Behavioural Brain Research 379 (2020) 112399 Contents lists available at ScienceDirect Behavioural Brain Research journal homepage: www.elsevier.com/locate/bbr Research report Early life stress and the programming of eating behavior and anxiety: Sexspecific relationships with serotonergic activity and hypothalamic neuropeptides T Randriely Merscher Sobreira de Limaa,*, Lucas Victor dos Santos Bentob, Marcelo di Marcello Valladão Lugonb, Valerio Garrone Baraunac, Athelson Stefanon Bittencourtb,d, Carla Dalmaza,e, Ana Paula Santana de Vasconcellos Bittencourtc a Programa de Pós-Graduação em Neurociências, Instituto de Ciências Básicas da Saúde (ICBS), Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil Programa de Pós-Graduação em Bioquímica e Farmacologia, Centro de Ciências da Saúde, Universidade Federal do Espírito Santo, Espírito Santo, Brazil c Departamento de Ciências Fisiológicas, Universidade Federal do Espírito Santo, Espírito Santo, Brazil d Departamento de Morfologia, Universidade Federal do Espírito Santo, Espírito Santo, Brazil e Departamento e PPG Bioquímica, Instituto de Ciências Básicas da Saúde (ICBS), Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil b A R T I C LE I N FO A B S T R A C T Keywords: Maternal separation Maternal deprivation Food consumption POMC Serotonin Early life experiences have strong influences on brain programming and can affect eating behavior control and body weight later in life. However, there is no consensus about the relationship between neonatal stress and feeding behavior. We evaluated whether maternal deprivation (MD) and maternal separation (MS) alter body weight and appetite using standard rat chow consumption and palatable food. Also, we evaluated anxiety and the expression of the leptin receptor, neuropeptides POMC, CART, NPY in the hypothalamus, as well as the serotoninergic system in the amygdala and hypothalamus as possible modulators of these behaviors. We found a decrease in standard rat chow consumption in MD. However, both neonatal stress protocols increased the consumption of palatable food and led to anxiogenic behavior in male animals. MD led to decreased hypothalamic POMC levels in adult males. Serotonin in the hypothalamus was decreased by both stress models in males and females. In the amygdala, MS decreased serotonin levels while MD increased its metabolite levels. We observed that males are more vulnerable and females are more resilient to the effects of neonatal stress on anxiety-like behavior, as well as on food consumption and on the central changes observed. These data together add support to the concept that the early environment contributes to the development of eating disorders later in life. 1. Introduction environmental factors, acute or chronic exposure to stress evokes physiological and behavioral responses that alter the metabolic and behavioral state of animals [4,5]. The effects of stress exposure on food intake are complex and can be bidirectional. Studies have shown that effects are dependent on the level of stress: acute stress is associated with reduced food intake while chronic social stress is associated with increased food intake [6]. These early life stressors hold great importance as they may lead to effects that persist during the entirety of an animal’s life [7–13]. Studies with animal models that have evaluated the effects of neonatal stress on feeding behavior and weight of the animals observed different results for different models of neonatal stress. Maternal separation for 180 min per day for fourteen days may Obesity is a disorder characterized by an excess of body fat and it may lead to health complications such as cardiovascular disorders, hypertension, and type-2 diabetes [1]. It is a multifactorial problem, which has been prevalent for many years in developed countries, but it is also becoming increasingly present in developing countries [2]. Given that obesity has become a worldwide public health problem, it is important to try and understand the processes and mechanisms involved in eating behavior and in body weight gain. Causes of the obesity epidemic include environmental factors such as lifestyle, physical activity, diet, and pollution [3,1]. Among ⁎ Corresponding author. E-mail addresses: randriely@gmail.com, randriely.lima@ufrgs.br (R.M.S. de Lima). https://doi.org/10.1016/j.bbr.2019.112399 Received 28 June 2019; Received in revised form 28 November 2019; Accepted 28 November 2019 Available online 29 November 2019 0166-4328/ © 2019 Elsevier B.V. All rights reserved. Behavioural Brain Research 379 (2020) 112399 R.M.S. de Lima, et al. 2. Materials and methods from 6:00 AM to 6:00 PM). At postnatal day 0 (PND0), the litters were standardized (with 4 males and 4 females each) and divided into three distinct groups: control, maternal separation (MS), and maternal deprivation (MD). The control animals remained with their mothers until weaning (PND 21), with only standard procedures for cage cleaning. Maternal Separation was performed for 3 h per day for 14 consecutive days from PND 2 through 14. Following this process, the mothers were transferred from their home cage to a different box in another room. The pups were also transferred to new boxes containing eight divisions, in which each animal was placed in a separated compartment. The procedures always took place at the same time, starting between 12 PM and 1 PM. Maternal deprivation was performed on postnatal days 9 and 11, in which pups were separated from their mothers for 24 -h period each time. To perform this procedure, the mother was removed from the litter to another box and transferred to another room, following which all the pups were removed from the nest and moved into a single box. Then, the litter remained together for 24 h in a different room. After that period, the pups along with the dams returned to standard housing boxes. The procedures always took place at the same time, starting between 9:00am and 11:00am (modified from Ellenbroek, et al., 2004 [24]). We standardized our maternal deprivation model to be more representative of early life stress observed in the clinic. In such cases, babies remain separated from their mothers for long periods of time, ranging from days to months. Considering the importance of parental contact in the early years of life, neonatal stress models close to those observed in the clinic help us understand the long-term effects of exposure to early life adversity. After the neonatal stress period, the animals remained with the mother until weaning (PND 21). After weaning, body weight was measured once a week. At PND 60, standard chow in addition to palatable food consumption was measured and the behavioral tests (elevated plus maze and open field exposure) were performed. After these tests, the animals were decapitated, and the brains were removed to dissect the amygdala and hypothalamus which were frozen at -80 °C for further high precision liquid chromatography analysis. For gene expression analysis, the animals were submitted to the same neonatal stress procedures. However, these animals were not subjected to behavioral or feeding tests since exposure to these tests could alter the genetic expression of the genes analyzed (experimental design in Fig. 1). 2.1. Experimental subjects 2.2. Behavioral tests Animal proceedings were performed in accordance to the recommendations of the Brazilian Society for Neurosciences (SBNeC) and Brazilian Law on the use of animals (Federal Law 11.794/2008), and were approved by the Institutional Ethical Committee. Wistar rats from our own colony were used. The animals were kept at room temperature (23 ± 1 °C), water and food were available ad libitum, and 12-h light/ 12-h dark cycle was maintained throughout the experiments (lights on 2.2.1. Feeding behavior The consumption of standard lab chow was measured daily during 7 days in the housing cage. The measurements were performed in the morning and in the evening. The food consumed (in grams) was divided by the number of animals in each box, and the sum of day and night consumption was used as the total amount consumed for 24 h consumption [15]. promote hyperphagia (evaluated considering standard chow) and weight gain during the development until adulthood [14]. On the other hand, studies with maternal deprivation for 24 h have shown slow growing rate and reduced intake of standard chow as well as reduction of neuropeptide Y (NPY) in the arcuate nucleus of hypothalamus [15]. However, the mechanisms involved in the difference between these results still need a better understanding. The hypothalamus is an important region for regulating food intake [16]. This region has two groups of neuropeptides involved in the regulation of food intake: the first group is composed of anorexigenic neuropeptides pro-opiomelanocortin (POMC) and cocaine- and amphetamine-regulated transcript (CART), and the second group is composed of orexigenic neuropeptides neuropeptide Y (NPY) and the agouti-related peptide (AgRP) [17]. The release of these neuropeptides is influenced by leptin, a hormone produced by adipocytes whose action leads to a reduction in food intake and an increase in energy expenditure. Leptin functions are mediated by receptors, ObRb, located in the arcuate nucleus of the hypothalamus. When bound to these receptors, leptin induces an increase in the expression of POMC / CART in neurons which produces the neuropeptides mentioned above, and antagonizes the activity of NPY / AgRP neurons [18,19]. In addition to the physiological and homeostatic regulation of food control, feeding behavior is modulated by systems involved in mood control. One important neurotransmitter involved with this response is the serotonin [20]. Psychological factors also play an important role in food control. Studies indicate that levels of anxiety and depression have a direct action on appetite and type of food preferences [21–23]. In addition, the serotoninergic system is highly related to satiety [20]. Therefore, we propose to evaluate how different protocols of neonatal stress affect anxiety and feeding behavior in adulthood, as well as the mechanisms involved in the body weight control of these animals. We analyzed whether maternal deprivation and maternal separation alter appetite and body weight, quantified the expression of leptin receptors and of the neuropeptides POMC, CART, NPY in the hypothalamus, and evaluated whether the serotonergic system in the amygdala and in the hypothalamus could be affected. Throughout the experiments, we evaluated sex-specific effects for all analyzed parameters. Fig. 1. Experimental design. At postnatal day 0 (PND0), the litters were standardized (with 4 males and 4 females each) and divided in control, maternal separation (MS) and maternal deprivation (MD). The control animals remained with the mothers until weaning (PND 21). Maternal Separation was performed for 14 consecutive days. Maternal deprivation was performed on days 9 and 11 after birth. After weaning, body weight was measured once a week. At PND 60, one set of animals was submitted to behavior tests, and other set of animals was killed and amygdala and hypothalamus collected to PCR analyses. The behavioral tests used were elevated plus maze, open field, and food consumption, in that order. These animals were killed by decapitation and the brains were removed, amygdala and hypothalamus were dissected for further high precision liquid chromatography (HPLC) analysis. 2 Behavioural Brain Research 379 (2020) 112399 R.M.S. de Lima, et al. pump (Shimadzu LC-10). Chromatography was performed with a C18 (Shim-pack CLC-ODS) analytical column (150 mm X 4.6 mm, ID) with 3 μm particles. An integrator (Shimadzu C-R7 Ae plus) was used to analyze the chromatographic data. The mobile phase consisted of a solution of 0.194 M citric acid monohydrate, 0.243 M sodium acetate trihydrate, and 0.295 mM EDTA. The flow was 1.0 ml/min and the potential of the electrode was 0.85 V. The tissue concentrations of 5-HT and its main metabolite, 5-HIAA, were calculated by the interpolation of the respective standard curves. The values obtained were expressed as ng/g wet tissue. The 5-HIAA / 5-HT ratio was used as an index of the turnover rate of 5-HT [28]. 2.2.2. Palatable food test The palatable food test consisted of 7 days exposure to sweet food for two hours daily in the housing cage. Exposure to sweet food occurred between 3 PM and 6 PM, where the animals were able to choose between standard rat chow and the sweet food. The sweet food consisted of pellets of a mixture of condensed milk (395 g), sugar (220 g) and milk powder (480 g) (modified from [25,26]) and was offered ad libitum for 2 h/day. The food ingested (in grams) was divided by the number of animals in each cage. 2.2.3. Elevated plus-maze test (EPM) The elevated plus maze test was conducted after PND 60, using a standard plus maze apparatus kept 50 cm above the floor, consisting of four arms arranged in the shape of a cross (arms measured 50 × 10 cm). The four arms were joined at the center by a 10 cm square platform. Two of the arms, opposite to each other, had no walls (open arms); the two other arms (closed arms) had 40 cm high walls. The test was performed in an illuminated room with fluorescent overhead lights that produced light intensities of 90 lx. The EPM tests the anxiety state of the animal, based on the principle that exposure to an elevated and open arm leads to an approach conflict that is stronger than that evoked by exposure to an enclosed arm maze [27]. The animal was placed on the center of the maze, facing one of the open arms. A rat was considered to have entered one arm of the maze when all four feet were within the arm. Conventional parameters of anxiety-like behavior were monitored: entries into open and closed arms, time in open and closed arms and percentage of time in open arms (determined by the time in the open arms divided by total time in the arms and multiplied by 100). 2.2.7. Statistical analysis Statistical analysis was performed using the IBM SPSS Statistics software. Data are expressed as mean ± SE of the mean, and analyzed using two-way ANOVA for comparation between males and females, ANOVA for the comparisons among groups, repeated measures ANOVA and three-way ANOVA for body weight. When necessary, Duncan’s post-hoc test was applied. The significance level was p ≤ 0.05 for all analyses. Outliers (more than two standard deviations from the mean) were excluded from the analysis. 3. Results 3.1. Early life stress changes body weight Fig. 2 shows the effects of maternal separation and maternal deprivation on body weight. Three-way ANOVA indicated main effect of the sex (F (5,69) = 10489.64, p < 0.0001), and interaction between sex and time (F (5,69) = 92.70, p < 0.0001). As expected for both main effect and interaction, females weighed less than males. No interaction between group and time or group, time and sex were observed (p > 0.05). For males, there was an effect of time (repeated measures ANOVA, F (2,38) = 1239.39, p < 0.0001) and an interaction between group and time(repeated measures ANOVA, F (2,38) = 4.60, p < 0.0001). The Duncan's post hoc analysis indicated that the MD group was different from the other groups, showing a decrease on body weight (Fig. 2). For females, repeated measures ANOVA also indicated the effects of both the time and the interaction among groups and time (time [repeated measures ANOVA, F (2,35) = 53.44; p < 0.0001]; Interaction Group*time [repeated measures, F (2,35) = 4.32; p < 0.0001]). The Duncan's post hoc analysis indicated that both the MS and MD groups weighed less than the control group. 2.2.4. Open field Open field (OF) test was used to evaluate motor activity. To perform the test, the animals were individually exposed to an open field, in a1 m square box with 30 cm high walls and their behavior was recorded on video for 5 min (Logitech HD C270, Switzerland). For the behavioral analysis, locomotor activity was observed in the center and periphery of the apparatus. The EPM and OF were performed between 1 PM and 6 P M. Behavior was recorded and analyzed using the ANY-Maze videotracking system (Stoelting, CO). Between trials, apparatuses were cleaned with 70 % ethanol. 2.2.5. Analysis of gene expression Total RNA was extracted using TRIzol® Reagent (Life Technologies, USA) and following the manufacturer's recommendations. The concentration and quality of the extracted RNA were verified using the NanoDrop™ equipment (ThermoScientific, Wilmington, USA) and by agarose gel electrophoresis, respectively. The cDNA synthesis was performed using iScript Reverse Transcription Supermix for RT-qPCR (Biorad, CA, USA) using the S1000 Thermal Cycler (Biorad, CA, USA). Real-time PCR reaction was performed using CFX96 Real Time PCR (Biorad, CA, USA) and iQ SYBR Green Supermix (Biorad, CA, USA). The relative quantification of gene expression was done by the 2−ΔΔCt method, using the cyclophilin gene as normalizer. The primers were designed in PRIMER BLAST software. The genes, as well as the primers used, are described in Table 1. 3.2. Early life stress changes feeding behavior in a sex-specific way First, we analyzed the effect of neonatal stress and sex on rat chow consumption. The two-way ANOVA indicated a main effect of the sex on consumption of rat chow, showing that males ate more than females (F (1, 134) = 344.20; p < 0.001). Then, we run an analysis separately for each sex. For males, one-way ANOVA indicated a difference among the groups (F (2,63) = 8.22; p < 0.001]. A post-hoc test showed that the MD group was different from the other groups since the MD group consumed lower amounts of rat chow in comparison to others (Fig. 3). No difference was found in the same test when analyzing females (ANOVA, p > 0.05). 2.2.6. High precision liquid chromatography analysis The samples (amygdala and hypothalamus) were weighed and homogenized with 290 μl of 0.1 M perchloric acid (HClO4), 5 μl of 0.1 mM ethylenediaminetetraacetic acid (EDTA), and 5 μl of 0.4 mM sodium metabisulfite (Na2S2O5). They were then centrifuged at 4 °C at a speed of 10,000 rpm for 30 min. The supernatant from the individual samples (200 μl) was maintained between 0 °C and 4 °C until analyzed by high performance liquid chromatography (HPLC). For this, a Shimadzu HPLC (LC10CE, Tokyo, Japan) was used with 200 μl and 10 μl loops (Rheodyne 7725-I, California, USA) and coupled carbonglass electrochemical detector (Shimadzu LECD-6A) to the pressurizing 3.3. Palatable food test In the palatable test, none of the groups ate rat chow. Therefore, we only analyzed the consumption of palatable food. We observed main effects of neonatal stress, and of the sex, and an interaction between neonatal stress and sex on palatable food consumption (two-way ANOVA: Neonatal stress, F(1, 96) = 19.46; p > 0.0001; Sex, F (1,96) = 20.79; p > 0.0001; Interaction neonatal stress*sex F(1, 96) = 20.32, p = 0.00002). One-way ANOVA indicated a difference 3 Behavioural Brain Research 379 (2020) 112399 R.M.S. de Lima, et al. Table 1 Sequence of the primers used for gene expression. mRNA Gene Sequence Ciclofilin CYPA Leptin Receptor LEPR Pró-opiomelanocortin POMC Neuropeptide Y NPY Cocaine and amphetamine-regulated transcript CARTPT F-5′-TGGCAAGCATGTTGGGTCTTTGGGAG-3’ R- 5′-GGTGATCTTCTTGCTGGTCTGCCATTC-3’ F-5′-GTGCTTCCTGGGTCTTCATAC-3’ R- 5′-CAACACTCGTCAGAATTTTGGG-3’ F-5′-CCACTGAACATCTTCGTCCTC-3’ R- 5′-GAATCTCGGCATCTTCCAGG-3’ F-5′-GTGTGTTTGGGCATTCTGGC-3’ R- 5′-TGTCGCAGAGCGGAGTAGTA-3’ F-5′GCGCTGTGTTGCAGATTGAA-3’ R- 5′-CAGTCACACAGCTTCCCGAT-3’ females showed higher total distance traveled, and both distance traveled on the periphery and center of the apparatus [Sex (Total distance traveled F (1, 72) = 54.09; p < 0.001); Periphery (F(1,72) = 47.60; p < 0.001); Center F (1, 72) = 26.20; p < 0.001)]. However, we did not observe effects of neonatal stress or interaction between neonatal stress and sex (p > 0.05). among groups. Both the MS and the MD male groups were different from the control group, presenting an increase in palatable food consumption (one-way ANOVA, F (2, 46) = 32.5; p < 0.0001]. In females, the test showed a difference among all the groups, since MD and MS were different from each other and different from the control group (one-way ANOVA, F (2,45) = 12.65; p < 0.0001] (see Fig. 4). We observed that females submitted to MS showed increased consumption of palatable food, and females submitted to MD showed a decrease in the amount of palatable food consumed. 3.5. Hypothalamic peptides known to influence feeding behavior have altered expression in male animals subjected to early life stress Since our results pointed to altered feeding behavior in MS and MD animals, we evaluated hypothalamic neuropeptides involved in feeding regulation. The two-way ANOVA pointed to sex differences in neuropeptide Y expression. We observed decreased NPY gene expression in females compared to males (F (1,26) = 8.18 p = 0.009). No other sexdifferences were observed (p > 0.05). In males, we observed a significant effect of early stress decreasing the pro-opiomelanocortin (POMC) expression in the hypothalamus [One-way ANOVA F (2, 14) = 7.39; p = 0.01]. There was also a trend towards an effect of leptin receptor expression in males [one-way ANOVA, F (2,14) = 3.14; p = 0.08]. However, no differences in gene expression of the cocaineand amphetamine-regulated transcript (CART) and neuropeptide Y (NPY) were detected (Fig. 7A-D). In females, no differences in genes expression were observed (Fig. 8). 3.4. Evaluations suggest sex-specific effects of early life stress on anxietylike behavior We analyzed the effect of the neonatal stress and the sex on percentage of time in the open arms. The two-way ANOVA indicated effect of the sex on percentage of time in the open arms (Sex F (1, 82) = 20.33; p < 0.001) and we observed a trend in both groups on neonatal stress (Neonatal stress F(1, 82) = 3.10; p = 0.08). We also analyzed sex-specific differences in other parameters of the test. In males, we observed that both groups subjected to early stress showed different percentage of time in the open arms when compared to the control group [one-way ANOVA, F (2,35) = 5.21; p < 0.01, followed by Duncan].In the time spent in the open arm, the groups MS and MD were different from the control group, both decreased the time in open arms[one-way ANOVA, F (2,35) = 5.65; p < 0.007]. We also observed differences among the groups in the number of entries in open arms, in which the MS group showed a decrease in number of entries compared to the MD group [One-way ANOVA, F (2,35) = 3.35; p < 0.04, followed by Duncan]. No differences were observed in the number of entries in the closed arms or in the percentage of entries in the open arms [one-way ANOVA, p > 0.05)]. We observed a difference among the MS and the other groups [one-way ANOVA, F (2,30) =3.32; p < 0.04] where the MS group spent more time in the closed arms. In females, no differences were found for the analyzed parameters (p > 0.05). Results are presented in Figs. 5 and 6. Results from the open field test are shown in Table 2. The two-way ANOVA shows the effect of the sex in all parameters. We observed that 3.6. Early life stress alters serotonergic activity Serotonin has been reported to be involved in the control of feeding behavior [20], and anxiety [29]. Since our animals presented altered anxiety-like behavior, which may affect feeding [30], we also assessed the serotonergic activity in the amygdalaand in the hypothalamus, through the evaluation of serotonin and its metabolite 5HIAA contents. HPLC measurements were performed on different days for males and females, and were therefore analyzed separately. In the amygdala of males, we observed that serotonin content was decreased in the MS group [one-way ANOVA, F (2,19) = 3.84; p = 0.04, followed by Duncan; see Fig. 9A]. The serotonin metabolite 5HIAA content was Fig. 2. Effect of maternal separation and maternal deprivation on body weight (in grams). Data expressed as mean ± SEM. A: Males. B: Females. N = 11–15 per group. *Significantly different from all other groups (Duncan, p < 0.05), #: Significantly different from control group (Duncan, p < 0.05). 4 Behavioural Brain Research 379 (2020) 112399 R.M.S. de Lima, et al. Fig. 3. Effect of maternal separation and maternal deprivation on standard chow consumption. Data represent the average consumption/rat/24 h over a 7 days period, and it is expressed as mean + SEM. N = 11–15 per group. *: Different from all other male groups (Duncan test, p < 0.05). Fig. 4. Effect of maternal separation and maternal deprivation on palatable food consumption. Data expressed as mean + SEM. N = 13-21. *: Different from control group male, #: Different from all other female groups (Duncan test, p < 0.05). 5HIAA, which was decreased in the MD group [one-way ANOVA, F (2,19) = 4.59; p = 0.02, followed by Duncan’s test; Fig. 9B], with no differences in the other parameters analyzed (p > 0.05). Serotonin content in the hypothalamus was decreased in both male increased in the maternal deprivation group [one-way ANOVA, F (2,17) = 7.10; p = 0.007, followed by Duncan]. No differences were observed on serotonin turnover, evaluated by the ratio 5HIAA/5 H T (p > 0.05). In females, we observed a difference among the groups on Fig. 5. Effect of maternal separation and maternal deprivation on the behavior of males in the elevated plus maze. (A) Percentage of time in the open arms, (B) number of entries in the open arms, (C) number of entries in the closed arms. Data expressed as mean + SEM. Males, N = 12–14 per group. *: Different from the control group (Duncan test, p < 0.05). 5 Behavioural Brain Research 379 (2020) 112399 R.M.S. de Lima, et al. Fig. 6. Effect of maternal separation and maternal deprivation on the behavior of female animals in the elevated plus maze. (A) Percentage of time in the open arms, (B) number of entries in the open arms, (C) number of entries in the closed arms. Data expressed as mean + SEM. Females, N = 13–15 per group. groups subjected to early life stress [one-way ANOVA, F (2,21) = 12.87; p < 0.0001, followed by Duncan’s test; Fig. 10A]. There was no difference in 5HIAA levels [one-way ANOVA, F (2,21) = 0.36], but both groups presented higher 5-HIAA / 5-HT ratio [one-way ANOVA, F (2,21) = 12.48; p < 0.0001].In the females, hypothalamic serotonin levels were also decreased in MS and MD groups (one-way ANOVA, F (2,22) = 5.27; p = 0.014; Fig. 10B]. In addition, 5HIAAwas increased in both groups [one-way ANOVA, F (2,22) = 8.09; p = 0.003], and a trend towards an effect in the 5-HIAA / 5-HT ratio was observed [One-way ANOVA, F (2,22) = 2.92; p = 0.07]. Table 2 Effect of maternal separation and maternal deprivation on behavior in the open field of adult rats. Group Sex Total distance traveled Periphery Control MS MD Control MS MD Male Male Male Female Female Female 183.24 209.59 193.67 297.31 298.44 284.90 162.48 186.72 169.92 254.33 258.73 249.27 ± ± ± ± ± ± 18.22 21.94 16.96 14.10 10.68 12.32 ± ± ± ± ± ± Center 16.03 19.20 61.47 8.71 8.71 11.06 20.76 22.86 23.74 42.98 39.71 35.62 ± ± ± ± ± ± 3.67 3.80 3.38 4.95 3.82 5.72 Data are expressed as mean ± SEM, N = 11–15/group. Fig. 7. Effect of maternal separation and maternal deprivation on gene expression of the Leptin Receptor, Pro-opiomelanocortin (POMC), cocaine- and amphetamine-regulated transcript (CART), and neuropeptide Y in the hypothalamus of male animals. Data expressed as mean + EPM, N = 4–5 per group. *: Different from the control group (Duncan's test, p < 0.05). 6 Behavioural Brain Research 379 (2020) 112399 R.M.S. de Lima, et al. Fig. 8. Effect of maternal separation and maternal deprivation on the gene expression of the Leptin Receptor, Pro-opiomelanocortin, cocaine- and amphetamineregulated transcript (CART), and neuropeptide Y in the hypothalamus of female animals. Data expressed as mean + EPM, N = 4–5 per group. 4. Discussion hypothalamic POMC levels in adult males. Serotonergic activity in hypothalamus resulted in an increase in serotonin turnover by both stress models in males and females. In the amygdala, males were more affected, with MS decreasing serotonin content and MD increasing its metabolite content as well as serotonin turnover. The effects of early life stress on body weight were sex-specific: in males, both early life stress models affected body weight, while MS animals were able to catch-up and reach a body weight similar to the control group after puberty. The effect on MD animals were longer lasting and present in adulthood. The decrease in chow consumption caused by maternal deprivation may be associated with a decrease in The present study demonstrated that different protocols of neonatal stress cause distinct and sex-specific effects on feeding behavior and body weight. We observed a decrease in standard rat chow consumption in males that had been exposed to MD. At the same time, both neonatal stress protocols increased the consumption of palatable food, and led to anxiogenic behavior in male animals. In females, we did not observe effects on behaviors related to standard chow consumption or anxiety, but we did see that distinct early life stress differently alters the consumption of palatable food. MD induced a decrease in the Fig. 9. Effect of maternal separation and maternal deprivation on the contents of serotonin (5 H T) and its metabolite (5HIAA) and on the ratio 5HIAA/5 H T in the amygdala. Data expressed as mean + EPM. N = 6–7 per group. A: Males., B: females. *: Different from the respective control group (ANOVA, followed by Duncan's test, p < 0.05). 7 Behavioural Brain Research 379 (2020) 112399 R.M.S. de Lima, et al. Fig. 10. Effect of maternal separation and maternal deprivation on hypothalamic levels of serotonin and its metabolite and on the 5HIAA/5 H T ratio. Data expressed as mean + EPM. A: Males, N = 6–9 per group. B: Females, N = 7–9 per group. *: Different from the respective control group (Duncan's test, p < 0.05). appetite, which could help explain the findings of lower body weight in the MS group. In females, body weight was also reduced by neonatal stress, but they were able to catch-up with no effect observed in adulthood. These results are in agreement with early studies concerning neonatal undernutrition, which have reported that catch-up growth in weight was complete in females, but not in male rats [31]. Satiety and appetite are processes related to the control of feeding, and the appetite process is related to the acquisition of energy substrates. The homeostatic processes necessary to balance energetic needs and energy expenditure are regulated by hormones and neurotransmitters. The hypothalamus receives peripheral leptin information concerning the energy store [16]. However, the feeding process is also associated with emotion, such as anxiety [32], and with pleasure, since the taste, texture and smell of food can cancel satiety and stimulate the appetite. The hedonic component of this behavior is mediated by central mechanisms with principal action of the limbic system [33]. In the present study, changes in palatable food intake caused by both neonatal stress protocols suggest that the stressful environment can change the hedonic component of eating behavior. These results corroborate the bidirectional theories of the influence of stress on food consumption [6]. Maternal separation in early life may be related to stress and increased food intake, resulting in a weight catch-up. On the other hand, maternal deprivation would be a model more related to reduced food intake. The consumption of palatable food is related to the hedonic aspect of feeding behavior, and may be affected by different factors, including anxiety [32,34]. Sex-specific-results were found when evaluating sweet food consumption, which involves motivation for food [35]. Our results showed that both neonatal stress protocols caused increased consumption of sweet foods in males. Similarly, in MS female animals, we observed an increase in the consumption of this type of food while MD had the opposite effect. Therefore, the results demonstrate that adversities in the postnatal period can change not only appetite control and satiety, but also the pleasure and motivation to eating. Both MS and MD increased anxiety-like behavior in adult males. However, females presented no effect. The effects of neonatal stress on anxiety are still controversial, since numerous studies have found an increase in anxiety, while others did not observe robust effects on anxiety-related behaviors [36–38]. The differences in these results can be explained by the time and duration in which neonatal stress is applied, with maternal separation being performed from 15−360 min per day [39–41], while maternal deprivation protocols can occur on different postnatal days [42,12,11,43–45]. Increased anxiety levels could be involved in the increased consumption of sweet food, as observed here in the animals subjected to early life stress. It has been shown that chronic stress leads to increased consumption of sweet food, an effect that has been shown to be reversed by anxiolytic drugs [46,30]. This interplay between anxiety and sweet food consumption possibly functions in a two–way fashion, since palatable food may reduce stress levels [47]. In this scenario, it would be interesting to point out that our animals had only a short-term access to palatable food. It would be interesting to know the effects of chronic access to this type of food (similar to what happens in the human population) when animals are subjected to early life stress. Furthermore, we observed that in males, the MS group showed a decrease in serotonin in the amygdala, and maternal deprivation increased its metabolite. Serotonin is a neurotransmitter associated to physiological and behavioral functions, such as motor activity, hormone secretion, mood, and cognition [48,49]. In fact, the serotonergic system has an important role in the regulation of fear and anxiety, especially in the amygdala [50–53]. Several studies have associated the levels of serotonin in amygdala with variations in anxiety-like behavior. The decrease in serotoninergic activity in the entire amygdala is associated with an increase in anxiety-like behavior [54,55]. In our data, we observed a decrease in serotonin in amygdala induced by MS in males, which could help explain the increased anxiety-like behavior observed in these animals. However, different results concerning serotonergic activity in the amygdala and its effects on anxiety have been reported when distinct 5 H T receptors or post-synaptic targets are studied [50,51,53], and further studies are necessary to better understand the relation between serotonin in the amygdala and anxiety-like behavior in MS male rats. Interestingly, we observed that in females, none of the neonatal stress protocols altered anxiety-related behaviors. However, maternal separation increased consumption of palatable foods and maternal deprivation decreased consumption of the same food. We observed that MD females showed decreased consumption of palatable food and decreased 5HIAA in the amygdala. The decrease in serotonin metabolite is 8 Behavioural Brain Research 379 (2020) 112399 R.M.S. de Lima, et al. these differences may be related with the results observed. Psychiatric disorders are characterized by sex differences in prevalence, symptomatology, and response to treatment [80].These results open a window to study the influence of postnatal adversity on males and females, since we observed that stress environments before sexual differentiation may induce different phenotypes and neurochemical changes in males and females. Maternal separation and maternal deprivation are well-established protocols used to investigate stress-related neurobiological and behavioral changes [81–83]. Extensive literature investigates the short- and long-term consequences of neonatal stress [14,15,84,85]. However, the effect of the time and extension of the neonatal stress protocols are associated to different neurobiological and behavioral consequences. The maternal separation paradigm is a model to investigate the consequences of stressors in a short, repeated period in early life [86]. Usually, MS protocols are applied in the first days of life, varying from 3 to 6 h per day in PND 14 to PND 21 [87]. Maternal deprivation, on the other hand, represents a combination of stressors related to maternal care and protection, including metabolic variations and hormonal changes [88]. The animals are deprived of maternal care for 24 h. However, when reunited with the mother, they receive greater care and protection, which in itself could offset the effects of MD [85,89]. The present maternal deprivation paradigm was chosen to propose a model that represents an early life stress protocol closer to that observed in the clinic. Children in pediatric intensive care units, for example, usually remain away from maternal presence for a long time, ranging from days to months [90,91]. Considering the importance of parental contact in the early years of life, neonatal stress is a great model to understand the long-term effects of exposure to early life adversity similar to those observed in the clinic. In conclusion, our findings showed the effects of distinct types of neonatal stress on behavioral aspects, as well as on body weight, and we propose that these outcomes may be related to central alterations of serotonergic activity and of the levels of neuropeptides involved in eating behavior. To our knowledge, our study is the first in the literature that compares different protocols of neonatal stress (maternal separation and maternal deprivation), analyzing eating behavior and anxiety in males and females. We observed that males are more vulnerable and females are more resilient to the effects of neonatal stress on anxiety-like behavior, as well as on food consumption, and on the central changes observed. This data together supports the concept that the environment contributes to the development of eating disorders. Postnatal adversity can trigger numerous behavioral changes, as we have observed in our work. Therefore, studies concerning the susceptibility of different individuals to early stress effects on feeding behavior are warranted. associated to increased depression like-behavior, which could explain the decrease in palatable food as anhedonia [56]. In agreement with these results, Goodwill et al., 2019 observed that early life stress leads to a depressive-like behavior and anhedonia phenotype in females [57]. These results together suggest that, in females, MD may lead to depressive behavior problems, while in males the effects are more related to anxiety behavior problems. The involvement of serotonin in satiety control has been studied for several years. 5-HT is a neurotransmitter widely distributed in the central nervous system with important actions to control satiety in both the amygdala and the hypothalamus [58]. Studies indicate that drugs that increase the availability of 5-HT in the synapse increase satiety and decrease appetite, which explains why serotonergic drugs are used in treating eating disorders [20]. Our results indicate that both protocols increased 5-HT turnover in the hypothalamus, most notably in MD males. These results agree with those of Cabbia and colleagues, who reported an increase in 5-HT levels in the hypothalamus in animals deprived on PND11 [55]. Corroborating the literature, we observed a decrease in the consumption of standard chow caused by MD [14]. A primary mechanism through which serotonin is able to regulate appetite and body weight involves activation of pro-opiomelanocortin (POMC) neurons in the arcuate nucleus (ARC) of the hypothalamus [59–62]. It is interesting that our analysis of the expression of hypothalamic neuropeptides involved in the appetite regulation pointed POMC as the most affected one in MD males. POMC is an anorexigenic neuropeptide in ARC of the hypothalamus. It produces the anorectic peptide MSH. Its function is related to decreased food intake and body weight [63–65], and its gene deletion is related to increased fat mass and body weight [66,67]. However, in situations of low body weight or low glucose availability, its expression is decreased as a compensatory way to stimulate food consumption [68].Thus, the decrease in POMC mRNA, in the same group that we observe a decrease in food consumption, may be related to compensatory effects in an attempt to increase dietary intake, since the body weight of MD is below the weight of the control group during development. Leptin actions occur mainly in its receptors located in the hypothalamus [69], where it affects the activity of neurons producing anorexigenic and orexigenic neuropeptides [16,70,71]. In our study, we observed variations in the expression of LepR in MS and MD animals, possibly in response to the changes in body weight caused by these two treatments. According to leptin's functions of modulating these neuropeptides, their expression was expected to be altered. One limitation in our study is that we did not analyze the circulating leptin, and the expression of leptin receptors could be a response to altered levels of this hormone. Other studies have analyzed the effect of neonatal stress on circulating leptin and found that stress conditions are associated with increased levels of circulating leptin [72,73]. Studies analyzing chronic stress exposure in early life have observed altered peripheral metabolic parameters related to adipose tissue and plasma leptin levels [74], while our study focused on hypothalamus. It is interesting to note that we observed sex-specific differences in all analyzed parameters. Although stress was applied early in the postnatal period, we observed different responses in adulthood. Few studies have explored sex-specific differences in eating behavior after early life stress. However, the responses to stress are considered sexually dimorphic [69,72–76].The effects of stress on the consumption of standard lab chow were attenuated in females compared to males. But, the effect on palatable food intake was changed in both neonatal stress groups, in males and females. At the same time, females exhibited less anxiety-type behaviors than males. Furthermore, female also exhibited lower level of NPY compared to males. Previous studies that analyzed the difference between sexes caused by neonatal stress suggest that neurochemical and behavioral alterations observed in response to neonatal stress may be associated with endocrinological characteristics, considering that stress reactivity is influenced by sex [77,78]. Sexual differences in the brain structure are important early in life [79], and CRediT authorship contribution statement Randriely Merscher Sobreira de Lima: Conceptualization, Investigation, Formal analysis, Writing - original draft. Lucas Victor dos Santos Bento: Investigation. Marcelo di Marcello Valladão Lugon: Investigation. Valerio Garrone Barauna: Investigation, Resources. Athelson Stefanon Bittencourt: Investigation, Resources. Carla Dalmaz: Conceptualization, Methodology, Visualization, Writing - original draft, Supervision. Ana Paula Santana de Vasconcellos Bittencourt: Conceptualization, Methodology, Visualization, Writing original draft, Supervision. Acknowledgments This research was supported by National Research Council of Brazil (CNPq), Coordination of Improvement of Higher Level Personnel (CAPES), Foundation for the protection of research and innovation in Espírito Santo (FAPES) and National Institutes of Science and Technology (INCT). In addition, we acknowledge the Laboratório 9 Behavioural Brain Research 379 (2020) 112399 R.M.S. de Lima, et al. 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