Oxide Synthase
Endocrinology, January 1, 2006; 147(1): 624 - 633.
[Abstract] [Full Text] [PDF]


Home page
Pharmacol. Rev.Home page
L. Wu and R. Wang
Carbon Monoxide: Endogenous Production, Physiological Functions, and Pharmacological Applications
Pharmacol. Rev., December 1, 2005; 57(4): 585 - 630.
[Abstract] [Full Text] [PDF]


Home page
J. Appl. Physiol.Home page
L. Chen, D. Duricka, S. Nelson, S. Mukherjee, S. G. Bohnet, P. Taishi, J. A. Majde, and J. M. Krueger
Influenza virus-induced sleep responses in mice with targeted disruptions in neuronal or inducible nitric oxide synthases
J Appl Physiol, July 1, 2004; 97(1): 17 - 28.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
C. L. Rivier, D. E. Grigoriadis, and J. E. Rivier
Role of Corticotropin-Releasing Factor Receptors Type 1 and 2 in Modulating the Rat Adrenocorticotropin Response to Stressors
Endocrinology, June 1, 2003; 144(6): 2396 - 2403.
[Abstract] [Full Text] [PDF]


Home page
Biol. Reprod.Home page
L. Dufourny and D. C. Skinner
Influence of Estradiol on NADPH Diaphorase/Neuronal Nitric Oxide Synthase Activity and Colocalization with Progesterone or Type II Glucocorticoid Receptors in Ovine Hypothalamus
Biol Reprod, September 1, 2002; 67(3): 829 - 836.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Cell Mol. Bio.Home page
D. Morse and A. M. K. Choi
Heme Oxygenase-1 . The "Emerging Molecule" Has Arrived
Am. J. Respir. Cell Mol. Biol., July 1, 2002; 27(1): 8 - 16.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available